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Clinicopathological characteristics of odontogenic carcinosarcoma: A systematic review 牙源性癌肉瘤的临床病理特征:系统综述。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1111/jop.13502
Karoline Gomes da Silveira, Luiza de Almeida Souto Montenegro, Diana Santana de Albuquerque, Carlos Augusto Pereira do Lago, José Rodrigues Laureano Filho, Ricardo José Holanda de Vasconcellos

Background

The aim of the present systematic review was to summarize evidence on odontogenic carcinosarcoma, analyzing clinical, epidemiological, imaging, histopathological, immunohistochemical, therapeutic, and prognostic features of this tumor.

Materials and Methods

This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were performed in the Ovid MEDLINE (Wolters Kluwer), PubMed (National Library of Medicine), Web of Science (Thomson Reuters), Scopus (Elsevier), and LILACS (Latin American and Caribbean Center on Health Sciences Information) databases, without publication date or language restrictions. Case reports or case series of OCS reporting clinical, radiological, and histopathological data that confirmed the diagnosis were selected. The Joanna Briggs Institute—University of Adelaide tool was used for critical appraisal of the included articles.

Results

Odontogenic carcinosarcoma is a rare, aggressive tumor associated with high mortality; however, the metastasis rate is low. The tumor has a male predilection. The mean patient age is 40 years, but there is no predilection for age. The left posterior mandible is the most affected site, but no specific radiographic features have been reported.

Conclusion

Given its rarity, dentists, oral-maxillofacial surgeons, and physicians need to be aware of odontogenic carcinosarcoma in order to increase the diagnostic potential, preventing delays in diagnosis and treatment and thus contributing to lower morbidity of the tumor.

背景:本系统综述旨在总结牙源性癌肉瘤的相关证据,分析该肿瘤的临床、流行病学、影像学、组织病理学、免疫组化、治疗和预后特征:本系统综述遵循系统综述和元分析首选报告项目(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)指南。在 Ovid MEDLINE (Wolters Kluwer)、PubMed (National Library of Medicine)、Web of Science (Thomson Reuters)、Scopus (Elsevier) 和 LILACS (Latin American and Caribbean Center on Health Sciences Information) 数据库中进行检索,无出版日期和语言限制。筛选出报告临床、放射学和组织病理学数据并确诊的 OCS 病例报告或系列病例。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)-阿德莱德大学(University of Adelaide)工具对纳入的文章进行批判性评估:牙源性癌肉瘤是一种罕见的侵袭性肿瘤,死亡率高,但转移率低。该肿瘤好发于男性。患者平均年龄为 40 岁,但无年龄偏好。左侧下颌骨后部是受影响最严重的部位,但没有具体的放射学特征报道:鉴于其罕见性,牙科医生、口腔颌面外科医生和内科医生需要了解牙源性癌肉瘤,以提高诊断潜力,防止延误诊断和治疗,从而降低肿瘤的发病率。
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引用次数: 0
Where will the next 3 years lead us? 未来 3 年我们将何去何从?
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-12-28 DOI: 10.1111/jop.13507
Antonio Celentano
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引用次数: 0
Antioxidant treatments in patients with oral submucous fibrosis: A systematic review 口腔黏膜下纤维化患者的抗氧化治疗:系统综述。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-12-28 DOI: 10.1111/jop.13503
Martín Pérez-Leal, Federico Lanciano, Nicla Flacco, Cristina Estornut, María Carmen Carceller

Introduction

Oral submucous fibrosis (OSMF) is a well-known precancerous oral lesion, characterized by scarring, tissue fibrosis, and premalignant lesions. The goal of clinical treatment is to reduce inflammation and improve patients' quality of life by enhancing mouth opening among others. Antioxidant treatment has shown promising results in inducing regression of lesions and preventing OSMF in high-risk individuals. This study investigates the effectiveness of various antioxidant agents against OSMF.

