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Lehner R, Lochbaum R, Hoffmann TK, Hahn J. Injury patterns of suicide attempts in the head and neck area-a retrospective analysis over 15 years. Eur Arch Otorhinolaryngol 2025; 282:2571-2580. [PMID: 39699632 PMCID: PMC12055620 DOI: 10.1007/s00405-024-09138-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Accepted: 12/02/2024] [Indexed: 12/20/2024]
Abstract
PURPOSE Suicide attempts may involve various parts of the body with different severity grades and therefore represent a multidisciplinary challenge. The head and neck region is highly vulnerable to severe self-inflicted injuries, yet literature on this topic remains limited. METHODS A retrospective analysis was performed of patients with suicide attempts in an Otorhinolaryngology (ORL) department of a tertiary referral hospital over a 15-year period. The aim of the study was to analyse their clinical course and injury patterns. RESULTS 70 patients were included (m: 42/70; f: 28/70). The mean age at suicide attempt was 43.7 years. Women were significantly younger than men (p = 0.046). Seven injury types were differentiated: strangulation (44.3%), stabbing (17.1%), jumping from a height and firearm use (10.0% each), jumping in front of a moving vehicle and ingestion of acids/bases (7.1% each) as well as ingestion of pills (4.3%). Men were dominantly involved in strangulation (14/42; 33.3%) and stabbing (11/42; 26.2%), whereas women appeared with strangulation (17/28; 60.7%) and tablet ingestion (3/28; 10.7%). Men required ORL-specific surgical care significantly more often than women (43.9% vs. 7.1%; p < 0.001). Men chose "violent" methods more frequently than women (90.5% vs. 46.4%; p < 0.001). Women were more likely to receive psychiatric treatment (p = 0.0011). CONCLUSIONS Violent suicide attempts were more common in males and therefore required more often surgical intervention. Soft attempts and psychiatric diagnoses were more often associated with female gender. Routine laryngoscopy is recommended within 24h after the initial trauma. All individuals were successfully treated in an interdisciplinary setting and survived with moderate morbidity.
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Affiliation(s)
- R Lehner
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany.
| | - R Lochbaum
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany
| | - T K Hoffmann
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany
| | - J Hahn
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany
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Mohammadzadeh M, Erfanian R, Khoozani AS, Abdullah H, Anari MR, Ardehali MM, Zarch VV. The Effects of Cold Application on Internal and External Carotid Artery Flows: an Evaluation of Conventional Epistaxis Management. Indian J Otolaryngol Head Neck Surg 2025; 77:1813-1817. [PMID: 40226261 PMCID: PMC11985727 DOI: 10.1007/s12070-025-05410-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 02/15/2025] [Indexed: 04/15/2025] Open
Abstract
Applying cold is a common method for epistaxis management. In this study, the effect of cold on the blood flow of the internal and external carotid system was examined, with the help of ultrasonography, to get a more accurate picture of the effect of cold on blood flow to the head and neck. This study consisted of three separate phases conducted on healthy adult volunteers. Phase 1: Cervical skin and tympanic temperatures, systolic and diastolic blood pressure (SBP and DBP), and heart rate (HR) were measured at baseline and every 5 min for 25 min, with an ice collar in place and after removal. Phase 2: Blood flow of the Internal carotid artery (ICA), External carotid artery (ECA), Facial Artery (FA), and Temporalis Artery (TA) were assessed before applying a regular cervical collar, and promptly after removing it, using Doppler ultrasound. FA and TA blood flows were also measured 5 and 15 min after collar application. Phase 3: The second phase was repeated, this time using an ice collar. Blood flows were additionally assessed 10 min after collar removal. Cold application was associated with tympanic and cervical skin temperatures (P-values: 0.002, < 0.0001), while it had no association with HR, SBP, or DBP (P-values: 0.16, 0.51, 0.36). Applying a regular collar did not affect ICA, ECA, FA, and TA blood flow (P-values:0.9,0.1,0.5,0.06). Pearson's correlation coefficients for flow assessment of ICA, ECA, FA, and TA by Doppler ultrasound before collar use and after its removal were 0.73, 0.96, 0.76, and 0.90, respectively (P-values: 0.01, < 0.001, 0.02, < 0.0001). The cold application did not alter ICA blood flow (P-value: 0.1) but decreased ECA, FA, and TA blood flows (P-values: 0.0002, < 0.0001, < 0.0001). Cold application on the neck can significantly decrease ECA, FA, and TA blood flows, while ICA blood flow remains unchanged. These findings indicate a differing effect of cold on the neck in epistaxis management within the internal carotid system, compared to the external carotid system.
