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Caponio VCA, Silva FFVE, Popolo F, Giugliano S, Spizzirri F, Lorenzo-Pouso AI, Padín-Iruegas ME, Zhurakivska K, Muzio LL, López-Pintor RM. State of art of micronuclei assay in exfoliative cytology as a clinical biomarker of genetic damage in oral carcinogenesis: A systematic review and meta-analysis. MUTATION RESEARCH. REVIEWS IN MUTATION RESEARCH 2024; 794:108508. [PMID: 38964629 DOI: 10.1016/j.mrrev.2024.108508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 04/11/2024] [Accepted: 06/22/2024] [Indexed: 07/06/2024]
Abstract
Oral squamous cell carcinoma (OSCC) is the most common oral malignancy, often preceded by oral potentially malignant disorders (OPMDs). Currently, no clinical biomarker exists to predict malignancy, necessitating OPMD follow-up. Habits and environmental factors, such as smoking, and alcohol consumption, influence OSCC onset. Increased micronuclei (MNs) formation has been observed in the development of OSCC. Non-invasive diagnostic tests like exfoliative cytology offer painless and regular monitoring options. This study evaluates the impact of tobacco, alcohol, and pesticide exposure on MNs occurrence in exfoliative cytology-collected oral mucosal cells, assessing their potential as non-invasive biomarker for OSCC development prediction and monitoring in high-risk patients. Despite results from this meta-analysis supporting the existence of a stepwise increase from controls to patients with OPMD to OSCC, the translation of these findings into clinical practice is limited due to intra- and inter-individual heterogeneity, as well as methodological variability in MNs quantification. Various factors contribute to this heterogeneity, including demographic variables, methodological variability of different laboratories, staining techniques, sample collection location, and patient characteristics. All these points were discussed to provide further insights and improve standardization for future studies.
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Affiliation(s)
- Vito Carlo Alberto Caponio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy; ORALMED Research Group, Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid 28040, Spain
| | - Fábio França-Vieira E Silva
- Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, Universidade de Santiago de Compostela, Santiago de Compostela 15782, Spain; ORALRES Group, Health Research Institute of Santiago de Compostela (FIDIS), Santiago de Compostela 15782, Spain.
| | - Francesco Popolo
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy
| | - Sara Giugliano
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy
| | - Francesca Spizzirri
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy
| | - Alejandro I Lorenzo-Pouso
- Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, Universidade de Santiago de Compostela, Santiago de Compostela 15782, Spain
| | - María Elena Padín-Iruegas
- Human Anatomy and Embryology Area, Department of Functional Biology and Health Sciences, University of Vigo, Vigo 36310, Spain
| | - Khrystyna Zhurakivska
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia 71122, Italy
| | - Rosa María López-Pintor
- ORALMED Research Group, Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid 28040, Spain
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Serikova OV, Shumilovich BR, Filippova ZA, Kalaev VN, Kalaeva EA, Larina AV. Nuclear aberrations in the gingival epithelium of patients with chronic periodontitis. J Indian Soc Periodontol 2023; 27:374-380. [PMID: 37593557 PMCID: PMC10431217 DOI: 10.4103/jisp.jisp_18_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 01/09/2023] [Accepted: 01/15/2023] [Indexed: 08/19/2023] Open
Abstract
Context Periodontitis characterized by mild symptoms in the early stages, which makes diagnostics problematic. The gingival epithelium can be used for micronucleus assay since gums are the area affected by the disease. Aims The aim of the study was to study the frequency of occurrence and the range of nuclear anomalies in gingival epithelium of healthy people and people with periodontitis. Settings and Design Scrapings of the gingival epithelium were made next to the central incisors (1.1) and molar teeth (1.7) in control and experimental groups (ten healthy males 35-50 years old and 10 males with periodontitis). Materials and Methods The preparations were stained by Romanowsky-Giemsa. The frequency of nuclear aberrations (‰), the accumulation index, and the repair index were determined. Statistical Analysis Used The differences in the medians of nuclear aberrations were determined using Wilcoxon and the Van-der-Waerden tests. The pathology proportions were compared using the Z-test. To determine the predictors of periodontitis, receiver operator characteristic analysis was used. For multiple comparisons, the Bonferroni correction was used. Results In the experimental group, the range of nuclear aberrations was wider, the ratio of karyolysis in the unaffected area was higher, than that in control; perinuclear vacuoles were fewer and macronuclei were more in the affected area. The frequency of cells with micronuclei over 1.33‰ in the affected area is the periodontitis marker. Conclusions Gingival epithelium can be used in micronucleus assay. Micronucleus test revealed a wider range of nuclear aberrations in the cells of the gingival epithelium and a higher frequency of occurrence of micronuclei in patients with periodontal disease compared to healthy subjects. Therefore, cytological signs of the inflammation appear earlier than the clinical ones and are verified more clearly. The markers of apoptosis and destruction of nuclei, and low repair index indicate normal elimination of damaged cells. An increased accumulation index in people with periodontitis may indicate the risk of malignant tumors.
