[Regulation effect of serum IFN-γ and IL-4 expression on immune response in patients with oral lichen planus].

PURPOSE: To investigate the regulation effect of interferon-γ (IFN-γ) and interleukin-4 (IL-4) in the serum of patients with oral lichen planus (OLP) on immune response. METHODS: A total of 83 OLP patients in Wangfujing Branch of Beijing Stomatological Hospital, Capital Medical University from January 2019 to December 2021 were selected as the experimental group, and another 61 healthy volunteers who came to the hospital during the same period were included as the control group. The expression levels of IFN-γ and IL-4 in the serum and the expression of immune function indexes of the two groups were compared. The relationship between the expression levels of IFN-γ, IL-4 and immune function indicators in the experimental group was analyzed. SPSS 22.0 software package was used to analyze the data. RESULTS: The levels of IFN-γ and IL-4 in the experimental group were significantly higher than those in the control group(P＜0.05). There was no significant difference in the levels of IFN-γ between patients with reticulated OLP and erosive OLP in the experimental group (P＞0.05). The level of IL-4 in patients with erosive OLP in the experimental group was significantly higher than that in patients with reticulated OLP(P＜0.05). The levels of CD3+, CD4, CD16++CD56+ and CD4+/CD8+ in the experimental group were significantly lower than those in the control group(P＜0.05), the levels of CD8+ and CD19+ in the experimental group were significantly higher than those in the control group(P＜0.05). The levels of IgG, IgM and CH50 in the experimental group were significantly higher than those in the control group(P＜0.05), and the levels of IgA, C3 and C4 in the experimental group were significantly lower than those in the control group(P＜0.05). Pearson correlation analysis showed that the level of IFN-γ in the experimental group was negatively correlated with CD16++CD56+ and CD4+/CD8+ (P＜0.05), the level of IL-4 in the experimental group was negatively correlated with CD16++CD56+ and CD4+/CD8+(P＜0.05), and the level of IL-4 in the experimental group was positively correlated with IgG (P＜0.05). CONCLUSIONS: Serum IFN-γ and IL-4 in OLP patients are abnormally high, and IL-4 expression is significantly higher in erosive OLP patients. The cellular and humoral immune functions of OLP patients are disordered and related to the regulation of CD16++CD56+, CD4+/CD8+, and IgG immune responses.

[Comparative study of submucosal microbial ecological environment between human peri-implantitis and healthy implants].

PURPOSE: To investigate the balance of submucosal microbial ecological environment in human peri-implantitis and healthy implants. METHODS: The patients with peri-implantitis and dental implants in Beijing Stomatological Hospital, and followed up for one year from September 2017 to January 2019 were enrolled. Patients were divided into two groups according to the presence or absence of peri-implantitis, i.e. peri-implantitis group (43, 51 implants) and healthy group (59 patients, 63 implants). The probing depth, bone resorption, probing bleeding, mPLI and mSBI were recorded. DNA of the submucosal microflora was extracted using a microbial gene extraction kit and sequenced by Illumina's MiSeq sequencing platform. Logistic regression analysis was used to analyze the correlation between the dominant bacteria and the average maximum probing depth, mPLI grading and MSBI grading in peri-implantitis group. The data were processed by SPSS 23.0 software package. RESULTS: The average maximum probing depth of peri-implantitis group was significantly higher than that in healthy group (P<0.05). The proportion of mPLI grade 2 in peri-implantitis group was significantly higher than that in healthy group [56.86%(29/51) vs 0.00%(0/63), P<0.05]. The proportion of mSBI grade 2 in peri-implantitis group was significantly higher than that in healthy group [60.78%(31/51) vs 0.00%(0/63), P<0.05]. The Simpson index of peri-implantitis group was significantly higher than that of the healthy group, and the Shannon index was significantly lower than the healthy group (P<0.05). In peri-implantitis group, the dominant microflora were Selenomonas (16.35%), Pseudomonas (11.20%), Fusobacterium (10.05%), Streptococcus (7.63%) and Treponema (6.84%). CONCLUSIONS: Compared with healthy implants, submucosal microorganisms of peri-implantitis have high species abundance and low species evenness, Pseudomonas, Selenomonas, Fusobacterium, Streptococcus and Treponema account for high proportions in the dominant bacteria.

[Inhibiting effects of GW2974 on DMBA-induced hamster buccal pouch carcinogenesis].

OBJECTIVE: To evaluate the inhibiting effects of GW2974, a tyrosine kinase inhibitors, on dimethyl-benzanthracene (DMBA)-induced Syrian golden hamster buccal pouch carcinogenesis. METHODS: Ninety hamsters were painted with 0.5% DMBA in the left buccal pouches three times a week for 6 weeks, which were then divided into 3 groups: low-concentration, high-concentration and positive control groups. Positive control group received no further treatment. Ten hamsters served as negative control. The two treated groups were topically painted with GW2974 (4 mmol/L) and GW2974 (8 mmol/L) three times a week, respectively. Tissue samples of the left cheek pouch were obtained at 24 th week. The average number, average volume and burden of tumor, incidence of tumor and the pathological changes of each group were recorded. RESULTS: After GW2974 (4 mmol/L and 8 mmol/L) was applied topically, tumor incidence decreased from 80.0% (24/30) to 43.3% (13/30, P < 0.01) and 36.7% (11/30, P < 0.01) respectively, the average number of tumors decreased from 1.00 +/- 0.87 to 0.47 +/- 0.82 (P < 0.05) and 0.37 +/- 0.62 (P < 0.05), the average volume and burden of tumors also declined, tumor incidence decreased from 70.0% (21/30) to 40.0% (12/30, P < 0.05) and 33.3% (10/30, P < 0.01), the number of tumors declined from 1.83 +/- 1.91 to 0.67 +/- 0.99 (P < 0.05) and 0.43 +/- 0.68 (P < 0.01). CONCLUSIONS: Topical application of GW2974 could significantly inhibit hamster buccal pouch carcinogenesis, which suggests that GW2974 may have a major impact in chemoprevention and treatment of oral cancer.