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Affiliation(s)
- Maryam Mohammadzadeh
- Department of Radiology, Amir Alam Hospital, Tehran University of Medical Science, Tehran, Iran
| | - Reza Erfanian
- Otolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Science, Tehran, Iran
| | | | - Hakima Abdullah
- Otolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Science, Tehran, Iran
| | - Mahtab Rabbani Anari
- Otolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Science, Tehran, Iran
| | | | - Varasteh Vakili Zarch
- Otolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Science, Tehran, Iran
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Kudu E, Özdamar Y, Danış F, Demir MC, İlhan B, Aksu NM. Emergency Management and Nursing Considerations of Carotid Blowout Syndrome. J Emerg Nurs 2024; 50:736-746. [PMID: 38864793 DOI: 10.1016/j.jen.2024.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 05/07/2024] [Accepted: 05/07/2024] [Indexed: 06/13/2024]
Abstract
INTRODUCTION Carotid blowout syndrome is a rare but fatal complication often witnessed secondary to treating patients with head and neck cancer. It occurs when damage and necrosis lead to the carotid artery wall rupture. The symptoms encountered in these patients range from asymptomatic to cardiac arrest. Here, we present 5 cases of carotid blowout syndrome in the emergency department. CASE PRESENTATIONS Patients demonstrated symptoms ranging from subtle bleeding to hemodynamic instability, highlighting the diverse nature of carotid blowout syndrome in this population. Notably, while all patients had a history of radiotherapy, some had additional risk factors for carotid blowout syndrome, including prior surgery (n = 2), malnutrition (n = 3), and tracheostomies (n = 2). Definitive diagnoses were established through clinical evaluation and computed tomography angiography. Immediate interventions included bleeding control, resuscitation, and consultations with relevant specialties. Four patients underwent interventional radiology procedures, and 1 patient received otolaryngology care. While 2 patients recovered completely, 1 died in the emergency department, and 1 in the intensive care unit. One patient's clinical course was complicated by a stroke. CONCLUSION The approach to the carotid blowout syndrome patient includes complex steps that proceed in a multidisciplinary manner, starting from triage until discharge. Emergency nurses play crucial roles at every stage. They should be aware of carotid blowout syndrome when evaluating patients with head and neck cancer presenting with bleeding. When treating these patients, emergency nurses should be ready for airway interventions, bleeding control, and massive transfusion protocol. In this context, the multifaceted approaches made by nurses contribute significantly to carotid blowout syndrome management in the emergency department.
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Nguyen Van D, Le Van Q, Nguyen Thi Thu N, Bui Van G, Ta Van T. The impact of trans-arterial embolization on the result of chemoradiotherapy in oral cavity cancer. EAR, NOSE & THROAT JOURNAL 2024; 103:NP272-NP277. [PMID: 34821166 DOI: 10.1177/01455613211054181] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives: Evaluation of the hemostatic effect of trans-arterial embolization on patients with advanced oral cavity cancer who had bleeding complications while undergoing definitive concurrent chemoradiotherapy (CCRT). Additionally, assess the effect of trans-arterial embolization on treatment response following concurrent chemoradiotherapy, as well as overall survival (OS) and progression-free survival (PFS) in the group of patients following the intervention. Method: From September 2018-June 2021, a retrospective descriptive study was conducted on 16 patients with inoperable, locally advanced oral cavity cancer who received definitive concurrent chemoradiotherapy, experienced acute bleeding complications, and received selective intravascular intervention with various embolization materials at Vietnam National Cancer Hospital. Results: After selective embolization, 16/16 patients ceased bleeding; 1 patient re-bled for the second time after 3 weeks. The average duration of chemoradiotherapy interruption due to intervention was 6.7 days. After CCRT, 15/16 (93.75%) patients achieved a response, with 9/16 (56.25%) patients achieving a complete response. The median OS was 14 months (range, 3-26 months), and the median PFS was 10 months (range, 3-20 months). There were no significant complications, particularly neurological side effects. ConclusionsTumor bleeding is a common and serious complication of CCRT treatment in patients with locally advanced oral cavity cancer. Embolization is a safe and effective method of controlling acute bleeding that has no adverse effect on the outcome of definitive concurrent chemoradiotherapy.