Materials and Methods

The study followed PRISMA guidelines and searched three scientific databases: PubMed, Web of Science, and Scopus, using specific algorithms related to “antioxidant treatment,” “burning sensation,” and “mouth opening.” The quality assessment of controlled clinical studies adhered to Cochrane guidelines.

Results

The analysis included 19 clinical trials comparing different treatments, including various antioxidants. Aloe vera, curcumin, and lycopene, among others, showed positive outcomes in treating OSMF by improving burning sensation, mouth opening, tongue protrusion, and cheek flexibility.

Conclusion

Antioxidant therapies are found to be effective in treating OSMF, even when compared to conventional treatments such as corticosteroids. The study highlights the need for further research and standardization of clinical protocols.

简介:口腔黏膜下纤维化(OSMF)是众所周知的口腔癌前病变:口腔黏膜下纤维化(OSMF)是一种众所周知的口腔癌前病变,以瘢痕、组织纤维化和癌前病变为特征。临床治疗的目标是减轻炎症,并通过提高患者的张口度等改善其生活质量。抗氧化剂治疗在诱导高危人群的病变消退和预防 OSMF 方面显示出良好的效果。本研究调查了各种抗氧化剂对 OSMF 的有效性:本研究遵循 PRISMA 指南,检索了三个科学数据库:PubMed、Web of Science 和 Scopus,并使用与 "抗氧化剂治疗"、"灼烧感 "和 "张口 "相关的特定算法。对照临床研究的质量评估遵循 Cochrane 指南:分析包括 19 项比较不同治疗方法的临床试验,其中包括各种抗氧化剂。芦荟、姜黄素和番茄红素等抗氧化剂通过改善灼烧感、张口度、舌前伸和颊部灵活性,在治疗OSMF方面显示出积极的效果:结论:即使与皮质类固醇等传统疗法相比,抗氧化疗法也能有效治疗OSMF。这项研究强调了进一步研究和规范临床方案的必要性。
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引用次数: 0
Oral manifestations of amyloidosis and the diagnostic applicability of oral tissue biopsy 淀粉样变性的口腔表现和口腔组织活检的诊断适用性。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-12-28 DOI: 10.1111/jop.13504
Thalita Soares Tavares, Adriana Aparecida Silva da Costa, Anna Luíza Damaceno Araújo, Lucas Lacerda de Souza, Maria Inês Mantuani Pascoaloti, Vanessa Fátima Bernardes, Maria Cássia Ferreira Aguiar, Pablo Agustin Vargas, Felipe Paiva Fonseca, Hélder Antônio Rebelo Pontes, Marcio Ajudarte Lopes, Alan Roger Santos-Silva, Tarcília Aparecida da Silva, Patrícia Carlos Caldeira

Background

Amyloidosis exhibits a variable spectrum of systemic signs and oral manifestations that can be difficult to diagnose. This study aimed to characterize the clinical, demographic, and microscopic features of amyloidosis in the oral cavity.

Methods

This collaborative study involved three Brazilian oral pathology centers and described cases with a confirmed diagnosis of amyloidosis on available oral tissue biopsies. Clinical data were obtained from medical records. H&E, Congo-red, and immunohistochemically stained slides were analyzed.

Results

Twenty-six oral biopsies from 23 individuals (65.2% males; mean age: 59.6 years) were included. Oral involvement was the first sign of the disease in 67.0% of cases. Two patients had no clinical manifestation in the oral mucosa, although the histological analysis confirmed amyloid deposition. Amyloid deposits were distributed in perivascular (88.0%), periacinar and periductal (80.0%), perineurial (80.0%), endoneurial (33.3%), perimuscular (88.2%), intramuscular (94.1%), and subepithelial (35.3%) sites as well as around fat cells (100.0%). Mild/moderate inflammation was found in 65.4% of cases and 23.1% had giant cells.

