Barros S P, Merzel J, de Araújo V C, de Almeida O P, Bozzo L
Department of Morphology, Faculty of Odontology, University of Campinas, São Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Jul;92(1):78-82. doi: 10.1067/moe.2001.115026.
The purpose of this study was to analyze the ultrastructure of gingival connective tissue from patients in one family affected by hereditary gingival fibromatosis (HGF).
Electron microscopic examination was performed with gingival tissue from 10 patients from a Brazilian family with 132 members. Fifty of 96 persons at risk for this disorder were affected, which is consistent with an autosomal dominant pattern of inheritance.
The extracellular matrix showed flocculent material and collagen fibrils with structural abnormalities and variation in diameter. Increased numbers of oxytalan fibers were identified; however, elastic fibers were rare in the analyzed areas.
The structural alterations found in HGF appear similar to those described in certain other heritable collagen disorders, suggesting that HGF should be included in the group of hereditary diseases in which connective tissue alterations have a distinct pattern, in contrast to reactive fibrotic gingival enlargements with no genetic component.
本研究旨在分析一个受遗传性牙龈纤维瘤病(HGF)影响的家族中患者牙龈结缔组织的超微结构。
对一个有132名成员的巴西家族中的10名患者的牙龈组织进行了电子显微镜检查。96名有患该疾病风险的人中,有50人患病,这与常染色体显性遗传模式一致。
细胞外基质显示有絮状物质和结构异常且直径各异的胶原纤维。已确定弹力纤维数量增加;然而,在分析区域中弹性纤维很少见。
在HGF中发现的结构改变似乎与某些其他遗传性胶原疾病中描述的改变相似,这表明与无遗传成分的反应性纤维化牙龈增生相反,HGF应归入结缔组织改变具有独特模式的遗传性疾病组。