Araştırma Makalesi
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Association of non-melanocytic tumors of the eyelid with demodex folliculorum

Yıl 2025, Sayı: Advanced Online Publication, 7 - 7

Öz

Purpose: Demodex is a parasite that lives in the hair follicles or sebaceous glands of the eyelid. There are two species that live in humans. These are Demodex follicularum and Demodex brevis. Demodex mites have been found to be associated with many inflammatory diseases such as blepharitis, chalazion, and rosacea. The role of the inflammatory environment in the pathogenesis of cancer development is also known. Our aim in this study was to investigate the role of Demodex mites and inflammation in eyelid tumors
Materials and methods: Basal cell carcinoma, squamous cell carcinoma, and tumor-free control tissues were included in our study. In these cases, the presence and number of Demodex and the presence and severity of inflammation were evaluated. In addition, the demographic characteristics of the tumors and prognostic data such as tumor size and invasion depth were evaluated.
Results: No significant difference was found between the tumor and control groups in terms of the presence of Demodex. However, a significant relationship was found between the inflammation caused by Demodex mites in basal cell carcinomas and tumor size and invasion depth.
Conclusion: Demodex mites may create an inflammatory tumor environment and play a role in tumor growth and progression.

Kaynakça

  • Hsu CK, Hsu MM, Lee JY. Demodicosis: a clinicopathological study. J Am Acad Dermatol. 2009;60(3):453-462. doi:10.1016/j.jaad.2008.10.058
  • Zeytun E, Tilki E, Doğan S, Mumcuoğlu KY. The effect of skin moisture, pH, and temperature on the density of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in students and staff of the Erzincan University, Turkey. Int J Dermatol. 2017;56(7):762-766. doi:10.1111/ijd.13600
  • Tilki E, Zeytun E, Doğan S. Prevalence and Density of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in Erzincan Province. Turkiye Parazitol Derg. 2017;41(2):80-86. doi:10.5152/tpd.2017.5156
  • Martins G, Miteva M. Hair and Scalp Infections. Alopecia. Elsevier: 2018:207-218.
  • Rather PA, Hassan I. Human demodex mite: the versatile mite of dermatological importance. Indian J Dermatol. 2014;59(1):60-66. doi:10.4103/0019-5154.123498
  • Elston DM. Demodex mites: facts and controversies. Clin Dermatol. 2010;28(5):502-504. doi:10.1016/j.clindermatol.2010.03.006
  • Akilov OE, Mumcuoglu KY. Association between human demodicosis and HLA class I. Clin Exp Dermatol. 2003;28(1):70-73. doi:10.1046/j.1365-2230.2003.01173.x
  • Rusiecka Ziółkowska J, Nokiel M, Fleischer M. Demodex - an old pathogen or a new one. Adv Clin Exp Med. 2014;23(2):295-298. doi:10.17219/acem/37081
  • Czepita D, Kuźna Grygiel W, Czepita M, Grobelny A. Demodex folliculorum and Demodex brevis as a cause of chronic marginal blepharitis. Ann Acad Med Stetin. 2007;53(1):63-67.
  • Kemal M, Sümer Z, Toker MI, Erdoğan H, Topalkara A, Akbulut M. The Prevalence of Demodex folliculorum in blepharitis patients and the normal population. Ophthalmic Epidemiol. 2005;12(4):287-290. doi:10.1080/092865805910057
  • Zhang XB, Ding YH, He W. The association between demodex infestation and ocular surface manifestations in meibomian gland dysfunction. Int J Ophthalmol. 2018;11(4):589-592. doi:10.18240/ijo.2018.04.08
  • Nicholls SG, Oakley CL, Tan A, Vote BJ. Demodex species in human ocular disease: new clinicopathological aspects. Int Ophthalmol. 2017;37(1):303-312. doi:10.1007/s10792-016-0249-9
  • Jaworska K, Sławińska M, Sobjanek M, Lipowski P. Ophthalmic manifestations of Demodex spp. infection – what should a dermatologist know? Przegląd Dermatologiczny. 2022;108(6):485-503. doi:10.5114/dr.2021.114602
