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Increased beta 2 defensin in recurrent aphthous ulcer.

AbstractOBJECTIVES:
It was hypothesized that beta 2 defensin (BD-2) is increased in RAU lesions compared with healthy controls to promote anti-microbial host defence.
METHODS:
RAU and control mucosa samples were subjected to quantitative real-time PCR and immunostained for BD-2, CD68, mast cell tryptase and 4-hydroxynonenal (4HNE). The effect of tumour necrosis factor-α (TNF-α) ± interleukin-17C (IL-17C), without and with vitamin K3, was studied on BD-2 expression in epithelial SCC-25 cells.
RESULTS:
Although BD-2 mRNA did not differ between healthy and RAU mucosa, BD-2 stained strongly in acute-phase RAU epithelium (P = 0.001). In controls, subepithelial BD-2(+) cells were mast cells and macrophages, whereas in RAU, most infiltrating leucocytes were BD-2(+) (P = 0.004). In cell culture, BD-2 was increased 124-fold by TNF-α (P < 0.0001) and 208-fold synergistically together with IL-17C (P < 0.0001). 4HNE staining of RAU epithelium was not significantly increased, and vitamin K3-induced reactive oxygen species (ROS) did not affect BD-2.
CONCLUSIONS:
Anti-microbial BD-2 was not affected by oxidative stress but was highly increased in the epithelial and immigrant cells in the acute-phase RAU lesions, probably in part synergistically by TNF-α and epithelial IL-17C, which are known to be induced by activation of danger-signal receptors by pathogen- and/or damage-associated molecular patterns.
AuthorsA Al-Samadi, A Salem, M Ainola, J Hietanen, R Häyrinen-Immonen, Y T Konttinen
JournalOral diseases (Oral Dis) Vol. 21 Issue 3 Pg. 292-8 (Apr 2015) ISSN: 1601-0825 [Electronic] Denmark
PMID24854020 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Chemical References
  • Aldehydes
  • DEFB4A protein, human
  • Interleukin-17
  • RNA, Messenger
  • Tumor Necrosis Factor-alpha
  • beta-Defensins
  • 4-hydroxy-2-nonenal
Topics
  • Adult
  • Aldehydes (metabolism)
  • Case-Control Studies
  • Cell Line
  • Female
  • Gene Expression
  • Humans
  • Interleukin-17 (metabolism)
  • Male
  • Middle Aged
  • Mouth Mucosa (metabolism, pathology)
  • Oxidative Stress
  • RNA, Messenger (metabolism)
  • Stomatitis, Aphthous (genetics, metabolism, pathology)
  • Tumor Necrosis Factor-alpha (pharmacology)
  • Young Adult
  • beta-Defensins (genetics, metabolism)

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