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Affiliation(s)
- Dang Nguyen Van
- Department of Oncology, Hanoi Medical University, Hanoi, Vietnam
- Department of Head and neck Radiation Oncology, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - Quang Le Van
- Department of Oncology, Hanoi Medical University, Hanoi, Vietnam
| | - Nhung Nguyen Thi Thu
- Department of Head and neck Radiation Oncology, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - Giang Bui Van
- Radiology Center, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - To Ta Van
- Center of Pathology and Molecular biology, Vietnam National Cancer Hospital, Hanoi, Vietnam
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Wang YH, Tsai SCS, Lin FCF. Reduction of Blood Loss by Means of the Cavitron Ultrasonic Surgical Aspirator for Thoracoscopic Salvage Anatomic Lung Resections. Cancers (Basel) 2023; 15:4069. [PMID: 37627096 PMCID: PMC10452171 DOI: 10.3390/cancers15164069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 08/02/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023] Open
Abstract
In centrally located lung tumors, salvage pulmonary resections pose challenges due to adhesions between the pulmonary parenchyma, chest wall, and hilum. This study aimed to investigate the surgical outcomes associated with Cavitron Ultrasonic Surgical Aspirator (CUSA) usage in thoracoscopic salvage pulmonary resections. Patients with centrally located advanced-stage lung tumors who underwent salvage anatomic resections following systemic or radiotherapy were included. They were categorized into CUSA and non-CUSA groups, and perioperative parameters and surgical outcomes were analyzed. Results: The study included 7 patients in the CUSA group and 15 in the non-CUSA group. Despite a longer median surgical time in the CUSA group (3.8 h vs. 6.0 h, p = 0.021), there was a significant reduction in blood loss (100 mL vs. 250 mL, p = 0.014). Multivariate analyses revealed that the use of CUSA and radiotherapy had opposing effects on blood loss (β: -296.7, 95% CI: -24.8 to -568.6, p = 0.034 and β: 282.9, 95% CI: 19.7 to 546.3, p = 0.037, respectively). In conclusion, while using CUSA in the salvage anatomic resection of centrally located lung cancer may result in a longer surgical time, it is crucial in minimizing blood loss during the procedure.
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Affiliation(s)
- Yu-Hsiang Wang
- Department of Thoracic Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan;
| | - Stella Chin-Shaw Tsai
- Superintendent Office, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan;
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan
| | - Frank Cheau-Feng Lin
- Department of Thoracic Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan;
- School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
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The coagulome of oral squamous cell carcinoma: examining the role and regulation of coagulation in oral cancers using a systems approach. Curr Opin Otolaryngol Head Neck Surg 2023; 31:73-77. [PMID: 36912218 DOI: 10.1097/moo.0000000000000870] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
PURPOSE OF REVIEW Solid tumors often establish a locally hypercoagulant state that promotes vascular complications, such as venous thromboembolism (VTE). Oral squamous cell carcinoma (OSCC) is associated with a broad range of hemostatic complications. Although VTE rarely occurs in ambulatory patients with OSCC, the coagulation cascade is typically activated by surgical resection and local hemorrhage. We present the recent progress in the understanding of the role and regulation of coagulation in OSCC. RECENT FINDINGS Application of systems biology, using bulk tumor and single cell genomic analyses, unveiled the landscape of the tumor coagulome. Of all tumor types, OSCC express the highest mRNA levels of F3 and PLAU, the genes that encode the tissue factor (TF) and urokinase-type plasminogen activator (uPA), the key regulators of coagulation and fibrinolysis, respectively. It also brought to light the intimate and reciprocal regulation between coagulation/fibrinolysis and the tumor microenvironment (TME). SUMMARY OSCC have a specific coagulome, with consequences that likely extend beyond the vascular risk. We discuss the attractive possibility that biomarkers of the coagulation cascade might reflect some important characteristics of the TME, offering new opportunities to better understand the impact of surgical procedures, better predict their oncological outcome and improve current therapeutic approaches.