Conclusions

Amyloid deposits were consistently found in oral tissues, exhibiting distinct deposition patterns. Oral biopsy is less invasive than internal organ biopsy and enables the reliable identification of amyloid deposits even in the absence of oral manifestations. These findings corroborate the relevance of oral biopsy for the diagnosis of amyloidosis.

背景:淀粉样变性表现出多种多样的全身症状和口腔表现,很难诊断。本研究旨在描述口腔淀粉样变性的临床、人口统计学和显微特征:这项合作研究涉及巴西三家口腔病理中心,描述了通过现有口腔组织活检确诊为淀粉样变性的病例。临床数据来自医疗记录。对经 H&E、刚果红和免疫组化染色的切片进行了分析:结果:共纳入 23 人(65.2% 为男性,平均年龄为 59.6 岁)的 26 份口腔活组织切片。67.0%的病例以口腔受累为首发症状。两名患者的口腔黏膜没有临床表现,但组织学分析证实了淀粉样蛋白沉积。淀粉样蛋白沉积分布在血管周围(88.0%)、心周和导管周围(80.0%)、神经周围(80.0%)、内膜(33.3%)、肌肉周围(88.2%)、肌肉内(94.1%)和上皮下(35.3%)以及脂肪细胞周围(100.0%)。65.4%的病例存在轻度/中度炎症,23.1%的病例存在巨细胞:结论:淀粉样蛋白沉积始终存在于口腔组织中,并表现出不同的沉积模式。口腔活检比内脏活检创伤更小,即使没有口腔表现,也能可靠地识别淀粉样沉积物。这些发现证实了口腔活检与淀粉样变性病诊断的相关性。
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引用次数: 0
Calibration improves the agreement in grading oral epithelial dysplasia—Findings from a National Workshop in Malaysia 校准提高了口腔上皮发育不良分级的一致性--马来西亚全国研讨会的发现
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-12-11 DOI: 10.1111/jop.13501
Thomas George Kallarakkal, Zuraiza Mohamad Zaini, Wan Maria Nabillah Ghani, Lee Peng Karen-Ng, B. S. M. S. Siriwardena, Sok Ching Cheong, Wanninayake Mudiyanselage Tilakaratne

Introduction

A major pitfall of many of the established oral epithelial dysplasia (OED) grading criteria is their lack of reproducibility and accuracy to predict malignant transformation. The main objective of this study was to determine whether calibration of practicing oral pathologists on OED grading could improve the reproducibility of the WHO 2017 and the binary OED grading systems.

Methods

A nationwide online exercise was carried out to determine the influence of calibration on the reproducibility of the WHO 2017 and the binary OED grading systems.

Results

A significant improvement was observed in the inter-observer agreement for the WHO 2017 OED grading system (K 0.196 vs. 0.448; Kw 0.357 vs. 0.562) after the calibration exercise. The significant difference (p = 0.027) in the level of agreement between those with five or more years and less than 5 years of experience was no more observed (p = 0.426) after the calibration exercise. The percent agreement for binary grading was significantly higher (91.8%) for buccal mucosal lesions as compared to lesions on the tongue after the calibration exercise.

Conclusion

This study validates the significance of calibration in improving the reproducibility of OED grading. The nationwide exercise resulted in a statistically significant improvement in the inter-observer agreement for the WHO 2017 OED grading system among a large number of oral pathologists. It is highly recommended that similar exercises should be organized periodically by professional bodies responsible for continuing education among oral pathologists to improve the reliability of OED grading for optimal treatment of oral potentially malignant disorders.

