Mannava Chinmayee, Manyam Ravikanth, Kumar Nimmagadda Vikas, Puvvada Divya Naga Lakshmi, Swetha P, Supriya Naga
Department of Oral Pathology, Vishnu Dental College, Vishnupur, Bhimavaram, Andhra Pradesh, India.
Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Vishnupur, Bhimavaram, Andhra Pradesh, India.
J Oral Maxillofac Pathol. 2025 Apr-Jun;29(2):286-292. doi: 10.4103/jomfp.jomfp_254_24. Epub 2025 Jun 30.
INTRODUCTION: Odontogenic keratocyst (OKC) is a developmental odontogenic cyst with distinct pathological features and a high recurrence rate. Interest among OKCs became apparent by the clinical challenges associated with their treatment. Pathogenesis of OKCs is a multifactorial process, which is linked to several signalling pathways and expression of stem cell markers such as SOX2 and OCT4. MATERIALS AND METHODS: Thirty cases of OKCs were categorised into three groups: primary (n = 10), recurrent (n = 10), and decompressed (n = 10). Tissue sections were immunohistochemically stained using anti-SOX2 and anti-OCT4 antibodies. Staining distribution, intensity, and localisation were evaluated qualitatively. Quantitative assessment was performed using Image Pro Plus software, and statistical analysis was conducted using SPSS software and results were statistically analysed. RESULTS: SOX2 expression was observed in 80% of primary, 80% recurrent, and 90% of decompressed OKCs, with significant differences in staining intensity ( = 0.032). Most cases exhibited diffuse, nuclear, and cytoplasmic positivity across the full epithelial thickness, particularly in suprabasal layers. OCT4 expression was limited to 10% of primary and 20% of recurrent OKCs, with no positivity observed in decompressed cases. OCT4 did not show statistically significant differences. Remmele scores for both markers were not statistically significant across the groups. CONCLUSION: High expression of SOX2 in OKCs supports its role as a marker of epithelial stemness and a potential biomarker for aggressive behaviour and recurrence. Limited expression of OCT4 suggests a minimal role in OKC pathobiology, possibly associated with early differentiation. Lack of OCT4 expression in decompressed lesions raises questions about the molecular efficacy of decompression therapy.
引言:牙源性角化囊肿(OKC)是一种具有独特病理特征且复发率高的发育性牙源性囊肿。由于其治疗相关的临床挑战,OKC引发了人们的关注。OKC的发病机制是一个多因素过程,与多种信号通路以及干细胞标志物如SOX2和OCT4的表达有关。 材料与方法:30例OKC病例分为三组:原发组(n = 10)、复发组(n = 10)和减压组(n = 10)。组织切片用抗SOX2和抗OCT4抗体进行免疫组织化学染色。对染色分布、强度和定位进行定性评估。使用Image Pro Plus软件进行定量评估,并使用SPSS软件进行统计分析,对结果进行统计学分析。 结果:在80%的原发OKC、80%的复发OKC和90%的减压OKC中观察到SOX2表达,染色强度存在显著差异(P = 0.032)。大多数病例在整个上皮厚度中呈现弥漫性、核性和胞质性阳性,尤其是在上基底层。OCT4表达仅限于10%的原发OKC和20%的复发OKC,减压病例中未观察到阳性。OCT4未显示出统计学显著差异。两组标记物的雷姆勒评分在各分组之间无统计学意义。 结论:OKC中SOX2的高表达支持其作为上皮干细胞标志物的作用,以及作为侵袭性行为和复发的潜在生物标志物。OCT4的有限表达表明其在OKC病理生物学中的作用最小,可能与早期分化有关。减压病变中缺乏OCT4表达引发了关于减压治疗分子疗效的问题。
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