Tao Xiao-an, Li Chun-yang, Rhodus Nelson L, Xia Juan, Yang Xiao-ping, Cheng Bin
Department of Oral Medicine, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
J Oral Pathol Med. 2008 Feb;37(2):83-7. doi: 10.1111/j.1600-0714.2007.00593.x.
Although the roles of interferon (IFN)-gamma and interleukin (IL)-4 in oral lichen planus (OLP) have been described extensively in past decades, the available results are controversial. Moreover, few studies have utilized simultaneous detection of cytokines in local tissues and saliva to determine whether salivary cytokines could reflect the fact of local lesions.
IFN-gamma and IL-4 were determined simultaneously in lesions and whole unstimulated saliva (WUS) from OLP patients with various clinical forms.
In OLP lesions, both IFN-gamma and IL-4 in erythematous/ulcerated OLP were higher significantly than that in control specimens. In WUS, however, only IFN-gamma of erythematous/ulcerated OLP was increased compared with control. Remarkably, IFN-gamma and IL-4 in WUS showed a more significant correlation to those in local tissues of all subjects.
These results indicate that both IFN-gamma and IL-4 may play more important role in pathogenesis of erythematous/ulcerated OLP, and changes of these proinflammatory cytokines in WUS may reflect the status of the OLP lesion.
尽管在过去几十年中,干扰素(IFN)-γ和白细胞介素(IL)-4在口腔扁平苔藓(OLP)中的作用已被广泛描述,但现有结果存在争议。此外,很少有研究同时检测局部组织和唾液中的细胞因子,以确定唾液细胞因子是否能反映局部病变情况。
对患有各种临床类型的OLP患者的病变组织和全唾液(WUS)同时进行IFN-γ和IL-4检测。
在OLP病变组织中,红斑/溃疡型OLP中的IFN-γ和IL-4均显著高于对照标本。然而,在WUS中,仅红斑/溃疡型OLP的IFN-γ较对照有所升高。值得注意的是,所有受试者的WUS中的IFN-γ和IL-4与局部组织中的IFN-γ和IL-4呈现出更显著的相关性。
这些结果表明,IFN-γ和IL-4在红斑/溃疡型OLP的发病机制中可能发挥更重要的作用,且WUS中这些促炎细胞因子的变化可能反映OLP病变的状态。