Epigallocatechin-3-gallate (EGCG), a major polyphenolic constituent of
green tea, possesses remarkable chemopreventive and therapeutic potential against various types of
cancer, including
head and neck squamous cell carcinoma (
HNSCC). However, the molecular mechanism involved is not completely understood. Nonsteroidal anti-inflammatory drug-activated gene-1 (NAG-1), a
transforming growth factor β superfamily
protein, is shown to be induced by several antitumorigenic compounds and to exhibit proapoptotic and antitumorigenic activities. In this report, we demonstrate that EGCG transcriptionally induced the expression of NAG-1 during EGCG-induced apoptosis of
HNSCC cells. Reporter assays, using the
luciferase constructs containing the NAG-1 promoter, demonstrate that p53 is required for EGCG-mediated activation of NAG-1. Overexpression of NAG-1 enhanced the apoptotic effect of EGCG, whereas suppression of NAG-1 expression by
small interfering RNA attenuated EGCG-induced apoptosis in
HNSCC cells. Subsequently, we found that
ataxia-telangiectasia mutated (ATM) plays an important role in activating these proapoptotic
proteins (NAG-1 and p53) and cell cycle inhibitor (p21). Furthermore, EGCG significantly inhibited
tumor formation as assessed by xenograft models, and this result is accompanied with induction of apoptotic cells and NAG-1 expression in
tumor tissue samples. Taken together, these results demonstrate for the first time that EGCG induces apoptosis via ATM/p53-dependent NAG-1 expression in
HNSCC, providing an additional mechanistic explanation for the apoptotic activity of EGCG.