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Updated: Jul 13, 2025

Author Spotlight: Unlocking the Mysteries of Oral Potential Malignancies
Published on: August 11, 2023
Analysis of oral lichen planus severity on micro-RNA linked with malignant transformation risks
Alessandro Polizzi1, Simona Santonocito1, Alfio Distefano2
1Department of General Surgery and Surgical-Medical Specialties, Unit of Periodontology, School of Dentistry, University of Catania, Catania, Italy.
Objective:
The present study evaluated the oral tissue expression of micro-RNA (miRNAs) linked to the potential malignant evolution of oral lichen planus (OLP). Furthermore, the correlation between OLP severity and miRNAs expression was assessed, and possible predictors of miRNAs in OLP patients were identified.
Methods:
The present study enrolled 41 patients with OLP (median age 58 years) and 42 healthy controls (median age 59 years). In each patient, miRNA levels (miR-7a-3p,-7a2-3p,-7a-5p,-21-3p,-21-5p,-100-3p,-100-5p,-125b-2-3p,-125b-5p,-200b-3p,-200b-5p) were assessed and analyzed through reverse transcription polymerase chain reaction. Clinical parameters and the eventual presence of OLP symptoms, signs, and disease severity scores in each patient were reported using an anamnestic questionnaire.
Results:
In comparison with healthy controls, OLP patients showed significantly higher miR-7a-3p,-7a-2-3p,-21-3p, miR-21-5p and miR-100-5p levels (p < 0.05) and significantly lower miR-125b-2-3p,-125b-5p,-200b-3p, and -200b-5p levels (p < 0.05). Furthermore, OLP symptoms and signs and disease severity scores were significantly correlated and were also predictors of all analyzed miRNAs (p < 0.05).
Conclusions:
In comparison with healthy subjects, OLP patients exhibited unbalanced oral miRNAs expression linked to the risk of potential malignant evolution of OLP. Furthermore, some miRNAs were correlated with OLP extent and were significant predictors of OLP symptoms, signs, and disease severity scores.
Insights
Oral lichen planus (OLP) patients show altered micro-RNA (miRNA) expression linked to malignant transformation risk. These miRNA levels correlate with OLP severity and predict clinical outcomes.
Area of Science:
- Oral pathology
- Molecular biology
- Biochemistry
Background:
- Oral lichen planus (OLP) is a chronic inflammatory condition with a potential for malignant transformation.
- Micro-RNAs (miRNAs) are small non-coding RNAs that regulate gene expression and are implicated in various diseases, including cancer.
- Understanding miRNA expression in OLP may provide insights into its pathogenesis and malignant progression.
Purpose of the Study:
- To evaluate oral tissue expression of specific micro-RNAs (miRNAs) in patients with oral lichen planus (OLP).
- To assess the correlation between OLP severity and miRNA expression levels.
- To identify potential predictors of miRNA expression in OLP patients.
Main Methods:
- The study included 41 OLP patients and 42 healthy controls.
- miRNA levels (miR-7a-3p, -7a-2-3p, -7a-5p, -21-3p, -21-5p, -100-3p, -100-5p, -125b-2-3p, -125b-5p, -200b-3p, -200b-5p) were quantified using reverse transcription polymerase chain reaction.
- Clinical parameters, symptoms, signs, and disease severity scores were collected via an anamnestic questionnaire.
Main Results:
- OLP patients exhibited significantly higher levels of miR-7a-3p, -7a-2-3p, -21-3p, miR-21-5p, and miR-100-5p compared to controls.
- Conversely, OLP patients showed significantly lower levels of miR-125b-2-3p, -125b-5p, -200b-3p, and -200b-5p.
- OLP symptoms, signs, and disease severity scores were significantly correlated with and predicted all analyzed miRNAs.
Conclusions:
- Oral miRNA expression is unbalanced in OLP patients, suggesting a link to the risk of malignant evolution.
- Specific miRNAs are correlated with the extent of OLP and serve as significant predictors of OLP symptoms, signs, and disease severity.
Related Concept Videos
MicroRNAs
Non-LTR Retrotransposons
lncRNA - Long Non-coding RNAs

