Actinic cheilitis (AC) is a potentially malignant disorder of the lips that is caused by chronic exposure to ultraviolet radiation. The Wnt/β-catenin signaling pathway - also named the canonical signaling pathway - acts in cell proliferation and is involved with tumor development and progression. Some of these molecules have already been identified in AC. Thus, the aim of this study was to comparatively evaluate the histopathological features and the presence of Wnt/β-catenin signaling pathway proteins in AC. For this purpose, immunohistochemical reactions against Wnt1, Wnt5a, β-catenin, axin, APC and cyclin D1 were performed and evaluated in accordance with histopathological epithelial dysplasia grading, using the World Health Organization classification and the binary classification system. The results showed positivity for Wnt 1 (96.7%), cyclin D1 (75.4%), APC (96.7%), axin (95%) and cytoplasmic β-catenin staining (81.9%) and negativity for Wnt 5a (100%). Furthermore, Wnt1, cyclin D1, APC and axin showed an increased labeling index related with the degree of epithelial dysplasia using the binary system. In conclusion, it was possible to state that Wnt 1, cyclin D1 and β-catenin seems to act as tumor promoters by activating the canonical signaling pathway, whereas APC and axin seems to act as tumor promoters by activating the non-canonical signaling pathways.
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