Analysis of the neoplastic nature and biological potential of sporadic and nevoid basal cell carcinoma syndrome-associated keratocystic odontogenic tumor

Background:  Keratocystic odontogenic tumor (KCOT), also known as odontogenic keratocyst, is a benign cystic neoplasm, which may be associated with nevoid basal cell carcinoma syndrome (NBCCS) and if it does, will occur as multiple cystic lesions. KCOT is locally destructive despite its bland histol...

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Veröffentlicht in:Journal of oral pathology & medicine 2007-10, Vol.36 (9), p.550-554
Hauptverfasser: Katase, Naoki, Nagatsuka, Hitoshi, Tsujigiwa, Hidetsugu, Gunduz, Mehmet, Tamamura, Ryo, Pwint, Han Phuu, Rivera, Rosario Santos, Nakajima, Motowo, Naomoto, Yoshio, Nagai, Noriyuki
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container_end_page 554
container_issue 9
container_start_page 550
container_title Journal of oral pathology & medicine
container_volume 36
creator Katase, Naoki
Nagatsuka, Hitoshi
Tsujigiwa, Hidetsugu
Gunduz, Mehmet
Tamamura, Ryo
Pwint, Han Phuu
Rivera, Rosario Santos
Nakajima, Motowo
Naomoto, Yoshio
Nagai, Noriyuki
description Background:  Keratocystic odontogenic tumor (KCOT), also known as odontogenic keratocyst, is a benign cystic neoplasm, which may be associated with nevoid basal cell carcinoma syndrome (NBCCS) and if it does, will occur as multiple cystic lesions. KCOT is locally destructive despite its bland histological features. However, the neoplastic nature of KCOT is not well established. Heparanase is an endo‐d‐glucuronidase enzyme that specifically cleaves heparan sulfate (HS) and the increase of its level in tumors promotes invasion, angiogenesis, and metastasis. Methods:  To investigate the neoplastic character of KCOT, we studied the localization patterns of heparanase in KCOT, focusing on the differences between sporadic and NBCCS‐associated KCOTs, by immunohistochemistry and in situ hybridization. To compare the expression pattern of these cysts with non‐tumorous odontogenic developmental cyst, dentigerous cyst was included. Results:  All the odontogenic cysts showed positive immunoreaction for heparanase protein in various intensities. The expression pattern of heparanase gene corresponded to that of protein expression. Interestingly, intense gene and protein expressions were observed in KCOT associated with NBCCS compared with sporadic ones and dentigerous cyst. Conclusions:  The results implied that heparanase expression may be correlated with the neoplastic properties of KCOT, particularly in NBCCS‐associated cases.
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KCOT is locally destructive despite its bland histological features. However, the neoplastic nature of KCOT is not well established. Heparanase is an endo‐d‐glucuronidase enzyme that specifically cleaves heparan sulfate (HS) and the increase of its level in tumors promotes invasion, angiogenesis, and metastasis. Methods:  To investigate the neoplastic character of KCOT, we studied the localization patterns of heparanase in KCOT, focusing on the differences between sporadic and NBCCS‐associated KCOTs, by immunohistochemistry and in situ hybridization. To compare the expression pattern of these cysts with non‐tumorous odontogenic developmental cyst, dentigerous cyst was included. Results:  All the odontogenic cysts showed positive immunoreaction for heparanase protein in various intensities. The expression pattern of heparanase gene corresponded to that of protein expression. Interestingly, intense gene and protein expressions were observed in KCOT associated with NBCCS compared with sporadic ones and dentigerous cyst. Conclusions:  The results implied that heparanase expression may be correlated with the neoplastic properties of KCOT, particularly in NBCCS‐associated cases.</description><identifier>ISSN: 0904-2512</identifier><identifier>EISSN: 1600-0714</identifier><identifier>DOI: 10.1111/j.1600-0714.2007.00578.x</identifier><identifier>PMID: 17850439</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Basal Cell Nevus Syndrome - complications ; Basal Cell Nevus Syndrome - enzymology ; Biological and medical sciences ; Dentigerous Cyst - enzymology ; Dentistry ; Dermatology ; Gene Expression Regulation, Neoplastic ; Glucuronidase - biosynthesis ; Glucuronidase - genetics ; Heparan Sulfate Proteoglycans - metabolism ; heparanase ; Humans ; Immunohistochemistry ; In Situ Hybridization ; keratocystic odontogenic tumor ; Medical sciences ; Neoplasm Invasiveness ; Odontogenic Cysts - complications ; Odontogenic Cysts - enzymology ; Odontogenic Tumors - complications ; Odontogenic Tumors - enzymology ; Otorhinolaryngology. 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KCOT is locally destructive despite its bland histological features. However, the neoplastic nature of KCOT is not well established. Heparanase is an endo‐d‐glucuronidase enzyme that specifically cleaves heparan sulfate (HS) and the increase of its level in tumors promotes invasion, angiogenesis, and metastasis. Methods:  To investigate the neoplastic character of KCOT, we studied the localization patterns of heparanase in KCOT, focusing on the differences between sporadic and NBCCS‐associated KCOTs, by immunohistochemistry and in situ hybridization. To compare the expression pattern of these cysts with non‐tumorous odontogenic developmental cyst, dentigerous cyst was included. Results:  All the odontogenic cysts showed positive immunoreaction for heparanase protein in various intensities. The expression pattern of heparanase gene corresponded to that of protein expression. Interestingly, intense gene and protein expressions were observed in KCOT associated with NBCCS compared with sporadic ones and dentigerous cyst. Conclusions:  The results implied that heparanase expression may be correlated with the neoplastic properties of KCOT, particularly in NBCCS‐associated cases.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17850439</pmid><doi>10.1111/j.1600-0714.2007.00578.x</doi><tpages>5</tpages></addata></record>
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subjects Basal Cell Nevus Syndrome - complications
Basal Cell Nevus Syndrome - enzymology
Biological and medical sciences
Dentigerous Cyst - enzymology
Dentistry
Dermatology
Gene Expression Regulation, Neoplastic
Glucuronidase - biosynthesis
Glucuronidase - genetics
Heparan Sulfate Proteoglycans - metabolism
heparanase
Humans
Immunohistochemistry
In Situ Hybridization
keratocystic odontogenic tumor
Medical sciences
Neoplasm Invasiveness
Odontogenic Cysts - complications
Odontogenic Cysts - enzymology
Odontogenic Tumors - complications
Odontogenic Tumors - enzymology
Otorhinolaryngology. Stomatology
Tumors of the skin and soft tissue. Premalignant lesions
title Analysis of the neoplastic nature and biological potential of sporadic and nevoid basal cell carcinoma syndrome-associated keratocystic odontogenic tumor
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