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Expression pattern of p63 in oral epithelial lesions and submucous fibrosis associated with betel-quid chewing in Sri Lanka

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Abstract

Betel-quid chewing, which is closely related to the high incidence of oral cancer, is prevalent in Sri Lanka. p63 has a remarkable structural similarity to p53, suggesting an aberrant expression in oral cancer. Using anti-p63 antibody and immunohistochemistry, the present study investigated the expression pattern of p63 in oral epithelial lesions, including different types of squamous cell carcinoma (SCC), different grades of epithelial dysplasia, and submucosal fibrosis associated with betel-quid chewing. Nuclear immunoreactivity for p63 was detected in all the cases, including normal oral epithelium and epithelial lesions. In normal oral epithelium, nuclear positivity for p63 was observed in some of the basal cell layers and focally in the parabasal layer. Nuclear positivity increased in the epithelial lesions. The percentage of positive nuclei in the epithelial lesions was significantly higher than in normal epithelium (P < 0.01) and was also significantly higher in oral submucosal fibrosis than in epithelial dysplasia (P < 0.05). The results indicate that the overexpression of p63 in oral precancerous lesions and SCC in betel-quid chewers in Sri Lanka may be a useful marker for oral precancerous lesions.

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References

  1. JJ Pindborg (1980) Oral cancer and precancer Eright Bristol

    Google Scholar 

  2. I Chiba M Muthumala Y Yamazaki A Uz Zaman T Iizuka A Amemiya T Shibata H Kashiwazaki C Sugiura H Fukuda (1998) ArticleTitleCharacteristics of mutations in the p53 gene of oral squamous-cell carcinomas associated with betel-quid chewing in Sri lanka J Cancer 77 839–842 Occurrence Handle10.1002/(SICI)1097-0215(19980911)77:6<839::AID-IJC7>3.0.CO;2-V Occurrence Handle1:CAS:528:DyaK1cXltlKmtr4%3D

    Article  CAS  Google Scholar 

  3. E Brambilla C Brambilla (1997) ArticleTitlep53 and lung cancer Pathol Biol 45 852–863 Occurrence Handle9769949 Occurrence Handle1:CAS:528:DyaK1cXitVGrtLk%3D

    PubMed  CAS  Google Scholar 

  4. K Nylander E Dabelsteen PA Hall (2000) ArticleTitleThe p53 molecule and its prognostic role in squamous cell carcinoma of the head and neck J Oral Pathol Med 29 413–425 Occurrence Handle11016683 Occurrence Handle10.1034/j.1600-0714.2000.290901.x Occurrence Handle1:CAS:528:DC%2BD3cXntFOksbc%3D

    Article  PubMed  CAS  Google Scholar 

  5. AJ Levine (1997) ArticleTitlep53, the cellular gatekeeper for growth and division Cell 88 323–331 Occurrence Handle9039259 Occurrence Handle10.1016/S0092-8674(00)81871-1 Occurrence Handle1:CAS:528:DyaK2sXhtFahtLg%3D

    Article  PubMed  CAS  Google Scholar 

  6. C Prives PA Hall (1999) ArticleTitleThe p53 pathway J Pathol 187 112–126 Occurrence Handle10341712 Occurrence Handle10.1002/(SICI)1096-9896(199901)187:1<112::AID-PATH250>3.0.CO;2-3 Occurrence Handle1:CAS:528:DyaK1MXmvVKrtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  7. CA Finlay PW Hids TH Tan D Eliyahu M Oren AJ Levine (1998) ArticleTitleActivating mutations for transformation by p53 produce a gene product that forms an hsc70-p53 complex with an altered half-life Mol Cell Biol 8 531–539

    Google Scholar 

  8. M Schmale C Bamberger (1997) ArticleTitleA novel protein with strong homology to the tumor suppressor p53 Oncogene 15 1363–1367 Occurrence Handle9315105 Occurrence Handle10.1038/sj.onc.1201500 Occurrence Handle1:CAS:528:DyaK2sXmsVSit7o%3D

    Article  PubMed  CAS  Google Scholar 

  9. A Yang M Kaghad Y Wang E Gillett MD Fleming V Dotsch NC Andrews D Caput F McKeon (1998) ArticleTitlep63, a p53 homolog at 3q27-29, encodes multiple products with transactivating, death-inducing, and dominant-negative activities Mol Cell 2 305–316 Occurrence Handle9774969 Occurrence Handle10.1016/S1097-2765(00)80275-0 Occurrence Handle1:CAS:528:DyaK1cXmsVyqt7c%3D

