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Shi L, Li C, Liu W. Contrasting results of DNA content analysis in oral lichen planus. Oral Dis 2019; 25:1674-1675. [PMID: 31141269 DOI: 10.1111/odi.13132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 05/15/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Linjun Shi
- Department of Oral Mucosal Diseases, Shanghai Ninth People's Hospital, College of Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chenxi Li
- Department of Oral Mucosal Diseases, Shanghai Ninth People's Hospital, College of Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wei Liu
- Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Pentenero M, Monticone M, Marino R, Aiello C, Marchitto G, Malacarne D, Giaretti W, Gandolfo S, Castagnola P. High-resolution DNA content analysis of microbiopsy samples in oral lichen planus. Oral Dis 2016; 23:318-323. [DOI: 10.1111/odi.12605] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 09/05/2016] [Accepted: 10/11/2016] [Indexed: 11/28/2022]
Affiliation(s)
- M Pentenero
- Department of Oncology; Oral Medicine and Oral Oncology Unit; University of Turin; Orbassano (TO) Italy
| | | | - R Marino
- Department of Oncology; Oral Medicine and Oral Oncology Unit; University of Turin; Orbassano (TO) Italy
| | - C Aiello
- IRCCS AOU; San Martino -IST; Genova Italy
| | - G Marchitto
- Department of Oncology; Oral Medicine and Oral Oncology Unit; University of Turin; Orbassano (TO) Italy
| | | | - W Giaretti
- IRCCS AOU; San Martino -IST; Genova Italy
| | - S Gandolfo
- Department of Oncology; Oral Medicine and Oral Oncology Unit; University of Turin; Orbassano (TO) Italy
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Sperandio M, Klinikowski MF, Brown AL, Shirlaw PJ, Challacombe SJ, Morgan PR, Warnakulasuriya S, Odell EW. Image-based DNA ploidy analysis aids prediction of malignant transformation in oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 121:643-50. [PMID: 27084261 DOI: 10.1016/j.oooo.2016.02.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 01/03/2016] [Accepted: 02/16/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVES To investigate the potential of image-based DNA ploidy analysis to predict malignant transformation in patients with oral lichen planus (OLP). STUDY DESIGN DNA ploidy analysis was performed on biopsy samples from 14 patients with OLP who underwent malignant transformation. As controls, 42 OLP lesions showing unusual clinical features suggesting a transformation risk and 68 samples of clinically and histologically typical OLP were included. Cases with dysplasia on initial biopsy were excluded. Eighty fibroepithelial polyps acted as methodologic controls. Epithelial nuclei were isolated from formalin-fixed paraffin embedded biopsy samples and monolayers stained with Feulgen for automated image cytometry to establish DNA content. Ploidy status was correlated to outcome using Kaplan-Meier analysis and log-rank Mantel-Cox tests. RESULTS All controls and typical OLP were diploid and none underwent malignant transformation in mean follow-up of 14 years (10-18 years). One unusual OLP developed carcinoma and all were diploid. The 14 patients with transformation developed 21 carcinomas. In the 11 patients who had a prior biopsy, 4 were aneuploid. CONCLUSIONS DNA ploidy analysis predicted malignant transformation in more than one third (36.4%) of patients with OLP with a preceding biopsy (n = 11). This premalignant nature could not have been diagnosed clinically or by histologic dysplasia assessment.
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Affiliation(s)
- Marcelo Sperandio
- Department of Oral Pathology, King's College London, Guy's Hospital, London, United Kingdom; Department of Oral Pathology & Medicine, Sao Leopoldo Mandic Dental Institute and Research Center, Campinas-SP, Brazil.
