Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Association between Vitamin D Receptor Polymorphism and Susceptibility to Oral Lichen Planus and Oral Squamous Cell Carcinoma

Document Type : Original

Authors
Nooshin Mohtasham 1
Farnaz Mohajertehran 2
Fahimeh Afzaljavan 3
Alieh Farshbaf 2
Kiumars Maraqehmoqadam 4
Aida Tavakoliroodi 4
Majid Mirhashemi 5
1 Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Clinical Research Development Unit, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Department of Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijorl.2024.73925.3489
Abstract
Introduction: Oral squamous cell carcinomas (OSCC) comprise 90-95% of oral cancers. Early diagnosis improved the survival rate of OSCC patients to 80–90%. Oral lichen planus (OLP) is a chorionic inflammatory disease with malignancy potential. The vitamin D receptor (VDR) plays a critical role in the pathogenesis of oral cancer. This study aimed to determine the association between VDR rs7975232 (Apa I) polymorphism and potential susceptibility to OLP and OSCC risks. Materials and Methods: In this prospective case-control study, a total of 120 blood samples were obtained from OSCC patients (n=29), OLP (n=50), and controls (n=40). VDR rs7975232 polymorphism was studied using the Polymerase Chain Reaction Restriction Fragment Length Polymorphism (PCR-RFLP) method. Statistical analysis was performed with SPSS Version 23 software. Data were expressed as means ± standard deviation (SD). Age, sex, allelic frequency, and genotyping were compared using the chi-square test. A p-value of less than 0.05 was regarded as statistically significant. The disease risk was estimated by Odds ratio (OR) with a 95% confidence interval. Results: A significant age difference was observed between the controls and the OSCC group (p=0.001). A significant difference was observed in Aa and aa genotypes compared with AA between OSCCs and controls. Moreover, dominant (p<0.001), additive (p<0.001), and allelic (p=0.001) models were different between groups. Conclusion: There was a positive association between rs7975232 VDR polymorphism and susceptibility to OSCC. More experimental evidence must reveal the possible association between rs7975232 and the risk of OLP in a larger cohort.
Keywords
ApaI
Squamous Cell Carcinoma of Head and Neck, Oral lichen planus, Mouth Neoplasms, Vitamin D receptor, rs7975232
Subjects
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Iranian Journal of Otorhinolaryngology
Volume 36, Issue 2
March and April 2024
Pages 381-389