Gnoatto N, Lotufo R F M, Matsuda M, Penna V, Marquezini M V
Escola Bahiana de Medicina e Saúde Pública, Fundação Bahiana para o Desenvolvimento das Ciências, Salvador, Bahia, Brazil.
J Periodontal Res. 2007 Dec;42(6):553-8. doi: 10.1111/j.1600-0765.2007.00981.x.
Cyclosporin A-induced gingival overgrowth comprises a variety of signaling pathways (including growth factors and proteoglycans) that are still not completely understood. In the present study, gingival overgrowth was investigated in transplant patients receiving cyclosporin A (cyclosporin A group) and compared with gingival tissues never exposed to the drug (control group) by analyzing the gene expression of the cell-surface heparan sulfate proteoglycans syndecan-2, syndecan-4 and betaglycan.
mRNA analysis was carried out by reverse transcription-polymerase chain reaction amplification of pooled samples from nine patients of the cyclosporin A group and six control subjects. The groups were compared by the Student's t-test.
The expression of heparan sulfate proteoglycans was increased in the cyclosporin A group (165% for syndecan-2, 308% for syndecan-4, and 42% for betaglycan) compared with the control group.
Our findings agree with the current concept of cyclosporin A-induced gingival overgrowth and provide new evidence that its noncollagenous extracellular matrix is overexpressed.
环孢素A诱导的牙龈增生涉及多种信号通路(包括生长因子和蛋白聚糖),目前仍未完全明确。在本研究中,通过分析细胞表面硫酸乙酰肝素蛋白聚糖(syndecan - 2、syndecan - 4和betaglycan)的基因表达,对接受环孢素A治疗的移植患者(环孢素A组)的牙龈增生情况进行了研究,并与从未接触过该药物的牙龈组织(对照组)进行了比较。
通过逆转录 - 聚合酶链反应扩增,对环孢素A组9例患者和6例对照受试者的混合样本进行mRNA分析。采用学生t检验对两组进行比较。
与对照组相比,环孢素A组硫酸乙酰肝素蛋白聚糖的表达增加(syndecan - 2增加165%,syndecan - 4增加308%,betaglycan增加42%)。
我们的研究结果与环孢素A诱导牙龈增生的当前概念一致,并提供了新的证据,表明其非胶原细胞外基质过度表达。