List of Tables Table number Title 1 2 Preparation of Diluted Albumin (BSA) Standards Mean cannibalistic cancer cells in different TNM stages of OSCC. Mean cannibalistic cancer cells in different N status of TNM stages. Mean cannibalistic cells in different T status of TNM stage. 2a 2b 3 Mean cannibalistic cells in different histopathological grades of OSCC. 4 Mean cannibalistic cells in different stages of connective tissue degenerations 5 6 7 CD68 and Lysozyme expression in OSCC cases CD68 expression in different parameters of OSCC Lysozyme expression in different parameters of OSCC iv List of Graphs Graph number Title 1 Distribution of cases according to site of involvement. 2 Distribution of oral squamous cell carcinoma cases in different TNM stages. 3 Distribution of oral squamous cell carcinoma cases in different histopathological grades. 4 Mean cannibalistic cancer cells in different TNM stages of OSCC. 4a Mean cannibalistic cancer cells in different N stages of OSCC. 4b Mean cannibalistic cancer cells in different T stages of OSCC. 5 Mean cannibalistic cancer cells in different histopathological grades of OSCC. 6 Mean cannibalistic cancer cells in different grades of connective tissue degeneration. 7 CD 68 expression by EPI cell lines starved in DMEM at different time points 8 Lysozyme expression by EPI cell lines starved in DMEM at different time points 9 CD 68 expression by EPI cell lines starved in ADMEM at different time points 10 Lysozyme expression by EPI cell lines starved in ADMEM at different time points 11 CD 68 expression by EPI cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 12 Lysozyme expression by EPI cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 13 CD 68 expression by EPI cell lines starved in DPBS at different time points 14 Lysozyme expression by EPI cell lines starved in DPBS at different time points 15 CD 68 expression by SSC2095 cell lines starved in DMEM at v different time points 16 Lysozyme expression by SSC2095 cell lines starved in DMEM at different time points 17 CD 68 expression by SSC2095 cell lines starved in ADMEM at different time points 18 Lysozyme expression by SSC2095 cell lines starved in ADMEM at different time points 19 CD 68 expression by SSC2095 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 20 Lysozyme expression by SSC2095 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 21 CD 68 expression by SSC2095 cell lines starved in DPBS at different time points 22 Lysozyme expression by SSC2095 cell lines starved in DPBS at different time points 23 CD 68 expression by JSCC2 cell lines starved in DMEM at different time points 24 Lysozyme expression by JSCC2 cell lines starved in DMEM at different time points 25 CD 68 expression by JSCC2 cell lines starved in ADMEM at different time points 26 Lysozyme expression by JSCC2 cell lines starved in ADMEM at different time points 27 CD 68 expression by JSCC2 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 28 Lysozyme expression by JSCC2 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 29 CD 68 expression by JSCC2 cell lines starved in DPBS at different time points 30 Lysozyme expression by JSCC2 cell lines starved in DPBS at different time points 31 CD 68 expression by JSCC3 cell lines starved in DMEM at different vi time points 32 Lysozyme expression by JSCC3 cell lines starved in DMEM at different time points 33 CD 68 expression by JSCC3 cell lines starved in ADMEM at different time points 34 Lysozyme expression by JSCC3 cell lines starved in ADMEM at different time points 35 CD 68 expression by JSCC3 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 36 Lysozyme expression by JSCC3 cell lines starved in ADMEM (with 5% FBS and 1X Glutamax) at different time points 37 CD 68 expression by JSCC3 cell lines starved in DPBS at different time points 38 Lysozyme expression by JSCC3 cell lines starved in DPBS at different time points vii List of figures Figure number Title 1 Cell culture incubator 2 Marathon 21000R centrifuge machine 3 Sterilization hood for cell culture experiments. 4 T77 flask used for culture of cancer cells. 5 Proteins harvested by RIPA buffer lysis procedure are collected in micro-centrifuge tubes, which later underwent BCA assay for protein estimation. 6 Different culture media used in the study. (DMEM, ADMEM, ADMEM+5% FBS+1X glutamax and PBS) 7 Themo Scientific RIPA buffer lysis kit. (RIPA buffer, 0.5M EDTA and Protease Inhibitor) 8 Cell scraper for harvesting cells from culture flask. 9 The Thermo Scentific Pierce BCA protein assay kit. 10 96 well micro-plate for BCA protein assay. 11 PCR machine was used for boiling western protein samples for 5 minutes. 