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Angiotensin-converting Enzyme 2 Expression in Oral Squamous Cell Carcinoma: Correlation with p53 and Vascular
Shivani Sivasakthivel1, Pratibha Ramani1
1Department of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
Annals of Maxillofacial Surgery
|February 23, 2026
Summary
Angiotensin-converting Enzyme 2 (ACE2) expression correlates positively with Vascular Endothelial Growth Factor (VEGF) and negatively with tumor protein 53 (p53) in oral squamous cell carcinoma (OSCC). This suggests ACE2 may play a role in OSCC progression via angiogenesis.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Angiotensin-converting Enzyme 2 (ACE2) has a potential tumor-suppressive role by inhibiting angiogenesis.
- Vascular Endothelial Growth Factor (VEGF) and tumor protein 53 (p53) are key biomarkers for tumor progression and angiogenesis.
- The precise role and expression of ACE2 in oral squamous cell carcinoma (OSCC) remain unclear.
Purpose of the Study:
- To investigate the gene expression levels of ACE2, p53, and VEGF in OSCC tissues.
- To assess the correlation between ACE2 expression and the expression of VEGF and p53 in OSCC.
- To understand the potential role of ACE2 in OSCC progression and angiogenesis.
Main Methods:
- Analysis of 20 OSCC tissue samples and 20 healthy controls.
- RNA isolation and cDNA synthesis using specific primers for ACE2, p53, and VEGF.
- Reverse transcription polymerase chain reaction (RT-PCR) to quantify gene expression levels.
Main Results:
- Mean mRNA expression levels in OSCC patients were 1.8 for ACE2, 1.4 for p53, and 2.7 for VEGF.
- ACE2 expression showed a positive correlation with VEGF expression (Pearson coefficient).
- ACE2 expression demonstrated a negative correlation with p53 expression (Pearson coefficient).
Conclusions:
- OSCC tissues exhibit increased mRNA expression of ACE2, p53, and VEGF compared to healthy tissues.
- ACE2 levels are associated with increased VEGF expression in OSCC patients, suggesting a role in angiogenesis.
- Further research is needed to fully elucidate ACE2's function in the VEGF-mediated angiogenesis pathway within OSCC progression.