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Affiliation(s)
- Olga Vasil’evna Serikova
- Department of Dentistry of the Institute of Further Professional Education, Voronezh State Medical University Named after N. N. Burdenko, Voronezh, Russia
| | - Bogdan Romanovich Shumilovich
- Department of Dentistry of the Institute of Further Professional Education, Voronezh State Medical University Named after N. N. Burdenko, Voronezh, Russia
| | - Zoya Alexandrovna Filippova
- Department of Dentistry of the Institute of Further Professional Education, Voronezh State Medical University Named after N. N. Burdenko, Voronezh, Russia
| | - Vladislav Nikolaevich Kalaev
- Department of Genetics, Cytology and Bioengineering, Medical and Biological Faculty, Voronezh State University, Voronezh, Russia
| | - Elena Anatol’evna Kalaeva
- Department of Biophysics and Biotechnology, Medical and Biological Faculty, Voronezh State University, Voronezh, Russia
| | - Anna Viktorovna Larina
- Department of Genetics, Cytology and Bioengineering, Medical and Biological Faculty, Voronezh State University, Voronezh, Russia
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Carrillo-Novia I, Lara-Carrillo E, Torres-Bugarin O, Morales-Valenzuela AA, Salmerón-Valdés EN, Hegazy-Hassan W, Velázquez-Enríquez U, Toral-Rizo VH. Use of liquid-based cytology samples reveals genomic instability and cell death in patients undergoing orthodontic treatment. J Oral Sci 2023; 65:24-28. [PMID: 36529513 DOI: 10.2334/josnusd.22-0235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
PURPOSE To examine the use of liquid-based exfoliative cytology to determine the presence of genomic instability and cell death in the oral mucosa of patients with orthodontic appliances. METHODS Fifty-four oral mucosa samples were collected from 18 patients and divided into three stages: T0, before fixation of orthodontic appliances; T1, 25 days after appliance fixation; T2, 90 days after appliance fixation. All samples were Papanicolaou-stained and observed by microscopy (1,000 cells/sample) to ascertain the frequency of micronucleated cells (MN) and nuclear abnormalities (nuclear buds (NB), binucleated (BN), condensed chromatin (CC), karyorrhexis (KR), and karyolysis (KL)). Differences were analyzed statistically using the Mann-Whitney, Wilcoxon, Kruskal-Wallis and chi-squared tests. RESULTS After placement of orthodontic appliances, significant differences were observed for genomic instability biomarkers (MN and NB) and cell death (CC, KR and KL) (P < 0.05). Female patients and older patients exhibited a higher frequency of MN. CONCLUSION Liquid-based cytology has revealed that orthodontic appliances induce genomic instability and cell death in epithelial tissue of the oral mucosa, facilitating sample preservation and yielding more than one preparation per sample. Future studies should investigate whether such cell damage can be reversed through cell repair or whether cell alterations evolve and lead to disease.
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Affiliation(s)
- Iris Carrillo-Novia
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Edith Lara-Carrillo
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Olivia Torres-Bugarin
- Genotoxic Evaluation Laboratory, Academic Unit of Health Sciences, Faculty of Medicine, Autonomous University of Guadalajara
| | - Adriana A Morales-Valenzuela
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Elías N Salmerón-Valdés
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Wael Hegazy-Hassan
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Ulises Velázquez-Enríquez
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
| | - Víctor H Toral-Rizo
- Center for Advanced Studies and Research on Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico
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de Souza DV, dos Anjos Rosario B, Takeshita WM, de Barros Viana M, Nagaoka MR, dos Santos JN, Ribeiro DA. Is micronucleus assay in oral exfoliated cells a suitable biomarker for predicting cancer risk in individuals with oral potentially malignant disorders? A systematic review with meta-analysis. Pathol Res Pract 2022; 232:153828. [DOI: 10.1016/j.prp.2022.153828] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 02/15/2022] [Accepted: 02/24/2022] [Indexed: 01/09/2023]
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Dicu T, Virag P, Brie I, Perde-Schrepler M, Fischer-Fodor E, Victor B, Cucoș A, Burghele BD. A comparative study of genotoxicity endpoints for women exposed to different levels of indoor radon concentrations. Int J Radiat Biol 2021; 98:18-29. [PMID: 34586971 DOI: 10.1080/09553002.2021.1987559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND PURPOSE Radon and its radioactive progenies are the most important source of ionizing radiation of natural origin, being classified as a Group 1 carcinogen. The aim of this study is to investigate the genotoxic effects of a wide range of indoor radon concentrations, as well as the kinetics of the process of repairing DNA-induced lesions by a challenging dose of gamma irradiation. MATERIAL AND METHODS Female subjects residing in the Băiţa-Ştei radon priority area were selected as the exposed group. The reference group was comprised of women from the same county (Bihor), but located in an area with an average indoor radon concentration typical of the county from which they were taken. Radon concentration values of 300 Bq/m3 and 148 Bq/m3, respectively, were chosen as a threshold in order to capture the impact of radon exposure between the groups. The alkaline comet assay was used in order to measure the DNA damage, as well as the repair kinetics at 2 and 24 h after 2 Gy challenging doses of gamma irradiation using peripheral blood lymphocytes. From the serum of the subjects, the oxidative damage by 8-hydroxydeoxyguanosine as well as the PARP induction was evaluated. The chromosomal aberrations were evaluated using the Cytokinesis Block MicroNucleus Assay. RESULTS A statistically significant increase was observed in terms of DNA-induced lesions assessed by comet assay for the exposed group compared to the reference group. A positive correlation was obtained between DNA damage and the annual effective dose, respectively with the radon progenies concentrations. A statistically significant difference was also observed for the frequency of the micronuclei between the exposed - reference groups. Significantly faster repair kinetics of DNA-induced lesions was recorded for the first 2 h after gamma irradiation in the reference group compared to the exposed group. Using the threshold of 300 Bq/m3 for radon concentration, faster kinetics of DNA damage repair for people exposed to low radon concentrations, compared to those exposed to higher concentrations for the second phase of DNA repair kinetics was observed. CONCLUSION An increased radiosensitivity of lymphocytes, as well as slower repair kinetics, may be associated with exposure to higher indoor radon concentrations.
