Altered expression of cell-cell adhesion molecules beta-catenin/E-cadherin and related Wnt-signaling pathway in sporadic and syndromal keratocystic odontogenic tumors

Hakim, Samer George and Kosmehl, Hartwig and Sieg, Peter and Trenkle, Thomas and Jacobsen, Hans-Christian and Benedek, Geza Attila and Ribbat, Julika and Driemel, Oliver (2011) Altered expression of cell-cell adhesion molecules beta-catenin/E-cadherin and related Wnt-signaling pathway in sporadic and syndromal keratocystic odontogenic tumors. CLINICAL ORAL INVESTIGATIONS, 15 (3). pp. 321-328. ISSN 1432-6981, 1436-3771

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Abstract

Differential diagnosis of the keratocystic odontogenic tumor (KCOT) still represents a challenging problem especially if compared with the dentigerous cyst, which is similar in clinical and radiological course. Histological assessment of this entity may therefore draw crucial attention since various radical procedures are recommended for such lesions in contrast to dentigerous cysts. Since recent reports could prove the involvement of wingless(Wnt)-signaling pathway and beta-catenin in the pathogenesis of many odontogenic and neoplastic lesions indicating impairment of cell-cell adhesion, we investigated the expression of two Wnt-signaling pathways, Wnt-1 and Wnt-10A as well as beta-catenin and E-cadherin along with other related proteins in both lesions. We found a significant down-regulation in the expression of cell adhesion proteins beta-catenin and E-cadherin along with alteration of Wnt-1 and Wnt-10A expression in the epithelium of KCOT. We assessed a specific focal distribution pattern of p63 in the suprabasal cell layer and a significant up-regulation of cyclin D1. Furthermore, laminin alpha-2 was a characteristic marker labelling only the basement membrane of dentigerous cysts. These results provide a new hypothesis explaining a molecular mechanism to understand initiating and development of KCOTs and an alternative therapeutic approach, especially for syndromal patients, where these multilocal lesions may involve and destroy wide orofacial bony structures.

Item Type: Article
Uncontrolled Keywords: EXTRACELLULAR-MATRIX; CARCINOMA SYNDROME; EPITHELIAL-CELLS; P63; P53; PROTEIN; PROLIFERATION; MORPHOGENESIS; MUTATIONS; TOOTH; KCOT; Wnt-1; Wnt-10A; beta-catenin; E-cadherin; P63; CD1
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Jun 2020 08:16
Last Modified: 15 Jun 2020 08:16
URI: https://pred.uni-regensburg.de/id/eprint/20791

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