Abstract
Oral lichen planus (OLP) is generally accepted to be a T cell-mediated chronic inflammatory disease with an unclear pathogenesis. There have been numerous studies on the proliferation and apoptosis of T cells in situ. In contrast, research on the proliferation and apoptosis of peripheral blood mononuclear cells (PBMCs) in patients with OLP is rare. The aim of the present study was to investigate the proliferation and apoptosis of PBMCs in patients with OLP. PBMCs were isolated from 20 patients with reticular OLP, 20 patients with atrophic-erosive OLP, and 20 healthy volunteers. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyl-2,5-tetrazolium bromide assays were performed to investigate the proliferation of PBMCs, and caspase-3 colorimetric assays were performed to investigate the apoptosis of PBMCs. The proliferation rate of PBMCs in atrophic-erosive OLP subjects was significantly higher than that in both healthy (P < 0.05) and reticular OLP (P < 0.05) subjects. In contrast, the proliferation rate of PBMCs in reticular OLP subjects was significantly lower than that in healthy subjects (P < 0.05). The apoptosis rates of PBMCs in OLP subjects (P < 0.05) and atrophic-erosive OLP subjects (P < 0.05) were significantly lower than the apoptosis rate in the healthy group. Our findings reinforce the view that T cell-mediated immune responses play a critical role in the pathogenesis of OLP. It can reasonably be concluded that these abnormalities are linked to the presence of inflammatory infiltrates.
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References
McCartan, B.E., and C.M. Healy. 2008. The reported prevalence of oral lichen planus: A review and critique. Journal of Oral Pathology & Medicine 37: 447–453.
Usatine, R.P., and M. Tinitigan. 2011. Diagnosis and treatment of lichen planus. American Family Physician 84: 53–60.
van der Waal, I. 2009. Potentially malignant disorders of the oral and oropharyngeal mucosa; terminology, classification and present concepts of management. Oral Oncology 45: 317–323.
Farhi, D., and N. Dupin. 2010. Pathophysiology, etiologic factors, and clinical management of oral lichen planus, part I: Facts and controversies. Clinics in Dermatology 28: 100–108.
Rodriguez-Nunez, I., A. Blanco-Carrion, A.G. Garcia, and J.G. Rey. 2001. Peripheral T-cell subsets in patients with reticular and atrophic-erosive oral lichen planus. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 91: 180–188.
Roopashree, M.R., R.V. Gondhalekar, M.C. Shashikanth, J. George, S.H. Thippeswamy, and A. Shukla. 2010. Pathogenesis of oral lichen planus—A review. Journal of Oral Pathology & Medicine 39: 729–734.
Charazinska-Carewicz, K., E. Ganowicz, M. Krol, and R. Gorska. 2008. Assessment of the peripheral immunocompetent cells in patients with reticular and atrophic-erosive lichen planus. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 105: 202–205.
Carrozzo, M., R. Broccoletti, M. Carbone, S. Gandolfo, P. Garzino, and G. Cascio. 1996. Phenotypic analysis of peripheral blood cell immunity in Italian patients with different varieties of oral lichen planus. Bulletin du Groupement International Pour la Recherche Scientifique En Stomatologie et Odontologie 39: 33–38.
Karagouni, E.E., E.N. Dotsika, and A. Sklavounou. 1994. Alteration in peripheral blood mononuclear cell function and serum cytokines in oral lichen planus. Journal of Oral Pathology & Medicine 23: 28–35.
Gotoh, A., Y. Hamada, N. Shiobara, K. Kumagai, K. Seto, T. Horikawa, and R. Suzuki. 2008. Skew in T cell receptor usage with polyclonal expansion in lesions of oral lichen planus without hepatitis C virus infection. Clinical & Experimental Immunology 154: 192–201.
Kalogerakou, F., E. Albanidou-Farmaki, A.K. Markopoulos, and D.Z. Antoniades. 2008. Detection of T cells secreting type 1 and type 2 cytokines in the peripheral blood of patients with oral lichen planus. Hippokratia 12: 230–235.
Lu, R., G. Zhou, G. Du, X. Xu, J. Yang, and J. Hu. 2011. Expression of T-bet and GATA-3 in peripheral blood mononuclear cells of patients with oral lichen planus. Archives of Oral Biology 56: 499–505.
Parashar, P. 2011. Oral lichen planus. Otolaryngologic Clinics of North America 44: 89–107.
Chen, W. 2007. Medical immunology, 32. Beijing: People’s Medical Publishing House.
Dorn, A.D., W.R. Waters, V.M. Byers, B.A. Pesch, and M.J. Wannemuehler. 2002. Characterization of mitogen-stimulated porcine lymphocytes using a stable fluorescent dye (PKH2) and multicolor flow cytometry. Veterinary Immunology and Immunopathology 87: 1–10.
Quade, M.J., and J.A. Roth. 1999. Dual-color flow cytometric analysis of phenotype, activation marker expression, and proliferation of mitogen-stimulated bovine lymphocyte subsets. Veterinary Immunology and Immunopathology 67: 33–45.
Tian, X., Y. Zhao, and Z.G. Li. 2009. T cell proliferative response and antibody formation to citrullinated collagen type II in patients with rheumatoid arthritis. Zhonghua Yi Xue Za Zhi 89: 673–676.
