上皮性牙源性病变中 SHH、SMO 和 GLI-1 蛋白的免疫组织化学分析。
Immunohistochemical analysis of SHH, SMO and GLI-1 proteins in epithelial odontogenic lesions.
机构信息
Department of Oral Pathology, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
出版信息
Braz Dent J. 2022 Sep-Oct;33(5):91-99. doi: 10.1590/0103-6440202204972.
The present study analyzed the expression of proteins involved in the sonic hedgehog signaling pathway (SHH, SMO, and GLI-1) in benign epithelial odontogenic lesions (odontogenic keratocyst - OKC, ameloblastoma - AB, and adenomatoid odontogenic tumor - AOT) in order to identify the role of these proteins in the pathogenesis of these lesions. The sample consisted of 20 OKCs, 20 ABs, and 10 AOTs. The Kruskal-Wallis, Mann-Whitney U, and Spearman's (r) tests were used for statistical analysis, with the level of significance set at 5% (p < 0.05). The membrane/cytoplasmic expression of SHH was significantly higher in AB compared to AOT (p = 0.022) and OKC (p = 0.02). No differences were found in the membrane/cytoplasmic expression of SMO between the lesions studied. Regarding GLI-1, significant differences were observed at the nuclear level for AB and OKC compared to AOT (p < 0.0001). In addition, significant positive correlations were found between cytoplasmic and nuclear GLI-1 in AB (r = 0.482; p = 0.031) and OKC (r = 0.865; p < 0.0001), and between membrane/cytoplasmic SMO and cytoplasmic GLI-1 in AOT (r = 0.667; p = 0.035) and OKC (r = 0.535; p = 0.015). The results of this study confirm the participation of the sonic hedgehog signaling pathway in the pathogenesis of the lesions studied. Overexpression of SHH in ABs and nuclear expression of GLI-1 in ABs and OKCs indicate that these proteins contribute to the more aggressive behavior of these two lesions when compared to AOT.
本研究分析了参与 Sonic Hedgehog 信号通路(SHH、SMO 和 GLI-1)的蛋白在良性上皮性牙源性病变(牙源性角化囊肿 - OKC、成釉细胞瘤 - AB 和腺牙源性肿瘤 - AOT)中的表达,以确定这些蛋白在这些病变发病机制中的作用。样本包括 20 个 OKC、20 个 AB 和 10 个 AOT。采用 Kruskal-Wallis、Mann-Whitney U 和 Spearman(r)检验进行统计学分析,显著性水平设为 5%(p < 0.05)。AB 与 AOT(p = 0.022)和 OKC(p = 0.02)相比,SHH 的膜/细胞质表达显著更高。研究的病变之间 SMO 的膜/细胞质表达无差异。关于 GLI-1,AB 和 OKC 与 AOT 相比,核水平存在显著差异(p < 0.0001)。此外,在 AB(r = 0.482;p = 0.031)和 OKC(r = 0.865;p < 0.0001)中细胞质和核 GLI-1 之间以及 AOT(r = 0.667;p = 0.035)和 OKC(r = 0.535;p = 0.015)中膜/细胞质 SMO 和细胞质 GLI-1 之间存在显著正相关。本研究的结果证实了 Sonic Hedgehog 信号通路参与了研究病变的发病机制。AB 中 SHH 的过表达和 AB 及 OKC 中 GLI-1 的核表达表明,与 AOT 相比,这些蛋白有助于这两种病变表现出更具侵袭性的行为。