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Affiliation(s)
- Tiberius Dicu
- "Constantin Cosma" Radon Laboratory (LiRaCC), Faculty of Environmental Science and Engineering, "Babeş-Bolyai" University, Cluj-Napoca, Romania
| | - Piroska Virag
- The Oncology Institute Prof. Dr. I. Chiricuţă, Cluj-Napoca, Romania
| | - Ioana Brie
- The Oncology Institute Prof. Dr. I. Chiricuţă, Cluj-Napoca, Romania
| | | | | | - Bogdan Victor
- The Oncology Institute Prof. Dr. I. Chiricuţă, Cluj-Napoca, Romania
| | - Alexandra Cucoș
- "Constantin Cosma" Radon Laboratory (LiRaCC), Faculty of Environmental Science and Engineering, "Babeş-Bolyai" University, Cluj-Napoca, Romania
| | - Bety-Denissa Burghele
- "Constantin Cosma" Radon Laboratory (LiRaCC), Faculty of Environmental Science and Engineering, "Babeş-Bolyai" University, Cluj-Napoca, Romania
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Setayesh T, Kundi M, Nersesyan A, Stopper H, Fenech M, Krupitza G, Knasmüller S. Use of micronucleus assays for the prediction and detection of cervical cancer: a meta-analysis. Carcinogenesis 2021; 41:1318-1328. [PMID: 32780106 DOI: 10.1093/carcin/bgaa087] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 07/13/2020] [Accepted: 08/03/2020] [Indexed: 12/13/2022] Open
Abstract
Cervical cancer (CC) is the fourth most common cancer in women; the survival rates depend strongly on its early detection. The Pap test is the most frequently used diagnostic tool, but due to its limited sensitivity/specificity, additional screening tests are needed. Therefore, we evaluated the use of micronucleus (MN) assays with cervical cells for the prediction and diagnosis of CC. MN reflects structural and numerical chromosomal aberrations. A search was performed in Pubmed, Scopus, Thomson ISI and Google Scholar. Subsequently, meta-analyses were performed for different grades of abnormal findings in smears and biopsies from patients which were diagnosed with CC. Results of 21 studies in which findings of MN experiments were compared with data from Pap tests show that higher MN frequencies were found in women with abnormal cells that are indicative for increased cancer risks. MN frequency ratios increased in the order inflammation (2.1) < ASC-US and ASC-H (3.3) < LGSIL (4.4) < HGSIL (8.4). Furthermore, results are available from 17 investigations in which MN were scored in smears from patients with neoplasia. MN rates increased with the degree of neoplasia [CIN 1 (4.6) < CIN 2 (6.5) and CIN 3 (10.8)] and were significantly higher (8.8) in CC patients. Our meta-analysis indicates that the MN assay, which is easy to perform in combination with Pap tests, may be useful for the detection/prediction of CC. However, standardization (including definition of the optimal cell numbers and stains) and further validation is necessary before the MN test can be implemented in routine screening.
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Affiliation(s)
- Tahereh Setayesh
- Department of Internal Medicine I, Institute of Cancer Research, Medical University of Vienna, Vienna, Austria
| | - Michael Kundi
- Department of Environmental Health, Center for Public Health, Medical University of Vienna, Vienna, Austria
| | - Armen Nersesyan
- Department of Internal Medicine I, Institute of Cancer Research, Medical University of Vienna, Vienna, Austria
| | - Helga Stopper
- Institute of Pharmacology and Toxicology, University of Würzburg, Würzburg, Germany
| | - Michael Fenech
- School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australiaand
| | - Georg Krupitza
- Department of Pathology, Medical University of Vienna, Vienna 1090, Austria
| | - Siegfried Knasmüller
- Department of Internal Medicine I, Institute of Cancer Research, Medical University of Vienna, Vienna, Austria
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Mohanapriya S, Maheswaran T, Ganapathy N, Yoithapprabhunath TR, Dineshshankar J, Ilayaraja V, Vinodhini RS, Devi R. Evaluation of DNA damage in tobacco associated human buccal cells using comet assay. Med Pharm Rep 2021; 94:214-219. [PMID: 34013193 PMCID: PMC8118208 DOI: 10.15386/mpr-1692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 09/10/2020] [Accepted: 09/30/2020] [Indexed: 11/28/2022] Open
Abstract
Aim and objective To assess the DNA damage in tobacco associated human buccal cells using comet assay. Methods The study included 75 study subjects, which were divided into 3 groups on the basis of tobacco usage. Group I - 25 individuals with no history of tobacco usage, Group II - 25 individuals with tobacco usage but without oral lesions and Group III - 25 individuals with tobacco associated oral lesions. Cytological smears collected from these individuals were used to assess the tobacco associated DNA damage by measuring the tail length in the comet assay method. Results The average tail length was found to be 1.46 μm in the normal mucosa, 2.86 μm in tobacco users without oral lesions, 3.86 μm in the lesional sites of tobacco users and 3.67 μm in the non-lesional sites of these individuals. Factors like age, gender, duration and different forms of tobacco habit had their own impact on the oral mucosa. Conclusion Comet assay helps assess the subclinical genetic changes of oral mucosa even before the clinical manifestations of the precancerous lesions appeared due to tobacco usage. Thus, comet assay may bloom out as a novel adjuvant tool for the prevention of oral cancer in the near future.