许多已确立的口腔上皮发育不良(OED)分级标准的一个主要缺陷是缺乏可重复性和预测恶性转化的准确性。本研究的主要目的是确定执业口腔病理学家对OED分级的校准是否能提高WHO 2017和二元OED分级系统的可重复性。
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引用次数: 0
Can a cup a day keep cancer away? A systematic review exploring the potential of coffee constituents in preventing oral squamous cell carcinoma 每天一杯咖啡能预防癌症吗?一项探讨咖啡成分预防口腔鳞状细胞癌潜力的系统综述。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-11-13 DOI: 10.1111/jop.13497
Jonathan Deng, Vaidehi Misra, Neehal Vilash, Wendi Wu, Cindy Hua, Kate Son, Federica Canfora, Fabian Y. S. Kong, Rita Paolini, Michael McCullough, Antonio Celentano

Background

Coffee is one of the most consumed beverages in the world. Containing an abundance of bioactive molecules including polyphenols and flavonoids, the constituents of this beverage may exert antiproliferative, antioxidant and anti-inflammatory effects.

Methods

We conducted a systematic review to summarise the available evidence on the anticancer effects of coffee constituents and their potential therapeutic use for oral squamous cell carcinoma (OSCC). Studies were identified through a comprehensive search of OVID MEDLINE, OVID EMBASE and Web of Science, including articles from any year up to 15 May 2023.

Results

Of the 60 reviewed papers, 45 were in vitro, 1 was in silico and 8 were in vivo exclusively. The remaining studies combined elements of more than one study type. A total of 55 studies demonstrated anti-proliferative effects, whilst 12 studies also investigated migration and invasion of neoplastic cells. The constituents studied most frequently were quercetin and epigallocatechin gallate (EGCG), demonstrating various cytotoxic effects whilst also influencing apoptotic mechanisms in cancer cell lines. Dose-dependent responses were consistently found amongst the studied constituents.

Conclusion

Whilst there was heterogeneity of study models and methods, consistent use of specific models such as SCC25 for in vitro studies and golden hamsters for in vivo studies enabled relative comparability. The constituents of coffee have gained significant interest over the last 30 years, particularly in the last decade, and present an area of interest with significant public health implications. Currently, there is a paucity of literature on utilization of active coffee constituents for the therapeutic treatment of oral cancers.

背景:咖啡是世界上消费量最大的饮料之一。含有丰富的生物活性分子,包括多酚和类黄酮,这种饮料的成分可能具有抗增殖、抗氧化和抗炎作用。方法:我们进行了一项系统综述,总结了咖啡成分的抗癌作用及其对口腔鳞状细胞癌(OSCC)的潜在治疗作用的现有证据。研究通过OVID MEDLINE、OVID EMBASE和Web of Science的综合搜索来确定,包括截至2023年5月15日的任何年份的文章。结果:60篇论文中,体外45篇,体外1篇,体内8篇。其余的研究结合了不止一种研究类型的元素。共有55项研究证明了抗增殖作用,同时有12项研究也研究了肿瘤细胞的迁移和侵袭。研究最频繁的成分是槲皮素和表没食子儿茶素没食子酸酯(EGCG),显示出各种细胞毒性作用,同时也影响癌细胞系的凋亡机制。在所研究的成分中一致发现剂量依赖性反应。结论:虽然研究模型和方法存在异质性,但一致使用特定模型,如体外研究的SCC25和体内研究的金仓鼠,可以实现相对的可比性。在过去的30年里,特别是在过去的十年里,咖啡的成分已经引起了人们的极大兴趣,并且呈现出一个具有重大公共卫生影响的兴趣领域。目前,关于利用咖啡活性成分治疗口腔癌的文献很少。
{"title":"Can a cup a day keep cancer away? A systematic review exploring the potential of coffee constituents in preventing oral squamous cell carcinoma","authors":"Jonathan Deng,&nbsp;Vaidehi Misra,&nbsp;Neehal Vilash,&nbsp;Wendi Wu,&nbsp;Cindy Hua,&nbsp;Kate Son,&nbsp;Federica Canfora,&nbsp;Fabian Y. S. Kong,&nbsp;Rita Paolini,&nbsp;Michael McCullough,&nbsp;Antonio Celentano","doi":"10.1111/jop.13497","DOIUrl":"10.1111/jop.13497","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coffee is one of the most consumed beverages in the world. Containing an abundance of bioactive molecules including polyphenols and flavonoids, the constituents of this beverage may exert antiproliferative, antioxidant and anti-inflammatory effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a systematic review to summarise the available evidence on the anticancer effects of coffee constituents and their potential therapeutic use for oral squamous cell carcinoma (OSCC). Studies were identified through a comprehensive search of OVID MEDLINE, OVID EMBASE and Web of Science, including articles from any year up to 15 May 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 60 reviewed papers, 45 were in vitro, 1 was in silico and 8 were in vivo exclusively. The remaining studies combined elements of more than one study type. A total of 55 studies demonstrated anti-proliferative effects, whilst 12 studies also investigated migration and invasion of neoplastic cells. The constituents studied most frequently were quercetin and epigallocatechin gallate (EGCG), demonstrating various cytotoxic effects whilst also influencing apoptotic mechanisms in cancer cell lines. Dose-dependent responses were consistently found amongst the studied constituents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Whilst there was heterogeneity of study models and methods, consistent use of specific models such as SCC25 for in vitro studies and golden hamsters for in vivo studies enabled relative comparability. The constituents of coffee have gained significant interest over the last 30 years, particularly in the last decade, and present an area of interest with significant public health implications. Currently, there is a paucity of literature on utilization of active coffee constituents for the therapeutic treatment of oral cancers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16588,"journal":{"name":"Journal of Oral Pathology & Medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jop.13497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89718671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FTY720 increases paclitaxel efficacy in cisplatin-resistant oral squamous cell carcinoma FTY720提高紫杉醇对顺铂耐药口腔鳞状细胞癌的疗效。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-11-09 DOI: 10.1111/jop.13498
Lizeth Andrea Torres Torres, Gabriel Silva, Jovelina Samara Ferreira Alves, Tatiane Resende Ushida, Julia Potenza, Cristiana Bernadelli Garcia, Lucas Oliveira Sousa, Norberto Peporine Lopes, Luciana Oliveira Almeida, Andréia Machado Leopoldino