    Article  PubMed  CAS  Google Scholar 

  10. H Choi JG Batsakis F Zhan E Sturgis MA Luna AK El-Naggar (2002) ArticleTitleDifferential expression of p53 gene family members p63 and p73 in head and neck squamous tumorigenesis Hum Pathol 33 158–164 Occurrence Handle11957139 Occurrence Handle10.1053/hupa.2002.30722 Occurrence Handle1:CAS:528:DC%2BD38XjsFGisLk%3D

    Article  PubMed  CAS  Google Scholar 

  11. MP Foschini Gaiba R Cocchi MG Pennesi MR Gatto GP Frezza A Pession (2004) ArticleTitlePattern of p63 expression in squamous cell carcinoma of the oral cavity Virchows Arch 444 332–339 Occurrence Handle14997391 Occurrence Handle10.1007/s00428-003-0969-x Occurrence Handle1:CAS:528:DC%2BD2cXivV2jsrw%3D

    Article  PubMed  CAS  Google Scholar 

  12. C DoComo JU Marshall I Babayan M Drobnyak CV Hedvat J Teruya-Feldstein K Pohar A Hoos C Cordon-Cardo (2002) ArticleTitlep63 expression profiles in human normal and tumor tissues Clin Cancer Res 8 494–501

    Google Scholar 

  13. YK Chen SS Huse LM Lin (2003) ArticleTitleDifferential expression of p53, p63 and p73 proteins in human buccal squamous cell carcinomas Clin Otolaryngol 28 451–455 Occurrence Handle12969350 Occurrence Handle10.1046/j.1365-2273.2003.00743.x Occurrence Handle1:STN:280:DC%2BD3svivV2rsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. YK Chen SS Hsue LM Lin (2004) ArticleTitleExpression of p63 (TA and ΔN isoforms) in human primary well differentiated buccal carcinoma Int J Oral Maxillofac Surg 33 493–497 Occurrence Handle15183414 Occurrence Handle10.1016/j.ijom.2003.10.023

    Article  PubMed  Google Scholar 

  15. Y Chen SS Huse LM Lin (2004) ArticleTitleDifferential expression of p53, p63 and p73 protein and mRNA for DMBA-induced hamster buccal-pouch squamous-cell carcinoma J Exp Pathol 85 97–104 Occurrence Handle10.1111/j.0959-9673.2004.0374.x Occurrence Handle1:CAS:528:DC%2BD2cXlt1Wqs74%3D

    Article  CAS  Google Scholar 

  16. N Thurfjell PJ Coates T Uusitalo D Mahani E Dabelsteen A Dahlqvist B Sjostrom G Roos K Nylander (2004) ArticleTitleComplex p63 mRNA isoform expression patterns in squamous cell carcinoma of the head and neck J Oncol 25 27–35 Occurrence Handle1:CAS:528:DC%2BD2cXlslymurs%3D

    CAS  Google Scholar 

  17. G Pelosi F Pasini C Olsen Stenholm U Pastorino P Maisonneuve A Sonzogni F Maffini G Prueri F Fraggetta A Cavallon E Roz A Iannucci E Bresaola G Viale (2003) ArticleTitlep63 immunoreactivity in lung cancer: yet another player in the development of squamous cell carcinoma? J Pathol 198 100–109 Occurrence Handle10.1002/path.1166 Occurrence Handle1:CAS:528:DC%2BD38Xns1Wiu74%3D

    Article  CAS  Google Scholar 

  18. BY Wang J Gil D Kaufman L Gan DS Khots DE Burstain (2002) ArticleTitlep63 in pulmonary epithelium, pulmonary squamous neoplasm, and other pulmonary tumors Hum Pathol 33 921–926 Occurrence Handle12378518 Occurrence Handle10.1053/hupa.2002.126878 Occurrence Handle1:CAS:528:DC%2BD38XotlGgsLk%3D

    Article  PubMed  CAS  Google Scholar 

  19. M Wu B Wang J Gil E Sabo I Miller L Gan DE Burstein (2003) ArticleTitlep63 and TTF-1 immunostaining. A useful marker panel for distinguishing small cell carcinoma of the lung from poorly differentiated squamous cell carcinoma of the lung Am J Clin Pathol 19 696–702

    Google Scholar 

  20. JA Regezi E Regev S Pisanty S Silverman D Gazit (1995) ArticleTitlep53 expression in sequential oral dysplasias and in situ carcinomas J Oral Pathol Med 24 18–22 Occurrence Handle7722917 Occurrence Handle10.1111/j.1600-0714.1995.tb01124.x Occurrence Handle1:STN:280:DyaK2M3jvFKgtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  21. K Yokoo H Noma T Inoue S Hashimoto M Shimono (2004) ArticleTitleCell proliferation and tumour suppressor gene expression in iodine unstained area surrounding oral squamous cell carcinoma Int J Oral Maxillofac Surg 33 75–83 Occurrence Handle14690663 Occurrence Handle10.1054/ijom.2002.0457 Occurrence Handle1:STN:280:DC%2BD3sngvVelug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  22. SA Shahnavaz JA Regezi G Bradley ID Dube RCK Jordan (2000) ArticleTitlep53 gene mutations in sequential oral epithelial dysplasias and squamous cell carcinomas J Pathol 190 417–422 Occurrence Handle10699989 Occurrence Handle10.1002/(SICI)1096-9896(200003)190:4<417::AID-PATH544>3.0.CO;2-G Occurrence Handle1:CAS:528:DC%2BD3cXisF2rsbg%3D