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Affiliation(s)
- Shanmugam Mohanapriya
- Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tamilnadu, India
| | - Thangadurai Maheswaran
- Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tamilnadu, India
| | - Nalliapan Ganapathy
- Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tamilnadu, India
| | | | - Janardhanam Dineshshankar
- Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tamilnadu, India
| | - Vadivel Ilayaraja
- Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tamilnadu, India
| | | | - Renuga Devi
- Vivekanandha Dental College for Women, Tamilnadu, India
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Cortés-Gutiérrez EI, Garza Molina JG, Dávila-Rodríguez MI, Zapata Benavides P, Faz Eguía JM, Cerda-Flores RM. DBD-FISH, an effective marker for detecting genotoxicity in buccal mucosa exfoliated cells of patients with oral cancer. Toxicol Mech Methods 2021; 31:343-348. [PMID: 33297797 DOI: 10.1080/15376516.2020.1862379] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Oral squamous cell carcinoma (OSCC) is characterized by increased genetic instability as an essential variable of event of neoplastic transformation. The aim of this study was to evaluate genomic instability in exfoliated cells from the buccal mucosa of patients with OSCC vs. the control group, using DNA Breakage Detection/Fluorescence In Situ hybridization (DBD-FISH). Exfoliated cells from the buccal mucosa were obtained from 38 patients with oral cancer (case group) and from 10 individuals without oral lesions (control group). DNA damage was evaluated by DBD-FISH using the whole-genome DNA probe and digital imaging analysis. Collaterally, HPV infection was determined utilizing the INNO-LiPA HPV kit. Patients with OSCC showed an increase in the hybridization signal five times more intense than that of the baseline level of DNA damage detected in control individuals. The best cutoff value for predicting oral squamous cell carcinoma was 67.46, and an Odds Ratio (OR) value of 87. HPV detection analysis revealed than one patient with OSCC (2.6%) was positive for HPV. All controls were negative HPV. In conclusion, DBD-FISH permitted the clear visualization of level high of DNA damage in the buccal epithelial cells of patients with OSSC respect to control group. Chromosome instability in oral mucosa may be an individual marker of malignant transformation in OSCC.
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Affiliation(s)
| | - Jorge G Garza Molina
- Faculty of Biological Sciences, Universidad Autónoma de Nuevo León, Monterrey, México
| | | | | | - José M Faz Eguía
- Instituto Mexicano del Seguro Social Medical Unit of Specialty High No. 25 (UMAE-25), Monterrey, México
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Bolognesi C, Bruzzone M, Ceppi M, Marcon F. Micronuclei and upper body cancers (head, neck, breast cancers) a systematic review and meta-analysis. MUTATION RESEARCH. REVIEWS IN MUTATION RESEARCH 2021; 787:108358. [PMID: 34083052 DOI: 10.1016/j.mrrev.2020.108358] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 11/10/2020] [Accepted: 11/18/2020] [Indexed: 12/24/2022]
Abstract
A systematic review and a meta-analysis were performed on 19 studies on head and neck cancer (HNC) and 21 studies on breast cancer (BC) to evaluate the application of micronucleus (MN) assay as a predictive and prognostic test for cancer risk. In these studies the MN test was applied in peripheral lymphocytes and buccal cells of patients and healthy subjects with family history of cancer. The meta-analysis on MN applied in buccal cells of HNC patients was performed on two subgroups of studies. A significant increase of MN frequency in patients compared to healthy controls was observed for the subgroup on oral cancer (243 cases/370 controls, meta-MR = 4.71 95 %CI:2.75-8.06) and HNC (204 patients/163 controls metaMR=2.28 95 %CI:2.02-2.58). A metaMR = 3.27 (95 %CI:1.41-7.59) was obtained for MN applied in peripheral lymphocytes on HNC (160 cases/160 controls). For BC, the analysis of MN in peripheral lymphocytes showed significantly higher values in patients (n = 761) than in controls (n = 788) (meta-MR1.90 95 % CI:1.44-2.49). No statistically significant increase of baseline MN was detected in studies on groups of healthy subjects with BC family history (n = 224) or with BRCA1/2 mutations (n = 101) with respect to the controls. After ex-vivo challenge with ionizing radiation, the meta-analysis revealed a slightly statistically significant increase in MN only in BC patients (n = 614) compared to controls (n = 622)(meta-MR = 1.11 95 %CI:1.02-1.21); no increase was observed in healthy subjects with BC family history carrying or not BRCA1/2 mutations. Significant difference between BC patients (n = 183) and controls (n = 165) was observed by the meta-analysis of data on MN in buccal cells (MR = 3.89 95 %CI:1.54-9.78). The MN assay in buccal cells has some perspective of clinical application in HNC.
