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Background and Objectives:According to our previous study Ginkgo biloba extract (EGb 761) induces inhibition of cell proliferationand apoptosis in SCC 1483 oral cavity cancer cells. On the other hand, in lipopolysaccharide-stimulated RAW 264.7cells, activation of mitogen activated protein kinase (MAPK) is the key event in the inhibition of inflammation by EGb 761. Therefore,we have investigated whether MAPK pathway is involved in the apoptotic process by EGb 761 in oral cavity cancer celllines or not. Subjects and Method:In SCC 1483 oral cavity cancer cell lines, Western blot analysis, Fluorescence-activatedcell sorter (FACS) analysis, and transient transfection using MAPK-dominant negative constructs were used. Results:WhenSCC 1483 oral cavity cancer cell lines were treated with the concentration of 250 μg/ml EGb 761, activation of extracellular signal-regulated kinase (ERK) and apoptosis were noted. This apoptosis was inhibited by the treatment with ERK inhibitor (PD98059). In the transiently transfected cells by MAPK/ERK kinase 1 (MEK1)-dominant negative construct, phosphorylations ofERK and p90 ribosomal S 6 protein kinase (RSK1) were inhibited which led to the inhibition of apoptosis by EGb 761. Theinhibition of apoptosis was also noted in the transfected cells by RSK1 dominant negative construct and cAMP response elementbinding protein (CREB)-dominant negative construct. Conclusion:In conclusion, the apoptosis of SCC 1483 oral cavity cancercell lines by EGb 761 is linked to the activation of ERK and it can happen via ERK MAPK/RSK1/CREB signal transductionpathway. (Korean J Otolaryngol 2006;49:1181-7)

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