Hainaut, M., V. Verscheure, M. Ducarme, L. Schandene, J. Levy, and F. Mascart. 2011. Cellular immune responses in human immunodeficiency virus (HIV)-1-infected children: Is immune restoration by highly active anti-retroviral therapy comparable to non-progression? Clinical & Experimental Immunology 165: 77–84.
Al-Hashimi, I., M. Schifter, P.B. Lockhart, D. Wray, M. Brennan, C.A. Migliorati, T. Axell, A.J. Bruce, W. Carpenter, E. Eisenberg, J.B. Epstein, P. Holmstrup, M. Jontell, F. Lozada-Nur, R. Nair, B. Silverman, K. Thongprasom, M. Thornhill, S. Warnakulasuriya, and I. van der Waal. 2007. Oral lichen planus and oral lichenoid lesions: Diagnostic and therapeutic considerations. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 103: S25.e21–S25.e12.
Lavanya, N., P. Jayanthi, U.K. Rao, and K. Ranganathan. 2011. Oral lichen planus: An update on pathogenesis and treatment. Journal of Oral and Maxillofacial Pathology 15: 127–132.
Yamamoto, T., K. Yoneda, E. Ueta, and T. Osaki. 1990. Cellular immunosuppression in oral lichen planus. Journal of Oral Pathology & Medicine 19: 464–470.
Konttinen, Y.T., P. Jungell, V. Bergroth, G. Hampf, P. Kemppinen, and M. Malmstrom. 1989. PHA stimulation of peripheral blood lymphocytes in oral lichen planus. Abnormality localized between interleukin-2 receptor ligand formation and gamma-interferon secretion. Journal of clinical & laborartory immunology 28: 33–37.
Karatsaidis, A., O. Schreurs, K. Helgeland, T. Axell, and K. Schenck. 2003. Erythematous and reticular forms of oral lichen planus and oral lichenoid reactions differ in pathological features related to disease activity. Journal of Oral Pathology & Medicine 32: 275–281.
Sousa, F.A., and L.E. Rosa. 2008. Oral lichen planus: Clinical and histopathological considerations. Revista Brasileira de Otorrinolaringologia 74: 284–292.
Brant, J.M., A.C. Vasconcelos, and L.V. Rodrigues. 2008. Role of apoptosis in erosive and reticular oral lichen planus exhibiting variable epithelial thickness. Brazilian Dental Journal 19: 179–185.
Chiappelli, F., M.A. Kung, P. Nguyen, P. Villanueva, E.A. Farhadian, and L.R. Eversole. 1997. Cellular immune correlates of clinical severity in oral lichen planus: Preliminary association with mood states. Oral Diseases 3: 64–70.
Kabelitz, D., and O. Janssen. 1997. Antigen-induced death of T-lymphocytes. Frontiers in Bioscience 2: d61–d77.
Janssen, O., R. Sanzenbacher, and D. Kabelitz. 2000. Regulation of activation-induced cell death of mature T-lymphocyte populations. Cell and Tissue Research 301: 85–99.
Chowdhury, I., B. Tharakan, and G.K. Bhat. 2008. Caspases—An update. Comparative Biochemistry and Physiology Part B: Biochemistry and Molecular Biology 151: 10–27.
Fan, T.J., L.H. Han, R.S. Cong, and J. Liang. 2005. Caspase family proteases and apoptosis. Acta Biochimica et Biophysica Sinica 37: 719–727.
Igney, F.H., and P.H. Krammer. 2002. Death and anti-death: Tumour resistance to apoptosis. Nature Reviews Cancer 2: 277–288.
Elmore, S. 2007. Apoptosis: A review of programmed cell death. Toxicologic Pathology 35: 495–516.
Bascones-Ilundain, C., M.A. Gonzalez-Moles, G. Esparza-Gomez, J.A. Gil-Montoya, and A. Bascones-Martinez. 2006. Importance of apoptotic mechanisms in inflammatory infiltrate of oral lichen planus lesions. Anticancer Research 26: 357–362.
Neppelberg, E., A.C. Johannessen, and R. Jonsson. 2001. Apoptosis in oral lichen planus. European Journal of Oral Sciences 109: 361–364.
Sugerman, P.B., and N.W. Savage. 2002. Oral lichen planus: Causes, diagnosis and management. Australian Dental Journal 47: 290–297.
Sugerman, P.B., K. Satterwhite, and M. Bigby. 2000. Autocytotoxic T-cell clones in lichen planus. British Journal of Dermatology 142: 449–456.
Imanguli, M.M., I. Alevizos, R. Brown, S.Z. Pavletic, and J.C. Atkinson. 2008. Oral graft-versus-host disease. Oral Diseases 14: 396–412.
Acknowledgment
This work was supported by the National Nature Science Foundation of China (no. 81170961) and project funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions (no. PAPD 2011–2013).
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Shan, J., Ma, JM., Wang, R. et al. Proliferation and Apoptosis of Peripheral Blood Mononuclear Cells in Patients with Oral Lichen Planus. Inflammation 36, 419–425 (2013). https://doi.org/10.1007/s10753-012-9561-3
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DOI: https://doi.org/10.1007/s10753-012-9561-3