Resumen
Este estudio tuvo como objetivo determinar las concentraciones salivales de interleucina (IL)-1β, IL-2, IL-10, IL-23, factor de crecimiento transformante (TGF)-β y factor de necrosis tumoral (TNF)-α, nitrato (subproducto de la oxidación del óxido nítrico) y cortisol en pacientes con liquen plano oral (OLP). En este estudio transversal se incluyeron veinte pacientes diagnosticados con OLP y 20 voluntarios sanos (HV) del mismo sexo. Saliva entera no estimulada Se recolectó por la mañana, se determinaron las concentraciones de citocinas y cortisol en saliva mediante ensayo inmunoabsorbente ligado a enzimas (ELISA), se determinó nitrato mediante un analizador de óxido nítrico, se encontraron concentraciones salivales mayores de IL-2 (p<0,003), IL- 23 (p<0,04) y TGF-β (p=0,05) en pacientes con OLP en comparación con HV. No se encontraron diferencias significativas en los niveles salivales de TNF-α, IL-1β e IL-10. Las concentraciones de nitrato fueron marcadamente aumentó en pacientes con OLP (1227,0 ± 738,8 µM/mg de proteína total), en comparación con HV (261,6 ± 166,8 µM/mg; p<0,0001). Los niveles de cortisol salival también fueron más altos en los pacientes con OLP que en los controles (2,79 ± 1,39 vs. 1,94 ±1,21 ng/mg; p<0,048). Los niveles de óxido nítrico en saliva aumentaron notablemente en pacientes con OLP, lo que sugiere una relación de esta molécula con la muerte celular y el daño tisular observado en las lesiones de OLP.
Citas
Au J., Patel D., Campbell J.H. Oral lichen planus. Oral Maxillofac Surg Clin North Am. 2013; 25 (1): 93-100, vii. DOI: 10.1016/j.coms.2012.11.007
Arisawa E.A., Almeida J.D., Carvalho Y.R., Cabral L.A. Clinicopathological analysis of oral mucous autoimmune disease: A 27-year study. Med Oral Patol Oral Cir Bucal. 2008; 13 (2): E94-7.
Lodi G., Scully C., Carrozzo M., Griffiths M., Sugerman P.B., Thongprasom K. Current controversies in oral lichen planus: report of an international consensus meeting. Part 2. Clinical management and malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100 (2): 164-78. DOI: 10.1016/j.tripleo.2004.06.076
Gonzalez-Moles M.A., Warnakulasuriya S., Gonzalez-Ruiz I., Gonzalez-Ruiz L., Ayen A., Lenouvel D., et al. Worldwide prevalence of oral lichen planus: A systematic review and meta-analysis. Oral Dis. 2021; 27 (4): 813-28. DOI: 10.1111/odi.13323
Ingafou M., Leao J.C., Porter S.R., Scully C. Oral lichen planus: a retrospective study of 690 British patients. Oral Dis. 2006; 12 (5): 463-8. DOI: 10.1111/j.1601-0825.2005.01221.x
Lu R., Zhang J., Sun W., Du G., Zhou G. Inflammation-related cytokines in oral lichen planus: an overview. J Oral Pathol Med. 2015; 44 (1): 1-14. DOI: 10.1111/jop.12142
Humberto J.S.M., Pavanin J.V., Rocha M., Motta A.C.F. Cytokines, cortisol, and nitric oxide as salivary biomarkers in oral lichen planus: a systematic review. Braz Oral Res. 2018; 32: e82. DOI: 10.1590/1807-3107bor-2018.vol32.0082
Nadendla L.K., Meduri V., Paramkusam G., Pachava K.R. Association of salivary cortisol and anxiety levels in lichen planus patients. J Clin Diagn Res. 2014; 8 (12): ZC01-3. DOI: 10.7860/JCDR/2014/8058.5225
Zucoloto M.L., Shibakura M.E.W., Pavanin J.V., Garcia F.T., da Silva Santos P.S., Maciel A.P., et al. Severity of oral lichen planus and oral lichenoid lesions is associated with anxiety. Clin Oral Investig. 2019; 23 (12): 4441-8. DOI: 10.1007/s00784-019-02892-2
