{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:38:27Z","timestamp":1757309907232},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Actinic cheilitis is a potentially malignant condition caused mainly by chronic sun exposure. Here we aim to evaluate the role of hypoxia, angiogenesis, and lymphatic density in the clinical and morphological progression of a series of cases of actinic cheilitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Immunohistochemistry was used to evaluate positivity to hypoxia\u2010inducible factor (<jats:styled-content style=\"fixed-case\">HIF<\/jats:styled-content>)\u20101<jats:italic>\u03b1<\/jats:italic>, vascular endothelial growth factor (<jats:styled-content style=\"fixed-case\">VEGF<\/jats:styled-content>)\u2010C, and D2\u201340 in 40 cases of actinic cheilitis of the lower lip.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cases studied exhibited variable degrees of positivity to the markers. The median number of lymphatic vessels was 3.2, 2.4, and 3.0 in lesions showing no epithelial dysplasia (<jats:styled-content style=\"fixed-case\">NED<\/jats:styled-content>) and with mild (<jats:styled-content style=\"fixed-case\">MED<\/jats:styled-content>) and moderate (<jats:styled-content style=\"fixed-case\">MOED<\/jats:styled-content>) epithelial dysplasia, respectively. The median <jats:styled-content style=\"fixed-case\">VEGF<\/jats:styled-content>\u2010C positivity index was 82.44% (<jats:styled-content style=\"fixed-case\">NED<\/jats:styled-content>), 92.74% (<jats:styled-content style=\"fixed-case\">MED<\/jats:styled-content>), and 82.83% (<jats:styled-content style=\"fixed-case\">MOED<\/jats:styled-content>), and the median <jats:styled-content style=\"fixed-case\">HIF<\/jats:styled-content>\u20101<jats:italic>\u03b1<\/jats:italic> positivity index was 11.57% (<jats:styled-content style=\"fixed-case\">NED<\/jats:styled-content>), 5.26% (<jats:styled-content style=\"fixed-case\">MED<\/jats:styled-content>), and 13.55% (<jats:styled-content style=\"fixed-case\">MOED<\/jats:styled-content>). No significant differences in lymphatic density or median <jats:styled-content style=\"fixed-case\">VEGF<\/jats:styled-content>\u2010C and <jats:styled-content style=\"fixed-case\">HIF<\/jats:styled-content>\u20101<jats:italic>\u03b1<\/jats:italic> positivity indices were observed between histological grades or clinical presentations of actinic cheilitis (<jats:italic>P<\/jats:italic> &gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although representing early events in lip carcinogenesis, the present results suggest that hypoxia, angiogenesis, and lymphangiogenesis do not influence the morphological or clinical progression of actinic cheilitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.13365","type":"journal-article","created":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T23:03:52Z","timestamp":1468623832000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of hypoxia, angiogenesis, and lymphangiogenesis in actinic cheilitis"],"prefix":"10.1111","volume":"55","author":[{"given":"Nat\u00e1lia G.","family":"Barbosa","sequence":"first","affiliation":[{"name":"Oral Pathology Post\u2010Graduate Program Federal University of Rio Grande do Norte Natal Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9lia B.","family":"Souza","sequence":"additional","affiliation":[{"name":"Oral Pathology Post\u2010Graduate Program Federal University of Rio Grande do Norte Natal Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassiano F. 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