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Rojas, I.G. et al.

I. Gina Rojas, Alejandra Martínez, Ursula Brethauer, Patricia Grez, Roger Yefi, Sandra Luza, Francisco J. Marchesani,

Actinic cheilitis: epithelial expression of COX-2 and its association with mast cell tryptase and PAR-2.

Cyclooxygenase-2 (COX-2) is overexpressed in various types of human malignancies, including oral cancers. Recent studies have shown that mast cell-derived protease tryptase can induce COX-2 expression by the cleavage of proteinase-activated receptor-2 (PAR-2). Actinic cheilitis (AC) is a premalignant form of lip cancer characterized by an increased density of tryptase-positive mast cells. To investigate the possible contribution of tryptase to COX-2 overexpression during early lip carcinogenesis, normal lip (n=24) and AC (n=45) biopsies were processed for COX-2, PAR-2 and tryptase detection, using RT-PCR and immunohistochemistry. Expression scores were obtained for each marker and tested for statistical significance using Mann-Whitney and Spearmann's correlation tests as well as multivariate logistic regression analysis. Increased epithelial co-expression of COX-2 and PAR-2, as well as, elevated subepithelial density of tryptase-positive mast cells were found in AC as compared to normal lip (P<0.001). COX-2 overexpression was found to be a significant predictor of AC (P<0.034, forward stepwise, Wald), and to be correlated with both tryptase-positive mast cells and PAR-2 expression (P<0.01). The results suggest that epithelial COX-2 overexpression is a key event in AC, which is associated with increased tryptase-positive mast cells and PAR-2. Therefore, tryptase may contribute to COX-2 up-regulation by epithelial PAR-2 activation during early lip carcinogenesis.[1]

References

Actinic cheilitis: epithelial expression of COX-2 and its association with mast cell tryptase and PAR-2. Rojas, I.G., Martínez, A., Brethauer, U., Grez, P., Yefi, R., Luza, S., Marchesani, F.J. Oral Oncol. (2009) [Pubmed]

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