Role of Epidermal growth factor receptor in odontogenic epithelium and development of odontogenic lesions

Growth is a highly coordinated process which is sustained by several growth factors and apoptotic factors. Any disturbance in this delicate balance leads to pathologies and genes that have such potential to produce tumors when mutated are known as oncogenes. EGFR an important growth factor that is involved in several physiological processes is presently one of the most common genes in targeted cancer therapies. Its potential as an oncogene target in squamous cell carcinomas of the head and neck epithelial tumors is gaining importance leading to revolutionization of cancer treatment modalities, its role in other head and neck epithelia like odontogenic epithelia remains vague and needs attention. The present article highlights some of the key findings in our research evaluating the role of EGFR in physiologic odontogenic epithelium that is comprised within pericoronal follicles. The research involved study of immunohistochemical examination of 35 pericoronal follicles removed from patients with asymptomatic impacted tooth extractions. The follicles were assessed for intensity, percentage of staining and location of the EGFR stain. The follicles predominantly showed intense staining pattern and location of EGFR positivity in most epithelium and rests were combined both cytoplasmic and membrane positivity. These findings reemphasize the inherent proliferative potential present in follicles and their role in formation of odontogenic tumors like ameloblastomas in long term impacted teeth. The potential of EGFR as a treatment target in odontogenic tumors also remains plausible.