Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis

Tobacco smoking and alcohol consumption are significant risk factors for esophageal squamous cell carcinoma (ESCC), with their Collaborative interaction amplifying carcinogenic risks. To elucidate the role and underlying mechanisms of tobacco-alcohol co-exposure in ESCC pathogenesis, we treated the...

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Main Authors: Jianfeng Yuan, Jianxin Guo, Yu Wang, Tiantian Xing, Shuang Hou, Chenchen Zhang, Ming Huang, Pengfei Zheng, Ruifeng Li, Zhongbing Wu, Jing Li
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Biochemistry and Biophysics Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405580825002742
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author Jianfeng Yuan
Jianxin Guo
Yu Wang
Tiantian Xing
Shuang Hou
Chenchen Zhang
Ming Huang
Pengfei Zheng
Ruifeng Li
Zhongbing Wu
Jing Li
author_facet Jianfeng Yuan
Jianxin Guo
Yu Wang
Tiantian Xing
Shuang Hou
Chenchen Zhang
Ming Huang
Pengfei Zheng
Ruifeng Li
Zhongbing Wu
Jing Li
author_sort Jianfeng Yuan
collection DOAJ
description Tobacco smoking and alcohol consumption are significant risk factors for esophageal squamous cell carcinoma (ESCC), with their Collaborative interaction amplifying carcinogenic risks. To elucidate the role and underlying mechanisms of tobacco-alcohol co-exposure in ESCC pathogenesis, we treated the immortalized human normal esophageal epithelial cell line NE-1 and C57BL/6 mice with 4-nitroquinoline-1-oxide (4NQO, a tobacco carcinogen analog) combined with ethanol. Results demonstrated that 4NQO-ethanol co-exposure accelerated esophageal squamous carcinogenesis. Through network toxicology and in vitro/in vivo experiments, we further validated that 4NQO-ethanol Combine exacerbated inflammatory responses and aggravated DNA damage. Mechanistically, 4NQO-ethanol co-exposure activated the TNF-α/TRAF2/NF-κB signaling pathway. Furthermore, the addition of the TNF-α inhibitor reduced the proliferative and invasive capacities of cells co-stimulated by 4NQO and ethanol. These findings indicate that tobacco-ethanol co-exposure promotes the development of esophageal squamous cell carcinoma by inducing inflammation and DNA damage through TNF-α/TRAF2/NF-κB signaling.
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spelling doaj-art-9c2e6dfddf5f4fd9b7c10b6a9d82c42f2025-08-03T04:42:53ZengElsevierBiochemistry and Biophysics Reports2405-58082025-09-0143102187Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesisJianfeng Yuan0Jianxin Guo1Yu Wang2Tiantian Xing3Shuang Hou4Chenchen Zhang5Ming Huang6Pengfei Zheng7Ruifeng Li8Zhongbing Wu9Jing Li10College of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, ChinaCollege of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, China; Corresponding author.College of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, China; Department of Traditional Chinese Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China; Corresponding author. College of Integrated Chinese and Western Medicine, Hebei Medical University, Shijiazhuang, 050017, China.Tobacco smoking and alcohol consumption are significant risk factors for esophageal squamous cell carcinoma (ESCC), with their Collaborative interaction amplifying carcinogenic risks. To elucidate the role and underlying mechanisms of tobacco-alcohol co-exposure in ESCC pathogenesis, we treated the immortalized human normal esophageal epithelial cell line NE-1 and C57BL/6 mice with 4-nitroquinoline-1-oxide (4NQO, a tobacco carcinogen analog) combined with ethanol. Results demonstrated that 4NQO-ethanol co-exposure accelerated esophageal squamous carcinogenesis. Through network toxicology and in vitro/in vivo experiments, we further validated that 4NQO-ethanol Combine exacerbated inflammatory responses and aggravated DNA damage. Mechanistically, 4NQO-ethanol co-exposure activated the TNF-α/TRAF2/NF-κB signaling pathway. Furthermore, the addition of the TNF-α inhibitor reduced the proliferative and invasive capacities of cells co-stimulated by 4NQO and ethanol. These findings indicate that tobacco-ethanol co-exposure promotes the development of esophageal squamous cell carcinoma by inducing inflammation and DNA damage through TNF-α/TRAF2/NF-κB signaling.http://www.sciencedirect.com/science/article/pii/S2405580825002742Esophageal squamous cell carcinomaTobacco smoking4-Nitroquinoline-1-oxideEthanolTNF-α/TRAF2/NF-κB signaling pathway
spellingShingle Jianfeng Yuan
Jianxin Guo
Yu Wang
Tiantian Xing
Shuang Hou
Chenchen Zhang
Ming Huang
Pengfei Zheng
Ruifeng Li
Zhongbing Wu
Jing Li
Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
Biochemistry and Biophysics Reports
Esophageal squamous cell carcinoma
Tobacco smoking
4-Nitroquinoline-1-oxide
Ethanol
TNF-α/TRAF2/NF-κB signaling pathway
title Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
title_full Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
title_fullStr Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
title_full_unstemmed Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
title_short Network toxicology reveals collaborative mechanism of 4NQO and ethanol in esophageal squamous cell carcinogenesis
title_sort network toxicology reveals collaborative mechanism of 4nqo and ethanol in esophageal squamous cell carcinogenesis
topic Esophageal squamous cell carcinoma
Tobacco smoking
4-Nitroquinoline-1-oxide
Ethanol
TNF-α/TRAF2/NF-κB signaling pathway
url http://www.sciencedirect.com/science/article/pii/S2405580825002742
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