Galindo-Moreno Pablo, Montalvo-Acosta Saray, Martín-Morales Natividad, Carrillo-Gálvez Ana Belén, González-Rey Elena, O'Valle Francisco, Padial-Molina Miguel
Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain.
Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain.
Clin Oral Implants Res. 2023 Dec;34(12):1342-1353. doi: 10.1111/clr.14174. Epub 2023 Aug 29.
BACKGROUND: Inflammasome components NLRP3 and AIM2 contribute to inflammation development by the activation of caspase-1 and IL-1β. They have not been yet evaluated in samples from patients with active peri-implantitis. Thus, the aim of the present study is to analyze the expression of inflammasomes NLRP3 and AIM2 and subsequent caspase 1 and IL-1β assessing the microenvironment of leukocyte subsets in samples from patients with active peri-implantitis. METHODS: Biopsies were collected from 33 implants in 21 patients being treated for peri-implantitis. Biopsies from gingival tissues from 15 patients with healthy periodontium were also collected for control. These tissues were evaluated through conventional histological stainings. Then, immunohistochemical detection was performed to analyze NLRP3, AIM2, caspase-1, and IL-1β and markers of different leukocyte subsets. PCR for inflammasomes and related genes was also done. RESULTS: This manuscript reveals a high immunohistochemical and mRNA expression of NLRP3 and AIM2 inflammasomes, caspase-1, and IL-1β in biopsies collected from human peri-implantitis. The expression of the tested markers was significantly correlated with the increase in inflammatory infiltrate, probing depth, presence of biofilm, and bleeding on probing. In these peri-implantitis lesions, the area of biopsy tissue occupied by inflammatory infiltrate was intense while the area occupied by collagen was significantly lower. In comparison with periodontal healthy tissues, the inflammatory infiltrate was statistically significantly higher in the peri-implantitis biopsies and was mainly composed of plasma cells, followed by T and B lymphocytes. CONCLUSION: In human peri-implantitis, chronic inflammation can be explained in part by the action of IL-1β/caspase 1 induced through NLRP3 and AIM2 inflammasome activation.
背景:炎性小体成分NLRP3和AIM2通过激活半胱天冬酶-1和白细胞介素-1β促进炎症发展。它们尚未在活动性种植体周围炎患者的样本中进行评估。因此,本研究的目的是分析炎性小体NLRP3和AIM2以及随后的半胱天冬酶1和白细胞介素-1β的表达,评估活动性种植体周围炎患者样本中白细胞亚群的微环境。 方法:从21例正在接受种植体周围炎治疗的患者的33颗种植体中采集活检组织。还从15例牙周健康患者的牙龈组织中采集活检组织作为对照。这些组织通过传统组织学染色进行评估。然后,进行免疫组织化学检测以分析NLRP3、AIM2、半胱天冬酶-1和白细胞介素-1β以及不同白细胞亚群的标志物。还进行了炎性小体和相关基因的PCR检测。 结果:本研究揭示了在从人类种植体周围炎采集的活检组织中,NLRP3和AIM2炎性小体、半胱天冬酶-1和白细胞介素-1β的免疫组织化学和mRNA表达较高。所检测标志物的表达与炎症浸润增加、探诊深度、生物膜存在以及探诊出血显著相关。在这些种植体周围炎病变中,活检组织中炎症浸润所占面积较大,而胶原所占面积显著较低。与牙周健康组织相比,种植体周围炎活检组织中的炎症浸润在统计学上显著更高,主要由浆细胞组成,其次是T和B淋巴细胞。 结论:在人类种植体周围炎中,慢性炎症部分可由通过NLRP3和AIM2炎性小体激活诱导的白细胞介素-1β/半胱天冬酶1的作用来解释。
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