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Affiliation(s)
- Claudia Bolognesi
- Environmental Carcinogenesis Unit, Ospedale Policlinico San Martino, Genoa, Italy.
| | - Marco Bruzzone
- Unit of Clinical Epidemiology, IRCCS Ospedale Policlinico San Martino, 16131 Genoa, Italy
| | - Marcello Ceppi
- Unit of Clinical Epidemiology, IRCCS Ospedale Policlinico San Martino, 16131 Genoa, Italy
| | - Francesca Marcon
- Dept. Environment and Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy
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Rawat G, Kureel K, Urs AB. An insight into crystallization test: A neoteric approach for screening premalignant and malignant lesions. J Cancer Res Ther 2020; 16:440-444. [PMID: 32719248 DOI: 10.4103/jcrt.jcrt_275_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Introduction Crystallization test is based on the principle that, when a salt crystallizes out of an aqueous solution, the crystal growth is influenced by the presence of other substances in the solution, such as blood or plant extracts. If a mixture of copper chloride solution with a small amount of whole blood is allowed to crystallize under controlled experimental conditions, an aggregate of crystals forms. Crystallization method can be used as a diagnostic aid to provide information about the systemic conditions and general health of the patient. Aim This study aims to study the patterns of crystallization and to further determine the efficacy of crystallization test as a screening modality in premalignant lesions and oral squamous cell carcinoma (OSCC). Materials and Methods Fifty patients of OSCC, 50 patients of premalignant lesions, and 50 healthy individuals were selected. One drop of blood was collected from the study groups to perform crystallization using cupric chloride. Statistical Analysis Used Statistical analysis was performed using Chi-square test, Student's t-test (two-tailed), and analysis of variance. Results The different patterns of crystals formed were studied and statistically analyzed. Conclusion Based on the study, it was concluded that Crystallization test can be used as an effective screening modality for detection of premalignant lesions and OSCC.
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Affiliation(s)
- Garima Rawat
- Department of Oral and Maxillofacial Pathology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Kirti Kureel
- Department of Oral and Maxillofacial Pathology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Aadithya B Urs
- Department of Oral and Maxillofacial Pathology, Maulana Azad Institute of Dental Sciences, New Delhi, India
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In Vitro Determination of Genotoxicity Induced by Brackets Alloys in Cultures of Human Gingival Fibroblasts. J Toxicol 2020; 2020:1467456. [PMID: 33488703 PMCID: PMC7787846 DOI: 10.1155/2020/1467456] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 07/22/2020] [Indexed: 11/17/2022] Open
Abstract
Orthodontic brackets release ions that can be reabsorbed in the oral mucosa, potentially causing complications, including cytotoxic effects and mutagenic alterations. The aim was to evaluate the genotoxicity induced by orthodontic appliance alloys in cultures of human gingival fibroblasts by comet assay. Eluates were obtained from the following brackets alloys: EconoLine (SS: stainless steel), MiniMirage (Ni-Ti: nickel-titanium), Nu-Edge (Co-Cr: cobalt-chromium), In-Vu (PC-polycrystals (PC) aluminum oxide), and Monocrystal IZE (monocrystalline (MC) aluminum oxide). Each bracket was sterilized and exposed to a corrosive process for 35 days. The obtained eluates were tested for genotoxicity of human gingival fibroblasts (HGFA) by the alkaline comet assay. All study groups showed genotoxic effects; there was a significant difference (p < 0.0001) among groups. The eluates obtained from Ni-Ti showed a 16-times greater genotoxic effect. There were differences in genotoxicity after comparing the Ni-Ti with SS (p < 0.01) and Co-Cr brackets (p < 0.001). The ceramic was more genotoxic than metallic brackets (SS and Co-Cr), but less than the Ni-Ti. This in vitro model will be useful for further study of early DNA damage caused by brackets and other biomaterials used in the oral cavity before their introduction into the clinical setting.
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Soykut B, Erdem O, Yalçın CÖ, Üstündağ A, Duydu Y, Akay C, Pişkin B. Occupational exposure of dental technicians to methyl methacrylate: Genotoxicity assessment. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2020; 852:503159. [DOI: 10.1016/j.mrgentox.2020.503159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 01/20/2023]
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Krishna L, Sampson U, Annamala PT, Unni KM, Binukumar B, George A, Sreedharan R. Genomic Instability in Exfoliated Buccal Cells among Cement Warehouse Workers. THE INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE 2020; 11:33-40. [PMID: 31905193 PMCID: PMC7024590 DOI: 10.15171/ijoem.2020.1744] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 09/27/2019] [Indexed: 11/09/2022]
Abstract
BACKGROUND Workers in cement warehouses of Kerala are enduring long-standing exposure to cement dust, which is considered genotoxic. OBJECTIVE To evaluate the extent of genotoxicity and cytotoxicity caused due to exposure of cement dust among those working in cement warehouses. METHODS The study included 82 cement warehouse workers and 82 age-matched individuals with no exposure to cement dust. Exfoliated buccal micronucleus cytome assay (BMCyt) was performed to analyze the genotoxic and cytotoxic effects caused by inhalation of cement dust. RESULTS The frequency of various genotoxic and cytotoxic end markers (micronucleated cells [2-fold increase, p<0.001], nuclear buds [4-fold increase, p<0.001], binucleated cells [4-fold increase, p<0.001], karyorrhectic cells [2-fold increase, p<0.001], pyknotic cells [3-fold increase, p<0.001], and karyolytic cells [2-fold increase, p<0.001]) were higher in the exposed workers compared with unexposed group. Increase of these parameters represented an increased level of chromosomal damage, nuclear disintegration and increased cell death among exposed group compared with unexposed group. CONCLUSION Continuous exposure to cement dust results in increased frequency of nuclear aberrations and cellular apoptosis. This may lead to defects in genome maintenance, accelerated ageing, increased chance of oral cancer and neurodegenerative disorders in those occupationally exposed to cement dust.