    Article  PubMed  CAS  Google Scholar 

  23. MC Bortoluzzi LS Yurgel NP Dekker RCK Jordan JA Regezi (2004) ArticleTitleAssesment of p63 expression in oral squamous cell carcinomas and dysplasia Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98 698–704 Occurrence Handle15583543 Occurrence Handle10.1016/j.tripleo.2004.04.001

    Article  PubMed  Google Scholar 

  24. Y-K Chen S-S Hsue L-M Lin (2005) ArticleTitleExpression of p63 protein and mRNA in oral epithelial dysplasia J Oral Pathol Med 34 232–239 Occurrence Handle15752259 Occurrence Handle10.1111/j.1600-0714.2004.00277.x Occurrence Handle1:CAS:528:DC%2BD2MXjt12ktbc%3D

    Article  PubMed  CAS  Google Scholar 

  25. T Takeda K Sugihara Y Hirayama M Hirano J-I Tanuma I Semba (2006) ArticleTitleImmunohistological evaluation of Ki-67, p63, CK19 and p53 expression in oral epithelial dysplasia J Oral Pathol Med 35 369–375 Occurrence Handle16762018 Occurrence Handle10.1111/j.1600-0714.2006.00444.x Occurrence Handle1:CAS:528:DC%2BD28Xos1Grurw%3D

    Article  PubMed  CAS  Google Scholar 

  26. D-H Sheih L-C Chiang C-H Lee Y-H Yang T-Y Sheih (2004) ArticleTitleEffect of arecoline, safrole, and nicotine on collagen phagocytosis by human buccal mucosal fibroblasts as a possible mechanism for oral submucous fibrosis in Taiwan J Oral Pathol Med 33 581–587 Occurrence Handle10.1111/j.1600-0714.2004.00229.x

    Article  Google Scholar 

  27. U Wollina S Verma A Parikh D Parikh (2004) ArticleTitleOral disease caused by the chewing of betel nut and concoctions containing betel nut Eur Acad Dermatol Venereol 18 221–242 Occurrence Handle10.1111/j.1468-3083.2004.00876.x

    Article  Google Scholar 

  28. JA Regezi JJ Scuibba (1999) White lesions JA Regezi JJ Scuibba (Eds) Oral pathology: clinical pathologic correlations EditionNumber3rd edn Saunders Philadelphia 83–121

    Google Scholar 

  29. BSC Cox DM Walker (1996) ArticleTitleEpithelial growth fraction and expression of p53 tumour suppressor gene in oral submucous fibrosis Aust Dent J 41 294–299 Occurrence Handle8961601 Occurrence Handle1:STN:280:DyaK2s7itV2gsw%3D%3D Occurrence Handle10.1111/j.1834-7819.1996.tb03136.x

    Article  PubMed  CAS  Google Scholar 

  30. C Trivedy KA Warnakulasuriya M Tavassoli H Steingromsdottir J Penhallow R Maher NW Johnson (1998) ArticleTitlep53 aberrations in oral submucous fibrosis and oral squamous cell carcinoma detected by immunocytochenmistry and PCR-SSCP J Oral Pathol Med 27 72–77 Occurrence Handle9526733 Occurrence Handle1:STN:280:DyaK1c7oslCrsw%3D%3D Occurrence Handle10.1111/j.1600-0714.1998.tb02097.x

    Article  PubMed  CAS  Google Scholar 

  31. J Kaur N Chakravarti M Mathur A Srivastava R Ralhan (2004) ArticleTitleAlterations in expression of retinoid receptor β and p53 in oral submucous fibrosis Oral Dis 10 201–206 Occurrence Handle15196140 Occurrence Handle10.1111/j.1601-0825.2004.00993.x Occurrence Handle1:STN:280:DC%2BD2c3ps1Gmuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

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Haniffa, A., Saitoh, M., Abiko, Y. et al. Expression pattern of p63 in oral epithelial lesions and submucous fibrosis associated with betel-quid chewing in Sri Lanka. Med Mol Morphol 40, 203–207 (2007). https://doi.org/10.1007/s00795-007-0383-6

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  • DOI: https://doi.org/10.1007/s00795-007-0383-6

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