Oral Submucous Fibrosis: Etiological Mechanism, Malignant Transformation, Therapeutic Approaches and Targets

Int J Mol Sci. 2023 Mar 5;24(5):4992. doi: 10.3390/ijms24054992.

Abstract

Oral submucosal fibrosis (OSF) is a chronic, progressive and potentially malignant oral disorder with a high regional incidence and malignant rate. With the development of the disease, the normal oral function and social life of patients are seriously affected. This review mainly introduces the various pathogenic factors and mechanisms of OSF, the mechanism of malignant transformation into oral squamous cell carcinoma (OSCC), and the existing treatment methods and new therapeutic targets and drugs. This paper summarizes the key molecules in the pathogenic and malignant mechanism of OSF, the miRNAs and lncRNAs with abnormal changes, and the natural compounds with therapeutic effects, which provides new molecular targets and further research directions for the prevention and treatment of OSF.

Keywords: epithelial–mesenchymal transition; lncRNAs; malignant transformation; miRNAs; myofibroblast; natural compounds; oral squamous cell carcinoma; oral submucous fibrosis.

Publication types

  • Review

MeSH terms

  • Carcinoma, Squamous Cell* / pathology
  • Causality
  • Cell Transformation, Neoplastic / pathology
  • Head and Neck Neoplasms* / complications
  • Humans
  • Mouth Neoplasms* / pathology
  • Oral Submucous Fibrosis* / pathology

Grants and funding

This work was supported by the National Natural Science Foundation of China (31970677) and the Research Level Improvement Plan of Anhui Medical University (2019xkjT010).