RT Journal Article T1 State of art of micronuclei assay in exfoliative cytology as a clinical biomarker of genetic damage in oral carcinogenesis: a systematic review and meta-analysis A1 Alberto Caponio, Vito Carlo A1 França-Vieira e Silva, Fabio A1 Popolo, Francesco A1 Giugliano, Sara A1 Spizzirri, Francesca A1 Lorenzo-Pouso, Alejandro I. A1 Padín-Iruegas, María Elena A1 Zhurakivska, Khrystyna A1 Lo Muzio, Lorenzo A1 López-Pintor Muñoz, Rosa María AB Oral squamous cell carcinoma (OSCC) is the most common oral malignancy, often preceded by oral potentially malignant disorders (OPMDs). Currently, no clinical biomarker exists to predict malignancy, necessitating OPMD follow-up. Habits and environmental factors, such as smoking, and alcohol consumption, influence OSCC onset. Increased micronuclei (MNs) formation has been observed in the development of OSCC. Non-invasive diagnostic tests like exfoliative cytology offer painless and regular monitoring options. This study evaluates the impact of tobacco, alcohol, and pesticide exposure on MNs occurrence in exfoliative cytology-collected oral mucosal cells, assessing their potential as non-invasive biomarker for OSCC development prediction and monitoring in high-risk patients. Despite results from this meta-analysis supporting the existence of a stepwise increase from controls to patients with OPMD to OSCC, the translation of these findings into clinical practice is limited due to intra- and inter-individual heterogeneity, as well as methodological variability in MNs quantification. Various factors contribute to this heterogeneity, including demographic variables, methodological variability of different laboratories, staining techniques, sample collection location, and patient characteristics. All these points were discussed to provide further insights and improve standardization for future studies. PB Elsevier SN 1383-5742 YR 2024 FD 2024-07-02 LK https://hdl.handle.net/20.500.14352/107941 UL https://hdl.handle.net/20.500.14352/107941 LA eng NO Caponio VCA, Silva FFE, Popolo F, Giugliano S, Spizzirri F, Lorenzo-Pouso AI, Padín-Iruegas ME, Zhurakivska K, Muzio LL, López-Pintor RM. State of art of micronuclei assay in exfoliative cytology as a clinical biomarker of genetic damage in oral carcinogenesis: A systematic review and meta-analysis. Mutat Res Rev Mutat Res. 2024 Jul 2;794:108508. doi: 10.1016/j.mrrev.2024.108508 DS Docta Complutense RD 26 abr 2025