Evidence map›Paper›PMID 41303490›Full record

ArticleInternational journal of molecular sciences2025

Repurposing Antimalarials for Oral Cancer: Selective Efficacy of Hydroxychloroquine on Gingival Squamous Cell Carcinoma.

Sana Baroudi, Diego Alejandro González Poleo, Hawraa Issa, Mikhlid H Almutairi, Abdelhabib Semlali

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sana BaroudiGroupe de Recherche en Ecologie Buccale, Faculty of Dentistry, Université Laval, Quebec City, QC G1V 0A6, Canada.
Diego Alejandro González PoleoGroupe de Recherche en Ecologie Buccale, Faculty of Dentistry, Université Laval, Quebec City, QC G1V 0A6, Canada.
Hawraa IssaGroupe de Recherche en Ecologie Buccale, Faculty of Dentistry, Université Laval, Quebec City, QC G1V 0A6, Canada.
Mikhlid H AlmutairiDepartment of Zoology, College of Science, King Saud University, P.O. Box 2455, Riyadh 11451, Saudi Arabia.ORCID 0000-0002-0337-6412
Abdelhabib SemlaliGroupe de Recherche en Ecologie Buccale, Faculty of Dentistry, Université Laval, Quebec City, QC G1V 0A6, Canada.ORCID 0000-0002-1643-0377

Funding

Quebec Network for Intersectoral Research in Sustainable Oral and Bone Health : Soutien du RSBO à un consortium d'infrastructures multi-institutionnel
6 · The paper itself

Abstract

Oral cancer, the most common head and neck malignancy, has a high recurrence rate and poor prognosis largely owing to chemotherapy resistance. The adverse effects of conventional therapies have prompted investigations into safer and more effective alternative therapies. Chloroquine (CQ) and hydroxychloroquine (HCQ) have shown potential owing to their roles in autophagy modulation and immune regulation. This study clarifies the selective efficacy of hydroxychloroquine (HCQ) and chloroquine (CQ) in oral squamous cell carcinoma models, emphasizing distinct responses in gingival (Ca9-22) and tongue (SCC-9) carcinoma cells. Non-oncogenic oral epithelial cells (GMSM-K) and oral carcinoma cell lines from the tongue (SCC-9, Cal-27) and gingiva (Ca9-22) were used. Cell viability, cytotoxicity, and colony formation were assessed via MTT, LDH, and crystal violet assays. Flow cytometry was used to measure apoptosis, autophagy, oxidative stress, mitochondrial membrane potential, and DNA damage. The transcriptomic profiles of apoptosis and autophagy-related genes were assessed by qPCR arrays. Bioinformatics analysis allowed estimation of the main gene interaction networks. Pre-screening showed that GMSM-K and Cal-27 cells were non-responsive or exhibited non-specific toxicity at high doses; therefore, subsequent analyses focused on Ca9-22 (GC) and SCC-9 (TC). HCQ significantly reduced viability and colony formation in Ca9-22 cells while moderately affecting SCC-9 cells. Autophagy inhibition was accompanied by compensatory up-regulation of autophagy-related genes, consistent with feedback activation of TFEB and FOXO3a pathways. Gene expression profiling and flow-cytometry analyses revealed cell-type-specific differences in apoptosis, mitochondrial potential, and DNA damage, suggesting HCQ's selective anti-tumor potential in gingival carcinoma. These findings highlight HCQ as a repurposed adjuvant therapy that modulates autophagy and apoptosis to enhance chemosensitivity in oral cancer.

Indexed as

AntimalarialsCarcinoma, Squamous CellDrug RepositioningGingival NeoplasmsHydroxychloroquineMouth NeoplasmsApoptosisAutophagyCell Line, TumorCell SurvivalChloroquineDNA DamageGene Expression Regulation, NeoplasticHumansOxidative StressTongue NeoplasmsAntimalarialsChloroquineHydroxychloroquineapoptosisautophagychloroquinehydroxychloroquineoral cancer

Identifiers

PMID41303490
PMCPMC12652187

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.