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Chymotrypsin\u2010like proteinase (\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      ), a major virulence factor of\n                      <jats:italic>Td<\/jats:italic>\n                      , can degrade various host proteins and peptides, and modulate inflammatory responses. However, the role of\n                      <jats:italic>Td<\/jats:italic>\n                      in the tongue carcinogenesis remains unknown. This study aimed to investigate the presence of\n                      <jats:italic>Td<\/jats:italic>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      in early\u2010stage mobile tongue squamous cell carcinoma (\n                      <jats:styled-content style=\"fixed-case\">MTSCC<\/jats:styled-content>\n                      ) and its relation to clinical and pathological characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The immunopositivity of\n                      <jats:italic>Td\u2010<\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      was assessed in samples obtained from 60 patients with\n                      <jats:styled-content style=\"fixed-case\">MTSCC<\/jats:styled-content>\n                      and associated with their clinicopathological data. Additionally,\n                      <jats:italic>Td<\/jats:italic>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      expression was compared with immunoexpression of matrix metalloproteinases (\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108 and\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109), toll\u2010like receptors (\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20102,\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20104,\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20107 and\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20109), c\u2010Myc, Ki\u201067, Bmi\u20101 and Snail.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Treponema denticola<\/jats:italic>\n                      \u2010chymotrypsin\u2010like proteinase was present in 95% of\n                      <jats:styled-content style=\"fixed-case\">MTSCC<\/jats:styled-content>\n                      tumours of which many (40.4%) showed high immunopositivity.\n                      <jats:italic>Td\u2010<\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      positivity was significantly associated with invasion depth, tumour diameter and the expression of\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20107,\n                      <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>\n                      \u20109 and c\u2010Myc. High\n                      <jats:italic>Td\u2010<\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      immunopositivity in younger patients (\u2264 60 years old) predicted early relapse.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our data indicate that\n                      <jats:italic>Td<\/jats:italic>\n                      and its\n                      <jats:styled-content style=\"fixed-case\">CTLP<\/jats:styled-content>\n                      are present in early\u2010stage\n                      <jats:styled-content style=\"fixed-case\">MTSCC<\/jats:styled-content>\n                      carcinoma and may contribute to carcinogenesis, and therefore provide novel perspectives into intervention and therapeutic measures of\n                      <jats:styled-content style=\"fixed-case\">MTSCC<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jop.12729","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T17:50:29Z","timestamp":1525974629000},"page":"764-772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["<i>Treponema denticola<\/i>\n                    chymotrypsin\u2010like proteinase is present in early\u2010stage mobile tongue squamous cell carcinoma and related to the clinicopathological features"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-6884","authenticated-orcid":false,"given":"Dyah","family":"Listyarifah","sequence":"first","affiliation":[{"name":"Department of Medicine Clinicum University of Helsinki, and Helsinki University Central Hospital Helsinki Finland"},{"name":"Department of 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