Berglundh T, Lindhe J, Tarkowski A
Department of Periodontology, Faculty of Odontology, Göteborg University, Sweden.
J Clin Periodontol. 1996 Jun;23(6):507-11. doi: 10.1111/j.1600-051x.1996.tb01817.x.
The aim of the present investigation was to evaluate the effect of Cyclosporine A (CsA) on the inflammatory lesion formed in the gingival tissues during de novo plaque formation. 5 beagle dogs were used. On day 0, all teeth of the 5 dogs were scaled and polished. A 6-week period of plaque control including daily tooth cleaning with toothbrush and dentifrice was initiated. A clinical examination regarding plaque and gingivitis was performed, and the plaque control measures were abandoned on the right side of mandible. 3 weeks later, the clinical examination was repeated, samples of subgingival plaque harvested and biopsies obtained from the 3rd and 4th right mandibular premolar regions. The tooth cleaning measures on the left side of the mandible were terminated at this interval. During the following 3 weeks, the animals formed plaque in the lower left premolar regions, and received, 1 x daily, a subcutaneous injection of CsA. At the end of this 2nd plaque formation period (test), the clinical examination was repeated, subgingival plaque was sampled and biopsies from the 3rd and 4th left mandibular premolar regions harvested. The biopsies were prepared for histometric and morphometric analyses. The clinical and histological examinations demonstrated that plaque formation resulted in a gingival lesion (ICT) which, in the 2 periods, had similar size and apical extension. The ICT formed during the CsA administration period, however, harbored an increased number of plasma cells and a reduced macrophage density than the control lesion. It is suggested that CsA administration may result in a Th-2 (T-helper 2-cell) dependent activation of B-lymphocytes.
本研究的目的是评估环孢素A(CsA)对新生菌斑形成过程中牙龈组织形成的炎性病变的影响。使用了5只比格犬。在第0天,对这5只犬的所有牙齿进行洁治和抛光。开始为期6周的菌斑控制期,包括每天用牙刷和牙膏清洁牙齿。进行了关于菌斑和牙龈炎的临床检查,下颌右侧放弃菌斑控制措施。3周后,重复临床检查,采集龈下菌斑样本,并从右侧下颌第三和第四前磨牙区域获取活检组织。此时终止下颌左侧的牙齿清洁措施。在接下来的3周内,动物在左下前磨牙区域形成菌斑,并每天接受1次CsA皮下注射。在第二个菌斑形成期(试验)结束时,重复临床检查,采集龈下菌斑样本,并从左侧下颌第三和第四前磨牙区域获取活检组织。对活检组织进行组织计量学和形态计量学分析。临床和组织学检查表明,菌斑形成导致了牙龈病变(ICT),在这两个时期,其大小和根尖延伸相似。然而,与对照病变相比,在CsA给药期形成的ICT中浆细胞数量增加,巨噬细胞密度降低。提示CsA给药可能导致B淋巴细胞的Th-2(辅助性T细胞2)依赖性激活。