2012, Number 1
<< Back Next >>
Rev Cubana Estomatol 2012; 49 (1)
Histopathological relation of epithelial dysplasia to p53 oncoprotein in oral leukoplakia
Batista CZ, Rodríguez PI, Miranda TJD, Rengifo CE, Rodríguez OT, Fernández JME
Language: Spanish
References: 30
Page:
PDF size: 229.07 Kb.
ABSTRACT
The oral leukoplasia is a well known precancerous injury due to its association with the presence of epithelial dysplasia and its trend to malignant transformation. To eliminate the subjectivity in the determination of the epithelial dysplasia degrees, biological markers have been used among them the AcM.antip53 Thus, authors assessed the expression of AcM antip53 in the different degrees of epithelial dysplasia in the oral leukoplasia. Biopsies from 46 patients diagnosed with oral leukoplasia were used from the Oral Pathology Department of the Stomatology Faculty of La Habana. Samples were processed by the paraffin-inclusion technique and stained with immunohistochemical technique of the avidin-biotin-peroxidase complex for the AcM p53. The correlation between the immunoassay pattern for p53 and the degree of epithelial dysplasia was studied. It was demonstrated that there is a significant association between the immunostain of basal and supra-basal cells of epithelium with the p53 oncoprotein in the different degrees of severity of the epithelial dysplasia, which could be related to the progressive increase of the observed cellular atypia. We concluded that in the study samples there was a coincident relation of the increase in the degree of severity of the epithelial dysplasia, with the marking of the p53 oncoprotein. These evidences suggested that the immunohistochemical analysis of p53 overall with the histological parameters mainly those related to the degree of severity of the epithelial dysplasia could be used to made a more accurate diagnosis and to contribute to prevention of oral cancer.
REFERENCES
Hunter T, Pustzal L. Neoplasias. En: Cotran RS, Kumar MD, Path GR, Collins T. Robins. Patología estructural y funcional. Boston: Mc Graw-Hill-Interamericana; 2007. p. 778-80.
Ferlay J, Shin HR, Bray F, Forman DMathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127(12):2893-917.
Ben L. Potentially malignant disorders of the oral mucosa: terminology and classification. Rev Stomatol Chir Maxillofac. 2010;111(4):208-12.
Warnakulasuriya S, NewellWJ, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007;36:575-80.
Amagasa T, Yamashiro M, Uzawa N. Oral premalignant lesions: from a clinical perspective. Int J Clin Oncol. 2011;16(1):5-14.
Petersen PE. Strengthening the prevention of oral cancer: the WHO perspective. Community Dent Oral Epidemiol. 2005;33(6):297-9.
Pindborg JJ, Reichart CJ. Who histological typing of cancer and precancer of the oral mucosa. New York: Springer; 1997.
Rodríguez Pérez I, Bánóczy J. Oral leukoplakia. A histopatological study. Acta Morphologica Acad Sci Hung. 1982;30(3-4):289-98.
Santana JC. Atlas de patología del complejo bucal. La Habana: Editorial de Ciencias Médicas; 2010.
Batista Castro Z, Rodríguez Pérez I, Miranda Tarragó JD, Rengifo Calzado E, Rodríguez Obaya T, Fernández-Jiménez ME. Caracterización histopatológica de la leucoplasia bucal en La Habana durante diez años. Rev Cubana Estomatol. 2011;48(4). [Citado: 29 dic 2011]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072011000400004&lng=es
Vázquez AR, Fernández GF, Gándara VP, Reboiras LDGarcía GA, Gándara RJ. Correlation between clinical and pathologic diagnosis in oral leukoplakia in 54 patients. Med Oral Patol Oral Cir Bucal. 2010;15(6):832-8.
Reibel J, Holmstrup P. Premalignant disorders and cancer of the oral mucosa. Ugeskr Laeger. 2010;172(44):3040-2.