Background

Oral squamous cell carcinoma has high recurrence and cisplatin resistance. As cancer stem cells, autophagy, and sphingolipids have been appointed as associated with chemotherapy resistance, we tested combined treatments targeting autophagy and/or sphingolipid metabolism with paclitaxel using cisplatin-resistant oral squamous cell carcinoma cells.

Methods

Cisplatin-resistant oral squamous cell carcinoma cells were maintained under exposition to FTY720 and chloroquine combined with paclitaxel and submitted to viability, clonogenicity, and spheres formation assays. The xenograft tumor model using cisplatin-resistant CAL27 cells was adopted to examine the drug combinations' potential antitumoral efficacy. Using an animal model, sphingolipids profiles from plasma and tissue samples were obtained by liquid chromatography coupled to mass spectrometry to identify potential lipids associated with drug response.

Results and Discussion

Our results showed higher autophagic flux in cisplatin-resistant Ooral squamous cell carcinoma (CAL27 and SCC9) cells than in parental cells. The combinations of an autophagy inhibitor (chloroquine) or an autophagy inducer/sphingosine kinase 1 antagonist (FTY720) with paclitaxel (PTX) had a synergistic antitumor effect. Treated CisR cells lost clonogenicity and tumor sphere abilities and reduced proteins associated with proliferation, survival, and cancer stem cells. FTY720 plus PTX had higher antitumor efficacy than PTX against CAL27 CisR xenograft tumor formation. Additionally, increases in glucosylceramide, dehydroglucosylceramide, and sphingomyelin were presented in responsive tumors.

Conclusion

FTY720 sensitizes cisplatin-resistant oral squamous cell carcinoma cells for paclitaxel.

