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(American Journal of Pathology. 2003;163:723-732.)
© 2003 American Society for Investigative Pathology

Down-Regulation of Nitric Oxide Synthase-2 and Cyclooxygenase-2 Pathways by p53 in Squamous Cell Carcinoma

Oreste Gallo*, Nicola Schiavone{dagger}, Laura Papucci{dagger}, Iacopo Sardi{ddagger}, Lucia Magnelli{dagger}, Alessandro Franchi§, Emanuela Masini and Sergio Capaccioli{dagger}

From the Departments of Oto-Neuro-Ophthalmologic Surgery;* Experimental Pathology and Oncology;{dagger} Pediatrics,{ddagger} Onco-Haematology Unit; Human Pathology and Oncology;§ and Preclinical and Clinical Pharmacology, University of Florence, Florence, Italy

The goal of this study was to analyze the correlation between inducible nitric oxide synthase (iNOS) and COX-2 activities and p53 gene status in head and neck squamous cell carcinomas (HNSCCs) in vivo and in vitro. In a series of 43 HNSCCs we observed an up-regulation of both iNOS and COX-2 pathways in tumor tissues and both activities were correlated each other (rs = 0.612 and P = 0.0002). We also found that p53-mutated HNSCCs (25 cases, 58.1%) showed higher levels of iNOS activity and cGMP in comparison with wild-type p53 tumors (18 cases, 41.9%) (P = 0.0005 and P = 0.01), as well as higher iNOS immunohistochemical expression (P = 0.03). Analogously, higher PgE2 levels were documented in p53-mutated HNSCCs when compared with wild-type p53 tumors (P = 0.015) and COX-2 protein expression was higher in p53-mutated HNSCCs (P = 0.007). A431 cancer cells expressing a p53 temperature-sensitive mutant showed an ~1.9- and 2.6-fold decrease in spontaneous NO2-/NO3- and PgE2 synthesis at permissive temperature, respectively, when compared with the same cells at nonpermissive temperature (P <= 0.001). Basal levels of iNOS and COX-2 proteins and mRNAs were markedly suppressed by restoration of p53 activity. Our results indicate that p53 gene mutation(s) may be responsible for iNOS and COX-2 up-regulation frequently observed in HNSCCs and suggest that restoration of wild-type p53 expression may interfere with tumor growth by inhibiting iNOS and COX-2 pathways.





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