Vijayan Aswathy K, Muthukrishnan Arvind, Velayudhannair Vivek, Varun Jayanthi, Vidyadharan Mathew, James Joseena
Department of Oral Medicine and Radiology, PMS College of Dental Science and Research, Vattapara, Thiruvananthapuram, Kerala, India.
Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Oral Maxillofac Pathol. 2022 Oct-Dec;26(4):495-500. doi: 10.4103/jomfp.jomfp_61_22. Epub 2022 Dec 22.
INTRODUCTION: Oral lichen planus (OLP) is a chronic inflammatory disease with cell-mediated immune dysregulation. The aetiology of OLP has been studied extensively for decades. Viruses like Hepatitis C Virus (HCV), human papillomavirus (HPV), herpes simplex virus (HSV), and stress have been hypothesized to play a role in the pathogenesis and malignant transformation of OLP. HPV has been proved to be an etiological agent in oropharyngeal cancers and non-tobacco-associated leukoplakia. The role of human papillomavirus in the pathogenesis of OLP has to be studied extensively. AIM: This study aims to detect the presence of HPV 16 and HPV 18 DNA in the biopsy samples of OLP and also to determine the role played by the virus in the pathogenesis and malignant transformation of OLP. MATERIALS AND METHODS: Biopsy samples comprising 30 OLP tissues were collected. The DNA was extracted by the cetyltrimethylammonium bromide method. Polymerase chain reaction was performed by using general primers to amplify the HPV E6 gene. RESULTS: Twelve out of 30 (40%) OLP cases were positive for HPV DNA. A significant relation was found between HPV, site (buccal mucosa) and the type (reticular) of the lesion ( = 0.007). However, the difference between the percentage of HPV positive males and females was statistically insignificant ( = 0.852). CONCLUSION: This study confirmed the presence of high-risk HPV 16 and HPV 18 DNA in OLP. The study showed a significantly higher expression of HPV in erosive OLP when compared to reticular OLP, suggesting a possible role of HPV in the malignant transformation of OLP.
引言:口腔扁平苔藓(OLP)是一种细胞介导免疫失调的慢性炎症性疾病。数十年来,OLP的病因已得到广泛研究。丙型肝炎病毒(HCV)、人乳头瘤病毒(HPV)、单纯疱疹病毒(HSV)等病毒以及压力被认为在OLP的发病机制和恶性转化中起作用。HPV已被证明是口咽癌和非烟草相关白斑的病因。人乳头瘤病毒在OLP发病机制中的作用有待深入研究。 目的:本研究旨在检测OLP活检样本中HPV 16和HPV 18 DNA的存在情况,并确定该病毒在OLP发病机制和恶性转化中所起的作用。 材料与方法:收集了30份OLP组织活检样本。采用十六烷基三甲基溴化铵法提取DNA。使用通用引物进行聚合酶链反应以扩增HPV E6基因。 结果:30例OLP病例中有12例(40%)HPV DNA呈阳性。发现HPV、病变部位(颊黏膜)和病变类型(网状)之间存在显著关联(P = 0.007)。然而,HPV阳性男性和女性的百分比差异无统计学意义(P = 0.852)。 结论:本研究证实了OLP中存在高危型HPV 16和HPV 18 DNA。研究表明,与网状OLP相比,糜烂型OLP中HPV的表达明显更高,提示HPV可能在OLP的恶性转化中起作用。
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