Inflammatory cytokines in leprosy reactions and periodontal diseases

Autor: Denise Costa Boamorte Cortela, Maria Renata Sales Nogueira, Ana Carla Pereira, Alcione Lescano de Souza Junior, Eliane Ignotti
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Revista do Instituto de Medicina Tropical de São Paulo, Vol 60, Iss 0 (2018)
Druh dokumentu: article
ISSN: 1678-9946
DOI: 10.1590/s1678-9946201860068
Popis: ABSTRACT The inflammatory cytokines involved in the immune response to chronic periodontal disease (CPD) in the context of leprosy reactions (LR) were analyzed in 57 new cases of multibacillary leprosy (MBL). They were stratified by the presence of CPD and LR. Messenger RNA (mRNA) expression of inflammatory mediators was determined by qRT-PCR using skin biopsy and by ELISA using serum samples, maintaining 5% of significance level in ANOVA and correlation analyses. Twenty-three (40.4%) patients presented the first LR, whereas 22 (45.0%) patients presented CPD. IL-4 and IL-6 serum levels were significantly lower in patients with CPD and LR than in patients without CPD but with LR; IFN-γ serum levels were higher in patients with CPD and LR than in patients with no CPD and no LR; IL-4 serum levels were negatively correlated with TNF-α gene expression, while IL-6 serum levels were positively correlated with IFN-γ gene expression, in the skin of subjects with CPD and LR. The presence of DPC in individuals with LR immunoregulated IL-6, IFN-γ, and IL-4 concentrations. The presence of DPC decreased serum levels of IL-6 and IL-4 in reactional individuals. CPD concomitant to LR resulted in increased IFN-γ serum levels.
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