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Introduction Head and neck cancers are heterogeneous malignancies associated with significant morbidity. Oral cancers are related to the use of tobacco products. Smokeless tobacco usage is a health problem worldwide, and its carcinogenic mechanism is largely unknown. Despite advances in conventional treatments, side effects and drug resistance remain unsolved. Therefore, novel therapeutic agents with minimal side effects using plant derivatives should be explored. An active antihyperglycemic and antioxidant compound known as FIIc was isolated from the fruit pulp of (US Patent No.: 2,30,753). Although is reported to have anticancer activity, no study has been reported on its growth kinetics and apoptotic potential in the human head and neck cancer cell line (SCC4). The present study evaluated the effect of an herbal compound isolated from the fruit pulp of and chemically synthesized the same compound, α-hydroxy succinamic acid (α-HSA), on SCC4 proliferation and apoptotic gene expression. Methods The SCC4 cell line was cultured in Dulbecco's Modified Eagle Medium (DMEM). The dosages of smokeless tobacco extract (STE), herbal compound, and synthetic compound were determined by cell viability assay, and their effect on mRNA expression of apoptotic genes was measured by real-time polymerase chain reaction. Results The present study observed significant therapeutic effects of the natural and synthetic compounds from the fruit pulp of at the concentration range of 100-200 μg/mL on the SCC4 cell line. α-HSA had antiproliferative action; upregulated apoptotic genes like p53, p21, and Bax; and downregulated anti-apoptotic genes like survivin in the SCC4 cell line. Conclusion The therapeutic potential of α-HSA and the putative mechanisms involved may be explored to provide the basis for future therapeutic interventions in oral cancer mediated by smokeless tobacco.
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http://dx.doi.org/10.7759/cureus.46984 | DOI Listing |
Tob Control
September 2025
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA
Background: As part of its COVID-19 response, South Africa banned tobacco sales between March and August 2020. We examined self-reported tobacco use before, during and after the ban among a rural South African population with high HIV prevalence.
Methods: Between May 2021 and November 2022, we conducted a telephonic survey on tobacco use among a purposively selected subset of a population-based cohort in rural KwaZulu-Natal.
Prev Med Rep
October 2025
World Health Organization, Eastern Mediterranean Region, Abdel Razzal Al Sanhouri street, Cairo, Egypt.
Objectives: This study aims to assess the prevalence of the current use of tobacco and e-cigarettes; to identify temporal trends, and to assess factors influencing tobacco use among adolescent Palestine refugees.
Methods: The Global Youth Tobacco Survey (GYTS) was conducted in United Nations Relief Works Agency (UNRWA) schools in Gaza, Jordan, Lebanon, Syria and the West Bank (including East Jerusalem) in 2022. Prevalences were presented as rates with 95 % confidence intervals, stratified by location and sex.
J Oral Biol Craniofac Res
August 2025
Post Graduate, Department of Public Health Dentistry, Saveetha Dental College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, No.162, Poonamallee High Road, Chennai, 600077, Tamil Nadu, India.
Background: Irular and Narikuravars, are the oldest Dravidian ethnic group and a semi-nomadic community people located in Tamil Nadu. Both the indigenous groups are relegated to the margins of society and face limited access to oral health care. Thus, we aimed to assess the normative need by assessing their oral health status and risks of Narikuravar and Irular tribes residing in Villupuram District, Tamil Nadu.
View Article and Find Full Text PDFJ Oral Pathol Med
September 2025
Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, Arabian Gulf University, Manama, Bahrain.
Background: Smokeless tobacco (SLT) use is a major global risk factor for oral potentially malignant disorders (OPMDs). However, the differential impact of SLT product composition, particularly tobacco-only versus combined tobacco-areca nut products, on OPMD prevalence remains inadequately characterized.
Objective: To compare the pooled prevalence of OPMDs between users of tobacco-only SLT and users of SLT containing both tobacco and areca nut.
BMJ Open
August 2025
Department of Health and Care Sciences, Faculty of Health Sciences, Uit The Arctic University of Norway, Tromsø, Norway.
Objectives: To investigate the longitudinal associations between tobacco use (smoking and snuff) and bone mineral density (BMD) at femoral sites and in the total body in a Norwegian adolescent cohort, aged 16-27 years.
Design: Prospective longitudinal cohort study.
Setting: A population-based study in Norwegian adolescents from the general population.