Moscow, Moscow, Russian Federation
from 01.01.2013 until now
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Oral diseases affect about 3.5 billion people. One of these diseases is a disorder of keratinization of the oral mucosa: parakeratosis, dyskeratosis, keratosis, hyperkeratosis, acanthosis. It was of interest to us that the increased risk of cancer is statistically associated with the TT genotype of the TLR9 polymorphism (rs352140. It is also known to play a significant role in carcinogenesis through diffuse TLR2 overexpression, even in early lesions before the onset of dysplasia. There is practically no data on the association of TLR9 gene polymorphism with the risk of developing a violation of the process of keratinization of the oral mucosa. Objectives. To identify the association between the carrier of TLR9 rs352140 polymorphism and the likelihood of hyperkeratosis. Methodology. DNA extraction for the study of single-nucleotide polymorphic markers was carried out from buccal epithelial cells using a commercial kit "RIBO-sorb", reagents from the “Set of reagents for RT-PCR” (Syntol, RF) and specially synthesized primers and probes (Syntol, RF) were used. The study involved 60 patients, 30 of whom had a confirmed hyperkeratosis of the oral mucosal, and other 30 were in the comparison group. Samples diagnosed with hyperkeratosis were selected based on single lesions with or without dysplasia and included all areas of the oral mucosa. Results. The number of patients with oral hyperkeratosis who are carriers of the TT genotype allele of the TLR9 rs352140 gene was 50.0% (the criterion χ2 it was 6.50 (p < 0.05), and the Fisher criterion was p < 0.05). Conclusion. The association between the TLR9 rs352140 polymorphism (TT genotype) and the development of hyperkeratosis of the oral cavity: the TT genotype and the T allele of the single nucleotide polymorphic marker rs352140 are predictors of the risk of developing hyperkeratosis of the oral mucosal.
hyperkeratosis, polymorphism, oral mucosa, therapeutic dentistry, leukoplakia, laser dentistry
1. Doklad o sostoyanii zdorov'ya polosti rta v mire: na puti k vseobschemu ohvatu uslugami zdravoohraneniya polosti rta k 2030 godu. Vsemirnaya organizaciya zdravoohraneniya. 2022. [Global oral health status report: towards universal health coverage for oral health by 2030. World Health Organization. 2022. (In Russ.)]. https://www.who.int/publications/i/item/9789240061484
2. Gazhva S.I., Stepanyan T.B., Goryacheva T.P. Rasprostranennost' stomatologicheskih zabolevaniy slizistoy obolochki polosti rta i ih diagnostika. Mezhdunarodnyy zhurnal prikladnyh i fundamental'nyh issledovaniy. 2014;5-1:41-44. [S.I. Gazhva, T.B. Stepanyan, T.P. Goryacheva. Prevalence of dental diseases of the oral mucosa and their diagnosis. International Journal of Applied and Fundamental Research. 2014;5-1:41-44. (In Russ.)]. https://applied-research.ru/ru/article/view?id=5273
3. Pindborg J.J. Epidemiology and public health aspects of diseases of the oral mucosa // J Dent Res. – 1977;56:14-19. https://doi.org/10.1177/002203457705600307011
4. Prohonchukov A.A. Dolgosrochnaya celevaya programma razrabotki avtomatizirovannyh lazerno-komp'yuternyh sistem novogo pokoleniya dlya diagnostiki, profilaktiki i lecheniya stomatologicheskih zabolevaniy. Stomatologiya (Moskva). 1991;5:4-8. [A.A. Prokhonchukov. Long-term target program for the development of new generation automated laser-computer systems for the diagnosis, prevention and treatment of dental diseases. Dentistry (Moscow). 1991;5:4-8. (In Russ.)]. https://doi.org/10.177/002203457705600307011
5. Cvetkova-Aksamit L.A., Arutyunov S.D., Petrova L.V., Perlamutrov Yu.N..Zabolevaniya slizistoy obolochki rta i gub. Uchebnoe posobie. 4-e izd. Moskva : MEDpressinform. 2014:208. [L.A. Tsvetkova-Aksamit, S.D. Arutyunov, L.V. Petrova, Y.N. Perlamutrov. Diseases of the oral mucousv of the mouth and lips. Textbook. 4th ed. Moscow : MEDpressinform. 2014:208. https://www.med-press.ru/upload/iblock/f28/4rczpvgbxuuil5pn85mjyyyr8tegxvnq/dc53585030ece8f127c69c4de82dea99.pdf
6. Grigor'ev S.S., Ron' G.I., Epishova A.A. Giperkeratozy slizistoy obolochki rta (krasnyy ploskiy lishay, leykoplakiya). Ekaterinburg : Izdatel'skiy Dom «TIRAZh». 2019;1:37. [S.S. Grigoriev, G.I. Ron, A.A. Epishova. hyperkeratoses of mouth lysis (red ploscoid lischa, leukoplakia). Yekaterinburg : Publishing House "TIRAGE". 2019;1:37. (In Russ.)]. DOI:https://doi.org/10.18481/textbook_5d8c980a88a414.80041985
7. Savage S.A. Dyskeratosis congenita and telomere biology disorders // Hematology Am Soc Hematol Educ Program. – 2022;2022(1):637-648. DOI:https://doi.org/10.1182/hematology.2022000394
8. Kumari P., Debta P., Dixit A. Oral Potentially Malignant Disorders: Etiology, Pathogenesis, and Transformation Into Oral Cancer // Front Pharmacol. – 2022;13:825266. https://doi.org/10.3389/fphar.2022.825266
9. Khan M.M., Frustino J., Villa A. et al. Total RNA sequencing reveals gene expression and microbial alterations shared by oral pre-malignant lesions and cancer // Hum Genomics. – 2023;17:72. https://doi.org/10.1186/s40246-023-00519-y
10. Manak T.N. i dr. Zabolevaniya slizistoy obolochki polosti rta. Uchebno-metodicheskoe posobie. Minsk : BGMU. 2022:144. [T.N. Manak et al. Diseases of the oral mucosa. Textbook. Minsk : BSMU. 2022:144. (In Russ.)]. https://rep.bsmu.by/bitstream/handle/BSMU/36816/978-985-21-1151-5.pdf?sequence=1&isAllowed=y&ysclid=lv9fef0fdr729177352
11. Zhang L., Qin H., Guan X., Zhang K., Liu Z. The TLR9 gene polymorphisms and the risk of cancer: evidence from a meta-analysis // PLoS One. – 2013;8(8):e71785. https://doi.org/10.1371/journal.pone.0071785
12. Koh J., Kurago Z.B. Expanded Expression of Toll-Like Receptor 2 in Proliferative Verrucous Leukoplakia // Head Neck Pathol. – 2019;13(4):635-642. https://doi.org/10.1007/s12105-019-01028
13. Khan H.A. FisherExact.exe [Computer program]. Saudi Arabia. https://clck.ru/3BBxp3