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PTEN and α-SMA Expression and Diagnostic Role in Oral Submucous Fibrosis and Oral Squamous Cell Carcinoma with Concomitant Oral Submucous Fibrosis J Oral Maxillofac Res 2021;12(1):e3 doi:10.5037/jomr.2021.12103 Abstract | HTML | PDF | XML |
PTEN and α-SMA Expression and Diagnostic Role in Oral Submucous Fibrosis and Oral Squamous Cell Carcinoma with Concomitant Oral Submucous Fibrosis
1Department of Oral and Maxillofacial Pathology and Oral Microbiology, SDM College of Dental Sciences and Hospital, Dharwad, India.
Corresponding Author:
Department of Oral and Maxillofacial Pathology and Oral Microbiology
SDM College of Dental Sciences and Hospital
A constituent unit of Shri Dharmasthala Manjunatheshwara University
Sattur, Dharwad-580009, Karnataka
India
Phone: +91 9620657979
E-mail: drcauveri2005@gmail.com
ABSTRACT
Objectives: The diagnostic role and correlation between phosphatase and tensin homologue and alpha-smooth muscle actin in oral submucous fibrosis and oral squamous cell carcinoma with concomitant oral submucous fibrosis was analysed by this case control study. The mechanism by which phosphatase and tensin homologue controls myofibroblast expression was also evaluated.
Material and Methods: Overall, 10 normal mucosa, 30 oral submucous fibrosis (OSF) and 30 oral squamous cell carcinoma (OSCC) with OSF were stained immunohistochemically with phosphatase and tensin homologue (PTEN) and alpha-smooth muscle actin (α-SMA). Percentage positivity, pattern of expression was statistically compared using Pearson’s Chi-square and Fischer exact tests. The correlation between markers was analysed using Spearman correlation.
Results: OSF and OSCC affected males predominantly with majority below 40 years and above 40 years of age respectively. Percentage of PTEN positive cells was statistically significant with gender (P = 0.024) and α-SMA distribution of pattern showed a significant correlation with habits (P = 0.018). A significant decrease in nuclear PTEN positivity (P < 0.001) and a gradual increase in α-SMA cytoplasmic expression was noted from NM to OSF and OSCC. A statistically significant weak inverse correlation existed between PTEN and α-SMA.
Conclusions: A reduced phosphatase and tensin homologue expression in oral submucous fibrosis makes it more prone for malignant transformation. An increase in stromal desmoplasia modifies differentiation, invasive and proliferative capacity of tumour cells. As phosphatase and tensin homologue functions through P-Akt pathway, P-Akt with phosphatase and tensin homologue could be a therapeutic target.
J Oral Maxillofac Res 2021;12(1):e3
doi: 10.5037/jomr.2021.12103
Accepted for publication: 4 March 2021
Keywords: immunohistochemistry; myofibroblast; oral cancer; oral submucous fibrosis; prognosis; tumor suppressor gene.
To cite this article: PTEN and α-SMA Expression and Diagnostic Role in Oral Submucous Fibrosis and Oral Squamous Cell Carcinoma with Concomitant Oral Submucous Fibrosis J Oral Maxillofac Res 2021;12(1):e3 URL: http://www.ejomr.org/JOMR/archives/2021/1/e3/v12n1e3ht.htm |
Received: 2 December 2020 | Accepted: 4 March 2021 | Published: 31 March 2021
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2021.