背景:口腔鳞状细胞癌具有较高的复发率和顺铂耐药性。由于癌症干细胞、自噬和鞘脂已被指定与化疗耐药性相关,我们使用耐顺铂的口腔鳞状细胞癌细胞测试了紫杉醇靶向自噬和/或鞘脂代谢的联合治疗。方法:将顺铂耐药的口腔鳞状细胞癌细胞暴露于FTY720和氯喹联合紫杉醇,并进行生存力、克隆原性和球体形成测定。采用使用顺铂耐药CAL27细胞的异种移植物肿瘤模型来检查药物组合的潜在抗肿瘤疗效。使用动物模型,通过液相色谱-质谱联用法从血浆和组织样本中获得鞘脂图谱,以确定与药物反应相关的潜在脂质。结果和讨论:我们的结果显示,顺铂耐药的口腔鳞状细胞癌(CAL27和SCC9)细胞的自噬流量高于亲代细胞。自噬抑制剂(氯喹)或自噬诱导剂/鞘氨醇激酶1拮抗剂(FTY720)与紫杉醇(PTX)的组合具有协同抗肿瘤作用。经治疗的CisR细胞失去了克隆原性和肿瘤球体能力,并减少了与增殖、存活和癌症干细胞相关的蛋白质。FTY720加PTX对CAL27-CisR异种移植物肿瘤的形成具有比PTX更高的抗肿瘤功效。此外,在反应性肿瘤中,葡萄糖神经酰胺、脱氢葡萄糖神经酰胺和鞘磷脂增加。结论:FTY720可使顺铂耐药的口腔鳞状细胞癌细胞对紫杉醇敏感。
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引用次数: 0
Cardiovascular diseases, risk factors, and ulcer relapse in older adults with aphthous stomatitis 老年口腔口炎患者的心血管疾病、危险因素和溃疡复发。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-11-06 DOI: 10.1111/jop.13499
Hui Yao, Yiwen Deng, Guanhuan Du, Yufeng Wang, Guoyao Tang

Objectives

To test the hypothesis that cardiovascular diseases and risk factors are associated with ulcer relapse in after-retirement patients with recurrent aphthous stomatitis.

Subjects and Methods

This retrospective cohort study analyzed the data of 40 minor recurrent aphthous stomatitis patients aged 55–75 years, admitted to Oral Medicine Clinic at one university hospital in China between 2016 and 2018. The diagnosis of minor recurrent aphthous stomatitis was made based on the history and manifestation of oral ulcers. The ulcer relapse was evaluated after a 5-week anti-inflammatory treatment, and the history of systemic diseases was collected. cardiovascular disease/metabolic risk referred to the presence of any cardiovascular diseases and metabolic cardiovascular disease risks. Associations among cardiovascular diseases, risk factors, and ulcer relapse were evaluated.

Results

The mean age of 40 patients with minor recurrent aphthous stomatitis was 62.4 years (SD 5.1), and 60% were women. The ulcer relapse rate was 37.5% (95% CI, 0.242–0.530). The proportion of cardiovascular disease/metabolic risk was higher in the relapse group than in the no-relapse group after 5-week anti-inflammatory treatment (Fisher's exact test, p = 0.041).

Conclusions

According to this single-center experience, older patients with cardiovascular disease/metabolic risk may be more prone to oral ulcer recurrence. Nevertheless, larger prospective studies are needed to confirm our findings.

目的:验证心血管疾病和危险因素与复发性口口炎患者退休后溃疡复发相关的假说。受试者和方法:这项回顾性队列研究分析了40名55-75岁的轻度复发性口口炎患者的数据 年,于2016年至2018年间入住中国一所大学医院口腔医学诊所。根据口腔溃疡的病史和表现,对轻度复发性口口炎进行诊断。在抗炎治疗5周后评估溃疡复发,并收集系统性疾病史。心血管疾病/代谢风险是指存在任何心血管疾病和代谢性心血管疾病风险。评估心血管疾病、危险因素和溃疡复发之间的相关性。结果:40例轻度复发性口口炎患者的平均年龄为62.4岁 年龄(SD 5.1),60%为女性。溃疡复发率为37.5%(95%CI,0.242-0.530)。抗炎治疗5周后,复发组心血管疾病/代谢风险的比例高于无复发组(Fisher精确检验,p = 0.041)。结论:根据这一单中心经验,有心血管疾病/代谢风险的老年患者可能更容易发生口腔溃疡复发。然而,还需要更大规模的前瞻性研究来证实我们的发现。
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引用次数: 0
ATG7-mediated autophagy protects human gingival myofibroblasts from irradiation-induced apoptosis atg7介导的自噬保护人类牙龈肌成纤维细胞免受辐射诱导的凋亡。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-10-24 DOI: 10.1111/jop.13490
Xiumei Zhuang, Xiaoxuan Lin, Ruogu Xu, Zhengchuan Zhang, Bin Zhou, Feilong Deng

