A. Piattelli et al., DIFFERENTIATION OF ODONTOGENIC KERATOCYSTS FROM OTHER ODONTOGENIC CYSTS BY THE EXPRESSION OF BCL-2 IMMUNOREACTIVITY, Oral Oncology, 34(5), 1998, pp. 404-407
Odontogenic keratocysts (OKC) present an aggressive course with a mark
ed tendency to recurrence. The epithelium of OKC is thought to have an
intrinsic growth potential and has been shown to present a higher rat
e of proliferation as compared to other types of cyst. bcl-2 has a rol
e in the extension of cell survival. The objective of the present stud
y was to evaluate the bcl-2 protein expression in different odontogeni
c cysts. A total of 19 dentigerous cysts (DC), 20 radicular cysts (RC)
and 14 OKC were used in the present study. DC and RC showed an almost
complete negativity for bcl-2. OKC, on the other hand, presented in a
ll cases a strong positivity in the cells of the basal layer, with, in
most cases, more than 50% of the cells positive. This bcl-2 positivit
y of the basal layer of OKC could point to an abnormal control of the
cell cycle. The bcl-2 protein overexpression could then produce an inc
rease in the survival of the epithelial cells, and this increased life
span could, in turn, lead to the peculiar aggressive growth pattern of
OKC. Moreover the bcl-2 staining can be useful to differentiate OKC f
rom other types of odontogenic cysts. (C) 1998 Elsevier Science Ltd. A
ll rights reserved.