Although the
epidermal growth factor receptor (EGFR) is an established target in
head-and-neck cancer (HNC), resistance to EGFR-targeted
therapy mediated by various mechanisms has been reported. Therefore, a combination strategy to overcome resistance to EGFR mono-targeted
therapy is clinically required. We have previously demonstrated that
non-thermal atmospheric pressure plasma (NTP) induces death of various
cancer cells, including oral squamous
cancer (OSCC) cells. In this study, we report for the first time that combining NTP treatment with
cetuximab led to inhibition of migration and invasion in
cetuximab-resistant OSCC cells, which could be a promising strategy to overcome resistance to anti-EGFR
therapy. NTP induced deactivation of NF-κB in SCCQLL1 cells, but not in MSKQLL1 cells. In addition, NTP increased the expression level of
E-cadherin, and decreased those of
vimentin, Slug, Snail,
matrix metalloproteinase (MMP)-2, -9, and activities of
MMPs. Moreover, NF-κB upregulation using
cDNA diminished the combination effect of NTP on invasion, migration and related signals. Taken together, these results indicate that the combination of NTP with
cetuximab can decrease invasiveness in
cetuximab-resistant OSCCs through a novel mechanism involving the NF-κB pathway. These findings show the therapeutic potential of treatment that combines NTP and
cetuximab in OSCC.