van der Meij E.H., van der Waal I. Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med. 2003; 32 (9): 507-12. DOI: 10.1034/j.1600-0714.2003.00125.x
Cheng Y.S., Gould A., Kurago Z., Fantasia J., Muller S. Diagnosis of oral lichen planus: a position paper of the American Academy of Oral and Maxillofacial Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 122 (3): 332-54. DOI: 10.1016/j.oooo.2016.05.004
von Elm E., Altman D.G., Egger M., Pocock S.J., Gotzsche P.C., Vandenbroucke J.P., et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007; 4 (10):e296. DOI: 10.1371/journal.pmed.0040296
Navazesh M. Methods for collecting saliva. Ann N Y Acad Sci. 1993; 694: 72-7. DOI: 10.1111/j.1749-6632.1993.tb18343.x
Sugerman P.B., Satterwhite K., Bigby M. Autocytotoxic T-cell clones in lichen planus. Br J Dermatol. 2000; 142 (3): 449-56. DOI: 10.1046/j.1365-2133.2000.03355.x
Scully C., Beyli M., Ferreiro M.C., Ficarra G., Gill Y., Griffiths M., et al. Update on oral lichen planus: etiopathogenesis and management. Crit Rev Oral Biol Med. 1998; 9 (1): 86-122. DOI: 10.1177/10454411980090010501
Payeras M.R., Cherubini K., Figueiredo M.A., Salum F.G. Oral lichen planus: focus on etiopathogenesis. Arch Oral Biol. 2013; 58 (9): 1057-69. DOI: 10.1016/j.archoralbio.2013.04.004
Ghallab N.A., el-Wakeel N., Shaker O.G. Levels of salivary IFN-gamma, TNF-alfa, and TNF receptor-2 as prognostic markers in (erosive) oral lichen planus. Mediators Inflamm. 2010; 2010: 847632. DOI: 10.1155/2010/847632
Rhodus N.L., Cheng B., Myers S., Miller L., Ho V., Ondrey F. The feasibility of monitoring NF-kappaB associated cytokines: TNF-alpha, IL-1alpha, IL-6, and IL-8 in whole saliva for the malignant transformation of oral lichen planus. Mol Carcinog. 2005; 44 (2): 77-82. DOI: 10.1002/mc.20113
Mozaffari H.R., Ramezani M., Mahmoudiahmadabadi M., Omidpanah N., Sadeghi M. Salivary and serum levels of tumor necrosis factor-alpha in oral lichen planus: a systematic review and meta-analysis study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017; 124 (3): e183-e9. DOI: 10.1016/j.oooo.2017.06.117
Yamamoto T., Osaki T. Characteristic cytokines generated by keratinocytes and mononuclear infiltrates in oral lichen planus. J Invest Dermatol. 1995; 104 (5): 784-8. DOI: 10.1111/1523-1747.ep12606990
Zhu Z.D., Ren X.M., Zhou M.M., Chen Q.M., Hua H., Li C.L. Salivary cytokine profile in patients with oral lichen planus. J Dent Sci. 2022; 17 (1): 100-5. DOI: 10.1016/j.jds.2021.06.013
Simark-Mattsson C., Bergenholtz G., Jontell M., Eklund C., Seymour G.J., Sugerman P.B., et al. Distribution of interleukin-2, -4, -10, tumour necrosis factor-alpha and transforming growth factor-beta mRNAs in oral lichen planus. Arch Oral Biol. 1999; 44 (6): 499-507. DOI: 10.1016/s0003-9969(99)00013-8
Hu J.Y., Zhang J., Cui J.L., Liang X.Y., Lu R., Du G.F., et al. Increasing CCL5/CCR5 on CD4+ T cells in peripheral blood of oral lichen planus. Cytokine. 2013; 62 (1): 141-5. DOI: 10.1016/j.cyto.2013.01.020
Wei W., Sun Q., Deng Y., Wang Y., Du G., Song C., et al. Mixed and inhomogeneous expression profile of Th1/Th2 related cytokines detected by cytometric bead array in the saliva of patients with oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018; 126 (2): 142-51. DOI: 10.1016/j.oooo.2018.02.013
