Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets

Venous thrombo-embolism (VTE) disease is the second most common cause of mortality in cancer patients, and evaluation and prevention of thrombosis risk is essential. VTE-associated risk varies according to the type of tumor disease. Oral cancer is the most frequent type of head and neck cancer, and...

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Main Authors: Pierre Haen, Lydie Crescence, Diane Mege, Alexandre Altié, Christophe Dubois, Laurence Panicot-Dubois
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/3/228
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author Pierre Haen
Lydie Crescence
Diane Mege
Alexandre Altié
Christophe Dubois
Laurence Panicot-Dubois
author_facet Pierre Haen
Lydie Crescence
Diane Mege
Alexandre Altié
Christophe Dubois
Laurence Panicot-Dubois
author_sort Pierre Haen
collection DOAJ
description Venous thrombo-embolism (VTE) disease is the second most common cause of mortality in cancer patients, and evaluation and prevention of thrombosis risk is essential. VTE-associated risk varies according to the type of tumor disease. Oral cancer is the most frequent type of head and neck cancer, and it represents approximately 2.1% of all cancers worldwide. Most tumors are squamous cell carcinomas and are mainly due to tobacco and alcohol abuse. VTE risk associated with oral squamous cell carcinoma (OSCC) is low. However, many studies have shown that OSCC has the following biological features of cancers associated with a high thrombosis risk: modified thrombosis and fibrinolysis mechanisms; strong expression of procoagulant proteins; secretion of procoagulant microparticles; and production of procoagulant cytokines. Using an original mouse model of tongue squamous cell carcinoma, our study aimed to clarify this paradoxical situation. First, we showed that OSCC tumors have a pro-aggregatory phenotype and a high local thrombosis risk. Second, we found that tongue tumor mice do not have an elevated systemic thrombosis risk (the risk of an “at distance” thrombosis event such as lower extremity deep venous thrombosis or pulmonary embolism) and even show a reduction in risk. Third, we demonstrated that tongue tumor mice show a reduction in platelet reactivity, which explains the low systemic thrombosis risk. Finally, we found that tongue tumor mice present granule pool deficiency, thereby explaining the reduction in platelet reactivity and systemic thrombosis risk.
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spelling doaj.art-66ebdfe1d484442cbd72b7193cc766422023-12-11T18:17:28ZengMDPI AGBiomedicines2227-90592021-02-019322810.3390/biomedicines9030228Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in PlateletsPierre Haen0Lydie Crescence1Diane Mege2Alexandre Altié3Christophe Dubois4Laurence Panicot-Dubois5Aix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceAix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceAix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceAix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceAix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceAix Marseille Université, INSERM 1263, INRAE, C2VN, 13885 Marseille, FranceVenous thrombo-embolism (VTE) disease is the second most common cause of mortality in cancer patients, and evaluation and prevention of thrombosis risk is essential. VTE-associated risk varies according to the type of tumor disease. Oral cancer is the most frequent type of head and neck cancer, and it represents approximately 2.1% of all cancers worldwide. Most tumors are squamous cell carcinomas and are mainly due to tobacco and alcohol abuse. VTE risk associated with oral squamous cell carcinoma (OSCC) is low. However, many studies have shown that OSCC has the following biological features of cancers associated with a high thrombosis risk: modified thrombosis and fibrinolysis mechanisms; strong expression of procoagulant proteins; secretion of procoagulant microparticles; and production of procoagulant cytokines. Using an original mouse model of tongue squamous cell carcinoma, our study aimed to clarify this paradoxical situation. First, we showed that OSCC tumors have a pro-aggregatory phenotype and a high local thrombosis risk. Second, we found that tongue tumor mice do not have an elevated systemic thrombosis risk (the risk of an “at distance” thrombosis event such as lower extremity deep venous thrombosis or pulmonary embolism) and even show a reduction in risk. Third, we demonstrated that tongue tumor mice show a reduction in platelet reactivity, which explains the low systemic thrombosis risk. Finally, we found that tongue tumor mice present granule pool deficiency, thereby explaining the reduction in platelet reactivity and systemic thrombosis risk.https://www.mdpi.com/2227-9059/9/3/228disorders of platelet functionintravital microcopylaser injuryoral squamous cancerplatelet granules
spellingShingle Pierre Haen
Lydie Crescence
Diane Mege
Alexandre Altié
Christophe Dubois
Laurence Panicot-Dubois
Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
Biomedicines
disorders of platelet function
intravital microcopy
laser injury
oral squamous cancer
platelet granules
title Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
title_full Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
title_fullStr Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
title_full_unstemmed Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
title_short Oral Squamous Cell Carcinoma Is Associated with a Low Thrombosis Risk Due to Storage Pool Deficiency in Platelets
title_sort oral squamous cell carcinoma is associated with a low thrombosis risk due to storage pool deficiency in platelets
topic disorders of platelet function
intravital microcopy
laser injury
oral squamous cancer
platelet granules
url https://www.mdpi.com/2227-9059/9/3/228
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