Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus

Statement of the Problem: Oral lichen planus is a common mucocutaneous lesion with a chronic inflammatory process mediated by immune factors while a few cases of the disease become malignant. Purpose: This study aimed to determine the frequency of p53 marker as a tumor suppressor in patients with...

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Main Authors: Atena Shiva, Ali Zamanian, Shahin Arab, Mahsa Boloki
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2018-06-01
Series:Journal of Dentistry
Subjects:
Online Access:http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1791/1118
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author Atena Shiva
Ali Zamanian
Shahin Arab
Mahsa Boloki
author_facet Atena Shiva
Ali Zamanian
Shahin Arab
Mahsa Boloki
author_sort Atena Shiva
collection DOAJ
description Statement of the Problem: Oral lichen planus is a common mucocutaneous lesion with a chronic inflammatory process mediated by immune factors while a few cases of the disease become malignant. Purpose: This study aimed to determine the frequency of p53 marker as a tumor suppressor in patients with erosive and non-erosive oral lichen planus (OLP) by using immunohistochemical methods. Materials and Method: This descriptive cross-sectional study investigated the p53 expression in 16 erosive OLP, 16 non-erosive OLP samples, and 8 samples of normal oral mucosa through immunohistochemistry. The percentage of stained cells in basal and suprabasal layers, and inflammatory infiltrate were graded according to the degree of staining; if 0%, <10%, 10-25%, and >50% of the cells were stained, they were considered as (-), (+), (++), (+++) and (++++), respectively. The obtained data was statistically analyzed and compared by using Chi square and Fisher’s exact test. Results: The mean percentage of p53 positive cells in erosive OLP (34.5±14.2) was considerably higher than that in non-erosive OLP (23.8±10.4) and normal mucosa (17.5±17). There was a significant difference among the three groups of erosive, non-erosive and control in terms of staining intensity. No significant difference existed between the patients’ age and sex in the two OLP groups. Conclusion: The increased incidence of p53 from normal mucosa to erosive OLP indicated the difference between biological behavior of erosive and non-erosive OLP. It can be claimed that the erosive OLP has great premalignant potential compared with the non-erosive one.
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spelling doaj.art-50aab36e0aac4be88385cfdcf16391d82022-12-22T03:24:52ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182018-06-01192118123Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen PlanusAtena Shiva 0Ali Zamanian 1Shahin Arab 2Mahsa Boloki 3Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.Dept. of Restorative Dentistry, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.Dept. of Clinical Biochemistry, School of Medicine, Mazandaran University of Medical Sciences, Sari, IranDentist, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.Statement of the Problem: Oral lichen planus is a common mucocutaneous lesion with a chronic inflammatory process mediated by immune factors while a few cases of the disease become malignant. Purpose: This study aimed to determine the frequency of p53 marker as a tumor suppressor in patients with erosive and non-erosive oral lichen planus (OLP) by using immunohistochemical methods. Materials and Method: This descriptive cross-sectional study investigated the p53 expression in 16 erosive OLP, 16 non-erosive OLP samples, and 8 samples of normal oral mucosa through immunohistochemistry. The percentage of stained cells in basal and suprabasal layers, and inflammatory infiltrate were graded according to the degree of staining; if 0%, <10%, 10-25%, and >50% of the cells were stained, they were considered as (-), (+), (++), (+++) and (++++), respectively. The obtained data was statistically analyzed and compared by using Chi square and Fisher’s exact test. Results: The mean percentage of p53 positive cells in erosive OLP (34.5±14.2) was considerably higher than that in non-erosive OLP (23.8±10.4) and normal mucosa (17.5±17). There was a significant difference among the three groups of erosive, non-erosive and control in terms of staining intensity. No significant difference existed between the patients’ age and sex in the two OLP groups. Conclusion: The increased incidence of p53 from normal mucosa to erosive OLP indicated the difference between biological behavior of erosive and non-erosive OLP. It can be claimed that the erosive OLP has great premalignant potential compared with the non-erosive one.http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1791/1118Immunohistochemistryp53Erosive Lichen Planus
spellingShingle Atena Shiva
Ali Zamanian
Shahin Arab
Mahsa Boloki
Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
Journal of Dentistry
Immunohistochemistry
p53
Erosive Lichen Planus
title Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
title_full Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
title_fullStr Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
title_full_unstemmed Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
title_short Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus
title_sort immunohistochemical study of p53 expression in patients with erosive and non erosive oral lichen planus
topic Immunohistochemistry
p53
Erosive Lichen Planus
url http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1791/1118
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AT alizamanian immunohistochemicalstudyofp53expressioninpatientswitherosiveandnonerosiveorallichenplanus
AT shahinarab immunohistochemicalstudyofp53expressioninpatientswitherosiveandnonerosiveorallichenplanus
AT mahsaboloki immunohistochemicalstudyofp53expressioninpatientswitherosiveandnonerosiveorallichenplanus