Wang Gang, Fan Wan-Ting, Zhang Zheng, Huang Shi-Guang
Department of Conservative Dentistry, Affiliated Zhongshan Hospital, Sun Yat-sen University Zhongshan 528404, Guangdong, China.
Second Clinical Medicine College of Jinan University, Oral Medicine Center of Shenzhen People's Hospital Shenzhen 518020, Guangdong, China.
Int J Clin Exp Pathol. 2018 May 1;11(5):2530-2536. eCollection 2018.
This study aimed to detect the expression of matrix metalloproteinase-8 (MMP-8) and MMP-13 in mast cells (MCs) of human periapical lesions and to discuss the pathogenic role of MCs in periapical lesions.
Ninety samples were divided into three groups: (1) periapical granuloma group (n=30); (2) periapical cyst group (n=30); (3) normal periodontal membrane group (n=30). The samples were fixed in 10% neutral formalin for over 48 h and made into serial sections. After H&E staining, histological changes were observed under the optical microscope. Moreover, double immunofluorescence (DIF) staining was performed to detect expression of MMP-8 and MMP-13 in MCs of periapical lesions under the fluorescence microscope.
Compared with the normal control group, the number of MMP-8 and MMP-13 double positive MCs in the periapical lesions increased significantly (P<0.01). There was no significant difference in the density of MMP-8 and MMP-13 double positive MCs in the periapical cyst group and periapical granuloma group (P>0.05).
The number of MCs increased significantly in periapical lesions and there was a considerable increase in the density of MMP-8 and MMP-13 double positive MCs. These results indicate that MCs positive for MMP-8 and MMP-13 might contribute to the pathogenesis of chronic apical periodontitis.
本研究旨在检测人根尖周病变中肥大细胞(MCs)基质金属蛋白酶-8(MMP-8)和MMP-13的表达情况,并探讨MCs在根尖周病变中的致病作用。
90份样本分为三组:(1)根尖周肉芽肿组(n=30);(2)根尖周囊肿组(n=30);(3)正常牙周膜组(n=30)。样本用10%中性福尔马林固定48小时以上,制成连续切片。苏木精-伊红(H&E)染色后,在光学显微镜下观察组织学变化。此外,进行双重免疫荧光(DIF)染色,在荧光显微镜下检测根尖周病变中MCs内MMP-8和MMP-13的表达。
与正常对照组相比,根尖周病变中MMP-8和MMP-13双阳性MCs数量显著增加(P<0.01)。根尖周囊肿组和根尖周肉芽肿组中MMP-8和MMP-13双阳性MCs的密度无显著差异(P>0.05)。
根尖周病变中MCs数量显著增加,MMP-8和MMP-13双阳性MCs的密度也有相当程度的增加。这些结果表明,MMP-8和MMP-13阳性的MCs可能参与慢性根尖周炎的发病机制。