title: Comparative immunohistochemical expression of RANK, RANKL and OPG in radicular and dentigerous cysts.
abstract: OBJECTIVE
  Receptor activator of nuclear factor-κB (RANK), RANK ligand (RANKL) and osteoprotegerin (OPG) are members of the superfamily of ligands and receptors of tumour necrosis factor family involved in bone metabolism. The formation, differentiation and activity of osteoclasts are regulated by these proteins. To clarify the roles of osteoclast regulatory factors in cystic expansion of odontogenic cysts, expression of these proteins were analysed in radicular and dentigerous cysts.
  
  
  METHODS
  The immunohistochemistry expression of these biomarkers were evaluated and measured in lining epithelium and fibrous capsule of the radicular (n=20) and dentigerous cysts (n=20).
  
  
  RESULTS
  A similar expression in lining epithelium was observed in the lesions. The fibrous capsule of dentigerous cyst showed a higher content of RANK-positive and RANKL-positive cells than fibrous capsule of radicular cyst. In the lining epithelium the RANKL/OPG ratio showed higher numbers of OPG-positive than RANKL-positive cells, whereas fibrous capsule of the cysts had a tendency to present a similar expression (OPG=RANKL).
  
  
  CONCLUSIONS
  Ours findings indicate the presence of RANK, RANKL and OPG in cysts. Moreover, increased expression of OPG compared to RANKL in the lining epithelium could contribute to the differential bone resorption activity in theses lesions.
authors.affiliation: Post-Graduate Program, Oral Pathology, Federal University of Rio Grande do Norte, Natal, RN, Brazil. maiaramoraes@gmail.com
authors.forename: Maiara
authors.initials: M
authors.lastname: de Moraes
authors.forename: Hévio Freitas
authors.initials: HF
authors.lastname: de Lucena
authors.forename: Paulo Roberto Medeiros
authors.initials: PR
authors.lastname: de Azevedo
authors.forename: Lélia Maria Guedes
authors.initials: LM
authors.lastname: Queiroz
authors.forename: Antonio de Lisboa Lopes
authors.initials: Ade L
authors.lastname: Costa
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003803:Dentigerous Cyst / Q000235:genetics / Q000378:metabolism*; D004848:Epithelium / Q000378:metabolism; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008336:Mandibular Diseases / Q000235:genetics / Q000378:metabolism*; D008439:Maxillary Diseases / Q000235:genetics / Q000378:metabolism*; D008875:Middle Aged; D010010:Osteoclasts / Q000378:metabolism; D053244:Osteoprotegerin / Q000096:biosynthesis*; D053245:RANK Ligand / Q000096:biosynthesis*; D011842:Radicular Cyst / Q000235:genetics / Q000378:metabolism*; D053246:Receptor Activator of Nuclear Factor-kappa B / Q000096:biosynthesis*; D055815:Young Adult
chemical_list: D053244:Osteoprotegerin; D053245:RANK Ligand; D053246:Receptor Activator of Nuclear Factor-kappa B