Han G., Li F., Singh T.P., Wolf P., Wang X.J. The pro-inflammatory role of TGFbeta1: a paradox? Int J Biol Sci. 2012; 8 (2): 228-35. DOI: 10.7150/ijbs.8.228
Iwakura Y., Ishigame H. The IL-23/IL-17 axis in inflammation. J Clin Invest. 2006; 116 (5): 1218-22. DOI: 10.1172/JCI28508
Lu R., Zeng X., Han Q., Lin M., Long L., Dan H., et al. Overexpression and selectively regulatory roles of IL-23/IL-17 axis in the lesions of oral lichen planus. Mediators of inflammation. 2014; 2014: 701094. DOI: 10.1155/2014/701094
Wang H., Luo Z., Lei L., Sun Z., Zhou M., Dan H., et al. Interaction between oral lichen planus and chronic periodontitis with Th17-associated cytokines in serum. Inflammation. 2013; 36 (3): 696-704. DOI: 10.1007/s10753-013-9594-2
Morishima N., Mizoguchi I., Takeda K., Mizuguchi J., Yoshimoto T. TGF-beta is necessary for induction of IL-23R and Th17 differentiation by IL-6 and IL-23. Biochem Biophys Res Commun. 2009; 386 (1): 105-10. DOI: 10.1016/j.bbrc.2009.05.140
Akhurst R.J., Hata A. Targeting the TGFbeta signalling pathway in disease. Nat Rev Drug Discov. 2012; 11 (10): 790-811. DOI: 10.1038/nrd3810
Pekiner F.N., Demirel G.Y., Borahan M.O., Ozbayrak S. Cytokine profiles in serum of patients with oral lichen planus. Cytokine. 2012; 60 (3): 701-6. DOI: 10.1016/j.cyto.2012.08.007
Zhou G., Zhang J., Ren X.W., Hu J.Y., Du G.F., Xu X.Y. Increased B7-H1 expression on peripheral blood T cells in oral lichen planus correlated with disease severity. J Clin Immunol. 2012; 32 (4): 794-801. DOI: 10.1007/s10875-012-9683-2
Abdelwhab A., Kandeel M.M., Yassin H.H., Abdelmonem W., Shaker O.G. Evaluation of serum and salivary transforming growth factor beta, vascular endothelial growth factor and tumor necrosis factor alpha in oral lichen planus. . J Oral Res. 2020; 9 (2): 86-92. DOI: https://doi.org/10.17126/joralres.2020.012
Daff S. NO synthase: structures and mechanisms. Nitric Oxide. 2010; 23 (1): 1-11. DOI: 10.1016/j.niox.2010.03.001
Pacher P., Beckman J.S., Liaudet L. Nitric oxide and peroxynitrite in health and disease. Physiol Rev. 2007; 87 (1): 315-424. DOI: 10.1152/physrev.00029.2006
Pautz A., Art J., Hahn S., Nowag S., Voss C., Kleinert H. Regulation of the expression of inducible nitric oxide synthase. Nitric Oxide. 2010; 23 (2): 75-93. DOI: 10.1016/j.niox.2010.04.007
Tvarijonaviciute A., Aznar-Cayuela C., Rubio C.P., Ceron J.J., Lopez-Jornet P. Evaluation of salivary oxidate stress biomarkers, nitric oxide and C-reactive protein in patients with oral lichen planus and burning mouth syndrome. J Oral Pathol Med. 2017; 46 (5): 387-92. DOI: 10.1111/jop.12522
Ohashi M., Iwase M., Nagumo M. Elevated production of salivary nitric oxide in oral mucosal diseases. J Oral Pathol Med. 1999; 28 (8): 355-9. DOI: 10.1111/j.1600-0714.1999.tb02053.x
Koray M., Dulger O., Ak G., Horasanli S., Ucok A., Tanyeri H., et al. The evaluation of anxiety and salivary cortisol levels in patients with oral lichen planus. Oral Dis. 2003; 9 (6): 298-301. DOI: 10.1034/j.1601-0825.2003.00960.x
Shah B., Ashok L., Sujatha G.P. Evaluation of salivary cortisol and psychological factors in patients with oral lichen planus. Indian J Dent Res. 2009; 20 (3): 288-92. DOI: 10.4103/0970-9290.57361
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