Related Experiment Video
Updated: Mar 28, 2026

Author Spotlight: Unlocking the Mysteries of Oral Potential Malignancies
Published on: August 11, 2023
MicroRNA-31 upregulation predicts increased risk of progression of oral potentially malignant disorder
Kai-Feng Hung1, Chung-Ji Liu2, Peng-Chih Chiu3
1Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan.
Objectives:
MicroRNAs (miRNAs, miRs) have shown diagnostic and prognostic potential for oral cancer but their role in oral potentially malignant disorder (OPMD) has been less investigated. We aimed to assess whether miR-21 and miR-31, two of the most relevant miRNAs in oral cancer, are useful as prognostic factors for OPMD progression.
Materials And Methods:
miR-21 and miR-31 in 20 saliva samples and 46 tissue samples from patients with OPMD (mean follow-up of 820days) were analyzed by quantitative reverse transcription PCR and in situ hybridization, respectively. The log-rank test, receiver operating characteristic curve, and Kaplan-Meier disease free survival analysis were used to assess the correlation between miRNA levels and OPMD progression.
Results:
Significantly increased salivary miR-21 and miR-31 expression (P=0.003 and P<0.001, respectively) was observed in patients with OPMD compared to control individuals. Patients with recurrent OPMD and/or malignant transformation exhibited a further augmented expression of miR-31, but not miR-21, in the epithelium. Furthermore, increased miR-31 expression as well as epithelial dysplasia is an independent risk factor for OPMD progression as demonstrated in Cox-proportional hazard model (HR: 8.43, P<0.05, 95%CI: 1.04 to 68.03).
Conclusions:
Salivary miR-21 and miR-31 are applicable as useful OPMD screening tools. Epithelial dysplasia and miR-31 up-regulation synergistically predict the increased incidence of recurrence and/or malignant transformation in patients with OPMD. Detection of miR-31 expression is an adjuvant method for screening of high-risk OPMD.
Insights
Salivary miR-21 and miR-31 can screen for oral potentially malignant disorders (OPMD). Increased miR-31 expression and epithelial dysplasia together predict OPMD recurrence or malignant transformation.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- MicroRNAs (miRNAs) show diagnostic and prognostic potential in oral cancer.
- The role of miRNAs in oral potentially malignant disorders (OPMD) requires further investigation.
Purpose of the Study:
- To assess if miR-21 and miR-31 are prognostic factors for OPMD progression.
- To evaluate the utility of salivary miR-21 and miR-31 as screening tools for OPMD.
Main Methods:
- Quantitative reverse transcription PCR and in situ hybridization analyzed miR-21 and miR-31 in saliva and tissue samples from OPMD patients.
- Kaplan-Meier survival analysis and Cox-proportional hazard models assessed the correlation between miRNA levels and OPMD progression.
Main Results:
- Salivary miR-21 and miR-31 expression were significantly increased in OPMD patients compared to controls.
- Elevated miR-31 expression in the epithelium correlated with OPMD recurrence and malignant transformation.
- Increased miR-31 expression and epithelial dysplasia were independent risk factors for OPMD progression.
Conclusions:
- Salivary miR-21 and miR-31 are effective OPMD screening tools.
- Epithelial dysplasia and miR-31 upregulation synergistically predict OPMD recurrence and/or malignant transformation.
- miR-31 detection serves as an adjuvant method for screening high-risk OPMD.
Related Concept Videos
MicroRNAs
MicroRNAs
Abnormal Proliferation
The Oral Microbiota
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

