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Oral Cancer: From Molecular Mechanisms to Therapeutics

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 30 May 2026 | Viewed by 1518

Special Issue Editor


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Guest Editor
Oral Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, Naples, Italy
Interests: dental; oral medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Oral cancer remains a major global health challenge, representing a significant cause of morbidity and mortality worldwide. Despite advances in diagnosis and treatment, the overall survival rate for patients with oral cancer has not improved significantly in recent decades. A deeper understanding of the genetic, epigenetic, and molecular alterations involved in oral cancer is thus essential for identifying novel biomarkers for early detection, prognosis, and treatment response. In addition, innovative therapeutic strategies—including immunotherapy, targeted molecular treatments, and nanomedicine—offer new hope for improved outcomes.

This Special Issue aims to provide a comprehensive overview of the most recent discoveries in the molecular mechanisms underlying oral carcinogenesis, progression, and metastasis, as well as emerging therapeutic approaches. We welcome original research articles, reviews, and perspectives covering basic, translational, and clinical studies. Contributions that explore novel molecular pathways, tumor microenvironment interactions, resistance mechanisms, or clinical trials are particularly encouraged. With this Special Issue, we aim to foster interdisciplinary dialogue and stimulate further research that could ultimately improve patient care in oral oncology.

Dr. Diana Russo
Guest Editor

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Keywords

  • oral cancer
  • molecular mechanisms
  • carcinogenesis
  • therapeutic strategies
  • biomarkers
  • immunotherapy
  • tumor microenvironment
  • drug resistance
  • precision medicine
  • head and neck oncology

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Published Papers (2 papers)

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Research

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31 pages, 4246 KB  
Article
TCGA-Informed Spatial Profiling Reveals Peripheral CD147 Expression at the Invasive Tumor Front as a Prognostic Indicator in OSCC
by Felix Nieberle, Steffen Spoerl, Quirin Strotzer, Robin Hartmann, Ramona Erber, Silvia Spoerl, Johannes G. Schuderer, Katja Himmelstoß, Johannes Meier, Tobias Ettl, Torsten E. Reichert and Juergen Taxis
Int. J. Mol. Sci. 2026, 27(5), 2172; https://doi.org/10.3390/ijms27052172 - 25 Feb 2026
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Abstract
Oral squamous cell carcinoma (OSCC) remains a major cause of cancer-related mortality worldwide, with limited biomarker-driven tools for risk stratification. CD147 is a membrane glycoprotein implicated in tumor metabolism, invasion, immune evasion, and therapy resistance. This study aimed to evaluate the prognostic and [...] Read more.
Oral squamous cell carcinoma (OSCC) remains a major cause of cancer-related mortality worldwide, with limited biomarker-driven tools for risk stratification. CD147 is a membrane glycoprotein implicated in tumor metabolism, invasion, immune evasion, and therapy resistance. This study aimed to evaluate the prognostic and predictive relevance of CD147 expression in distinct tumor compartments of OSCC. Formalin-fixed tumor samples from 229 OSCC patients were analyzed via tissue microarray and immunohistochemistry to assess CD147 expression in the tumor center, periphery, and adjacent mucosa. Associations with clinicopathological parameters, survival, and therapy response were evaluated using non-parametric statistical tests, Kaplan–Meier, multivariate Cox, and binary logistic regression analyses. Complementary transcriptomic and immunological analyses were performed using The Cancer Genome Atlas (TCGA), the University of Alabama at Birmingham Cancer data analysis (UALCAN), Tumor and Immune System Interaction Database (TISIDB), and the Genotype-Tissue Expression (GTEx) project’s datasets. Low CD147 expression in the tumor invasive front was independently associated with improved overall survival, while expression in the tumor center or mucosa showed no prognostic value. No significant associations between CD147 and adjuvant therapy response were identified. TCGA-based analyses confirmed CD147 overexpression in tumors and its correlation with immunosuppressive signaling and resistance-associated transcriptional networks. Peripheral CD147 expression serves as a compartment-specific, independent prognostic marker in OSCC in this retrospective single-center cohort. Its spatially restricted prognostic relevance and association with immune modulation and therapy resistance highlight CD147 as a promising candidate for future biomarker-driven and therapeutic strategies. Full article
(This article belongs to the Special Issue Oral Cancer: From Molecular Mechanisms to Therapeutics)
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Review

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28 pages, 790 KB  
Review
Molecular Mechanisms in Oral Squamous Cell Carcinoma: Integrative Roles of Cancer-Associated Fibroblasts, Immune Microenvironment, and Precision Therapeutic Opportunities
by Chung-Che Tsai, Po-Chih Hsu and Chan-Yen Kuo
Int. J. Mol. Sci. 2026, 27(7), 2956; https://doi.org/10.3390/ijms27072956 - 24 Mar 2026
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Abstract
Oral squamous cell carcinoma (OSCC) remains a major global health burden due to aggressive invasion, early metastasis, therapeutic resistance, and poor long-term survival. Beyond tumor-intrinsic genetic and epigenetic alterations, accumulating evidence highlights the critical role of the tumor microenvironment in shaping OSCC progression [...] Read more.
Oral squamous cell carcinoma (OSCC) remains a major global health burden due to aggressive invasion, early metastasis, therapeutic resistance, and poor long-term survival. Beyond tumor-intrinsic genetic and epigenetic alterations, accumulating evidence highlights the critical role of the tumor microenvironment in shaping OSCC progression and clinical outcomes. Cancer-associated fibroblasts (CAFs) and immune cells orchestrate tumor initiation, immune evasion, and recurrence through extracellular matrix remodeling, cytokine signaling, angiogenesis, and metabolic and redox regulation. Key oncogenic pathways, including EGFR/PI3K/AKT/mTOR, TGF-β, Wnt, and Notch, integrate with non-coding RNA networks to reinforce stemness, epithelial–mesenchymal transition, and therapy resistance. Moreover, PD-1/PD-L1-mediated immune escape, CAF-driven biomechanical remodeling, and metabolic reprogramming such as aerobic glycolysis and lipid metabolism contribute to OSCC heterogeneity. This review synthesizes current insights into OSCC across genomic, epigenetic, metabolic, and microenvironmental dimensions, emphasizing CAF biology, immune landscape reprogramming, and non-coding RNA regulation. We further discuss emerging biomarkers, liquid biopsy approaches, and targeted therapeutic strategies, providing a system-level framework for biomarker-guided stratification and precision combination therapies in OSCC. Full article
(This article belongs to the Special Issue Oral Cancer: From Molecular Mechanisms to Therapeutics)
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