Introduction: Head and neck squamous cell carcinomas (HNSCC) are the most prevalent malignancies of the upper aero-digestive tract. Resistance of HNSCC to radiotherapy hampers the efficacy of tumor treatment. The GSH/GSSG cellular redox buffer system is capable of neutralizing radicals such as radiation-induced reactive oxygen species thereby helping to protect tumor cells from therapy induced cell death. Material and methods: Three HPV negative and three HPV positive HNSCC cell lines were deployed in the study. HNSCC cells were photon-irradiated with 4 Gy. Measurement of total as well as reduced (GSH) and oxidized (GSSG) glutathione was done with the GSH/GSSG Glo™ Assay. MK571, an inhibitor of the glutathione transporter ABCC1, was applied in a concentration of 50 µmol/L. Results: A strong heterogeneity regarding the glutathione levels was noted between the individual cell lines, independent of irradiation, with on average, but not significantly, lower glutathione levels in the HPVpos group. The HPV positive cell line UM-SCC-47 exhibited conspicuously low GSSG levels, which increased after treatment of cells with MK571. UT-SCC-26A, a known cisplatin resistant cell line, exhibited the highest amount of GSSG. The irradiated cell group exhibited significantly lower levels of total, reduced (GSH) and oxidized (GSSG) glutathione, whereas the GSH/GSSG ratio did not change significantly. Conclusion/Discussion: The observations point to major differences in the capability of HNSCC cells to fend of cytotoxic radicals, which are in accordance with our previous reports (Tonigold et al., J Cancer Res Clin Oncol, 2014). Further studies are needed to evaluate the interconnection of the GSH/GSSG redox system with ABC transporters such as ABCC1 and its role in therapy resistance.
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