Pereira JS, Henriques AC, de Queiroz CT, Miguel MC, Freitas RA. Epidemiology and correlation of the clinicopathological features in oral epithelial dysplasia: analysis of 173 cases. Ann Diagn Pathol. 2011;2:98-102.
Speight PM. Update on oral epithelial dysplasia and progression to cancer. Head and Neck Pathol. 2007;1:616.
Montebugnoli L, Felicetti L, Gissi DB, Cervellati F, Servidio D, Marchetti C, et al. Predictive role of p53 protein as a single marker or associated to ki67 antigen in oral carcinogenesis. Dentistry J. 2008;2:24-9.
Yasuo O, Michiko M. Immunohistochemical study of differential expressions of cytokeratin -13, -14, -17 and p53 in epithelial dysplasia and carcinoma of the tongue. JHTB. 2010;2(19):123-30.
Abrahao AC, Bonelli BV, Nunes FD Dias EP, Cabral MG. Immunohistochemical expression of p53, p16 and hTERT in oral squamous cell carcinoma and potentially malignant disorders. Braz Oral Res. 2011;25(1):34-41.
Angiero F, Berenzi A, Benetti A, Rossi E, del Sordo R, Sidoni A, et al. Expression of p16, p53 and Ki-67 proteins in the progression of epithelial dysplasia of the oral cavity. Anticancer Res. 2008;28(5):2535-9.
Prado SM, Cedrún JL, Rey RL, Villamil VM, García AA, Ayerbes MV, et al. Evaluation of COX-2, EGFR and p53 as biomarkers of non-dysplastic oral leukoplakias. Exp Mol Pathol. 2010;89(2):197-203.
Gold KA, Kim ES. Role of molecular markers and gene profiling in head and neck cancers. Curr Opin Oncol. 2009;21(3):206-11.
White AC, Tran K, Khuu J, Dang C, Cui Y, Binder SW, et al. Defining the origins of Ras/p53-mediated squamous cell carcinoma. Proc Natl Acad Sci. 2011;108(18):7425-3.
Santos GA, Abad HM, Fonseca SE, Cruz HJ, Bullón SA. Expresión proteica de P53 y proliferación celular en leucoplasias orales. Med Oral Patol Oral Cir Bucal. 2005;10:1-8.
Regezi JA, Zarbo RJ, Regev E, Pisanty S, Silverman S. P53 protein expression in sequential biopsies of oral dysplasias and in situ carcinomas. J Oral Pathol Med. 1995;24:18-22.
Vered M, Allon I, Dayan D. Maspin, p53, p63, and Ki-67 in epithelial lesions of the tongue: from hyperplasia through dysplasia to carcinoma. J Oral Pathol Med. 2009;38(3):314-20.
Reibel J. Prognosis of oral pre-malignant lesions: significance of clinical, histopathological and molecular biological characteristics. Crit Rev Oral Biol Med. 2003;14(1):47-62.
Rodiles H, Campañón JL, Laza C. Citohistopatología. Procedimientos básicos. La Habana: Ecimed; 2008.
Montebugnoli L, Felicetti L, Gissi D, Cervellati F, Servidio D, Marchetti C, et al. Predictive role of p53 protein as a single marker or associated to Ki67 antigen in oral carcinogenesis. Open Dent J. 2008;2:24-9.
Kikegawa A. Immunohistoquemical analysis of the p53 tumour suppressor gene product in oral leukoplakia. Kokubyo Gakkai Zasshi. 2001;68:51-9.
Cruz I, Napier SS, van der Waal I, Snijders PJ, Walboomers JM. Suprabasal p53 immunoexpression is strongly with high grade dysplasia and risk for malignant transformation in potentially malignant oral lesions from Northern Ireland. J Clin Pathol. 2002;55:98-104.
Cruz I, Snijders PJ, Meijer CJ, Braakhuis BJ, Snow BG, Walboomers JM, et al. P53 expression above the basal cell layer in oral mucosa is an early event of malignant transformation and has predictive value for developing oral squamous cell carcinoma. J Clin Pathol. 1998;(4):360-8.