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Objectives
Genetic variants in the hedgehog signaling pathway and
VDR
gene are involved in inflammatory responses and neoplastic transformation. Current study investigated whether single-nucleotide polymorphisms in the hedgehog pathway genes
PTCH1
,
GLI1
,
SMO
, and
VDR
contribute to susceptibility to odontogenic cystic lesions, odontogenic keratocysts, or inflammatory radicular cysts.
Material and methods
Current study examined polymorphisms of
PTCH1
(rs357564) and
PTCH1
insertion (IVS1-83),
GLI1
(rs2228224, rs2228226),
SMO
(rs2228617), and
VDR
(rs2228570, rs731236, rs7975232). A case-control study was conducted on 41 keratocyst cases, 43 radicular cyst cases, and control group of 93 healthy individuals without cystic lesions, radiographically confirmed. Single-nucleotide polymorphisms were assessed by real-time and TaqMan SNP genotyping assays, while
PTCH1
insertion 18 bp IVS1-83 polymorphism was determined by PCR.
Results
The difference in genotype distribution between keratocyst cases and control group was observed for
PTCH1
IVS1-83 and
GLI1
rs2228224 polymorphism (
p =
0.022,
p =
0.030, respectively). Homozygous mutant GG genotype within
GLI1
rs2228224 is associated with increased susceptibility for odontogenous keratocysts, with adjusted odds ratio of 4.098 (confidence interval of 1.482–11.328,
p = 0.007
).
Conclusion
GLI1
rs2228224 and
PTCH1
polymorphisms could predispose to odontogenic keratocysts.
Clinical relevance
Variants in hedgehog signaling pathway genes, such as
GLI1
and
PTCH1
, and vitamin D receptor gene, might be considered as molecular risk factors in odontogenic cystic lesions and potential targets for novel therapeutic approaches.