Background

Apoptosis resistance of myofibroblasts is critical in pathology of irradiation-induced fibrosis and osteoradionecrosis of the jaw (ORNJ). However, molecular mechanism of apoptosis resistance induced by irradiation in oral myofibroblasts remains largely obscure.

Methods

Matched ORNJ fibroblasts and normal fibroblasts pairs from gingival were primarily cultured, and myofibroblast markers of α-SMA and FAP were evaluated by qRT-PCR and western blot. CCK8 assay and flow cytometric analysis were performed to investigate the cell viability and apoptosis under irradiation treatment. Autophagy-related protein LC3 and ATG7, and punctate distribution of LC3 localization were further detected. After inhibition of autophagy with inhibitor CQ and 3-MA, as well as transfected ATG7-siRNA, cell viability and apoptosis of ORNJ and normal fibroblasts were further assessed.

Results

Compared with normal fibroblasts, ORNJ fibroblasts exhibited significantly higher α-SMA and FAP expression, increased cell, viability and decreased apoptosis under irradiation treatment. LC3-II and ATG7 were up-regulated in ORNJ fibroblasts with irradiation stimulation. After inhibition of irradiation-induced autophagic flux with lysosome inhibitor CQ, LC3-II protein was accumulated and punctate distribution of LC3 localization was increased in ORNJ fibroblasts. Moreover, autophagy inhibitor CQ and 3-MA enhanced the irradiation-induced apoptosis but inhibited viability of ORNJ fibroblasts. Silencing ATG7 with siRNA could obviously weaken irradiation-induced LC3-II expression, and promoted irradiation-induced apoptosis of ORNJ fibroblasts. After knockdown of ATG7, finally, p-AKT(Ser473) and p-mTOR(Ser2448) levels of ORNJ fibroblasts were significantly increased under irradiation.

Conclusion

Compared with normal fibroblasts, human gingival myofibroblasts are resistant to irradiation-induced apoptosis via autophagy activation. Silencing ATG7 may evidently inhibit activation of autophagy, and promote apoptosis of gingival myofibroblasts via Akt/mTOR pathway.

