Evaluating CagA and VacA oncoproteins of Helicobacter pylori in oral potentially malignant disorders

Ramya Sekar; Prabhu Shankar Dhayashankar; Abirami Mathivanan; Nazargi Mahabob; Jingade Krishnojirao Dayashankara Rao; Syed Fareed Mohsin

doi:10.4103/jpbs.jpbs_289_21

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ORIGINAL ARTICLE

Year : 2021 | Volume : 13 | Issue : 6 | Page : 1564-1568

Evaluating CagA and VacA oncoproteins of Helicobacter pylori in oral potentially malignant disorders

Ramya Sekar¹, Prabhu Shankar Dhayashankar², Abirami Mathivanan³, Nazargi Mahabob⁴, Jingade Krishnojirao Dayashankara Rao⁵, Syed Fareed Mohsin⁶
¹ Department of Oral Pathology and Microbiology, Meenakshi Dental College and Hospital, Maduravayil, Chennai, Tamil Nadu, India
² Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Maduravayil, Chennai, Tamil Nadu, India
³ Department of Prosthodontics, RVS Dental College and Hospital, Sulur, Coimbatore, Tamil Nadu, India
⁴ Department of Oral and Maxillofacial Surgery and Diagnostic Sciences. College of Dentistry, King Faisal University, KSA
⁵ Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Qassim University, Buraida, Saudi Arabia
⁶ Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Qassim University, Ar Rass, KSA

Correspondence Address:
Prabhu Shankar Dhayashankar
Department of Oral and Maxillo-Facial Surgery, Meenakshi Ammal Dental College, Chennai - 600 078, Tamil Nadu
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jpbs.jpbs_289_21

Oral Potentially Malignant Disorders such as leukoplakia, lichenplanus, Oral Submucous Fibrosis are most commonly encountered precancerous lesions in India. Although, usage of smoking tobacco has been decreased yet incidence of oral cancer seems to be in increasing trend. Apart from tobacco many non-tobacco causes are associated with the disease. Helicobacter pylori is a curved, flagellated bacterium that has been declared as group I carcinogen by WHO. They are proven causative agent for gastric carcinoma. They have been shown to harbour oral cavity by many authours. They produce onco-protein that causes DNA damage. CagA and VacA are such proteins that modulate certain oncogenes and tumour suppressor genes. In this study we have identified the organism from sub gingival plaque by PCR and those who harboured the organism were further subjected for identification of oncoproteins CagA and VacA by ELISA. This study shows that presence of organism in Oral leucoplakia, oral lichenplanus and Oral Submucous Fibrosis are statistically significant in comparison to control group (p>0.05). The presence of oncoproteins was also statistically significant in comparison to control group. These proteins are shown to accelerate inflammatory pathway thereby hasten the process of tumorigenesis. H.pylori infection as well the virulent strains can be diagnosed from oral cavity in the most non-invasive way at the earliest

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