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2015 ; 36
(2
): 111-6
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Transforming growth factor-?1 and TGF-?2 act synergistically in the fibrotic
pathway in oral submucous fibrosis: An immunohistochemical observation
#MMPMID26157288
Kamath VV
; Krishnamurthy S
; Satelur KP
; Rajkumar K
Indian J Med Paediatr Oncol
2015[Apr]; 36
(2
): 111-6
PMID26157288
show ga
BACKGROUND AND OBJECTIVES: Oral Submucous Fibrosis (OSF) is a potentially
malignant oral disorder which leads to fibrosis of the oral mucosa and has a high
rate of malignant transformation. The consumption of various forms of areca nut
is causatively linked to the condition. The constituents of areca nut activate
several pro-fibrotic cytokines, chiefly transforming growth factor-?1, ?2, which
leads to an increased deposition and decreased degradation of extracellular
matrix and collagen. TGF-?1, ?2 probably represent the major pathway in the
deposition of collagen fibres in this condition. The present study aims to
identify and correlate the expressions of TGF-?1 and TGF-?2 immunohistochemically
on paraffin sections of various stages of OSF. A comparison was also made between
normal oral mucosa and scar tissue and OSF to judge the mode, extent and type of
expression of TGF ?1, ?2. METHODS: The expression of TGF-?1 antibody (8A11,
NovusBio, USA) and TGF-?2 antibody (TB21, NovusBio, USA) was detected
immunohistochemically on paraffin sections of 58 and 70 cases of OSF
respectively, 10 cases of normal oral mucosal tissue and 4 cases of scar tissue.
A mapping of the positivity of the two cytokines was done using JenOptik camera
and ProReg image analysis software. The results were statistically analysed using
one way ANOVA and students "t" test. RESULTS: Expression of TGF-?1 and TGF-?2 was
more in OSF as compared with normal oral mucosa, scar/keloid tissue showing
highest values. Positivity for both the markers was seen in epithelium, around
the blood vessels, in areas of inflammatory infiltrate, fibroblasts and in
muscles. TGF-?1 expression was higher and more intense than that of TGF-?2 in all
the cases. TGF-?2 was restricted in its expression to submucosal area with
minimal involvement of the epithelium and the deeper muscle tissue. CONCLUSION:
TGF-?1 is the most prominent cytokine in the fibrotic pathway and TGF-?2 plays a
contributory role.