Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis

The odontogenic keratocyst (OKC) is a controversial lesion that was reclassified as a tumor with the name “keratocystic odontogenic tumor” in 2005. The reclassification was revoked recently in 2017, with a conclusion on the need for further studies on the subject. In this study, the expressions of a...

Full description

Saved in:
Bibliographic Details
Main Authors: Huda M. Hammad, Omar M. Nagrash, Rima A. Safadi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2020/7041520
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849305380593598464
author Huda M. Hammad
Omar M. Nagrash
Rima A. Safadi
author_facet Huda M. Hammad
Omar M. Nagrash
Rima A. Safadi
author_sort Huda M. Hammad
collection DOAJ
description The odontogenic keratocyst (OKC) is a controversial lesion that was reclassified as a tumor with the name “keratocystic odontogenic tumor” in 2005. The reclassification was revoked recently in 2017, with a conclusion on the need for further studies on the subject. In this study, the expressions of an important regulatory protein (maspin), an important integral membrane proteoglycan (syndecan-1), and a universal proliferation marker (Ki-67) in the epithelium of the OKC were investigated in comparison with the dentigerous cyst (DC) and ameloblastoma (AB). Twenty-six OKCs, eleven DCs, and ten conventional ABs were immunohistochemically stained for maspin, syndecan-1, and Ki-67. ImageJ was used to analyze the positivity of maspin and syndecan-1. The Ki-67 score was calculated as the percentage of positive nuclei in 5 high power fields. Analysis of variance (ANOVA) test and Student t-test were used as appropriate. Lower expressions of maspin were noted in OKC and DC compared to those in AB, and lower expressions of syndecan-1 were noted in OKC and AB compared to those in DC. The differences, however, did not reach statistical significance (ANOVA and t-test: P>0.05). The Ki-67 score was significantly higher in OKC than in DC (t-test: P<0.05), and not significantly different from AB (t-test: P>0.05). In conclusion, expressions of maspin and syndecan-1 are not strongly representative of differences in behavior between OKC, AB, and DC. However, the expression of Ki-67 indicates comparable proliferative activities of OKC and AB, which are higher than that of DC. Further investigation on the biologic behavior of OKC is still recommended to arrive at more specific conclusions regarding its classification.
format Article
id doaj-art-069df74d711b45e4ad202bb59574e5d7
institution Kabale University
issn 1687-8728
1687-8736
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series International Journal of Dentistry
spelling doaj-art-069df74d711b45e4ad202bb59574e5d72025-08-20T03:55:28ZengWileyInternational Journal of Dentistry1687-87281687-87362020-01-01202010.1155/2020/70415207041520Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical AnalysisHuda M. Hammad0Omar M. Nagrash1Rima A. Safadi2Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, JordanAl-Ramtha Governmental Hospital, Ministry of Health, P. O. Box 132, Al-Ramtha 21410, JordanDepartment of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P. O. Box 3030, Irbid 22110, JordanThe odontogenic keratocyst (OKC) is a controversial lesion that was reclassified as a tumor with the name “keratocystic odontogenic tumor” in 2005. The reclassification was revoked recently in 2017, with a conclusion on the need for further studies on the subject. In this study, the expressions of an important regulatory protein (maspin), an important integral membrane proteoglycan (syndecan-1), and a universal proliferation marker (Ki-67) in the epithelium of the OKC were investigated in comparison with the dentigerous cyst (DC) and ameloblastoma (AB). Twenty-six OKCs, eleven DCs, and ten conventional ABs were immunohistochemically stained for maspin, syndecan-1, and Ki-67. ImageJ was used to analyze the positivity of maspin and syndecan-1. The Ki-67 score was calculated as the percentage of positive nuclei in 5 high power fields. Analysis of variance (ANOVA) test and Student t-test were used as appropriate. Lower expressions of maspin were noted in OKC and DC compared to those in AB, and lower expressions of syndecan-1 were noted in OKC and AB compared to those in DC. The differences, however, did not reach statistical significance (ANOVA and t-test: P>0.05). The Ki-67 score was significantly higher in OKC than in DC (t-test: P<0.05), and not significantly different from AB (t-test: P>0.05). In conclusion, expressions of maspin and syndecan-1 are not strongly representative of differences in behavior between OKC, AB, and DC. However, the expression of Ki-67 indicates comparable proliferative activities of OKC and AB, which are higher than that of DC. Further investigation on the biologic behavior of OKC is still recommended to arrive at more specific conclusions regarding its classification.http://dx.doi.org/10.1155/2020/7041520
spellingShingle Huda M. Hammad
Omar M. Nagrash
Rima A. Safadi
Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
International Journal of Dentistry
title Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
title_full Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
title_fullStr Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
title_full_unstemmed Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
title_short Maspin, Syndecan-1, and Ki-67 in the Odontogenic Keratocyst: An Immunohistochemical Analysis
title_sort maspin syndecan 1 and ki 67 in the odontogenic keratocyst an immunohistochemical analysis
url http://dx.doi.org/10.1155/2020/7041520
work_keys_str_mv AT hudamhammad maspinsyndecan1andki67intheodontogenickeratocystanimmunohistochemicalanalysis
AT omarmnagrash maspinsyndecan1andki67intheodontogenickeratocystanimmunohistochemicalanalysis
AT rimaasafadi maspinsyndecan1andki67intheodontogenickeratocystanimmunohistochemicalanalysis