  • Georgala S, Katoulis AC, Kylafis GD, Koumantaki-Mathioudaki E, Georgala C, Aroni K. Increased density of Demodex folliculorum and evidence of delayed hypersensitivity reaction in subjects with papulopustular rosacea. J Eur Acad Dermatol Venereol. 2001;15(5):441-444. doi:10.1046/j.1468-3083.2001.00331.x
  • Schauber J, Dorschner RA, Coda AB, et al. Injury enhances TLR2 function and antimicrobial peptide expression through a vitamin D-dependent mechanism. J Clin Invest. 2007;117(3):803-811. doi:10.1172/JCI30142
  • Singh N, Baby D, Rajguru JP, Patil PB, Thakkannavar SS, Pujari VB. Inflammation and cancer. Ann Afr Med. 2019;18(3):121-126. doi:10.4103/aam.aam_56_18
  • Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002;420(6917):860-867. doi:10.1038/nature01322
  • Erbagci Z, Erbagci I, Erkiliç S. High incidence of demodicidosis in eyelid basal cell carcinomas. Int J Dermatol. 2003;42(7):567-571. doi:10.1046/j.1365-4362.2003.01928.x
  • Sönmez ÖU, Yalçın ZG, Karakeçe E, Çiftci İH, Erdem T. Associations between Demodex species infestation and various types of cancer. Acta Parasitol. 2013;58(4):551-555. doi:10.2478/s11686-013-0178-y
  • Artemov ОV, Lytvynenko МV, Neskoromna NV, et al. Pathomorphosis of eyelid tumor pathology in demodectic infection. Inter Collegas. 2024;11(1):5-10. doi:10.35339/ic.11.1.aln
  • Celebi AR, Kiratli H, Soylemezoglu F. Evaluation of the 'Hedgehog' signaling pathways in squamous and basal cell carcinomas of the eyelids and conjunctiva. Oncol Lett. 2016;12(1):467-472. doi:10.3892/ol.2016.4625
  • Liu J, Sheha H, Tseng SC. Pathogenic role of Demodex mites in blepharitis. Curr Opin Allergy Clin Immunol. 2010;10(5):505-510. doi:10.1097/ACI.0b013e32833df9f4
  • Putnam CM. Diagnosis and management of blepharitis: an optometrist's perspective. Clin Optom (Auckl). 2016;8:71-78. doi:10.2147/OPTO.S84795
  • Chudzicka Strugała I, Gołębiewska I, Brudecki G, Elamin W, Zwoździak B. Demodicosis in Different Age Groups and Alternative Treatment Options-A Review. J Clin Med. 2023;12(4):1649. doi:10.3390/jcm12041649
  • Sun J, Gui X, He J, Liu HM, Yu HY. The relationship between infestation of Demodex folliculorum and epidermal neoplasm on face. Chinese journal of parasitology & parasitic diseases, 2008;23(6):428-431.
  • Talghini S, Fouladi DF, Babaeinejad S, et al. Demodex Mite, Rosacea and Skin Melanoma; Coincidence or Association?. Turkiye Parazitol Derg. 2015;39(1):41-46. doi:10.5152/tpd.2015.3473
  • Wong CE, Yu JS, Quigley DA, et al. Inflammation and Hras signaling control epithelial-mesenchymal transition during skin tumor progression. Genes Dev. 2013;27(6):670-682. doi:10.1101/gad.210427.112
  • He D, Li H, Yusuf N, et al. IL-17 mediated inflammation promotes tumor growth and progression in the skin. PLoS One. 2012;7(2):e32126. doi:10.1371/journal.pone.0032126
  • Chiang E, Stafford H, Buell J, et al. Review of the Tumor Microenvironment in Basal and Squamous Cell Carcinoma. Cancers. 2023;15(9):2453. doi:10.3390/cancers15092453
  • Bakacak Z, Kaplanoğlu M, Bakacak M, Çelik T. Demodex folliculorum mite infestation in gynecological cancers: A case control study. Eur J Gynaecol Oncol. 2020;41(4):583-586. doi:10.31083/j.ejgo.2020.04.3687
  • Ilhan G, Kaya OA, Bay F, Onlen C, Sarifakiogullari AS. Do Hematologic Cancers Increase the Frequency of Demodex Spp.? Arch Med. 2021;13(4):19-25.
  • Donaldson MJ, Sullivan TJ, Whitehead J, Sullivan TJ. Squamous cell carcinoma of the eyelids. Br J Ophthalmol. 2002;86:1161-1165. doi:10.1136/bjo.86.10.1161

Demodex folliculorum varlığının, melanositik olmayan göz kapağı tümörleri ile ilişkisi

