日晒和防晒地区口腔黑素细胞痣的特征。

IF 2.9 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Oral diseases Pub Date : 2025-06-12 DOI:10.1111/odi.15404
Thalita Soares Tavares, Adriana Aparecida Silva da da Costa, Marina Gonçalves Diniz, Daniela Pereira Meirelles, Sandra Beatriz Chaves Tarquínio, Ana Carolina Uchoa Vasconcelos, Aline Cristina Batista Rodrigues Johann, Ricardo Santiago Gomez, de Aguiar, Patrícia Carlos Caldeira
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引用次数: 0

摘要

目的:口腔黑素细胞痣(OMN)在组织学上与皮肤痣相似;然而,它们非常罕见,并不总是与阳光照射有关。本研究旨在描述日光暴露(朱红色唇)和日光保护(口腔内)区域OMN的组织病理学、免疫组织化学和分子特征。方法:对14例口腔内、20例红唇OMN进行横断面研究。分别采用苏木精-伊红、免疫组化法检测TRP2和MiTF, RT-qPCR检测TRP2和MiTF的组织病理学、蛋白表达和mRNA表达。进行统计学分析。结果:粘膜内痣和蓝痣是最常见的组织学亚型。口腔内病变主要影响棕色或黑色个体(64.3%),主要表现为斑疹。白人患朱红色唇痣(75%),病变升高(30%)。在组织学上,口腔内痣表现为不对称,缺乏花蕊形成和小花细胞,无核分裂活性或多形性,而朱红色痣表现为多形性、对称、花蕊形成、小花细胞和太阳弹性。两组TRP2、MiTF蛋白及mRNA表达均上调(p 0.05)。结论:口腔内痣和朱红色唇痣具有不同的组织病理特征,但TRP2和MiTF蛋白及mRNA表达相似。这一特征可能有助于OMN的组织病理学诊断和与其他口腔色素的区别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characterization of Oral Melanocytic Nevi in Sun-Exposed and Sun-Protected Regions.

Objective: Oral melanocytic nevi (OMN) are histologically similar to skin nevi; however, they are much rarer and not always related to sun exposure. This study aimed to characterize the histopathological, immunohistochemical, and molecular features of OMN in sun-exposed (vermilion lip) and sun-protected (intraoral) regions.

Method: Cross-sectional study on 14 intraoral and 20 vermilion lip OMN. Hematoxylin-eosin, immunohistochemistry for TRP2 and MiTF, and RT-qPCR for TRP2 and MiTF were used to assess histopathology, protein, and mRNA expression, respectively. Statistical analysis was performed.

Results: Intramucous and blue nevi are the most frequent histological subtypes. Intraoral lesions predominantly affect Brown or Black individuals (64.3%), presenting mostly as macules. Vermilion lip nevi affect White individuals (75%), with elevated lesions (30%). Histologically, intraoral nevi show asymmetric, lack theques formation and floret cells, and present no mitotic activity or pleomorphism, while vermilion nevi display pleomorphism, symmetry, theques formation, floret cells, and solar elastosis. TRP2 and MiTF protein and mRNA expression were upregulated in both groups (p < 0.05), with no differences between them (p > 0.05).

Conclusions: Intraoral and vermilion lip nevi have distinct histopathological features, but similar TRP2 and MiTF protein and mRNA expression. This characterization may aid the histopathological diagnosis of OMN and distinction from other oral pigmentations.

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来源期刊
Oral diseases
Oral diseases 医学-牙科与口腔外科
CiteScore
7.60
自引率
5.30%
发文量
325
审稿时长
4-8 weeks
期刊介绍: Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
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