Background/Aim: [6]-Gingerol, a compound extracted from ginger, has been studied for its therapeutic potential in various types of cancers. However, its effects on oral cancer remain largely unknown. Here, we aimed to investigate the potential anticancer activity and underlying mechanisms of [6]
-gingerol in oral cancer cells. Materials and Methods: We analyzed the antigrowth effects of [6]gingerol in oral cancer cell lines by cell proliferation, colony formation, migration, and invasion assays. We detected cell cycle and apoptosis with flow cytometry and further explored the mechanisms of action by immunoblotting. Results: [6]-Gingerol significantly inhibited oral cancer cell growth by inducing apoptosis and cell cycle G2/M phase arrest. [6]-Gingerol also inhibited oral cancer cell migration and invasion by up-regulating E-cadherin and down-regulating N-cadherin and vimentin. Moreover, [6]-gingerol induced the activation of AMPK and suppressed the AKT/mTOR signaling pathway in YD10B and Ca9-22 cells. Conclusion: [6]-Gingerol exerts anticancer activity by activating AMPK and suppressing the AKT/mTOR signaling pathway in oral cancer cells. Our findings highlight the potential of [6]gingerol as a therapeutic drug for oral cancer treatment.Oral cancer, one of the many affecting the head and neck, is among the world's ten most common cancers (1). The 5-year survival rate of oral cancer patients is still relatively low, less than 50% (2). Oral cancer treatments include surgery, radiation therapy, chemotherapy, and targeted therapy, depending on the diagnosis (3). The most commonly used chemotherapy drugs are 5-fluorouracil, carboplatin, cisplatin, paclitaxel, and irinotecan. However, drug resistance and side effects are serious problems that still hinder chemotherapy success. Hence, it is essential to develop more effective and safer drugs to treat oral cancers.AMPK is a classical energy sensor activated by diverse conditions, including metabolic and oxidative stresses (4). The mammalian target of rapamycin (mTOR) is a highly conserved serine/threonine kinase in eukaryotes; it serves as a central regulator of cell metabolism, growth, proliferation, and survival (5). AMPK is a tumor suppressor, as it inhibits the activation of the oncogene mTORC1 (6). AMPK inhibits mTOR phosphorylation through the tumor suppressor complex (TSC) (7) and raptor (8). Multiple reports indicate that activating AMPK and inhibiting the mTOR pathway can repress the growth of a variety of cancer cells, including colon (9), gastric (10), cervical (11), and oral cancers (12). These observations indicate that the AMPK/mTOR pathway plays a critical role in the progression of various tumors.Numerous anticancer agents such as metformin (13), resveratrol ( 14), and cordycepin (15) can activate AMPK.[6]-Gingerol is a major phenolic compound present in the ginger (Zingiber officinale) root which has been used as a spice and ingredient in traditional Chinese medicine for 3193 This article is freely accessible online.