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Affiliation(s)
- Lalu Krishna
- Department of Anatomy, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.,Department of Biochemistry, Meenakshi Medical College Hospital and Research Institute, Meenakshi academy of higher education, Tamil Nadu, India
| | - Ursula Sampson
- Department of Biochemistry, Meenakshi Medical College Hospital and Research Institute, Meenakshi academy of higher education, Tamil Nadu, India
| | | | - Kumudam Malati Unni
- Jubilee Centre for Medical Research, Jubilee Mission Medical College, Thrissur, Kerala, India
| | - Bhaskarapillai Binukumar
- Department of Biostatistics, National Institute of Mental Health and Neuro Sciences, Bengaluru, India
| | - Alex George
- Jubilee Centre for Medical Research, Jubilee Mission Medical College, Thrissur, Kerala, India
| | - Ranjith Sreedharan
- Department of Anatomy, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
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De Santis D. Reply to the letter-Short-term "in vivo" study on cellular DNA damage induced by acrylic Andresen activator in oral mucosa cells. Orthod Craniofac Res 2019; 22:223-224. [PMID: 31321897 DOI: 10.1111/ocr.12316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Accepted: 04/22/2019] [Indexed: 11/27/2022]
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DNA damage and repair measured by comet assay in cancer patients. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2019; 843:95-110. [DOI: 10.1016/j.mrgentox.2019.05.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 05/14/2019] [Accepted: 05/18/2019] [Indexed: 02/08/2023]
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Tadin A, Gavic L, Roguljic M, Jerkovic D, Zeljezic D. Nuclear morphological changes in gingival epithelial cells of patients with periodontitis. Clin Oral Investig 2019; 23:3749-3757. [DOI: 10.1007/s00784-019-02803-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 01/11/2019] [Indexed: 01/07/2023]
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Flores-Bracho MG, Takahashi CS, Castillo WO, Saraiva MCP, Küchler EC, Matsumoto MAN, Ferreira JTL, Nelson-Filho P, Romano FL. Genotoxic effects in oral mucosal cells caused by the use of orthodontic fixed appliances in patients after short and long periods of treatment. Clin Oral Investig 2019; 23:2913-2919. [PMID: 30612244 DOI: 10.1007/s00784-018-02795-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2017] [Accepted: 12/20/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVE This study aimed to evaluate the genotoxic effects in the oral epithelial cells of patients undergoing fixed orthodontic treatment and to compare these to a control group without treatment. The null hypothesis to be tested is that corrective orthodontic treatment at different periods does not cause genotoxic effects in patients. MATERIAL AND METHODS An observational cross-sectional study including 74 patients enrolled in corrective orthodontic treatment and 21 control patients, between 11 and 35 years of age, of both genders, participated in the research. Patients undergoing treatment were divided into four treatment groups differentiated by treatment periods: G1, n = 21 (1 month to 12 months); G2, n = 21 (13 to 24 months); G3, n = 23 (25 to 48 months); and G4, n = 9 (over 48 months). Cells were collected by scraping the internal side of the cheek and subsequently placed in tubes containing 0.9% sodium chloride solution. The sample underwent evaluation for genotoxic effects by means of the micronucleus test (MNT). Bivariate analyses were performed using parametric tests (t test or ANOVA) and nonparametric tests (Chi-square test, Kruskal-Wallis test, Dunn post-test). The adopted level of significance was 5%. RESULTS Statistically significant differences for any of the genotoxic abnormalities (binucleated, trinucleated, karyolysis, piknosis, nuclear buds) were not found except for karyolysis, which was higher in the control group than in G4 (p < 0.05). CONCLUSIONS This study did not demonstrate evidence of genotoxic effects even after long periods of corrective orthodontic treatment. CLINICAL RELEVANCE This study explores genotoxic effects in fixed orthodontic patients.
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Affiliation(s)
- María Gabriela Flores-Bracho
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Catarina Satie Takahashi
- Mutagenesis and Cytogenetics Laboratory, Department of Biology, Faculty of Philosophy, Science and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Willian Orlando Castillo
- Mutagenesis and Cytogenetics Laboratory, Department of Biology, Faculty of Philosophy, Science and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Maria Conceição Pereira Saraiva
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Erika Calvano Küchler
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - José Tarcísio Lima Ferreira
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Fabio Lourenço Romano
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
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Espitia-Pérez L, da Silva J, Brango H, Espitia-Pérez P, Pastor-Sierra K, Salcedo-Arteaga S, de Souza CT, Dias JF, Hoyos-Giraldo LS, Gómez-Pérez M, Salcedo-Restrepo D, Henriques JA. Genetic damage in environmentally exposed populations to open-pit coal mining residues: Analysis of buccal micronucleus cytome (BMN-cyt) assay and alkaline, Endo III and FPG high-throughput comet assay. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2018; 836:24-35. [DOI: 10.1016/j.mrgentox.2018.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2017] [Revised: 04/25/2018] [Accepted: 06/01/2018] [Indexed: 12/22/2022]
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Usman M, Volpi EV. DNA damage in obesity: Initiator, promoter and predictor of cancer. MUTATION RESEARCH-REVIEWS IN MUTATION RESEARCH 2018; 778:23-37. [PMID: 30454680 DOI: 10.1016/j.mrrev.2018.08.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 07/29/2018] [Accepted: 08/15/2018] [Indexed: 12/13/2022]
Abstract
Epidemiological evidence linking obesity with increased risk of cancer is steadily growing, although the causative aspects underpinning this association are only partially understood. Obesity leads to a physiological imbalance in the regulation of adipose tissue and its normal functioning, resulting in hyperglycaemia, dyslipidaemia and inflammation. These states promote the generation of oxidative stress, which is exacerbated in obesity by a decline in anti-oxidant defence systems. Oxidative stress can have a marked impact on DNA, producing mutagenic lesions that could prove carcinogenic. Here we review the current evidence for genomic instability, sustained DNA damage and accelerated genome ageing in obesity. We explore the notion of genotoxicity, ensuing from systemic oxidative stress, as a key oncogenic factor in obesity. Finally, we advocate for early, pre-malignant assessment of genome integrity and stability to inform surveillance strategies and interventions.