12 2-Mercaptoethanol (Electrophoresis purify reagent) and Laemmli sample buffer 13 Gel electrophoresis using XCell SureLock Mini-Cell Eletrophoresis System. 14 iBlot 7-Minute blotting system (Gel transfer device) 15 iBlot Cathode stack (Top) and iBlot NC anode stack (Bottom); Novex by lifetechnologies. 16 After protein transfer, preparation of membrane for primary and secondary antibody treatment. 17 The Odyssey Sa Infrared Imaging system for quantitative western analysis. viii 18 Photomicrograph showing classical morphological features of cannibalism phenomenon in various stages. (H&E stain, original magnification X400). 19 Photomicrograph showing ‘‘Complex Cannibalism’’. (A) one malignant cell is engulfing another cell and this complex is engulfed by another cell. (B & C) cannibalism phenomenon showing difficult to describe morphological features. (D) One malignant cell is engulfing 2 cells. (H and E stain; Total Magnification x400). 19.1 Photomicrograph showing acantholytic squamous cell carcinoma with acantholytic tumor cells showing cannibalism (Arrow). (H and E stain; Total Magnification x100). 20 Photomicrographs showing neutrophil-tumor cell cannibalism. Single as well as multiple neutrophil cannibalism by tumor cells can be appreciated (White arrow). (H and E stain; Total Magnification x400). 21a Cannibalism of lymphocytes by tumor cells of oral squamous cell carcinoma. (H and E stain; Total Magnification x400). 21b RBC cannibalism by tumor cells. (H and E stain; Total Magnification x400). 21c Photomicrograph showing cancer cell cannibalism where engulfed cell showing mitotic activity. (H and E stain; Total Magnification X400) 21d Photomicrograph showing Cannibalistic cell undergoing mitosis. (H and E stain; Total magnification X400) 22 Photomicrograph showing Association of connective tissue degeneration and cannibalism. (H and E stain; Total Magnification X400) 23 Photomicrograph of EPI cell lines in DMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 24 Photomicrograph of EPI cell lines in ADMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 25 Photomicrograph of EPI cell lines in DMEM (with 5% FBS and 1X Glutamax) culture media at different sera starvation time points. ix (Phase contrast microscope; Total magnification X 100) 26 Photomicrograph of EPI cell lines in PBS culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 27 Photomicrograph of SCC2095 cell lines in DMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 28 Photomicrograph of SCC2095 cell lines in ADMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 29 Photomicrograph of SSC2095 cell lines in DMEM (with 5% FBS and 1X Glutamax) culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 30 Photomicrograph of SSC2095 cell lines in PBS culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 31 Photomicrograph of JSCC2 cell lines in DMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 32 Photomicrograph of JSCC2 cell lines in ADMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 33 Photomicrograph of JSCC2 cell lines in DMEM (with 5% FBS and 1X Glutamax) culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 34 Photomicrograph of JSCC2 cell lines in PBS culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 35 Photomicrograph of JSCC3 cell lines in DMEM culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 36 Photomicrograph of JSCC3 cell lines in ADMEM culture media at different sera starvation time points. (Phase contrast microscope; Total x magnification X 100) 37 Photomicrograph of JSCC2 cell lines in DMEM (with 5% FBS and 1X Glutamax) culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 38 Photomicrograph of JSCC2 cell lines in PBS culture media at different sera starvation time points. (Phase contrast microscope; Total magnification X 100) 39 Weak CD68 expression in cancer cell of oral squamous cell carcinoma. (Immunohistochemistry; Total Magnification X400) 40 Strong expression of CD68 in cancer tissue showing cancer cell cannibalism. (Immunohistochemistry; Total Magnification X400) 41 Weak lysozyme expression in cancer cell of oral squamous cell carcinoma. (Immunohistochemistry; Total Magnification X400) 42 Strong Lysozyme expression in cancer cell of oral squamous cell carcinoma. (Immunohistochemistry; Total Magnification X400) 43 Photomicrographs of cannibalistic tumor cells with CD68 expression. (Immunohistochemistry; Total Magnification X400) 44 Photomicrographs of cannibalistic cells with lysozyme expression. (Immunohistochemistry; Total Magnification X400) xi
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