| | - Myriam F Klinikowski
- Department of Oral Medicine, King's College London, King's College Hospital, London, United Kingdom
| | - Amy L Brown
- Department of Oral Pathology, King's College London, Guy's Hospital, London, United Kingdom; Department of Oral Pathology & Medicine, Sao Leopoldo Mandic Dental Institute and Research Center, Campinas-SP, Brazil
| | - Penelope J Shirlaw
- Department of Oral Medicine, King's College London, King's College Hospital, London, United Kingdom
| | - Stephen J Challacombe
- Department of Oral Medicine, King's College London, King's College Hospital, London, United Kingdom
| | - Peter R Morgan
- Department of Oral Pathology, King's College London, Guy's Hospital, London, United Kingdom
| | - Saman Warnakulasuriya
- Department of Oral Medicine, King's College London, King's College Hospital, London, United Kingdom
| | - Edward W Odell
- Department of Oral Pathology, King's College London, Guy's Hospital, London, United Kingdom
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Oral lichen planus patients exhibit consistent chromosomal numerical aberrations: A follow-up analysis. Head Neck 2015; 38 Suppl 1:E741-6. [DOI: 10.1002/hed.24086] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2013] [Revised: 11/12/2014] [Accepted: 04/14/2015] [Indexed: 11/07/2022] Open
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Mostafa D, Tarakji B. Photodynamic therapy in treatment of oral lichen planus. J Clin Med Res 2015; 7:393-9. [PMID: 25883701 PMCID: PMC4394911 DOI: 10.14740/jocmr2147w] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2015] [Indexed: 12/18/2022] Open
Abstract
Oral lichen planus (OLP) is a relatively common chronic immunologic mucocutaneous disorder. Although there are many presenting treatments, some of them proved its failure. Recently, the use of photodynamic therapy (PDT) has been expanding due to its numerous advantages, as it is safe, convenient, and non-invasive and has toxic effect towards selective tissues. This article provides comprehensive review on OLP, its etiology, clinical features and recent non-pharmacological treatments. We also describe the topical PDT and its mechanisms. Our purpose was to evaluate the efficacy of PDT in treatment of OLP through collecting the data of the related clinical studies. We searched in PubMed website for the clinical studies that were reported from 2000 to 2014 using specific keywords: "photodynamic therapy" and "treatment of oral lichen planus". Inclusion criteria were English publications only were concerned. In the selected studies of photodynamic treatment, adult patients (more than 20 years) were conducted and the OLP lesions were clinically and histologically confirmed. Exclusion criteria were classical and pharmacological treatments of OLP were excluded and also the using of PDT on skin lesions of lichen planus. We established five clinical studies in this review where all of them reported improvement and effectiveness of PDT in treatment of OLP lesions. The main outcome of comparing the related clinical studies is that the photodynamic is considered as a safe, effective and promising treatment modality for OLP.
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Affiliation(s)
- Diana Mostafa
- Department of Oral Maxillofacial Sciences, Al-Farabi College of Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
| | - Bassel Tarakji
- Department of Oral Maxillofacial Sciences, Al-Farabi College of Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
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Chitturi RT, Nirmal RM, Sunil PM, Devy AS, Reddy BVR. Evaluation of ploidy status using DNA-image cytometry of exfoliated mucosal cells in oral lichen planus. J Cytol 2014; 31:131-5. [PMID: 25538380 PMCID: PMC4274522 DOI: 10.4103/0970-9371.145629] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Background: Oral lichen planus (OLP) is one of the potentially malignant disorders (PMDs) with a malignancy rate of 0.2-2%. Aneuploidy is considered to be one of the important markers for malignant transformation and DNA-image cytometry (DIC) has been successfully employed in oral mucosal PMDs and also in tumors of the cervix, lung and biliary tract. Aims: In this study, we intend to assess the ploidy status of exfoliated cells in OLP using DIC. Materials and Methods: Exfoliated cells from 48 patients with different subtypes of OLP (reticular, plaque type, erosive and atrophic) and 10 controls were stained using Feulgen reaction and assessed for integrated optical density using image analysis software and the ploidy status was assessed. Results: All the patients in the control group and most of the patients (93.5%) who had reticular or plaque type of OLP (29 out of 31) exhibited diploid nuclei in the smears, whereas 11 patients who had erosive or atrophic types of OLP showed aneuploid nuclei. Conclusions: The patients with erosive or atrophic types of OLP are at more risk and assessment of ploidy status by exfoliative cytology can be used as an adjuvant for diagnosis.
