Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma

Background To evaluate the presence of myofibroblasts (MFs) in the development of lip carcinogenesis, through the correlation of clinical, histomorphometric and immunohistochemical parameters, in actinic cheilitis (ACs) and lower lip squamous cell carcinomas (LLSCCs). Methods Samples of ACs, LLSCCs,...

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Veröffentlicht in:Journal of oral pathology & medicine 2024-05, Vol.53 (5), p.321-330
Hauptverfasser: Martinez, Farah Essgui Orellana, Bezerra, Thâmara Manoela Marinho, Alves, Ana Paula Negreiros Nunes, Fernandes, Isabelle Joyce Lima Silva, Sousa, Fabricio Bitu, Barros Silva, Paulo Goberlânio, Mota, Mário Rogério Lima
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container_issue 5
container_start_page 321
container_title Journal of oral pathology & medicine
container_volume 53
creator Martinez, Farah Essgui Orellana
Bezerra, Thâmara Manoela Marinho
Alves, Ana Paula Negreiros Nunes
Fernandes, Isabelle Joyce Lima Silva
Sousa, Fabricio Bitu
Barros Silva, Paulo Goberlânio
Mota, Mário Rogério Lima
description Background To evaluate the presence of myofibroblasts (MFs) in the development of lip carcinogenesis, through the correlation of clinical, histomorphometric and immunohistochemical parameters, in actinic cheilitis (ACs) and lower lip squamous cell carcinomas (LLSCCs). Methods Samples of ACs, LLSCCs, and control group (CG) were prepared by tissue microarray (TMA) for immunohistochemical TGF‐β, α‐SMA, and Ki‐67 and histochemical hematoxylin and eosin, picrosirius red, and verhoeff van gieson reactions. Clinical and microscopic data were associated using the Mann–Whitney, Kruskal‐Wallis/Dunn, and Spearman correlation tests (SPSS, p 
doi_str_mv 10.1111/jop.13541
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Methods Samples of ACs, LLSCCs, and control group (CG) were prepared by tissue microarray (TMA) for immunohistochemical TGF‐β, α‐SMA, and Ki‐67 and histochemical hematoxylin and eosin, picrosirius red, and verhoeff van gieson reactions. Clinical and microscopic data were associated using the Mann–Whitney, Kruskal‐Wallis/Dunn, and Spearman correlation tests (SPSS, p &lt; 0.05). Results ACs showed higher number of α‐SMA+ MFs when compared to CG (p = 0.034), and these cells were associated with the vertical expansion of solar elastosis (SE) itself (p = 0.027). Areas of SE had lower deposits of collagen (p &lt; 0.001), immunostaining for TGF‐β (p &lt; 0.001), and higher density of elastic fibers (p &lt; 0.05) when compared to areas without SE. A positive correlation was observed between high‐risk epithelial dysplasia (ED) and the proximity of SE to the dysplastic epithelium (p = 0.027). LLSCCs showed a higher number of α‐SMA+ MFs about CG (p = 0.034), as well as a reduction in the deposition of total collagen (p = 0.009) in relation to ACs and CG. There was also a negative correlation between the amount of α‐SMA+ cells and the accumulation of total collagen (p = 0.041). Collagen and elastic density loss was higher in larger tumors (p = 0.045) with nodal invasion (p = 0.047). Conclusions Our findings show the possible role of MFs, collagen fibers, and elastosis areas in the lip carcinogenesis process.</description><identifier>ISSN: 0904-2512</identifier><identifier>EISSN: 1600-0714</identifier><identifier>DOI: 10.1111/jop.13541</identifier><identifier>PMID: 38693618</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>actinic cheilitis ; Carcinogenesis ; Collagen ; epithelial dysplasia ; Epithelium ; Extracellular matrix ; Fibers ; Lip ; myofibroblast ; Squamous cell carcinoma ; Transforming growth factor-b</subject><ispartof>Journal of oral pathology &amp; medicine, 2024-05, Vol.53 (5), p.321-330</ispartof><rights>2024 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3131-bdc2542cc139b8c72cb2b6fd7d58981faa70945073e44e531709d87dc7d910bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjop.13541$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjop.13541$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38693618$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martinez, Farah