Suppr超能文献

口腔扁平苔藓患者中抗桥粒芯糖蛋白1和桥粒芯糖蛋白3的循环抗体:一项范围综述

Circulating Antibodies Against DSG1 and DSG3 in Patients with Oral Lichen Planus: A Scoping Review.

作者信息

De Falco Domenico, Iaquinta Francesca, Pedone Doriana, Lucchese Alberta, Di Stasio Dario, Petruzzi Massimo

机构信息

Interdisciplinary Department of Medicine, University of Bari, 70121 Bari, Italy.

Multidisciplinary Department of Medical and Dental Specialties, University of Campania-"Luigi Vanvitelli", Via L. De Crecchio, 6, 80138 Naples, Italy.

出版信息

Antibodies (Basel). 2025 Jun 18;14(2):51. doi: 10.3390/antib14020051.

Abstract

Oral Lichen Planus (OLP) is a chronic autoimmune disease with potential overlap with Pemphigus Vulgaris (PV), particularly in erosive forms. Desmoglein 1 and 3 are transmembrane glycoproteins of desmosomes, typically involved in PV. This scoping review aims to evaluate the presence and potential pathogenetic role of anti-desmoglein 1 (Dsg1) and anti-desmoglein 3 (Dsg3) antibodies in OLP. A literature search was conducted on MEDLINE/PubMed, Ovid, and Scopus up to April 2025. Human studies reporting OLP patients with anti-Dsg1 and/or anti-Dsg3 antibodies were included. Data from 11 studies were analyzed by diagnosis, age/sex, oral site involvement, immunofluorescence, and ELISA testing. Erosive OLP was most frequently associated with anti-Dsg1/Dsg3 positivity, mainly in women aged 40-60. Immunofluorescence was positive in some cases, while the ELISA test almost consistently detected anti-Dsg1 and Dsg3 antibodies. However, in many instances, antibody titers did not reach the threshold value, despite the presence being detectable. This finding suggests that anti-Dsg1/Dsg3 antibodies may represent epiphenomena of chronic inflammation in erosive OLP, indicating an immune-serological overlap with PV but lacking direct pathogenicity. Furthermore, the role of Dsg3 in oral squamous cell carcinoma, by promoting enzymes that degrade the extracellular matrix and enhance tumor invasiveness, highlights the complex functions of desmogleins beyond autoimmunity.

摘要

口腔扁平苔藓(OLP)是一种慢性自身免疫性疾病,与寻常型天疱疮(PV)可能存在重叠,尤其是糜烂型。桥粒芯糖蛋白1和3是桥粒的跨膜糖蛋白,通常与PV有关。本综述旨在评估抗桥粒芯糖蛋白1(Dsg1)和抗桥粒芯糖蛋白3(Dsg3)抗体在OLP中的存在情况及其潜在的致病作用。截至2025年4月,在MEDLINE/PubMed、Ovid和Scopus上进行了文献检索。纳入了报告OLP患者存在抗Dsg1和/或抗Dsg3抗体的人体研究。对11项研究的数据按诊断、年龄/性别、口腔受累部位、免疫荧光和酶联免疫吸附测定(ELISA)检测进行了分析。糜烂型OLP最常与抗Dsg1/Dsg3阳性相关,主要见于40至60岁的女性。免疫荧光在某些情况下呈阳性,而ELISA检测几乎始终能检测到抗Dsg1和Dsg3抗体。然而,在许多情况下,尽管抗体滴度可检测到,但未达到阈值。这一发现表明,抗Dsg1/Dsg3抗体可能是糜烂型OLP慢性炎症的附带现象,表明与PV存在免疫血清学重叠,但缺乏直接致病性。此外,Dsg3通过促进降解细胞外基质并增强肿瘤侵袭性的酶的作用,在口腔鳞状细胞癌中的作用突出了桥粒芯糖蛋白在自身免疫之外的复杂功能。

相似文献

1
Circulating Antibodies Against DSG1 and DSG3 in Patients with Oral Lichen Planus: A Scoping Review.
Antibodies (Basel). 2025 Jun 18;14(2):51. doi: 10.3390/antib14020051.
2
Interventions for treating oral lichen planus.
Cochrane Database Syst Rev. 2011 Jul 6(7):CD001168. doi: 10.1002/14651858.CD001168.pub2.
3
Two cases of erosive oral lichen planus with autoantibodies to desmoglein 3.
J Dermatol. 2016 Nov;43(11):1350-1353. doi: 10.1111/1346-8138.13493. Epub 2016 Jul 26.
4
A Systematic Review of Interleukin-17 in Oral Lichen Planus: From Etiopathogenesis to Treatment.
Clin Med Res. 2023 Dec;21(4):201-215. doi: 10.3121/cmr.2023.1822.
5
Interventions for erosive lichen planus affecting mucosal sites.
Cochrane Database Syst Rev. 2012 Feb 15;2012(2):CD008092. doi: 10.1002/14651858.CD008092.pub2.
6
Potential role of INTERLEUKIN-17 in the pathogenesis of oral lichen planus: a systematic review with META-analysis.
J Eur Acad Dermatol Venereol. 2022 Oct;36(10):1735-1744. doi: 10.1111/jdv.18219. Epub 2022 May 24.
7
Efficacy of Platelet-Rich Plasma Therapy in Oral Lichen Planus: A Systematic Review.
Medicina (Kaunas). 2023 Apr 11;59(4):746. doi: 10.3390/medicina59040746.
8
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD011535. doi: 10.1002/14651858.CD011535.pub4.
9
Systemic treatments for metastatic cutaneous melanoma.
Cochrane Database Syst Rev. 2018 Feb 6;2(2):CD011123. doi: 10.1002/14651858.CD011123.pub2.
10
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2020 Jan 9;1(1):CD011535. doi: 10.1002/14651858.CD011535.pub3.

本文引用的文献

1
Italian Consensus on the treatment of oral lichen planus.
Ital J Dermatol Venerol. 2025 Apr;160(2):83-96. doi: 10.23736/S2784-8671.25.08143-5.
2
Molecular Markers in Oral Lichen Planus - Insight into Pathogenesis.
Head Neck Pathol. 2025 Mar 26;19(1):38. doi: 10.1007/s12105-025-01775-1.
3
Clinical Features of Oral Lichen Planus: A Pictorial and Systematic Review.
Indian J Otolaryngol Head Neck Surg. 2025 Mar;77(3):1692-1697. doi: 10.1007/s12070-025-05337-3. Epub 2025 Jan 18.
4
Molecular Markers of Occult Lymph Node Metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC) Patients.
Front Biosci (Landmark Ed). 2025 Feb 20;30(2):25267. doi: 10.31083/FBL25267.
5
"Exploring the Link Between Oral Lichen Planus and Xerostomia: A Systematic Literature Review".
Immun Inflamm Dis. 2024 Dec;12(12):e70101. doi: 10.1002/iid3.70101.
6
Malignant transformation of oral lichen planus: where are we now?
Med Oral Patol Oral Cir Bucal. 2025 Jan 1;30(1):e65-e75. doi: 10.4317/medoral.26834.
7
Evaluation of the Role of Oral Microbes in Pathogenesis of Oral Lichen Planus.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2153-S2155. doi: 10.4103/jpbs.jpbs_90_24. Epub 2024 Apr 24.
9
Pathogenic relevance of antibodies against desmoglein 3 in patients with oral lichen planus.
J Dtsch Dermatol Ges. 2024 Oct;22(10):1392-1399. doi: 10.1111/ddg.15510. Epub 2024 Aug 16.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验