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Affiliation(s)
- Ravi Teja Chitturi
- Department of Oral Pathology, SIBAR Institute of Dental Sciences, Guntur, Andhra Pradesh, India
| | - R Madhavan Nirmal
- Department of Oral Pathology, Rajah Muthiah Dental College and Hospital, Cuddalore, Tamil Nadu, India
| | - Paramel Mohan Sunil
- Department of Oral Pathology, Sree Anjaneya Institute of Dental Sciences, Calicut, Kerala, India
| | - A Santha Devy
- Department of Oral Pathology, Indira Gandhi Institute of Dental Sciences, Villupuram, India
| | - B Venkat Ramana Reddy
- Department of Oral Pathology, SIBAR Institute of Dental Sciences, Guntur, Andhra Pradesh, India
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Bediaga NG, Marichalar-Mendia X, Aguirre-Urizar JM, Calvo B, Echebarria-Goicouria MA, de Pancorbo MM, Acha-Sagredo A. Global DNA methylation: uncommon event in oral lichenoid disease. Oral Dis 2014; 20:821-6. [PMID: 24724918 DOI: 10.1111/odi.12243] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Revised: 03/04/2014] [Accepted: 03/24/2014] [Indexed: 12/29/2022]
Abstract
OBJECTIVES Accumulating evidence indicates that aberrant DNA methylation is closely related to oral carcinogenesis, and it has been shown that methylation changes might be used as prognostic biomarker in oral squamous cell carcinoma. Oral lichenoid disease (OLD) is the most common oral potentially malignant disorder in our region. The aim of this study was to perform the first wide DNA methylation study in OLD in order to investigate the relevance of DNA methylation changes in this premalignant disorder. MATERIALS AND METHODS Two different Illumina microarray platforms, namely the GoldenGate Cancer Panel I and the HumanMethylation27 DNA Analysis BeadChip, were utilized in the discovery phase to interrogate the methylation profile of 59 OLD cases and 9 healthy individuals. Top-ranked genes were further validated by pyrosequencing in a second sample set consisting of 160 OLD and 65 controls. RESULTS Our results show that the frequency of aberrant DNA methylation is rare in OLD, and this finding was further corroborated by pyrosequencing in the biological validation. CONCLUSIONS These findings reinforce the notion that molecular alterations associated with oral carcinogenesis do not seem to be common events in OLD, which in turn might explain the low rate of malignization of this disorder.
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Affiliation(s)
- N G Bediaga
- Oral Medicine & Pathology, Department of Stomatology II, UFI 11/25, University of the Basque Country (UPV/EHU), Leioa, Spain; BIOMICs Research Group, University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Spain
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Oral lichen planus as a preneoplastic inflammatory model. J Biomed Biotechnol 2012; 2012:759626. [PMID: 22675259 PMCID: PMC3362930 DOI: 10.1155/2012/759626] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Accepted: 03/16/2012] [Indexed: 01/24/2023] Open
Abstract
Oral lichen planus (OLP) is a chronic oral inflammatory disease of unknown etiology. According to reports, 1-2% of OLP patients develop oral squamous cell carcinoma (OSCC) in the long run. While World Health Organization (WHO) classifies OLP as “a potentially malignant disorder,” it is still a matter of debate which mechanisms drive OLP to such a condition. The current hypothesis connecting OLP and OSCC is that chronic inflammation results in crucial DNA damage which over time results in cancer development. Initial studies investigating the OLP and OSCC link were mainly retrospective clinical studies. Over the past years, several amount of information has accumulated, mainly from molecular studies on the OLP malignant potential. This article is a critical review of whether OLP has a malignant potential and, therefore, represents a model of preneoplastic inflammation.
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Sanchez-Siles M, Ros-Llor I, Camacho-Alonso F, Lopez-Jornet P. A novel application of the buccal micronucleus cytome assay in oral lichen planus: A pilot study. Arch Oral Biol 2011; 56:1148-53. [DOI: 10.1016/j.archoralbio.2011.02.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2010] [Revised: 02/08/2011] [Accepted: 02/26/2011] [Indexed: 11/29/2022]
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