Cheng Juehua, Liu Jia, Zhu Yuchi, Yang Jingjing, Geng Yanlin, Fan Yuan
Department of Oral Mucosal Diseases, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
State Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases, Nanjing, China.
Front Immunol. 2025 Jun 12;16:1553963. doi: 10.3389/fimmu.2025.1553963. eCollection 2025.
OBJECTIVES: Oral lichen planus (OLP) is a chronic inflammatory mucosal disease with an incompletely understood pathogenesis. This study aimed to investigate the role of disease-specific fibroblasts in OLP. METHODS: We performed single-cell RNA sequencing on buccal mucosa of 4 OLP patients and one healthy control. Additionally, mRNA expression and immunofluorescence staining were analyzed in primary fibroblasts from 51 OLP patients and 24 healthy individuals. The spatial cellular interactions were assessed using multiplex immunofluorescences in OLP tissues. RESULTS: Using single-cell RNA sequencing, we identified SFRP2+ fibroblasts as the origin of inflammatory fibroblasts in OLP. A subset of SFRP2+ fibroblasts specifically expressed Wnt5a and was implicated in antigen processing and presentation pathway in OLP. Furthermore, SFRP2+Wnt5a+ fibroblasts amplified and maintained the local immune inflammation by interacting with CD8+ T cells and epithelial cells. Compared to the healthy control group, upregulated expressions of pro-inflammatory molecules (CXCL12, CXCL14) and antigen presenting associated molecules (HLA-A, HLA-B, HLA-C and ERAP2) were displayed in OLP group at mRNA level. Colocalization of SFRP2 and Wnt5a was displayed in the primary cultured fibroblasts of OLP . Besides, SFRP2+ Wnt5a+ fibroblasts were located around CD8+ T cells in the superficial layer of the lymphocyte infiltration zone. CONCLUSIONS: Our findings reveal the heterogeneity and pathogenic mechanisms of fibroblasts in OLP, providing new insights into the cellular drivers of chronic inflammation in OLP.
目的:口腔扁平苔藓(OLP)是一种发病机制尚未完全明确的慢性炎症性黏膜疾病。本研究旨在探讨疾病特异性成纤维细胞在OLP中的作用。 方法:我们对4例OLP患者和1例健康对照者的颊黏膜进行了单细胞RNA测序。此外,对51例OLP患者和24例健康个体的原代成纤维细胞进行了mRNA表达和免疫荧光染色分析。使用OLP组织中的多重免疫荧光评估空间细胞相互作用。 结果:通过单细胞RNA测序,我们确定SFRP2+成纤维细胞是OLP中炎性成纤维细胞的来源。一部分SFRP2+成纤维细胞特异性表达Wnt5a,并参与OLP中的抗原加工和呈递途径。此外,SFRP2+Wnt5a+成纤维细胞通过与CD8+T细胞和上皮细胞相互作用来放大并维持局部免疫炎症。与健康对照组相比,OLP组在mRNA水平上显示促炎分子(CXCL12、CXCL14)和抗原呈递相关分子(HLA-A、HLA-B、HLA-C和ERAP2)的表达上调。OLP原代培养成纤维细胞中显示SFRP2和Wnt5a共定位。此外,SFRP2+Wnt5a+成纤维细胞位于淋巴细胞浸润区表层的CD8+T细胞周围。 结论:我们的研究结果揭示了OLP中成纤维细胞的异质性和致病机制,为OLP慢性炎症的细胞驱动因素提供了新的见解。
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