Essgui Orellana</creatorcontrib><creatorcontrib>Bezerra, Thâmara Manoela Marinho</creatorcontrib><creatorcontrib>Alves, Ana Paula Negreiros Nunes</creatorcontrib><creatorcontrib>Fernandes, Isabelle Joyce Lima Silva</creatorcontrib><creatorcontrib>Sousa, Fabricio Bitu</creatorcontrib><creatorcontrib>Barros Silva, Paulo Goberlânio</creatorcontrib><creatorcontrib>Mota, Mário Rogério Lima</creatorcontrib><title>Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma</title><title>Journal of oral pathology &amp; medicine</title><addtitle>J Oral Pathol Med</addtitle><description>Background To evaluate the presence of myofibroblasts (MFs) in the development of lip carcinogenesis, through the correlation of clinical, histomorphometric and immunohistochemical parameters, in actinic cheilitis (ACs) and lower lip squamous cell carcinomas (LLSCCs). Methods Samples of ACs, LLSCCs, and control group (CG) were prepared by tissue microarray (TMA) for immunohistochemical TGF‐β, α‐SMA, and Ki‐67 and histochemical hematoxylin and eosin, picrosirius red, and verhoeff van gieson reactions. Clinical and microscopic data were associated using the Mann–Whitney, Kruskal‐Wallis/Dunn, and Spearman correlation tests (SPSS, p &lt; 0.05). Results ACs showed higher number of α‐SMA+ MFs when compared to CG (p = 0.034), and these cells were associated with the vertical expansion of solar elastosis (SE) itself (p = 0.027). Areas of SE had lower deposits of collagen (p &lt; 0.001), immunostaining for TGF‐β (p &lt; 0.001), and higher density of elastic fibers (p &lt; 0.05) when compared to areas without SE. A positive correlation was observed between high‐risk epithelial dysplasia (ED) and the proximity of SE to the dysplastic epithelium (p = 0.027). LLSCCs showed a higher number of α‐SMA+ MFs about CG (p = 0.034), as well as a reduction in the deposition of total collagen (p = 0.009) in relation to ACs and CG. There was also a negative correlation between the amount of α‐SMA+ cells and the accumulation of total collagen (p = 0.041). Collagen and elastic density loss was higher in larger tumors (p = 0.045) with nodal invasion (p = 0.047). Conclusions Our findings show the possible role of MFs, collagen fibers, and elastosis areas in the lip carcinogenesis process.</description><subject>actinic cheilitis</subject><subject>Carcinogenesis</subject><subject>Collagen</subject><subject>epithelial dysplasia</subject><subject>Epithelium</subject><subject>Extracellular matrix</subject><subject>Fibers</subject><subject>Lip</subject><subject>myofibroblast</subject><subject>Squamous cell carcinoma</subject><subject>Transforming growth factor-b</subject><issn>0904-2512</issn><issn>1600-0714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kcFO3DAURa2qVZnSLvoDlaVu2kXAjp1JskQI2iIkuoB19OI4jUd2HPwcDfN7_TIcAl1UwpsnW-deX71LyGfOTng6pzs_nXBRSP6GbPiWsYyVXL4lG1YzmeUFz4_IB8QdY7wUkr8nR6La1mLLqw35e4aoEZ0eI_U9jYOmgOiVgWj8uDy5g-9NG3xrASNSGDuKMcwqzgEsVd5NfkxqfJHrhxhAaWtnC4E6iME80L2JAx0MRj9BHLz1f4xK6gkCOB11eFKDimY0iqpBG2uiWT-zfq8DtWaieD-D8zPSxZ0qCMqM3sFH8q4Hi_rT8zwmd5cXt-c_s-ubH7_Oz64zJbjgWdupvJC5UlzUbaXKXLV5u-27siuquuI9QMlqWbBSaCl1IXi6dlXZqbKrOWtbcUy-rb5T8Pezxtg4g0sUGHVK1QhWpAUXNZcJ_fofuvNzGFO6hZJFxeu8StT3lVLBIwbdN1MwDsKh4axZik2qqXkqNrFfnh3n1unuH_nSZAJOV2BvrD687tRc3fxeLR8B3JSyjA</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Martinez, Farah Essgui Orellana</creator><creator>Bezerra, Thâmara Manoela Marinho</creator><creator>Alves, Ana Paula Negreiros Nunes</creator><creator>Fernandes, Isabelle Joyce Lima Silva</creator><creator>Sousa, Fabricio Bitu</creator><creator>Barros Silva, Paulo Goberlânio</creator><creator>Mota, Mário Rogério Lima</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202405</creationdate><title>Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma</title><author>Martinez, Farah Essgui Orellana ; Bezerra, Thâmara Manoela