DIAGNOSTIC AND PROGNOSTIC ROLE OF STEM CELL BIOMARKERS IN ORAL SQUAMOUS CELL CARCINOMA; A SYSTEMATIC REVIEW
Objectives: To evaluate the role of cancer stem cell biomarkers in the diagnosis and prognosis of OSCC patients. Methods: The search strategy was entered into PubMed NLM, EBSCO CINAHL, EBSCO Dentistry & Oral Sciences Source, Wiley Cochrane Library, and Scopus. The full-text eligible studies (n=7) were assessed for their quality using the JBI Critical Appraisal Checklist to evaluate the methodological quality of the studies based on the possibility of bias in their design, conduct, and analysis. Selected studies were further analyzed based on parameters such as publication year, sample size, and outcomes. Results: A total of 432 studies were identified through the search strategy. A total of 306 records were removed before screening either because of duplication or marked ineligible by the automation tools. Of the screened records 126 out of 104 were removed as they were not conducted on OSCC. Twenty-two reports were sought for retrieval, however, we could not find the full text of 3 studies, and 12 studies were excluded because the biomarkers were not associated with cancer stem cells. The most common cancer stem cell biomarkers associated with OSCC were MCT1, VEGF-A, GD15, HIF1 α, Ki67, Hsp 70, Cyclin D1, and CD44. Conclusions: Various stem cell biomarkers have been found to have a diagnostic and prognostic role in oral squamous cell carcinoma such as Cyclin D1, VEGF-A, GD15, and CD44. They can be used to predict the overall survival rate, local progression-free survival rate, and distant metastasis-free survival rate in Head and Neck cancer patients.
Ali, Faiza
( AGA KHAN UNIVERSITY HOSPITAL
, Karachi
, Sindh
, Pakistan
)
Siddiqui, Tania
( FOUNDATION UNIVERSITY
, Islamabad
, Pakistan
)
Sukhia, Rashna
( AGA KHAN UNIVERSITY HOSPITAL
, Karachi
, Sindh
, Pakistan
)
Maqsood, Ayesha
( FOUNDATION UNIVERSITY
, Islamabad
, Pakistan
)
Ghandhi, Dinaz
( AGA KHAN UNIVERSITY HOSPITAL
, Karachi
, Sindh
, Pakistan
)
NONE
Poster Session
Poster Presentations
Characteristics and outcomes of selected studies
Author
Year
Participants
Study design
Cancer Cell Biomarker
Outcomes
Srivastava V K et al.
2014
112
Case-control
VEGF-A
Higher in advanced stages (III-IV) of the disease with lymph node involvement
Stangl S et al.
2018
77
Retrospective
Hsp 70
High values had poor prognosis for survival
Zhong et al.
2013
232
Prospective open-label, randomized phase III trial
Cyclin D1
Low levels indicate better overall, progression and disease free, loco-regional and distant metastasis- free survival High cyclin D1 in patients with cN2 patients are better candidates for induction therapy
Yang et al
2014
230
Prospective randomized Phase- III trial
GDF- 15
Low levels indicate better overall survival and distant metastasis –free survival cN+ patient with low GDF-15 and cN- patients with high GDF-15 are better candidates for induction therapy
Dejaco D et al
2019
123
Retrospective Study
EGFR, Ki67, CD44
Positive correlation with the primary tumor-specific growth rate
Leu M et al
2021
82
Retrospective Cohort
MCT1
High levels indicate poor response to radio- chemotherapy
Patel et al
2020
404
Randomized phase III trial
HIF1α
Low levels are associated with better progression free survival and overall survival to treatment