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Wang CK, Ho CF, Niu KY, Wu CC, Chang YC, Hsiao CH, Yen CC. Risk factors for rebleeding and long-term outcomes in patients with head and neck cancer bleeding: a multicenter study. BMC Cancer 2022; 22:841. [PMID: 35918707 PMCID: PMC9347166 DOI: 10.1186/s12885-022-09945-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 07/28/2022] [Indexed: 12/24/2022] Open
Abstract
Background Acute, catastrophic bleeding in patients with head and neck cancer (HNC) is challenging and also a burden for their families and frontline physicians. This study analyzed the risk factors for rebleeding and long-term outcomes in these patients with HNC. Methods Patients who presented to the emergency department (ED) with HNC bleeding were enrolled in this study (N = 231). Variables of patients with or without rebleeding were compared, and associated factors were investigated using Cox’s proportional hazard model. Results Of the 231 patients enrolled, 112 (48.5%) experienced a recurrent bleeding event. The cumulative rebleeding incidence rate was 23% at 30 days, 49% at 180 days, and 56% at 1 year. Multivariate Cox regression analyses demonstrated that overweight-to-obesity (HR = 0.52, 95% CI 0.28–0.98, p = 0.043), laryngeal cancer (hazard ratio [HR] = 2.13, 95% confidence interval [CI] 1.07–4.23, p = 0.031), chemoradiation (HR = 1.49, 95% CI 1.001–2.94, p = 0.049), and second primary cancer (HR = 1.75, 95% CI 1.13–2.70, p = 0.012) are significant independent predictors of rebleeding, and the prognostic factors for overall survival included underweight (HR = 1.89, 95% CI 1.22–2.93, p = 0.004), heart rate > 110 beats/min (HR = 1.58, 95% CI 1.04–2.39, p = 0.032), chemoradiation (HR = 2.31, 95% CI 1.18–4.52, p = 0.015), and local recurrence (HR = 1.74, 95% CI 1.14–2.67, p = 0.011). Conclusions Overweight-to-obesity is a protective factor, while laryngeal cancer, chemoradiation and a second primary cancer are risk factors for rebleeding in patients with HNC. Our results may assist physicians in risk stratification of patients with HNC bleeding.
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Affiliation(s)
- Chih-Kai Wang
- Department of Emergency Medicine, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Che-Fang Ho
- Department of Otolaryngology Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan
| | - Kuang-Yu Niu
- Department of Emergency Medicine, Keelung Branch, Chang Gung Memorial Hospital, Keelung, Taiwan
| | - Chia-Chien Wu
- Department of Medical Imaging and Intervention, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Yun-Chen Chang
- Department of Otolaryngology Head and Neck Surgery, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Chien-Han Hsiao
- Department of Linguistics, Indiana University, Bloomington, IN, USA
| | - Chieh-Ching Yen
- Department of Emergency Medicine, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan. .,Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
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Weaver A, Smith M, Wilson S, Douglas CM, Montgomery J, Finlay F. Palliation of head and neck cancer: a review of the unique difficulties. Int J Palliat Nurs 2022; 28:333-341. [PMID: 35861441 DOI: 10.12968/ijpn.2022.28.7.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Each year, there are 11 900 new diagnoses of head and neck cancers in the UK, with around 4000 deaths. Survival rates are higher for those diagnosed earlier, however, patients are often diagnosed later, with 20% palliative at the time of diagnosis. There is a scarcity of head and neck cancer palliative care literature available. This review article aims to discuss the unique challenges of head and neck cancer palliation. It specifically focusses on the challenges of pain management, airway obstruction, dysphagia, haemorrhage and the psychology of palliative head and neck cancer management. This article explores the advantages and disadvantages of many of the different treatment options available. It is hoped that this article will highlight the unique difficulties encountered by patients with head and neck cancer towards the end of their life and offer insights and suggestions to improve patients' quality of life in their final weeks and months.
