Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Henri-Dunant Road, Pathumwan, 10330, Bangkok, Thailand.
Faculty of Dentistry, Chulalongkorn University, Henri-Dunant Road, Pathumwan, 10330, Bangkok, Thailand.
Head Face Med. 2021 Jul 14;17(1):29. doi: 10.1186/s13005-021-00283-1.
BACKGROUND: Aberrant expression of stem cell markers has been observed in several types of neoplasms. This trait attributes to the acquired stem-like property of tumor cells and can impact patient prognosis. The objective of this study was to comparatively analyze the expression and significance of SOX2 and OCT4 in various types of odontogenic cysts and tumors. METHODS: Fifty-five cases of odontogenic cysts and tumors, including 15 ameloblastomas (AM), 5 adenomatoid odontogenic tumors (AOT), 5 ameloblastic fibromas (AF), 5 calcifying odontogenic cysts (COC), 10 dentigerous cysts (DC) and 15 odontogenic keratocysts (OKC) were investigated for the expression of SOX2 and OCT4 immunohistochemically. RESULTS: Most OKCs (86.7 %) and all AFs expressed SOX2 in more than 50 % of epithelial cells. Its immunoreactivity was moderate-to-strong in all epithelial cell types in both lesions. In contrast, SOX2 expression was undetectable in AOTs and limited to the ameloblast-like cells in a minority of AM and COC cases. Most DCs showed positive staining in less than 25 % of cystic epithelium. Significantly greater SOX2 expression was noted in OKC compared with DC or AM, and in AF compared with COC or AOT. OCT4 rarely expressed in odontogenic lesions with the immunoreactivity being mild and present exclusively in OKCs. CONCLUSIONS: SOX2 is differentially expressed in odontogenic cysts and tumors. This could be related to their diverse cells of origin or stages of histogenesis. The overexpression of SOX2 and OCT4 in OKC indicates the acquired stem-like property. Future studies should investigate whether the overexpression of OCT4 and SOX2 contributes to the aggressive behaviors of the tumors.
背景:干细胞标志物的异常表达已在多种类型的肿瘤中观察到。这种特征归因于肿瘤细胞获得的类似干细胞的特性,并可能影响患者的预后。本研究的目的是比较分析 SOX2 和 OCT4 在各种牙源性囊肿和肿瘤中的表达及意义。
方法:对 55 例牙源性囊肿和肿瘤,包括 15 例造釉细胞瘤(AM)、5 例腺牙源性肿瘤(AOT)、5 例造釉细胞瘤纤维瘤(AF)、5 例钙化牙源性囊肿(COC)、10 例牙源性角化囊肿(OKC)和 15 例牙源性角化囊肿(OKC)进行 SOX2 和 OCT4 免疫组织化学染色。
结果:大多数 OKC(86.7%)和所有 AF 均有超过 50%的上皮细胞表达 SOX2。在这两种病变中,所有上皮细胞类型的免疫反应均为中至强。相比之下,AOT 中检测不到 SOX2 表达,仅在少数 AM 和 COC 病例中局限于成釉细胞样细胞。大多数 DC 仅在不到 25%的囊性上皮细胞中显示阳性染色。与 DC 或 AM 相比,OKC 中 SOX2 表达显著增加,与 COC 或 AOT 相比,AF 中 SOX2 表达显著增加。在牙源性病变中,OCT4 很少表达,免疫反应为轻度,仅存在于 OKC 中。
结论:SOX2 在牙源性囊肿和肿瘤中表达不同。这可能与它们不同的细胞起源或组织发生阶段有关。OKC 中 SOX2 和 OCT4 的过度表达表明获得了类似干细胞的特性。未来的研究应探讨 OCT4 和 SOX2 的过度表达是否有助于肿瘤的侵袭性行为。
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