PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome

Nevoid basal cell carcinoma syndrome (NBCCS) is a typical autosomal dominant disorder distinguished by malformations in development and an increased susceptibility to cancer. Keratocystic Odontogenic Tumors (KOTs) are highly malignant lesions of the jaw that, in isolation or conjunction with NBCCS,...

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Main Authors: Archana Behera, Mukesh Kumar Dharmalingam Jothinathan
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024003406
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author Archana Behera
Mukesh Kumar Dharmalingam Jothinathan
author_facet Archana Behera
Mukesh Kumar Dharmalingam Jothinathan
author_sort Archana Behera
collection DOAJ
description Nevoid basal cell carcinoma syndrome (NBCCS) is a typical autosomal dominant disorder distinguished by malformations in development and an increased susceptibility to cancer. Keratocystic Odontogenic Tumors (KOTs) are highly malignant lesions of the jaw that, in isolation or conjunction with NBCCS, may be associated with PTCH1 (patched 1) mutations. The function of PTCH1 mutations in the pathogenesis of KOTs is the subject of this study, which compares cases associated with NBCCS and spontaneous KOTs. The genetic analyses revealed that PTCH1 mutations were the most prevalent in both KOTs varieties, while Smoothened (SMO) mutations were rare, indicating that they play a negligible role. These mutations increase the activity of the Sonic Hedgehog (SHH) Pathway, indicating that pathway inhibitors may be a viable treatment option. These findings validate the significance of PTCH1 in KOTs aggressiveness and recurrence, supporting the use of genetic testing to improve treatment and diagnosis. This underscores the importance of targeted therapies, specifically in instances of resistance, and the tailoring of treatment plans under genetic knowledge.
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spelling doaj-art-b6ddfc94e4af4826b95a97a9218013e62025-01-09T06:16:31ZengElsevierOral Oncology Reports2772-90602024-06-0110100494PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndromeArchana Behera0Mukesh Kumar Dharmalingam Jothinathan1Centre for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, IndiaCorresponding author.; Centre for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, IndiaNevoid basal cell carcinoma syndrome (NBCCS) is a typical autosomal dominant disorder distinguished by malformations in development and an increased susceptibility to cancer. Keratocystic Odontogenic Tumors (KOTs) are highly malignant lesions of the jaw that, in isolation or conjunction with NBCCS, may be associated with PTCH1 (patched 1) mutations. The function of PTCH1 mutations in the pathogenesis of KOTs is the subject of this study, which compares cases associated with NBCCS and spontaneous KOTs. The genetic analyses revealed that PTCH1 mutations were the most prevalent in both KOTs varieties, while Smoothened (SMO) mutations were rare, indicating that they play a negligible role. These mutations increase the activity of the Sonic Hedgehog (SHH) Pathway, indicating that pathway inhibitors may be a viable treatment option. These findings validate the significance of PTCH1 in KOTs aggressiveness and recurrence, supporting the use of genetic testing to improve treatment and diagnosis. This underscores the importance of targeted therapies, specifically in instances of resistance, and the tailoring of treatment plans under genetic knowledge.http://www.sciencedirect.com/science/article/pii/S2772906024003406Keratocystic odontogenic tumors (KOTs)Nevoid basal cell carcinoma syndrome (NBCCS)PTCH1Smoothened (SMO) genesSonic hedgehog (SHH) pathway
spellingShingle Archana Behera
Mukesh Kumar Dharmalingam Jothinathan
PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
Oral Oncology Reports
Keratocystic odontogenic tumors (KOTs)
Nevoid basal cell carcinoma syndrome (NBCCS)
PTCH1
Smoothened (SMO) genes
Sonic hedgehog (SHH) pathway
title PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
title_full PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
title_fullStr PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
title_full_unstemmed PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
title_short PTCH1 mutations' role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
title_sort ptch1 mutations role in keratocystic odontogenic tumors and nevoid basal cell carcinoma syndrome
topic Keratocystic odontogenic tumors (KOTs)
Nevoid basal cell carcinoma syndrome (NBCCS)
PTCH1
Smoothened (SMO) genes
Sonic hedgehog (SHH) pathway
url http://www.sciencedirect.com/science/article/pii/S2772906024003406
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AT mukeshkumardharmalingamjothinathan ptch1mutationsroleinkeratocysticodontogenictumorsandnevoidbasalcellcarcinomasyndrome