Yıl 2025, Sayı: Advanced Online Publication, 7 - 7

Öz

Amaç: Demodex, göz kapağının kıl foliküllerinde veya yağ bezlerinde yaşayan bir parazittir. İnsanlarda yaşayan iki türü vardır. Bunlar Demodex follicularum ve Demodex brevis'tir. Demodex akarlarının blefarit, şalazyon ve rosacea gibi birçok inflamatuar hastalıkla ilişkili olduğu bulunmuştur. Kanser gelişiminin patogenezinde inflamatuar ortamın rolü de bilinmektedir. Bu çalışmadaki amacımız, Demodex akarlarının ve inflamasyonun göz kapağı tümörlerindeki rolünü araştırmaktır
Gereç ve yöntem: Çalışmamıza bazal hücreli karsinom, skuamöz hücreli karsinom ve tümörsüz kontrol dokuları dahil edildi. Bu vakalarda, Demodex'in varlığı ve sayısı ile inflamasyonun varlığı ve şiddeti değerlendirildi. Ek olarak, tümörlerin demografik özellikleri ve tümör boyutu ve invazyon derinliği gibi prognostik veriler değerlendirildi.
Bulgular: Demodex varlığı açısından tümör ve kontrol grupları arasında anlamlı bir fark bulunmadı. Ancak, bazal hücreli karsinomlarda Demodex akarlarının neden olduğu inflamasyon ile tümör boyutu ve invazyon derinliği arasında anlamlı bir ilişki bulundu.
Sonuç: Demodex akarları inflamatuvar bir tümör ortamı yaratabilir ve tümör büyümesinde ve ilerlemesinde rol oynayabilir.