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Affiliation(s)
- Alicia Weaver
- Medical Student, Glasgow University Medical School, Scotland
| | - Maria Smith
- Head and Neck Cancer Clinical Nurse Specialist, Department of Otolaryngology Head and Neck Surgery, Queen Elizabeth University Hospital, Scotland
| | - Sarah Wilson
- Head and Neck Cancer Clinical Nurse Specialist, Department of Otolaryngology Head and Neck Surgery, Queen Elizabeth University Hospital, Scotland
| | - Catriona M Douglas
- Consultant ENT Surgeon, Department of Otolaryngology Head and Neck Surgery, Queen Elizabeth University Hospital, Scotland
| | - Jenny Montgomery
- Consultant ENT Surgeon, Department of Otolaryngology Head and Neck Surgery, Queen Elizabeth University Hospital, Scotland
| | - Fiona Finlay
- Consultant Palliative Care Physician, Department of Palliative Medicine, Queen Elizabeth University Hospital, Scotland
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Yen CC, Yeh H, Ho CF, Hsiao CH, Niu KY, Yeh CC, Lu JX, Wu CC, Chang YC, Ng CJ. Risk factors for 30-day mortality in patients with head and neck cancer bleeding in the emergency department. Am J Emerg Med 2022; 58:9-15. [DOI: 10.1016/j.ajem.2022.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 04/27/2022] [Accepted: 05/07/2022] [Indexed: 01/06/2023] Open
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Yen CC, Ho CF, Wu CC, Tsao YN, Chaou CH, Chen SY, Ng CJ, Yeh H. In-Hospital and Long-Term Outcomes in Patients with Head and Neck Cancer Bleeding. Medicina (B Aires) 2022; 58:medicina58020177. [PMID: 35208501 PMCID: PMC8878826 DOI: 10.3390/medicina58020177] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 12/23/2022] Open
Abstract
Background and Objectives: The purpose of the present study was to elucidate the in-hospital and long-term outcomes of patients with head and neck cancer (HNC) bleeding and to analyze the risk factors for mortality. Materials and Methods: We included patients who presented to the emergency department (ED) with HNC bleeding. Variables of patients who survived and died were compared and associated factors were investigated by logistic regression and Cox’s proportional hazard model. Results: A total of 125 patients were enrolled in the present study. Fifty-nine (52.8%) patients experienced a recurrent bleeding event. The in-hospital mortality rate was 16%. The overall survival at 1, 3 and 5 years was 48%, 41% and 34%, respectively. The median survival time was 9.2 months. Multivariate logistic regression analyses revealed that risk factors for in-hospital mortality were inotropic support (OR = 10.41; Cl 1.81–59.84; p = 0.009), hypopharyngeal cancer (OR = 4.32; Cl 1.29–14.46; p = 0.018), and M stage (OR = 5.90; Cl 1.07–32.70; p = 0.042). Multivariate Cox regression analyses indicate that heart rate >110 (beats/min) (HR = 2.02; Cl 1.16–3.51; p = 0.013), inotropic support (HR = 3.25; Cl 1.20–8.82; p = 0.021), and hypopharygneal cancer (HR = 2.22; Cl 1.21–4.06; p = 0.010) were all significant independent predictors of poorer overall survival. Conclusions: HNC bleeding commonly represents the advanced disease stage. Recognition of associated factors aids in the risk stratification of patients with HNC bleeding.
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Affiliation(s)
- Chieh-Ching Yen
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan; (C.-C.Y.); (C.-H.C.); (S.-Y.C.); (C.-J.N.)
- College of Medicine, National Yang Ming University, Taipei 11221, Taiwan
| | - Che-Fang Ho
- Department of Otolaryngology Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung 20401, Taiwan;
| | - Chia-Chien Wu
- Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan;
| | - Yu-Ning Tsao
- Department of Otolaryngology Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan;
| | - Chung-Hsien Chaou
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan; (C.-C.Y.); (C.-H.C.); (S.-Y.C.); (C.-J.N.)
