Abstract

In the present study expression of cyclin D1 in the epithelial lining of odontogenic keratocyst, radicular cyst, dentigerous cyst and glandular odontogenic cyst was investigated to compare proliferative activity in these lesions. Immunohistochemical staining of cyclin D1 on formalin-fixed, paraffin-embedded tissue sections of odontogenic keratocysts (n=23), dentigerous cysts (n=20), radicular cysts (n=20) and glandular odontogenic cysts (n=5) was performed by standard EnVision method. Then, slides were studied to evaluate the following parameters in epithelial lining of cysts: expression, expression pattern, staining intensity and localization of expression. The data analysis showed statistically significant difference in cyclin D1 expression in studied groups (p < 0.001). Assessment of staining intensity and staining pattern showed more strong intensity and focally pattern in odontogenic keratocysts, but difference was not statistically significant among groups respectively (p=0.204, 0.469). Considering expression localization, cyclin D1 positive cells in odontogenic keratocysts and dentigerous cysts were frequently confined in parabasal layer, different from radicular cysts and glandular odontogenic cysts. The difference was statistically significant (p < 0.01). Findings showed higher expression of cyclin D1 in parabasal layer of odontogenic keratocyst and the entire cystic epithelium of glandular odontogenic cysts comparing to dentigerous cysts and radicular cysts, implying the possible role of G1-S cell cycle phase disturbances in the aggressiveness of odontogenic keratocyst and glandular odontogenic cyst.

Highlights

  • Odontogenic cycts are subclassified as developmental or inflammatory in origin with variable clinical and biological behaviors

  • Radicular cyst (RC) is an inflammatory odontogenic cyst which derived from the epithelial rest of malassez, whereas dentigerous cyst (DC), odontogenic keratocyst (OKC) and glandular odontogenic cyst (GOC)

  • OKC recently classified by World Health Organization as keratocystic odontogenic tumor, comprises 3% to 11% of odontogenic cysts which arises from dental lamina, origin of this cyst from extension of basal cells of the overlying epithelium has been suggested [1]. (Turk Patoloji Derg 2013, 29:101-107)

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Summary

Introduction

Odontogenic cycts are subclassified as developmental or inflammatory in origin with variable clinical and biological behaviors. Odontogenic keratocyst and glandular odontogenic cyst show aggressive behavior specially OKC. It is known that OKC shows aggressive behavior with higher rates of recurrence than other types of odontogenic cysts, as well as a tendency to invade adjacent tissues [2]. Numerous studies intended to identify the precise nature and special characteristics of OKC. According to these data the characteristics of OKC may be related to proliferative activity in epithelial lining or enzymatic activity in fibrous wall [1]

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