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Expression of spindle assembly checkpoint proteins BubR1 and Mad2 expression as potential biomarkers of malignant transformation of oral leukoplakia:an observational cohort study

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Expression of spindle assembly checkpoint proteins BubR1 and Mad2 expression as potential biomarkers of malignant transformation of oral leukoplakia:an observational cohort study

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dc.contributor.author Monteiro, Luís Silva es
dc.contributor.author Silva, Patrícia es
dc.contributor.author Delgado, Maria Leonor es
dc.contributor.author Amaral, José Barbas do es
dc.contributor.author Garces, Fernanda es
dc.contributor.author Salazar, Filomena es
dc.contributor.author Pacheco, José Júlio es
dc.contributor.author Simao, Joao Carlos Lopes es
dc.contributor.author Bousbaa, Hassan es
dc.contributor.author Warnakulasuriya, Saman es
dc.date.accessioned 2023-06-16T08:36:44Z
dc.date.available 2023-06-16T08:36:44Z
dc.date.issued 2021 es
dc.identifier.citation Monteiro, L., Silva, P., Delgado, L., Amaral, B., Garcês, F., Salazar, F., Pacheco, JJ., Lopes, C., Bousbaa, H., & Warnakulasuriya, S. (2021). Expression of spindle assembly checkpoint proteins BubR1 and Mad2 expression as potential biomarkers of malignant transformation of oral leukoplakia: an observational cohort study. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e719-e728). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24511 es
dc.identifier.uri https://hdl.handle.net/10550/88079
dc.description.abstract The Spindle Assembly Checkpoint (SAC) is a surveillance mechanism essential to ensure the accuracy of chromosome segregation during mitosis. Our aim was to evaluate the expression of SAC proteins in oral carcinogenesis, and to assess their potential in predicting malignant transformation of oral leukoplakia. We analysed the immunoexpression of BubR1, Mad2, Bub3, and Spindly proteins in 64 oral biopsies from 52 oral leukoplakias and 12 normal tissues. Univariate and multivariate analysis were performed to evaluate predictive factors for malignant transformation (MT). We observed that BubR1 and Mad2 were more highly expressed in high dysplasia grade lesions than in low grade or normal tissues (P<0.05). High expression of Spindly was significantly correlated with a high Ki-67 score (P=0.004). Six (11.5%) oral leukoplakias underwent malignant transformation. In univariate analysis, the binary dysplasia grade (high grade) (P<0.001) was associated with a higher risk of malignant transformation as well as high BubR1 (P<0.001) and high Mad2 (P=0.013) expression. In multivariate analysis, high expression of BubR1 and Mad2 when combined showed an increased risk for malignant transformation (P=0.013; HR of 4.6, 95% CI of 1.4-15.1). Our findings reveal that BubR1 and Mad2 were associated with an increased risk for malignant transformation independently of histological grade and could be potential and useful predictive risk markers of malignant transformation in oral leukoplakias. es
dc.subject oral cancer es
dc.subject oral dysplasia es
dc.subject ?-catenin es
dc.subject wnt ligands es
dc.subject destruction complex es
dc.title Expression of spindle assembly checkpoint proteins BubR1 and Mad2 expression as potential biomarkers of malignant transformation of oral leukoplakia:an observational cohort study es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.24511 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601638/

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