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2015 ; 94
(14
): e704
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gab.com Text
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English Wikipedia
Cytokine profiles contribute to understanding the pathogenic difference between
Good syndrome and oral lichen planus: two case reports and literature review
#MMPMID25860215
Maehara T
; Moriyama M
; Kawano S
; Hayashida JN
; Furukawa S
; Ohta M
; Tanaka A
; Yamauchi M
; Ohyama Y
; Kiyoshima T
; Nakamura S
Medicine (Baltimore)
2015[Apr]; 94
(14
): e704
PMID25860215
show ga
We described and analyzed the pathogenic difference between Good syndrome (GS)
and oral lichen planus (OLP) in oral mucosa. Good syndrome (GS) is a rare disease
characterized by B and T cell immunodeficiency associated with
hypogammaglobulinemia and thymoma. GS patients frequently develop oral lichenoid
lesions with lymphocytic infiltration beneath the basal layer. Oral lichen planus
(OLP) is a chronic inflammatory disease of the oral mucosa characterized by
destruction of basal cells by Langerhans cells, macrophages, and T lymphocytes.
Although the histological features of the lesions of both diseases are very
similar, the pathogenesis of GS in the oral mucosa remains unknown. In this
study, we thus investigated the expression of infiltrating lymphocyte subsets
(CD3, CD20, CD4, and CD8) and T helper (Th) cytokines including interferon
(IFN)-? (Th1 type), interleukin (IL)-4 (Th2 type), IL-17 (Th17 type), and IL-10
(regulatory T cell type) by immunohistochemistry in buccal mucosa specimens from
2 GS patients compared with 15 OLP patients. All patients showed a predominance
of CD3 T cells over CD20 B cells, and CD4 Th cells over CD8 cytotoxic T cells.
This polarization was especially prominent in GS. IFN-? and IL-10 were strongly
detected in the infiltrating lymphocytes of all patients. However, IL-4 and IL-17
were detected in OLP patients only. These results suggest that the pathogenesis
of GS is different from that of OLP. GS is a unique inflammatory disorder
characterized by dysfunction of Th2 and Th17 immune reactions via abnormal T-B
cell interaction.