背景:这项研究的目的是检测胚胎型癌症干细胞(CSC)标记物SOX2和干性CSC标记物CD147在口腔潜在恶性疾病(OPMDs)中的可能内皮表达,特别是口腔白斑(OL),口腔鳞状细胞癌(OSCC)。
方法:本研究的重点是21例不同分化程度的OSCCs和30例不同分化程度的OLs的石蜡包埋样本中CSC蛋白生物标志物SOX2和CD147表达的免疫组织化学模式。与正常口腔粘膜相比。
结果:蛋白质生物标志物SOX2在内皮细胞中表达,但没有在OSCC之间建立任何统计上显著的相关性,OL,和正常组织标本.然而,在7/30(23.3%)的OL病例中发现SOX内皮染色(1例非发育不良,一个轻度发育不良,一个中度发育不良,和4例严重发育不良病例)和5/21例(23.8%)OSCC(2例分化良好,一个中等分化,和两个分化差的病例)。尽管CD147在正常口腔上皮中表达,OL,和OSCC肿瘤细胞,仅在2/5(40%)的正常口腔上皮中观察到其血管内皮表达,1/30(3.3%)例OL(1例严重发育不良),和4/21(19%)例OSCC(2例分化良好,一个中等分化,和一例分化差的病例)。因此,OSCC之间无统计学意义的相关性,OL,建立正常组织标本。
结论:SOX2在口腔潜在恶性和恶性病变中的内皮存在表明SOX2可能参与微血管形成过程,并与OL的发育不良程度有关。CD147的表达可能归因于局部炎症和肿瘤发生。在较大组的组织样本中实施CD147将阐明其在癌症和炎症中的作用。到目前为止的证据支持需要更多的研究,这可能支持这些新型癌症干细胞生物标志物的临床意义。
BACKGROUND: The aim of this study was to detect the possible endothelial expression of embryonic-type cancer stem cells (CSC) marker SOX2 and the stemness-type CSC marker CD147 in oral potential malignant disorders (OPMDs), oral leukoplakia (OL) in particular, and oral squamous cell carcinoma (OSCC).
METHODS: This study focuses on the immunohistochemical pattern of expression of CSC protein-biomarkers SOX2 and CD147 in paraffin-embedded samples of 21 OSCCs of different grades of differentiation and 30 cases of OLs with different grades of dysplasia, compared to normal oral mucosa.
RESULTS: The protein biomarker SOX2 was expressed in the endothelial cells, but without establishing any statistically significant correlation among OSCC, OL, and normal tissue specimens. However, SOX endothelial staining was noticed in 7/30 (23.3%) cases of OL (one non-dysplastic, one mildly dysplastic, one moderately dysplastic, and four severely dysplastic cases) and 5/21 (23.8%) cases of OSCC (two well-differentiated, one moderately differentiated, and two poorly differentiated cases). Although CD147 is expressed in normal oral epithelium, OL, and OSCC neoplastic cells, its vascular-endothelial expression was noticed in only 2/5 (40%) cases of normal oral epithelium, 1/30 (3.3%) cases of OL (one severely dysplastic case), and 4/21 (19%) cases of OSCC (two well-differentiated, one moderately differentiated, and one poorly differentiated case). Therefore, no statistically significant correlation among OSCC, OL, and normal tissue specimens was established.
CONCLUSIONS: The endothelial presence of SOX2 both in oral potentially malignant and malignant lesions suggests that SOX2 may be implicated in the microvascularization process and associated with the degree of dysplasia in OL. The expression of CD147 may be attributed both to local inflammation and tumorigenesis. The implementation of CD147 in larger groups of tissue samples will shed some light on its role in cancer and inflammation. The evidence so far supports the need for more studies, which may support the clinical significance of these novel cancer stem cell biomarkers.