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Review Open Access

Bile reflux and hypopharyngeal cancer (Review)

  • Authors:
    • Dimitra P. Vageli
    • Sotirios G. Doukas
    • Panagiotis G. Doukas
    • Benjamin L. Judson
  • View Affiliations / Copyright

    Affiliations: The Yale Larynx Laboratory, Department of Surgery, Yale School of Medicine, New Haven, CT 06510, USA
    Copyright: © Vageli et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 244
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    Published online on: September 23, 2021
       https://doi.org/10.3892/or.2021.8195
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Abstract

Laryngopharyngeal reflux, a variant of gastroesophageal reflux disease, has been considered a risk factor in the development of hypopharyngeal cancer. Bile acids are frequently present in the gastroesophageal refluxate and their effect has been associated with inflammatory and neoplastic changes in the upper aerodigestive tract. Recent in vitro and in vivo studies have provided direct evidence of the role of acidic bile refluxate in hypopharyngeal carcinogenesis and documented the crucial role of NF‑κB as a key mediator of early oncogenic molecular events in this process and also suggested a contribution of STAT3. Acidic bile can cause premalignant changes and invasive squamous cell cancer in the affected hypopharynx accompanied by DNA damage, elevated p53 expression and oncogenic mRNA and microRNA alterations, previously linked to head and neck cancer. Weakly acidic bile can also increase the risk for hypopharyngeal carcinogenesis by inducing DNA damage, exerting anti‑apoptotic effects and causing precancerous lesions. The most important findings that strongly support bile reflux as an independent risk factor for hypopharyngeal cancer are presented in the current review and the underlying mechanisms are provided.
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Copy and paste a formatted citation
Spandidos Publications style
Vageli DP, Doukas SG, Doukas PG and Judson BL: Bile reflux and hypopharyngeal cancer (Review). Oncol Rep 46: 244, 2021.
APA
Vageli, D.P., Doukas, S.G., Doukas, P.G., & Judson, B.L. (2021). Bile reflux and hypopharyngeal cancer (Review). Oncology Reports, 46, 244. https://doi.org/10.3892/or.2021.8195
MLA
Vageli, D. P., Doukas, S. G., Doukas, P. G., Judson, B. L."Bile reflux and hypopharyngeal cancer (Review)". Oncology Reports 46.5 (2021): 244.
Chicago
Vageli, D. P., Doukas, S. G., Doukas, P. G., Judson, B. L."Bile reflux and hypopharyngeal cancer (Review)". Oncology Reports 46, no. 5 (2021): 244. https://doi.org/10.3892/or.2021.8195
Copy and paste a formatted citation
x
Spandidos Publications style
Vageli DP, Doukas SG, Doukas PG and Judson BL: Bile reflux and hypopharyngeal cancer (Review). Oncol Rep 46: 244, 2021.
APA
Vageli, D.P., Doukas, S.G., Doukas, P.G., & Judson, B.L. (2021). Bile reflux and hypopharyngeal cancer (Review). Oncology Reports, 46, 244. https://doi.org/10.3892/or.2021.8195
MLA
Vageli, D. P., Doukas, S. G., Doukas, P. G., Judson, B. L."Bile reflux and hypopharyngeal cancer (Review)". Oncology Reports 46.5 (2021): 244.
Chicago
Vageli, D. P., Doukas, S. G., Doukas, P. G., Judson, B. L."Bile reflux and hypopharyngeal cancer (Review)". Oncology Reports 46, no. 5 (2021): 244. https://doi.org/10.3892/or.2021.8195
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