人类牙龈增生中基底膜完整性的丧失。
Loss of basement membrane integrity in human gingival overgrowth.
机构信息
Department of Periodontology and Oral Biology, Boston University, Henry M. Goldman School of Dental Medicine, 700 Albany Street W-210, Boston, MA 02118, USA.
出版信息
J Dent Res. 2011 Jul;90(7):887-93. doi: 10.1177/0022034511404703. Epub 2011 Apr 11.
Gingival overgrowth tissues have thickened connective tissue stroma, sometimes accompanied by the increased presence of collagen fibers, thickened epithelia, and elongated rete pegs. We have previously shown that expression of CCN2, also known as connective tissue growth factor (CTGF), correlates positively with the degree of gingival fibrosis, and that markers of epithelial to mesenchymal transition (EMT) are characteristic of all drug-induced forms of gingival overgrowth. Here we experimentally evaluate whether increased degradation of the basement membrane and apparent invasion of the underlying stroma by epithelial cells could be observed in human gingival overgrowth tissues. Tissues from 20 different individuals with human gingival overgrowth and 15 non-overgrowth samples were evaluated by histological analyses and by immunohistochemistry assays of basement membrane proteins. The results demonstrate that there are significantly higher numbers of basement membrane discontinuities in overgrowth tissues, sometimes containing epithelial-like cells. Disrupted basal membrane structure in gingival overgrowth tissues is accompanied by a discontinuous collagen type IV expression pattern and decreased laminin 5. These findings provide new additional support for the hypothesis that epithelial plasticity and EMT promote gingival overgrowth, resulting in compromised basal membrane structure and increased interactions between epithelial and connective tissue layers that contribute to fibrotic pathology.
牙龈组织增生组织的结缔组织基质增厚,有时伴随着胶原纤维、增厚的上皮和延长的网板的增加。我们之前已经表明,CCN2(也称为结缔组织生长因子 [CTGF])的表达与牙龈纤维化的程度呈正相关,并且上皮间质转化(EMT)的标志物是所有药物诱导的牙龈组织增生的特征。在这里,我们通过实验评估是否可以在人类牙龈组织增生组织中观察到基底膜的降解增加和上皮细胞对下基质的明显侵袭。通过组织学分析和基底膜蛋白的免疫组织化学检测,评估了 20 名不同个体的人类牙龈组织增生和 15 名非增生组织样本。结果表明,在组织增生组织中存在更多的基底膜不连续,有时含有上皮样细胞。牙龈组织增生组织中基底膜结构的破坏伴随着胶原 IV 表达模式的不连续和层粘连蛋白 5 的减少。这些发现为上皮可塑性和 EMT 促进牙龈组织增生的假说提供了新的支持,导致基底膜结构受损,上皮和结缔组织层之间的相互作用增加,导致纤维化病理。