Objective: to examine the expression of phosphorylated p38 mitogen-activated protein kinase (p-p38MAPK), urokinase plasminogen activator (uPA) and Ki-67.
Methods: the specimens of ameloblastoma (AB), keratocystic odontogenic tumour (KCOT), calcifying epithelial odontogenic tumor (CEOT), adenomatoid odontogenic tumour (AOT), calcifying cystic odontogenic tumour (CCOT) and 5 tooth germs were examined immunohistochemically for the expression of p-p38MAPK, uPA and Ki-67.
Results: p-p38MAPK was detected both in the cytoplasm and the nucleus of the epithelial odontogenic tumour cells and uPA in the cytoplasm of the epithelial odontogenic tumour cells. Among the 65 cases, there were 17 (26%), 51 (78%) and 62 cases (95%) of positive expression of p-p38MAPK, uPA and Ki-67 protein respectively. Furthermore, there was a statistically significant difference in the expression of p-p38MAPK, uPA and Ki-67 between epithelial odontogenic tumor group and tooth germ group (P < 0.05). There were significant correlations among the expression of p-p38MAPK, uPA and Ki-67 (P < 0.05).
Conclusions: the p38MAPK-signaling pathway could promote tumour growth and invasion in epithelial odontogenic tumour by up-regulating uPA protein expression and may play a role in oncogenesis, invasion and proliferation of epithelial odontogenic tumour.