Abstract
Angiogenesis is critical for tumor growth and reflects the aggressive behavior of invasive odontogenic lesions [like Ameloblastoma (AM), Odontogenic Keratocyst (OKC) and Central giant cell lesion (CGCL)]. Mean vascular density (MVD) shows the angiogenic potential and CD105 is an ideal endothelial biomarker due to its specificity to new blood vessels for MVD detection. The aim of the study was to compare the MVD (angiogenic potential) among AM, OKC and CGCL in comparison to Pyogenic Granuloma (PG) using CD105 biomarker. Sixty-four primary cases of odontogenic invasive tumors (AM, OKC and CGCL) and PG, diagnosed clinically and histologically were included in the study, with 16 samples in each group. Tissue samples of peripheral AM, Peripheral GCL of jaws, malignant AM, and specimen with insufficient tissue were excluded. Tissue sections were embedded, processed and stained using Hematoxylin and Eosin (H and E). Immunohistochemistry was performed using antibodies against CD105, with positive brown cytoplasmic staining in the endothelial cells of neo-vasculature. Distinct countable, positively stained endothelial cell or clusters were evaluated under light microscope for identification of MVD. ANOVA and t-test were applied for statistical analysis of data. Highest MVD was displayed in CGCL (32.99±0.77) and the minimum was observed in OKC (7.21± 0.75) respectively. CGCL showed significantly higher MVD to AM, OKC and PG lesions (p <0.05). AM (8.07± 0.36) and Odontogenic Keratocyst (7.21± 0.75) showed comparable MVD, which was lower than PG (14.7± 0.96) and CGCL vascular density (p < 0.01) respectively. CGCL was most aggressive, with highest MVD among the investigated odontogenic lesions (OKC, AM and PG). The proliferative aggressive behavior of Odontogenic Keratocyst is comparable to AM due to comparable mean vascular density.<br />.
Highlights
The benign odontogenic tumors and cysts of the jaws exhibit locally invasive behavior, and multilocular lesions like Ameloblastoma (AM), Odontogenic Keratocyst (OKC) and central giant cell lesions (CGCL) are comparatively aggressive than unilocular lesion (Gaonkar et al, 2016, Sabino-Bezerra et al, 2013,)
The maximum Mean vascular density (MVD) was displayed in central giant cell lesion (32.99±0.77) and the minimum was observed in OKC (7.21± 0.75) respectively
The present study aimed to investigate the mean vascular density among the invasive jaw lesions including AM, OKC and Central giant cell lesion (CGCL) using immunohistochemistry (CD105- Endoglin) as a marker of angiogenesis
Summary
The benign odontogenic tumors and cysts of the jaws exhibit locally invasive behavior, and multilocular lesions like Ameloblastoma (AM), Odontogenic Keratocyst (OKC) and central giant cell lesions (CGCL) are comparatively aggressive than unilocular lesion (Gaonkar et al, 2016, Sabino-Bezerra et al, 2013,). CGCL commonly manifest as loculated radiolucency in the anterior mandible of young females (Whitaker and Bouquot, 1994). They are characterized with the presence of multinucleated giant cell granuloma, mononuclear stromal cells with intra-osseous origin (Amaral et al, 2010). Angiogenesis is critical for tumor growth and reflects the aggressive behavior of invasive odontogenic lesions [like Ameloblastoma (AM), Odontogenic Keratocyst (OKC) and Central giant cell lesion (CGCL)]. The proliferative aggressive behavior of Odontogenic Keratocyst is comparable to AM due to comparable mean vascular density
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