IADR Abstract Archives

Peripheral T-cell subsets in patients with Oral Lichen Planus

Objective: Oral lichen planus(OLP) is a lymphocyte- mediated immunological disorder. The initial event in OLP lesion formation is unknown. Histochemical and histopathologic studies reveal that in OLP most lymphocytes in the lamina propria are CD4+ T cells, while the majority of lymphocytes within the epithelium and adjacent to damaged basal keratinocytes are CD8+ cytotoxic cells.Given the heterogeneity of  OLP clinical manifestations and the large number of lymphocytes present at the site of injury, our objective was to analyze the circulating lymphocyte population [CD3, CD4,CD8,CD57,CD56,CD16 and Regulatory T cells (Treg)]in patients with reticular and atrophic-erosive OLP, and to compare it with a group of healthy patients.

Method: Changes of T lymphocyte phenotype in peripheral blood from  21 patients with OLP ( mean age of 61.8± 11.2 ) and 7 healthy subjects (age range 61.14± 4.41) without sign of mucosal lesions were assessed using flow cytometry. Patients with OLP were classified into 2 groups:group A( n=11)white reticular and white plaque forms not erosive; group B (n= 10) atrophic and /or erosive lesions. The Shapiro–Wilk test was used to test the data distribution. ANOVA for indipendent samples with post hoc Tukey test (P<.05) was performed to evaluate the signifiance of the comparisons between the three groups.

Result: No statistically significant differences were observed between the OLP group and control group regarding cytotoxic/suppressor T-cells (CD3+ and CD8+), T helper cells (CD4+) and CD56+. The NK-cell level (CD16+) and CD57+ ratio was significantly increased in the group B compared with healthy patients. The percentage of Regulatory T-cells was found to be significantly decreased in patients of group A and B.

Conclusion: The observations reported in this small pilot study suggest that immunological system disfunction in OLP lesions might involve also the lymphocyte subsets in peripheral  blood.

Division: Continental European Division Meeting
Meeting: 2013 Continental European Division Meeting (Florence, Italy)
Location: Florence, Italy
Year: 2013
Final Presentation ID: 376
Abstract Category|Abstract Category(s): Scientific Groups
Authors
  • Lorenzini, Guido  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Picciotti, Maria  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Di Vece, Luca  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Viviano, Massimo  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Viviano, Francesco  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Faleri, Giacomo  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • Goracci, Cecilia  ( Universita di Siena - Clinica Odontoiatrica dell', Siena, N/A, Italy )
  • SESSION INFORMATION
    Poster Session
    Oral Medicine and Pathology-Posters
    09/06/2013