Immunohistochemical Expression of Invadopodia‐Associated Proteins in Subtypes of Unicystic Ameloblastoma

OBJECTIVE: This study aims to investigate the expression of invadopodia-associated proteins-HIF-1α, NOTCH-1, ADAM-12, and HB-EGF-across different histological subtypes of unicystic ameloblastomas (UA) to assess their invasiveness under hypoxic conditions. MATERIALS AND METHODS: Immunohistochemical analysis was performed on 29 UA samples, 9 conventional ameloblastomas (CAM), and 9 dental follicles (DF). RESULTS: Mural unicystic ameloblastomas (MUA) exhibited significantly higher immunoexpression of all proteins compared to luminal (LUA) and intraluminal (IUA) subtypes (p < 0.0001). Neoplastic cells in the cystic capsule of MUA also showed greater expression of these proteins than those in the lumen. Conventional ameloblastomas demonstrated lower expression of NOTCH-1, ADAM-12, and HIF-1α compared to the MUA cystic capsule cells. Dental follicles had the lowest immunostaining of all groups. CONCLUSION: These findings suggest that hypoxia may contribute to more aggressive behavior in MUA, potentially enhancing its invasive capacity compared to LUA and IUA.

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Publication Details

Journal
Oral Diseases
Published
2026-04-06
DOI
https://doi.org/10.1111/odi.70338
Primary Topic
Oral and Maxillofacial Pathology
Type
article
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article

Immunohistochemical Expression of Invadopodia‐Associated Proteins in Subtypes of Unicystic Ameloblastoma

Ana Paula Neutzling Gomes, João de Jesus Viana Pinheiro, Sérgio De Melo Alves, Douglas Magno Guimarães et al.
Oral Diseases
Oral and Maxillofacial Pathology
article

Immunohistochemical Expression of Invadopodia‐Associated Proteins in Subtypes of Unicystic Ameloblastoma

Ana Paula Neutzling Gomes, João de Jesus Viana Pinheiro, Sérgio De Melo Alves, Douglas Magno Guimarães, Antonia Taiane Lopes de Moraes, Gabriela Cristina Avertano Rocha da Silveira, Ruy Gastaldoni Jaeger, Adriana Etges, Rebeca Vieira Costa, Maria Sueli da Silva Kataoka, Vera Cavalcanti de Araújo, Fabricio Passador SANTOS, Vanessa Morais Freitas, Andrew Mark Smith, Flavia Letícia Magalhães Lemos
article en

Abstract

OBJECTIVE: This study aims to investigate the expression of invadopodia-associated proteins-HIF-1α, NOTCH-1, ADAM-12, and HB-EGF-across different histological subtypes of unicystic ameloblastomas (UA) to assess their invasiveness under hypoxic conditions. MATERIALS AND METHODS: Immunohistochemical analysis was performed on 29 UA samples, 9 conventional ameloblastomas (CAM), and 9 dental follicles (DF). RESULTS: Mural unicystic ameloblastomas (MUA) exhibited significantly higher immunoexpression of all proteins compared to luminal (LUA) and intraluminal (IUA) subtypes (p < 0.0001). Neoplastic cells in the cystic capsule of MUA also showed greater expression of these proteins than those in the lumen. Conventional ameloblastomas demonstrated lower expression of NOTCH-1, ADAM-12, and HIF-1α compared to the MUA cystic capsule cells. Dental follicles had the lowest immunostaining of all groups. CONCLUSION: These findings suggest that hypoxia may contribute to more aggressive behavior in MUA, potentially enhancing its invasive capacity compared to LUA and IUA.

Oral Diseases
Universidade Federal de Pelotas (BR), Universidade Estadual de Campinas (UNICAMP) (BR), Universidade do Estado do Pará (BR), Instituto Federal de Educação, Ciência e Tecnologia do Pará (BR), Faculdade São Leopoldo Mandic (BR), Eastman Dental Hospital (GB), Institute of Biomedical Science (GB), University College London (GB), Universidade Federal do Pará (BR)
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Oral and Maxillofacial Pathology
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