Marinho ; Alves, Ana Paula Negreiros Nunes ; Fernandes, Isabelle Joyce Lima Silva ; Sousa, Fabricio Bitu ; Barros Silva, Paulo Goberlânio ; Mota, Mário Rogério Lima</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3131-bdc2542cc139b8c72cb2b6fd7d58981faa70945073e44e531709d87dc7d910bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>actinic cheilitis</topic><topic>Carcinogenesis</topic><topic>Collagen</topic><topic>epithelial dysplasia</topic><topic>Epithelium</topic><topic>Extracellular matrix</topic><topic>Fibers</topic><topic>Lip</topic><topic>myofibroblast</topic><topic>Squamous cell carcinoma</topic><topic>Transforming growth factor-b</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martinez, Farah Essgui Orellana</creatorcontrib><creatorcontrib>Bezerra, Thâmara Manoela Marinho</creatorcontrib><creatorcontrib>Alves, Ana Paula Negreiros Nunes</creatorcontrib><creatorcontrib>Fernandes, Isabelle Joyce Lima Silva</creatorcontrib><creatorcontrib>Sousa, Fabricio Bitu</creatorcontrib><creatorcontrib>Barros Silva, Paulo Goberlânio</creatorcontrib><creatorcontrib>Mota, Mário Rogério Lima</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral pathology &amp; medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martinez, Farah Essgui Orellana</au><au>Bezerra, Thâmara Manoela Marinho</au><au>Alves, Ana Paula Negreiros Nunes</au><au>Fernandes, Isabelle Joyce Lima Silva</au><au>Sousa, Fabricio Bitu</au><au>Barros Silva, Paulo Goberlânio</au><au>Mota, Mário Rogério Lima</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma</atitle><jtitle>Journal of oral pathology &amp; medicine</jtitle><addtitle>J Oral Pathol Med</addtitle><date>2024-05</date><risdate>2024</risdate><volume>53</volume><issue>5</issue><spage>321</spage><epage>330</epage><pages>321-330</pages><issn>0904-2512</issn><eissn>1600-0714</eissn><abstract>Background To evaluate the presence of myofibroblasts (MFs) in the development of lip carcinogenesis, through the correlation of clinical, histomorphometric and immunohistochemical parameters, in actinic cheilitis (ACs) and lower lip squamous cell carcinomas (LLSCCs). Methods Samples of ACs, LLSCCs, and control group (CG) were prepared by tissue microarray (TMA) for immunohistochemical TGF‐β, α‐SMA, and Ki‐67 and histochemical hematoxylin and eosin, picrosirius red, and verhoeff van gieson reactions. Clinical and microscopic data were associated using the Mann–Whitney, Kruskal‐Wallis/Dunn, and Spearman correlation tests (SPSS, p &lt; 0.05). Results ACs showed higher number of α‐SMA+ MFs when compared to CG (p = 0.034), and these cells were associated with the vertical expansion of solar elastosis (SE) itself (p = 0.027). Areas of SE had lower deposits of collagen (p &lt; 0.001), immunostaining for TGF‐β (p &lt; 0.001), and higher density of elastic fibers (p &lt; 0.05) when compared to areas without SE. A positive correlation was observed between high‐risk epithelial dysplasia (ED) and the proximity of SE to the dysplastic epithelium (p = 0.027). LLSCCs showed a higher number of α‐SMA+ MFs about CG (p = 0.034), as well as a reduction in the deposition of total collagen (p = 0.009) in relation to ACs and CG. There was also a negative correlation between the amount of α‐SMA+ cells and the accumulation of total collagen (p = 0.041). Collagen and elastic density loss was higher in larger tumors (p = 0.045) with nodal invasion (p = 0.047). Conclusions Our findings show the possible role of MFs, collagen fibers, and elastosis areas in the lip carcinogenesis process.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38693618</pmid><doi>10.1111/jop.13541</doi><tpages>10</tpages></addata></record>
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subjects actinic cheilitis
Carcinogenesis
Collagen
epithelial dysplasia
Epithelium
Extracellular matrix
Fibers
Lip
myofibroblast
Squamous cell carcinoma
Transforming growth factor-b
title Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma
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