Abstract:
:Khat-chewing has been associated with oral lesions including oral cancer, but the mechanisms leading to their development are not known. We hypothesized that khat interferes with the physiological processes of the oral mucosa, such as cell proliferation and differentiation, and aimed at investigating the effects of khat exposure on in vitro-reconstructed human normal buccal mucosa. Khat decreased cell proliferation, epithelial thickness, and cytokeratin 13 expression, while inducing premature expression of p21(Waf1/Cip1), transglutaminases, involucrin, and filaggrin. This suggests that khat is able to induce abnormal differentiation of the buccal epithelium. Khat-induced alterations were accompanied by increased levels of p38 and were reversed by p38 inhibition, pointing to p38 as the key player in this process. The morphological changes described herein mirror the in vivo changes previously described in khat users, and demonstrate for the first time that khat induces pathological alterations in human buccal mucosa, providing evidence that raises concerns about the effects of khat use on oral health.
journal_name
J Dent Resjournal_title
Journal of dental researchauthors
Lukandu OM,Neppelberg E,Vintermyr OK,Johannessen AC,Costea DEdoi
10.1177/0022034509354980subject
Has Abstractpub_date
2010-03-01 00:00:00pages
270-5issue
3eissn
0022-0345issn
1544-0591pii
0022034509354980journal_volume
89pub_type
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journal_title:Journal of dental research
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