Kaynakça

  • Hsu CK, Hsu MM, Lee JY. Demodicosis: a clinicopathological study. J Am Acad Dermatol. 2009;60(3):453-462. doi:10.1016/j.jaad.2008.10.058
  • Zeytun E, Tilki E, Doğan S, Mumcuoğlu KY. The effect of skin moisture, pH, and temperature on the density of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in students and staff of the Erzincan University, Turkey. Int J Dermatol. 2017;56(7):762-766. doi:10.1111/ijd.13600
  • Tilki E, Zeytun E, Doğan S. Prevalence and Density of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in Erzincan Province. Turkiye Parazitol Derg. 2017;41(2):80-86. doi:10.5152/tpd.2017.5156
  • Martins G, Miteva M. Hair and Scalp Infections. Alopecia. Elsevier: 2018:207-218.
  • Rather PA, Hassan I. Human demodex mite: the versatile mite of dermatological importance. Indian J Dermatol. 2014;59(1):60-66. doi:10.4103/0019-5154.123498
  • Elston DM. Demodex mites: facts and controversies. Clin Dermatol. 2010;28(5):502-504. doi:10.1016/j.clindermatol.2010.03.006
  • Akilov OE, Mumcuoglu KY. Association between human demodicosis and HLA class I. Clin Exp Dermatol. 2003;28(1):70-73. doi:10.1046/j.1365-2230.2003.01173.x
  • Rusiecka Ziółkowska J, Nokiel M, Fleischer M. Demodex - an old pathogen or a new one. Adv Clin Exp Med. 2014;23(2):295-298. doi:10.17219/acem/37081
  • Czepita D, Kuźna Grygiel W, Czepita M, Grobelny A. Demodex folliculorum and Demodex brevis as a cause of chronic marginal blepharitis. Ann Acad Med Stetin. 2007;53(1):63-67.
  • Kemal M, Sümer Z, Toker MI, Erdoğan H, Topalkara A, Akbulut M. The Prevalence of Demodex folliculorum in blepharitis patients and the normal population. Ophthalmic Epidemiol. 2005;12(4):287-290. doi:10.1080/092865805910057
  • Zhang XB, Ding YH, He W. The association between demodex infestation and ocular surface manifestations in meibomian gland dysfunction. Int J Ophthalmol. 2018;11(4):589-592. doi:10.18240/ijo.2018.04.08
  • Nicholls SG, Oakley CL, Tan A, Vote BJ. Demodex species in human ocular disease: new clinicopathological aspects. Int Ophthalmol. 2017;37(1):303-312. doi:10.1007/s10792-016-0249-9
  • Jaworska K, Sławińska M, Sobjanek M, Lipowski P. Ophthalmic manifestations of Demodex spp. infection – what should a dermatologist know? Przegląd Dermatologiczny. 2022;108(6):485-503. doi:10.5114/dr.2021.114602
  • Georgala S, Katoulis AC, Kylafis GD, Koumantaki-Mathioudaki E, Georgala C, Aroni K. Increased density of Demodex folliculorum and evidence of delayed hypersensitivity reaction in subjects with papulopustular rosacea. J Eur Acad Dermatol Venereol. 2001;15(5):441-444. doi:10.1046/j.1468-3083.2001.00331.x
  • Schauber J, Dorschner RA, Coda AB, et al. Injury enhances TLR2 function and antimicrobial peptide expression through a vitamin D-dependent mechanism. J Clin Invest. 2007;117(3):803-811. doi:10.1172/JCI30142
  • Singh N, Baby D, Rajguru JP, Patil PB, Thakkannavar SS, Pujari VB. Inflammation and cancer. Ann Afr Med. 2019;18(3):121-126. doi:10.4103/aam.aam_56_18
  • Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002;420(6917):860-867. doi:10.1038/nature01322
  • Erbagci Z, Erbagci I, Erkiliç S. High incidence of demodicidosis in eyelid basal cell carcinomas. Int J Dermatol. 2003;42(7):567-571. doi:10.1046/j.1365-4362.2003.01928.x
  • Sönmez ÖU, Yalçın ZG, Karakeçe E, Çiftci İH, Erdem T. Associations between Demodex species infestation and various types of cancer. Acta Parasitol. 2013;58(4):551-555. doi:10.2478/s11686-013-0178-y
  • Artemov ОV, Lytvynenko МV, Neskoromna NV, et al. Pathomorphosis of eyelid tumor pathology in demodectic infection. Inter Collegas. 2024;11(1):5-10. doi:10.35339/ic.11.1.aln
  • Celebi AR, Kiratli H, Soylemezoglu F. Evaluation of the 'Hedgehog' signaling pathways in squamous and basal cell carcinomas of the eyelids and conjunctiva. Oncol Lett. 2016;12(1):467-472. doi:10.3892/ol.2016.4625
  • Liu J, Sheha H, Tseng SC. Pathogenic role of Demodex mites in blepharitis. Curr Opin Allergy Clin Immunol. 2010;10(5):505-510. doi:10.1097/ACI.0b013e32833df9f4
  • Putnam CM. Diagnosis and management of blepharitis: an optometrist's perspective. Clin Optom (Auckl). 2016;8:71-78. doi:10.2147/OPTO.S84795
  • Chudzicka Strugała I, Gołębiewska I, Brudecki G, Elamin W, Zwoździak B. Demodicosis in Different Age Groups and Alternative Treatment Options-A Review. J Clin Med. 2023;12(4):1649. doi:10.3390/jcm12041649
  • Sun J, Gui X, He J, Liu HM, Yu HY. The relationship between infestation of Demodex folliculorum and epidermal neoplasm on face. Chinese journal of parasitology & parasitic diseases, 2008;23(6):428-431.
  • Talghini S, Fouladi DF, Babaeinejad S, et al. Demodex Mite, Rosacea and Skin Melanoma; Coincidence or Association?. Turkiye Parazitol Derg. 2015;39(1):41-46. doi:10.5152/tpd.2015.3473
  • Wong CE, Yu JS, Quigley DA, et al. Inflammation and Hras signaling control epithelial-mesenchymal transition during skin tumor progression. Genes Dev. 2013;27(6):670-682. doi:10.1101/gad.210427.112
  • He D, Li H, Yusuf N, et al. IL-17 mediated inflammation promotes tumor growth and progression in the skin. PLoS One. 2012;7(2):e32126. doi:10.1371/journal.pone.0032126
  • Chiang E, Stafford H, Buell J, et al. Review of the Tumor Microenvironment in Basal and Squamous Cell Carcinoma. Cancers. 2023;15(9):2453. doi:10.3390/cancers15092453
  • Bakacak Z, Kaplanoğlu M, Bakacak M, Çelik T. Demodex folliculorum mite infestation in gynecological cancers: A case control study. Eur J Gynaecol Oncol. 2020;41(4):583-586. doi:10.31083/j.ejgo.2020.04.3687
  • Ilhan G, Kaya OA, Bay F, Onlen C, Sarifakiogullari AS. Do Hematologic Cancers Increase the Frequency of Demodex Spp.? Arch Med. 2021;13(4):19-25.
  • Donaldson MJ, Sullivan TJ, Whitehead J, Sullivan TJ. Squamous cell carcinoma of the eyelids. Br J Ophthalmol. 2002;86:1161-1165. doi:10.1136/bjo.86.10.1161
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Patoloji
Bölüm Araştırma Makalesi
Yazarlar

Nazlı Sena Seker 0000-0003-4588-7250

Hazal Erdoğan 0000-0002-8393-2684

Nilgün Yıldırım 0000-0001-6266-4951

Muzaffer Bilgin 0000-0002-6072-6466

Gönderilme Tarihi 13 Şubat 2025
Kabul Tarihi 14 Temmuz 2025
Erken Görünüm Tarihi 1 Ekim 2025
Yayımlandığı Sayı Yıl 2025 Sayı: Advanced Online Publication

Kaynak Göster

AMA Seker NS, Erdoğan H, Yıldırım N, Bilgin M. Association of non-melanocytic tumors of the eyelid with demodex folliculorum. Pam Tıp Derg. Ekim 2025;(Advanced Online Publication):7-7.
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