Detection of porphyromonas gingivalis in oral potentially malignant disorders and oral squamous cell carcinoma using

G Suganya1, N S Sahana1, P Akalya1

  • 1Department of Oral and Maxillofacial Pathology, Government Dental College and Research Institute, Bengaluru, Karnataka, India.

Abstract

Insights

Porphyromonas gingivalis, a key pathogen in periodontitis, is overexpressed in oral potentially malignant disorders and oral squamous cell carcinoma. Higher levels in oral squamous cell carcinoma suggest its role in early tumorigenesis, potentially serving as a diagnostic marker.

Area of Science:

  • Oral microbiology
  • Oncology
  • Periodontology

Background:

  • Microorganisms are significantly associated with oral squamous cell carcinoma (OSCC).
  • Porphyromonas gingivalis (P. gingivalis), a keystone pathogen in chronic periodontitis, is implicated as a potential etiological agent of OSCC.
  • Mechanisms of P. gingivalis in mediating OSCC progression are not fully understood.

Purpose of the Study:

  • To compare P. gingivalis levels in oral potentially malignant disorders (OPMD), OSCC, and normal oral mucosa.
  • To investigate the role of P. gingivalis in the progression of oral lesions.

Main Methods:

  • Quantitative real-time polymerase chain reaction (qRT-PCR) was used to measure P. gingivalis levels.
  • Genomic DNA was extracted and quantified from 16 cases each of OPMD, OSCC, and normal oral mucosa.

Main Results:

  • P. gingivalis was overexpressed in both OPMD (mean CT 27.00) and OSCC (mean CT 27.55) compared to normal mucosa.
  • OSCC exhibited significantly higher P. gingivalis expression than OPMD (P < 0.001).

Conclusions:

  • Overexpression of P. gingivalis in OPMD and OSCC suggests its involvement in early tumorigenesis.
  • Elevated P. gingivalis levels may serve as a valuable marker for early diagnosis and prognosis of OSCC.
  • P. gingivalis could be a target for therapeutic interventions in oral cancer.