Cytokeratin profile in exfoliative cytology of smokers.

Celina Faig Lima, Sabrina Ferreira Pinotti Leite, Yasmin Rodarte Carvalho, Luiz Antonio Guimarães Cabral, Ivan Balducci, Janete Dias Almeida
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Abstract

Objective: To compare the expression of cytokeratins (CKs) 6, 16, 19 and pan-cytokeratin (PAN) in oral mucosa cells between smokers and nonsmokers to determine the proliferative activity and expression indicative of a potential for malignant transformation.

Study design: Smears were obtained from the left lateral border of the tongue with a cytobrush from 25 smokers and 20 nonsmokers seen at the clinics of São José dos Campos Dental School, São Paulo State University, São José dos Campos, São Paulo, Brazil, and processed for immunohistochemistry. Conventional microscopy was used for qualitative analysis. Proportions were compared statistically by the z-test and Fisher's exact test.

Results: The expression of CK6 (p = 0.002), CK16 (p = 0.003), CK19 (p = 0.0001) and PAN (p = 0.008) was higher in oral mucosa smears from smokers compared to nonsmokers.

Conclusion: The expression of CK6 and CK16 demonstrated increased epithelial proliferation in the oral mucosa of smokers, and expression of CK19 indicated alterations in epithelial maturation. The expression of PAN indicates the need for the investigation of other types of CK in further studies.

吸烟者剥脱细胞学中的细胞角蛋白谱。
目的:比较吸烟者和非吸烟者口腔黏膜细胞中细胞角蛋白(cytokeratin, CKs) 6、16、19和PAN -cytokeratin (PAN)的表达,以确定其增殖活性和表达是否有恶性转化的可能。研究设计:使用细胞刷从25名吸烟者和20名非吸烟者的左侧舌缘处获得涂片,这些吸烟者来自巴西圣保罗州立大学 o jos dos Campos牙科学校的诊所,并进行免疫组织化学处理。采用常规显微镜进行定性分析。比例通过z检验和Fisher精确检验进行统计比较。结果:吸烟者口腔黏膜涂片中CK6 (p = 0.002)、CK16 (p = 0.003)、CK19 (p = 0.0001)和PAN (p = 0.008)的表达高于非吸烟者。结论:CK6和CK16的表达表明吸烟者口腔黏膜上皮细胞增殖增加,而CK19的表达表明上皮细胞成熟发生改变。PAN的表达表明需要进一步研究其他类型的CK。
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