SMG-1 serves as a prognostic indicator for the radiotherapy response in head and neck squamous cell carcinoma xenografts and patients
Head and neck squamous cell carcinoma (HNSCC) is a common malignancy where radiotherapy is a primary treatment. The prognostic value of SMG-1, a PIKK family member involved in DNA damage response, remains controversial. This study investigated SMG-1 expression in HNSCC and its impact on tumor growth, prognosis, and radiosensitivity. Using bioinformatics analysis, we found elevated SMG-1 mRNA in HNSCC tissues. Knockdown of SMG-1 in SCC-090 cells did not affect proliferation in vitro or tumor growth in xenografts. In a cohort of 36 radiotherapy-naïve HNSCC patients, SMG-1 protein expression did not correlate with overall survival. However, SMG-1 knockdown enhanced radiosensitivity in vitro, suggesting SMG-1 as a potential prognostic indicator for radiotherapy response. These findings highlight the need for further validation in larger clinical cohorts.