Murine model of neuromuscular electrical stimulation on squamous cell carcinoma: Potential implications for dysphagia therapy Journal Article


Authors: Linkov, G.; Branski, R. C.; Amin, M.; Chernichenko, N.; Chen, C. H.; Alon, G.; Langmore, S.; Wong, R. J.; Kraus, D. H.
Article Title: Murine model of neuromuscular electrical stimulation on squamous cell carcinoma: Potential implications for dysphagia therapy
Abstract: Background Dysphagia is a potential consequence of treatment for head and neck cancer. Neuromuscular electrical stimulation (NMES) has evolved as a treatment option, with the goal of improved swallow function in patients with chronic dysphagia. However, the effects of NMES on tumorigenicity are unknown and often confound the initiation of this therapy, potentially limiting its efficacy in treating patients with head and neck cancer. Methods Squamous cell carcinoma was grown in the flank of athymic, nude mice. Mice were randomized into treatment and control groups; the experimental group received daily NMES directly to the flank for 8 days. Results Tumor volumes, recorded on days 0, 3, 7, and 10, demonstrated no significant differences between groups on each day of measurement. Immunohistochemical analysis of apoptosis, proliferation, and vascularization also failed to demonstrate statistically significant differences between treated and untreated groups. Conclusions NMES does not promote the growth of underlying tumor in our model. These data may provide preliminary evidence that applying electrical stimulation over the muscles of the anterior neck does not increase the risk of tumorigenicity. Early initiation of NMES in this challenging population may be feasible from an oncologic standpoint. © 2011 Wiley Periodicals, Inc. © 2011 Wiley Periodicals, Inc.
Keywords: immunohistochemistry; controlled study; treatment outcome; squamous cell carcinoma; carcinoma, squamous cell; nonhuman; sensitivity and specificity; cell proliferation; animal cell; mouse; animals; mice; animal tissue; apoptosis; tumor volume; animal experiment; animal model; dysphagia; mice, nude; skin surface; head and neck neoplasms; tumor burden; biopsy, needle; tumor growth; disease models, animal; tumor vascularization; deglutition disorders; electric stimulation therapy; random allocation; electrode; electrical stimulation; nmes; vitalstim; neuromuscular electrical stimulation
Journal Title: Head & Neck
Volume: 34
Issue: 10
ISSN: 1043-3074
Publisher: John Wiley & Sons, Inc.  
Date Published: 2012-01-01
Start Page: 1428
End Page: 1433
Language: English
DOI: 10.1002/hed.21935
PROVIDER: scopus
PUBMED: 22083666
PMCID: PMC3781933
DOI/URL:
Notes: --- - "Export Date: 1 October 2012" - "CODEN: HEANE" - "Source: Scopus"
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  1. Dennis Kraus
    268 Kraus
  2. Richard J Wong
    412 Wong
  3. Chun-Hao Chen
    42 Chen
  4. Gary Linkov
    6 Linkov