Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study

Objectives: To study the correlation between the putative cancer stem cell (CSC) markers aldehyde dehydrogenase 1 (ALDH1), cluster of differentiation 44 (CD44), sex-determining region Y-box 2 (SOX2), and octamer-binding protein 4 (OCT4) and human papilloma virus (HPV) infection using p16, the surr...

Full description

Bibliographic Details
Main Authors: Prasanth Thankappan, Madhavan Nirmal Ramadoss, Tharmasahayam Isaac Joseph, Percy Ida Augustine, Isaacjoseph Bevin Shaga, Jashree Thilak
Format: Article
Language:English
Published: Rambam Health Care Campus 2021-10-01
Series:Rambam Maimonides Medical Journal
Subjects:
Online Access:https://www.rmmj.org.il/issues/51/1293/manuscript
_version_ 1818716913204723712
author Prasanth Thankappan
Madhavan Nirmal Ramadoss
Tharmasahayam Isaac Joseph
Percy Ida Augustine
Isaacjoseph Bevin Shaga
Jashree Thilak
author_facet Prasanth Thankappan
Madhavan Nirmal Ramadoss
Tharmasahayam Isaac Joseph
Percy Ida Augustine
Isaacjoseph Bevin Shaga
Jashree Thilak
author_sort Prasanth Thankappan
collection DOAJ
description Objectives: To study the correlation between the putative cancer stem cell (CSC) markers aldehyde dehydrogenase 1 (ALDH1), cluster of differentiation 44 (CD44), sex-determining region Y-box 2 (SOX2), and octamer-binding protein 4 (OCT4) and human papilloma virus (HPV) infection using p16, the surrogate marker of HPV in oral epithelial dysplasia (OED) and normal mucosa. Methods: Five sections each from 40 histopathologically diagnosed cases of different grades of OED and 10 cases of normal oral mucosa without dysplasia were immunohistochemically stained with p16, ALDH1, CD44, SOX2, and OCT4, respectively. Results: Expression of ALDH1 and SOX2 was significantly increased in OED cases, whereas CD44 and OCT4 expression was increased in normal mucosa. P16-positive OED cases showed upregulation of ALDH1 and OCT4 expression as compared to p16-negative cases, while CD44 and SOX2 expression was downregulated in p16-positive OED cases; however, the results were not statistically significant. Conclusion: The present study indicated a suggestive link between p16 and cancer stem cell marker expression in HPV-associated OED, and that p16 has a significant role in CSC progression in OED. This is the first study to evaluate the expression of putative CSC markers in HPV-associated OED. However, low study numbers are a potential limiting factor in this study.
first_indexed 2024-12-17T19:26:48Z
format Article
id doaj.art-66a005010b994691be333c4f31d319e3
institution Directory Open Access Journal
issn 2076-9172
language English
last_indexed 2024-12-17T19:26:48Z
publishDate 2021-10-01
publisher Rambam Health Care Campus
record_format Article
series Rambam Maimonides Medical Journal
spelling doaj.art-66a005010b994691be333c4f31d319e32022-12-21T21:35:22ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722021-10-01124e002810.5041/RMMJ.10451Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical StudyPrasanth Thankappan0Madhavan Nirmal Ramadoss1Tharmasahayam Isaac Joseph2Percy Ida Augustine3Isaacjoseph Bevin Shaga4Jashree Thilak5Department of Oral and Maxillofacial Pathology, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu, IndiaDepartment of Oral and Maxillofacial Pathology, Rajah Muthiah Dental College and Hospital, Annamalai University, Chidambaram, Tamil Nadu, IndiaDepartment of Oral and Maxillofacial Pathology, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu, IndiaDepartment of Oral and Maxillofacial Pathology, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu, IndiaDepartment of Orthodontics and Dentofacial Orthopedics, Rajas Dental College, Tirunelveli District, Tamil Nadu, IndiaInternational Cancer Center, Neyyoor, Kanyakumari District, Tamil Nadu, IndiaObjectives: To study the correlation between the putative cancer stem cell (CSC) markers aldehyde dehydrogenase 1 (ALDH1), cluster of differentiation 44 (CD44), sex-determining region Y-box 2 (SOX2), and octamer-binding protein 4 (OCT4) and human papilloma virus (HPV) infection using p16, the surrogate marker of HPV in oral epithelial dysplasia (OED) and normal mucosa. Methods: Five sections each from 40 histopathologically diagnosed cases of different grades of OED and 10 cases of normal oral mucosa without dysplasia were immunohistochemically stained with p16, ALDH1, CD44, SOX2, and OCT4, respectively. Results: Expression of ALDH1 and SOX2 was significantly increased in OED cases, whereas CD44 and OCT4 expression was increased in normal mucosa. P16-positive OED cases showed upregulation of ALDH1 and OCT4 expression as compared to p16-negative cases, while CD44 and SOX2 expression was downregulated in p16-positive OED cases; however, the results were not statistically significant. Conclusion: The present study indicated a suggestive link between p16 and cancer stem cell marker expression in HPV-associated OED, and that p16 has a significant role in CSC progression in OED. This is the first study to evaluate the expression of putative CSC markers in HPV-associated OED. However, low study numbers are a potential limiting factor in this study.https://www.rmmj.org.il/issues/51/1293/manuscriptaldh1cd44oct4oral epithelial dysplasiap16sox2
spellingShingle Prasanth Thankappan
Madhavan Nirmal Ramadoss
Tharmasahayam Isaac Joseph
Percy Ida Augustine
Isaacjoseph Bevin Shaga
Jashree Thilak
Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
Rambam Maimonides Medical Journal
aldh1
cd44
oct4
oral epithelial dysplasia
p16
sox2
title Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
title_full Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
title_fullStr Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
title_full_unstemmed Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
title_short Human Papilloma Virus and Cancer Stem Cell markers in Oral Epithelial Dysplasia—An Immunohistochemical Study
title_sort human papilloma virus and cancer stem cell markers in oral epithelial dysplasia an immunohistochemical study
topic aldh1
cd44
oct4
oral epithelial dysplasia
p16
sox2
url https://www.rmmj.org.il/issues/51/1293/manuscript
work_keys_str_mv AT prasanththankappan humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy
AT madhavannirmalramadoss humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy
AT tharmasahayamisaacjoseph humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy
AT percyidaaugustine humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy
AT isaacjosephbevinshaga humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy
AT jashreethilak humanpapillomavirusandcancerstemcellmarkersinoralepithelialdysplasiaanimmunohistochemicalstudy