The role of OCT4 and CD44 in lower lip carcinogenesis.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2025-01-17 DOI:10.1007/s10006-024-01324-0
Dáurea Adília Cóbe Sena, Pedro Paulo de Andrade Santos, Hellen Bandeira de Pontes Santos, Ericka Janine Dantas da Silveira, Leão Pereira Pinto, Lélia Batista de Souza
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Abstract

Purpose: Carcinogenesis is characterized by the transformation of normal cells into malignant cells. Concerning the lower lip, exposure to UV radiation is the main etiological factor associated with the development of epidermoid carcinomas and actinic cheilitis. According to the hierarchical model theory, cancer development is driven by populations of cancer stem cells. In this context, this study aimed to compare the expression of octamer-binding transcription factor 4 (OCT4) and CD44 in 40 lower lip epidermoid carcinoma (LLEC) and 40 actinic cheilitis (AC) cases.

Methods: OCT4 and CD44 expressions were assessed semi-quantitatively according to the percentage of positive epithelial cells (PP) and intensity of expression (IE), resulting in a total immunolabeling score (PIT).

Results: No statistically significant differences were detected between OCT4 and CD44 immunoexpression and clinicopathological parameters, except for lymph node metastasis, in which a decrease in CD44 expression in the core tumor of cases with lymph node metastasis was observed. Furthermore, decreased CD44 expression was observed in LLEC cases when compared to AC cases.

Conclusions: The findings reported herein suggest a higher participation of CD44 in early carcinogenesis stages. In addition, the imbalance between OCT4 and CD44 immunoexpressions suggests the presence of different neoplastic cell subpopulations.

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OCT4和CD44在下唇癌发生中的作用。
目的:癌变的特点是正常细胞向恶性细胞转化。对于下唇,暴露于紫外线辐射是与表皮样癌和光化性唇炎发展相关的主要病因。根据层次模型理论,癌症的发展是由癌症干细胞群驱动的。在此背景下,本研究旨在比较40例下唇表皮样癌(LLEC)和40例光化性唇炎(AC)患者中octamerer -binding transcription factor 4 (OCT4)和CD44的表达。方法:根据阳性上皮细胞百分比(PP)和表达强度(IE)半定量评估OCT4和CD44的表达,得出总免疫标记评分(PIT)。结果:OCT4与CD44免疫表达及临床病理参数间差异无统计学意义,除淋巴结转移外,其中核心肿瘤中有淋巴结转移的病例CD44表达降低。此外,与AC病例相比,LLEC病例中CD44表达降低。结论:本文报道的研究结果表明CD44在早期癌变阶段有较高的参与。此外,OCT4和CD44免疫表达的不平衡表明存在不同的肿瘤细胞亚群。
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来源期刊
Oral and Maxillofacial Surgery-Heidelberg
Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.20
自引率
5.60%
发文量
118
期刊介绍: Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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