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Affiliation(s)
- Moonisah Usman
- Department of Biomedical Sciences, Faculty of Science and Technology, University of Westminster, 115 New Cavendish Street, London W1W 6UW, UK
| | - Emanuela V Volpi
- Department of Biomedical Sciences, Faculty of Science and Technology, University of Westminster, 115 New Cavendish Street, London W1W 6UW, UK.
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de Oliveira F, Carmona A, Ladeira C. Is mobile phone radiation genotoxic? An analysis of micronucleus frequency in exfoliated buccal cells. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2017; 822:41-46. [DOI: 10.1016/j.mrgentox.2017.08.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 07/31/2017] [Accepted: 08/03/2017] [Indexed: 12/20/2022]
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Kumar M, Prasad UC, Chandolia B, Manjunath SM, Basu S, Verma S. Can Feulgen Stain be a Reliable Biomarker over PAP Stain for Estimation of Micronuclei Score? J Clin Diagn Res 2016; 10:ZC07-ZC11. [PMID: 27891448 DOI: 10.7860/jcdr/2016/18859.8630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 07/20/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Malignant transformation of the Potentially Malignant Lesions (PML) in the oral cavity is associated with elevated mortality rate because of its aggressive and exceedingly invasive nature. Meticulous diagnosis and prompt therapy of PML may help prevent malignant conversion in oral lesions. Carcinogenic insult to oral cells results in chromosomal damage and formation of Micronuclei (Mn), before the development of clinical symptoms. AIM To determine the genotoxic effect of smoking and chewing tobacco on target tissue using Mn assay and to evaluate the prevalence of other nuclear anomalies associated with it and to determine the reliability of feulgen stain for Mn assay over Papaincolau (PAP) stain. MATERIALS AND METHODS PAP and feulgen staining was done to study Mn in individuals who were having tobacco habits (smoking and chewing) without lesion (n=30), individuals who were having tobacco habit (smoking and chewing) with PML (n=30) and apparently healthy subjects (n=30). Data was analysed for statistical significance using SPSS 17.0 by Kruskal - Wallis Test and Bonferronii test. RESULTS Tobacco habits in the form of smoking and chewing have mutagenic effects on human chromosomes which is indicated by increased frequency of Mn in oral exfoliative cells. The mean Mn frequency using feulgen stain was found to be 12.27 with lesion, 10.23 with without lesion and 3.87 in controls. Whereas, metanucleated analysis revealed no significant correlation with the formation of Mn. Non-specific DNA stain (PAP) showed high numbers of Mn cells in all the groups compared to feulgen. Statistically significant difference (p<0.0001) was observed when both the stains were compared for Mn numbers. CONCLUSION These findings indicate that the individuals having tobacco habits (smoking and chewing) with lesion have high number of Mn cells, thus supporting the assay to be used as a reliable biomarker to assess the genotoxic effect of tobacco in the oral mucosa. The reason for almost twice as high Mn in PAP stained smears is suggestive of cell injury which is collimated by formation of keratin bodies, resulting in its misinterpretation as Mn, leading to false positive results. Hence, it was concluded that PAP stain can be used to identify abnormal cytological changes resulting from mutagenic agent but not to interpret Mn.
