Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values

Oral potentially malignant disorders (OPMD) are a group of lesions carrying the risk of developing into cancer. The gold standard to predict which lesions are more likely to undergo malignant transformation is the presence of dysplasia histologically. However, not all dysplastic lesions progress, an...

Full description

Saved in:
Bibliographic Details
Main Authors: Nur Fatinazwa Mohd Faizal, Vui King Vincent-Chong, Anand Ramanathan, Ian C. Paterson, Lee Peng Karen-Ng, Zuraiza Mohamad Zaini
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/12/12/2899
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846105656914870272
author Nur Fatinazwa Mohd Faizal
Vui King Vincent-Chong
Anand Ramanathan
Ian C. Paterson
Lee Peng Karen-Ng
Zuraiza Mohamad Zaini
author_facet Nur Fatinazwa Mohd Faizal
Vui King Vincent-Chong
Anand Ramanathan
Ian C. Paterson
Lee Peng Karen-Ng
Zuraiza Mohamad Zaini
author_sort Nur Fatinazwa Mohd Faizal
collection DOAJ
description Oral potentially malignant disorders (OPMD) are a group of lesions carrying the risk of developing into cancer. The gold standard to predict which lesions are more likely to undergo malignant transformation is the presence of dysplasia histologically. However, not all dysplastic lesions progress, and non-dysplastic lesions may also undergo malignant transformation. Oral carcinogenesis is a complex molecular process that involves somatic alterations and the deregulation of transcriptions, protein expression, and metabolite levels. Metabolomics, which is the scientific study of metabolites, has emerged as a promising high-throughput approach to investigate the metabolic changes of small molecules in biological pathways. In this review, we summarize the data relating to the metabolomic profiling of OPMDs, which will help elucidate the complex process of oral carcinogenesis. Furthermore, we identify that among all metabolites, citrate, pyruvate, and glutamate may serve as potential biomarkers for oral leukoplakia (OLK). Notably, metformin and gluconate have been shown to target glutamate and citrate, respectively, in cancer cells. Based on these findings, we propose that targeting these metabolites in patients with OPMD could be a promising therapeutic strategy to mitigate OPMD progression and potentially reduce the risk of malignant transformation. We also discuss the limitations and future directions of metabolomics in OPMD. Understanding these important metabolites is crucial for early detection and monitoring of oral cancer progression.
format Article
id doaj-art-bbb10d29b9dd45b7bd582f93da45e5a6
institution Kabale University
issn 2227-9059
language English
publishDate 2024-12-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj-art-bbb10d29b9dd45b7bd582f93da45e5a62024-12-27T14:13:12ZengMDPI AGBiomedicines2227-90592024-12-011212289910.3390/biomedicines12122899Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical ValuesNur Fatinazwa Mohd Faizal0Vui King Vincent-Chong1Anand Ramanathan2Ian C. Paterson3Lee Peng Karen-Ng4Zuraiza Mohamad Zaini5Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, MalaysiaDepartment of Oral Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USADepartment of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, MalaysiaOral Cancer Research and Coordinating Centre (OCRCC), Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, MalaysiaOral Cancer Research and Coordinating Centre (OCRCC), Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, MalaysiaDepartment of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, MalaysiaOral potentially malignant disorders (OPMD) are a group of lesions carrying the risk of developing into cancer. The gold standard to predict which lesions are more likely to undergo malignant transformation is the presence of dysplasia histologically. However, not all dysplastic lesions progress, and non-dysplastic lesions may also undergo malignant transformation. Oral carcinogenesis is a complex molecular process that involves somatic alterations and the deregulation of transcriptions, protein expression, and metabolite levels. Metabolomics, which is the scientific study of metabolites, has emerged as a promising high-throughput approach to investigate the metabolic changes of small molecules in biological pathways. In this review, we summarize the data relating to the metabolomic profiling of OPMDs, which will help elucidate the complex process of oral carcinogenesis. Furthermore, we identify that among all metabolites, citrate, pyruvate, and glutamate may serve as potential biomarkers for oral leukoplakia (OLK). Notably, metformin and gluconate have been shown to target glutamate and citrate, respectively, in cancer cells. Based on these findings, we propose that targeting these metabolites in patients with OPMD could be a promising therapeutic strategy to mitigate OPMD progression and potentially reduce the risk of malignant transformation. We also discuss the limitations and future directions of metabolomics in OPMD. Understanding these important metabolites is crucial for early detection and monitoring of oral cancer progression.https://www.mdpi.com/2227-9059/12/12/2899oral potentially malignant disorderbiomarkersoral squamous cell carcinomametabolomics
spellingShingle Nur Fatinazwa Mohd Faizal
Vui King Vincent-Chong
Anand Ramanathan
Ian C. Paterson
Lee Peng Karen-Ng
Zuraiza Mohamad Zaini
Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
Biomedicines
oral potentially malignant disorder
biomarkers
oral squamous cell carcinoma
metabolomics
title Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
title_full Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
title_fullStr Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
title_full_unstemmed Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
title_short Metabolomic Profiling of Oral Potentially Malignant Disorders and Its Clinical Values
title_sort metabolomic profiling of oral potentially malignant disorders and its clinical values
topic oral potentially malignant disorder
biomarkers
oral squamous cell carcinoma
metabolomics
url https://www.mdpi.com/2227-9059/12/12/2899
work_keys_str_mv AT nurfatinazwamohdfaizal metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues
AT vuikingvincentchong metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues
AT anandramanathan metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues
AT iancpaterson metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues
AT leepengkarenng metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues
AT zuraizamohamadzaini metabolomicprofilingoforalpotentiallymalignantdisordersanditsclinicalvalues