Histo-blood group ABO antigen in oral potentially malignant lesions and squamous cell carcinoma – genotypic and phenotypic characterization

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Abstract:

Gao S, Bennett EP, Reibel J, Chen XC, Christensen ME, Krogdahl A, Dabelsteen E. Histo-blood group ABO antigen in oral potentially malignant lesions and squamous cell carcinoma – genotypic and phenotypic characterization. APMIS 2004;112:11–20.

Loss of histo-blood group A/B antigens is frequent in oral cancer. It is unclear whether this alteration is due to loss of the chromosomal region encoding the genes. The aim was to investigate genotypic alterations in the ABO locus in oral potentially malignant lesions and carcinomas. Seventy-three cases which expressed A/B antigen in normal epithelium by immunohistochemical (IHC) staining were investigated. Both tumour and normal cells were collected from paraffin-embedded tissue by laser microdissection. DNA was extracted and analysed by PCR coupled with restricted digestion analysis in order to establish the ABO genotype. Total and patchy loss of A/B antigen expression was found in 24/32 carcinomas, 6/7 leukoplakias with severe dysplasia, 12/17 leukoplakias with mild and moderate dysplasia, and 6/17 leukoplakias without dysplasia. Specific A/B allele loss was found in 8/24 cases with carcinoma and 3/24 cases with mild and moderate dysplasia by genotyping analysis. O allele loss was found in 10 cases involving all four groups. In patients with heterozygous genotypes, A/B allelic loss by genotyping analysis was always followed by loss of A/B antigen expression by IHC staining. Loss of A/B antigen expression in tissues which had intact ABO alleles was, however, found and may be explained by other genetic and epigenetic changes.

Keywords: Oral squamous cell carcinoma; genotyping; histo-blood group ABO antigen; potentially malignant lesions

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0463.2004.apm1120103.x

Affiliations: 1: Department of Oral Diagnostics, School of Dentistry, University of Copenhagen, Denmark 2: Department of Oral Pathology & Medicine, School of Dentistry, University of Copenhagen, Denmark 3: Faculty of Stomatology, Xiang Ya School of Medicine, Central South University, PR of China 4: Department of Otolaryngology – Head and Neck Surgery, University Hospital, Copenhagen, Denmark 5: Department of Pathology, Odense University Hospital, Denmark

Publication date: January 1, 2004

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