- College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
- Chang Gung Medical Education Research Center, Taoyuan 33305, Taiwan
| | - Shou-Yen Chen
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan; (C.-C.Y.); (C.-H.C.); (S.-Y.C.); (C.-J.N.)
- Chang Gung Medical Education Research Center, Taoyuan 33305, Taiwan
| | - Chip-Jin Ng
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan; (C.-C.Y.); (C.-H.C.); (S.-Y.C.); (C.-J.N.)
- College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
| | - Heng Yeh
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan; (C.-C.Y.); (C.-H.C.); (S.-Y.C.); (C.-J.N.)
- Correspondence: ; Tel.: +886-3-328-1200 (ext. 2143)
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Lottin M, Soudet S, Fercot J, Racine F, Demagny J, Bettoni J, Chatelain D, Sevestre MA, Mammeri Y, Lamuraglia M, Galmiche A, Saidak Z. Molecular Landscape of the Coagulome of Oral Squamous Cell Carcinoma. Cancers (Basel) 2022; 14:460. [PMID: 35053621 PMCID: PMC8773794 DOI: 10.3390/cancers14020460] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 01/07/2022] [Accepted: 01/15/2022] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Hemostatic complications, ranging from thromboembolism to bleeding, are a significant source of morbidity and mortality in cancer patients. The tumor coagulome represents the multiple genes and proteins that locally contribute to the equilibrium between coagulation and fibrinolysis. We aimed to study the coagulome of Oral Squamous Cell Carcinoma (OSCC) and examine its link to the tumor microenvironment (TME). METHODS We used data from bulk tumor DNA/RNA-seq (The Cancer Genome Atlas), single-cell RNA-seq data and OSCC cells in culture. RESULTS Among all tumor types, OSCC was identified as the tumor with the highest mRNA expression levels of F3 (Tissue Factor, TF) and PLAU (urokinase type-plasminogen activator, uPA). Great inter- and intra-tumor heterogeneity were observed. Single-cell analyses showed the coexistence of subpopulations of pro-coagulant and pro-fibrinolytic cancer cells within individual tumors. Interestingly, OSCC with high F3 expressed higher levels of the key immune checkpoint molecules CD274/PD-L1, PDCD1LG2/PD-L2 and CD80, especially in tumor dendritic cells. In vitro studies confirmed the particularity of the OSCC coagulome and suggested that thrombin exerts indirect effects on OSCC cells. CONCLUSIONS OSCC presents a specific coagulome. Further studies examining a possible negative modulation of the tumor's adaptive immune response by the coagulation process are warranted.
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Affiliation(s)
- Marine Lottin
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Biochemistry, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France
| | - Simon Soudet
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Vascular Medecine, Amiens University Hospital, 80054 Amiens, France
| | - Julie Fercot
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Biochemistry, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France
| | - Floriane Racine
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Biochemistry, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France
| | - Julien Demagny
- Department of Hematology, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France;
| | - Jérémie Bettoni
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Maxillofacial Surgery, Amiens University Hospital, 80054 Amiens, France
| | - Denis Chatelain
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Pathology, Amiens University Hospital, 80054 Amiens, France
| | - Marie-Antoinette Sevestre
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Vascular Medecine, Amiens University Hospital, 80054 Amiens, France
| | - Youcef Mammeri
- Laboratoire Amiénois de Mathématique Fondamentale et Appliquée (LAMFA), CNRS UMR7352, Université de Picardie Jules Verne, 80069 Amiens, France;
| | - Michele Lamuraglia
- Department of Oncology, Amiens University Hospital, 80054 Amiens, France;
| | - Antoine Galmiche
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Biochemistry, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France
| | - Zuzana Saidak
- EA7516 CHIMERE, Université de Picardie Jules Verne, 80054 Amiens, France; (M.L.); (S.S.); (J.F.); (F.R.); (J.B.); (D.C.); (M.-A.S.)
- Department of Biochemistry, Center for Human Biology, Amiens University Hospital, 80054 Amiens, France
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