Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis

Salivary gland tumors (SGTs) are uncommon lesions with etiologic factors not clearly defined. Epigenetic alterations have been suggested as one of the etiologic factors and as a possible factor impacting the prognosis of SGTs. The epigenetic alterations might include DNA methylation, alterations on...

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Main Authors: Karolina Skarlet Silva Viana, Mariana Saturnino de Noronha, Cristiane Squarize, Lucas Guimarães Abreu, Maria Cássia Ferreira Aguiar, Vanessa Fátima Bernardes
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024000220
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author Karolina Skarlet Silva Viana
Mariana Saturnino de Noronha
Cristiane Squarize
Lucas Guimarães Abreu
Maria Cássia Ferreira Aguiar
Vanessa Fátima Bernardes
author_facet Karolina Skarlet Silva Viana
Mariana Saturnino de Noronha
Cristiane Squarize
Lucas Guimarães Abreu
Maria Cássia Ferreira Aguiar
Vanessa Fátima Bernardes
author_sort Karolina Skarlet Silva Viana
collection DOAJ
description Salivary gland tumors (SGTs) are uncommon lesions with etiologic factors not clearly defined. Epigenetic alterations have been suggested as one of the etiologic factors and as a possible factor impacting the prognosis of SGTs. The epigenetic alterations might include DNA methylation, alterations on the expression of noncoding RNAs and structural modification of histones. The aim of this study was to evaluate the available evidence about the epigenetic alterations associated to SGTs and their possible role on prognosis of SGTs. A Systematic Review was conducted according to PRISMA statement and prospectively registered on PROSPERO (CRD42022325647). The PECO question was “What are the epigenetic alterations in salivary gland neoplasms and their role in the progression and the prognosis of the tumor?“. A search strategy was elaborated to retrieve studies able to answer this question and applied to each database: PubMed, Web of Science and Scopus, as well as the Grey Literature. Two independent reviewers worked in all steps. The search comprised a total of 1807 studies and after removal according to inclusion and exclusion criteria, 47 studies were included in this systematic review. The Joana Briggs Institute tool was used for appraisal of methodological quality of studies. A meta-analysis was conducted for methylation regarding the genes MGMT and RASSF1A and found that both genes methylation is related to higher stages of the SGTs but did not show an association with grade of tumors. The results must be evaluated carefully, once GRADE showed a very low certainty of evidence.
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spelling doaj-art-b8473eda027c44b1b20377f0f8f51a362025-01-09T06:15:14ZengElsevierOral Oncology Reports2772-90602024-03-019100176Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysisKarolina Skarlet Silva Viana0Mariana Saturnino de Noronha1Cristiane Squarize2Lucas Guimarães Abreu3Maria Cássia Ferreira Aguiar4Vanessa Fátima Bernardes5Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Antônio Carlos Avenue, 6627, Pampulha, Belo Horizonte, MG, Brazil, 31.270-901Faculdade Sete Lagoas, Itália Pontelo Street, 86, Centro, Sete Lagoas, MG, Brazil, 35700-170Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USADepartment of Child's and Adolescent's Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Antônio Carlos Avenue, 6627, Pampulha, Belo Horizonte, MG, Brazil, 31.270-901Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Antônio Carlos Avenue, 6627, Pampulha, Belo Horizonte, MG, Brazil, 31.270-901Department of Pathology, Biological Sciences Institute, Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos, 6627, 3rd Floor, Block G, Room 60, Belo Horizonte, MG, Brazil, 31.270-901; Corresponding author.Salivary gland tumors (SGTs) are uncommon lesions with etiologic factors not clearly defined. Epigenetic alterations have been suggested as one of the etiologic factors and as a possible factor impacting the prognosis of SGTs. The epigenetic alterations might include DNA methylation, alterations on the expression of noncoding RNAs and structural modification of histones. The aim of this study was to evaluate the available evidence about the epigenetic alterations associated to SGTs and their possible role on prognosis of SGTs. A Systematic Review was conducted according to PRISMA statement and prospectively registered on PROSPERO (CRD42022325647). The PECO question was “What are the epigenetic alterations in salivary gland neoplasms and their role in the progression and the prognosis of the tumor?“. A search strategy was elaborated to retrieve studies able to answer this question and applied to each database: PubMed, Web of Science and Scopus, as well as the Grey Literature. Two independent reviewers worked in all steps. The search comprised a total of 1807 studies and after removal according to inclusion and exclusion criteria, 47 studies were included in this systematic review. The Joana Briggs Institute tool was used for appraisal of methodological quality of studies. A meta-analysis was conducted for methylation regarding the genes MGMT and RASSF1A and found that both genes methylation is related to higher stages of the SGTs but did not show an association with grade of tumors. The results must be evaluated carefully, once GRADE showed a very low certainty of evidence.http://www.sciencedirect.com/science/article/pii/S2772906024000220Salivary gland neoplasmsHistonesDNA methylationMicroRNAsOral cancerHead and neck cancer
spellingShingle Karolina Skarlet Silva Viana
Mariana Saturnino de Noronha
Cristiane Squarize
Lucas Guimarães Abreu
Maria Cássia Ferreira Aguiar
Vanessa Fátima Bernardes
Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
Oral Oncology Reports
Salivary gland neoplasms
Histones
DNA methylation
MicroRNAs
Oral cancer
Head and neck cancer
title Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
title_full Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
title_fullStr Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
title_full_unstemmed Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
title_short Epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis: A systematic review and meta-analysis
title_sort epigenetic alterations in salivary gland neoplasms and the impact of these alterations in tumor progression and prognosis a systematic review and meta analysis
topic Salivary gland neoplasms
Histones
DNA methylation
MicroRNAs
Oral cancer
Head and neck cancer
url http://www.sciencedirect.com/science/article/pii/S2772906024000220
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