背景:肌成纤维细胞的细胞凋亡抵抗在照射诱导的颌骨纤维化和放射性骨坏死(ORNJ)的病理学中至关重要。然而,辐射诱导口腔肌成纤维细胞凋亡抵抗的分子机制仍不清楚。方法:对匹配的ORNJ成纤维细胞和正常牙龈成纤维细胞对进行初步培养,并通过qRT-PCR和蛋白质印迹法评估肌成纤维细胞标志物α-SMA和FAP。采用CCK8法和流式细胞仪分析细胞在辐照处理下的活力和凋亡。进一步检测自噬相关蛋白LC3和ATG7,以及LC3定位的点状分布。在用抑制剂CQ和3-MA以及转染的ATG7 siRNA抑制自噬后,进一步评估ORNJ和正常成纤维细胞的细胞活力和凋亡。结果:与正常成纤维细胞相比,ORNJ成纤维细胞在辐照处理下表现出明显更高的α-SMA和FAP表达,增加了细胞活力,减少了细胞凋亡。LC3-II和ATG7在辐射刺激下在ORNJ成纤维细胞中上调。在用溶酶体抑制剂CQ抑制辐射诱导的自噬流量后,在ORNJ成纤维细胞中积累了LC3-II蛋白,并且LC3定位的点状分布增加。此外,自噬抑制剂CQ和3-MA增强了辐射诱导的细胞凋亡,但抑制了ORNJ成纤维细胞的活力。用siRNA沉默ATG7可以明显减弱辐射诱导的LC3-II表达,并促进辐射诱导的ORNJ成纤维细胞凋亡。ATG7敲低后,最终,ORNJ成纤维细胞的p-AKT(Ser473)和p-mTOR(Ser2448)水平在照射下显著增加。结论:与正常成纤维细胞相比,人牙龈肌成纤维细胞通过自噬激活抵抗辐照诱导的细胞凋亡。沉默ATG7可能通过Akt/mTOR途径明显抑制自噬激活,并促进牙龈肌成纤维细胞凋亡。
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引用次数: 0
Does BRAF mutation status and related clinicopathological factors affect the recurrence rate of ameloblastoma? A systematic review, meta-analysis and metaregression BRAF突变状态和相关临床病理因素是否影响成釉细胞瘤的复发率?系统综述、荟萃分析和元回归。
IF 3.3 3区 医学 Q1 Medicine Pub Date : 2023-10-23 DOI: 10.1111/jop.13494
Ashutosh Kumar Singh, Ragavi Alagarsamy, Rajib Chaulagain, Abanish Singh, Dipak Sapkota, Selvam Thavaraj, Rabindra P. Singh

Objectives

This review aims to analyse the recurrence rate in BRAFv600e+ and BRAFv600e− ameloblastomas and explore its association with clinicopathological variables.

Methods

A comprehensive search was conducted using databases including PubMed, Embase, Cochrane Central Register of Controlled Trials, Clinicaltrials.gov, Google Scholar and grey literature, without any limitation on start date or language up to 20 June 2023. A random effect meta-analysis was conducted and Metaregression analyses were performed based on available clinicopathological factors.

Results

Fifteen studies met the criteria for meta-analysis of outcomes. There was no significant difference in overall recurrence rates between the two groups (risk difference = 0.001, p-value = 0.987). Increasing male:female ratio in the BRAFv600e+ group was associated with a lower reported recurrence, suggesting a higher recurrence rate in females. The odds of having mandibular lesion were four times higher in BRAFv600e+ cases compared to BRAFv600e− cases (confidence interval: 2.121–7.870, p < 0.001, I2 = 28.37%).

Conclusion

Within the BRAFv600e+ group, females showed a higher reported recurrence rate. This specific clinical group may benefit from BRAFv600e mutation investigation and potential upscaled surgical treatment and additional BRAF inhibitor therapy, which needs validation in future studies.

目的:本综述旨在分析BRAFv600e+和BRAFv600 e-成釉细胞瘤的复发率,并探讨其与临床病理变量的关系。方法:使用PubMed、Embase、Cochrane Central Register of Controlled Trials、Clinicaltrials.gov、Google Scholar和灰色文献等数据库进行全面搜索,截至2023年6月20日,不限制开始日期或语言。进行随机效应荟萃分析,并根据可用的临床病理因素进行荟萃回归分析。结果:15项研究符合结果荟萃分析的标准。两组的总体复发率没有显著差异(风险差异 = 0.001,p值 = 0.987)。BRAFv600e+组中男女比例的增加与报告的复发率较低有关,表明女性的复发率较高。BRAFv600e+病例发生下颌骨病变的几率是BRAFv600 e-病例的四倍(置信区间:2.121-7.870,p 2. = 结论:在BRAFv600e+组中,女性的复发率较高。这一特定的临床组可能受益于BRAFv600e突变研究、潜在的扩大手术治疗和额外的BRAF抑制剂治疗,这需要在未来的研究中进行验证。
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引用次数: 1
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Journal of Oral Pathology & Medicine
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