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Affiliation(s)
- Manish Kumar
- Senior Lecturer, Department of Oral Pathology, Tatyasaheb Kore Dental College and Research Centre , Kolhapur, Maharashtra, India
| | - Umesh Chandra Prasad
- Professor and Head of Department, Department of Oral Pathology, Kanti Devi Dental College , Mathura, Uttar Pradesh, India
| | - Betina Chandolia
- Senior Lecturer, Department of Oral Pathology, NIMS , Jaipur, Rajasthan, India
| | - S M Manjunath
- Professor, Department of Oral Pathology, Surendra Dental College , Sriganganagar, Rajasthan, India
| | - Shiva Basu
- Professor, Department of Oral Pathology, Gurunanak Dental College and Research Institute , Sunam, Punjab, India
| | - Silvie Verma
- Demonstrator, Department of Oral Pathology, Tatyasaheb Kore Dental College and Research Centre , Kolhapur, Maharashtra, India
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Ravi KS, Naithani M, Kaur S, Reddy K, Pasi R. Abnormal Nuclear Variations in Response to Radiotherapy- As a Tool in Treatment Planning and Assessment of Prognosis. J Clin Diagn Res 2016; 10:AC08-12. [PMID: 27656425 PMCID: PMC5028437 DOI: 10.7860/jcdr/2016/19907.8338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Accepted: 05/26/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The treatment approaches for oral squamous cell carcinoma (OSCC) include single management with surgery, radiotherapy, along with chemotherapy or various combinations of these modalities. The estimation of radio sensitivity of individual tumours is essential for planning the optimum radiation schedule for each patient. Assessment of radiation induced histo morphological changes in the nucleus is a known marker of radiosensitivity. AIM The aim of this study was to establish the relationship between nuclear changes with radiation dose and to investigate the prospect of utilizing them as an assay to predict tumour response to radiotherapy in oral cancers. MATERIALS AND METHODS The present study included 50 patients (age range of 30-65yrs) with histopathologically confirmed squamous cell carcinoma of oral mucosa and being treated by radiotherapy alone with a radiation dose schedule of 4, 14, 24 and 60 Gy respectively at 2(nd), 7(th), 12(th) and 30(th) day. From the included patients, smear of the buccal mucosa was collected and was air dried and fixed with methanol. The Nuclear changes of Micronucleus (MN), Nuclear Budding (NB) and Multinucleation (MNU) were evaluated under the bright field microscopy after staining with Giemsa and May-Grunwald's stain. RESULTS Out of the 50, 37(74%) were males and 13(26%) were females (Ratio 3:1). The mean percentage increase of MN and MNU were found to be statistically significant (p=0.001) when compared with pre-treatment day. Similar findings were seen with NB, except between pretreatment and after 14 Gy (p-0.110). In the present study the measurement of relative increment index done in respect to all nuclear abnormalities show a sustained increase with increasing dosage of radiation. CONCLUSION The present study, was undertaken to explore the possibility of establishing a relationship between the frequencies of nuclear abnormalities in patients with oral cancer with applied dosage and duration of radiotherapy. The progressive increase in Micronucleus and Multinucleation indices with increasing dose of radiation proves that these parameters can be used as indicators for assessing the response of tumour for radiotherapy. These parameters can be used as prognostic indicator in oral carcinoma cases undergoing radiotherapy.
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Affiliation(s)
- Kumar Satish Ravi
- Assistant Professor, Department of Anatomy, AIIMS, Rishikesh, Uttarakhand, India
| | - Manisha Naithani
- Assistant Professor, Department of Biochemistry, AIIMS, Rishikesh, Uttarakhand, India
| | - Sohinder Kaur
- Director Professor, Department of Anatomy, Lady Hardinge Medical College, New Delhi, India
| | - K.S. Reddy
- Professor and Head, Department of Radiotherapy, MGMC & RIPuducherry, Tamil Nadu, India
| | - Rachna Pasi
- Consultant, Paediatrics, Govt. Hospital, Rishikesh, Uttarakhand, India
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Ray JG, Ranganathan K, Chattopadhyay A. Malignant transformation of oral submucous fibrosis: overview of histopathological aspects. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122:200-9. [PMID: 27422418 DOI: 10.1016/j.oooo.2015.11.024] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Revised: 11/09/2015] [Accepted: 11/16/2015] [Indexed: 12/15/2022]
Abstract
Oral submucous fibrosis (OSF), first described in 1952, is a potentially malignant disorder associated with betel quid and areca nut chewing, mostly prevalent in the population of the Indian subcontinent and South East Asia. Malignant transformation of OSF to squamous cell carcinoma (SCC) has been estimated to be between 2% and 8%. Our study aimed to review the histopathologic changes that contribute to the understanding of the malignant transformation of OSF. Changes in epithelial thickness and dysplasia characterized by micronuclei, altered AgNOR counts and distribution, keratin protein alteration, and alteration of P63 and E-cadherin characterize the epithelial changes during the transformation of OSF to SCC. Common mechanisms have been proposed to be involved in OSF and SCC, through collagen maturation and their interaction with myofibroblasts and mast cells. Fibrosis-driven vascular constriction that results in epithelial hypoxia has also been proposed as an important mechanism for the malignant transformation of OSF. However, reassessment of the classical view is required, because with demonstration of large blood vasculature in the connective tissue stroma of OSF, the hypothesis associated with tissue hypoxia-induced malignant transformation of OSF can be questioned.
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Affiliation(s)
- Jay Gopal Ray
- Professor and Head, Department of Oral Pathology, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India
| | - Kannan Ranganathan
- Professor and Head, Head, Department of Oral and Maxillofacial Pathology, Ragas Dental College and Hospital, Uthandi, Chennai, Tamil Nadu, India
| | - Amit Chattopadhyay
- Adj. Professor of Oral Medicine, Case Western Reserve University, School of Dental Medicine, Cleveland, OH, USA.
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Bolognesi C, Bonassi S, Knasmueller S, Fenech M, Bruzzone M, Lando C, Ceppi M. Clinical application of micronucleus test in exfoliated buccal cells: A systematic review and metanalysis. MUTATION RESEARCH-REVIEWS IN MUTATION RESEARCH 2015; 766:20-31. [DOI: 10.1016/j.mrrev.2015.07.002] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 07/29/2015] [Accepted: 07/30/2015] [Indexed: 10/23/2022]
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