RESUMO
INTRODUCTION: The development of periapical granulomas is dependent on the host response and involves Th1, Th2, Th17, and Treg-related cytokines. The discovery of new Th9 and Th22 subsets, with important immunomodulatory roles mediated by interleukin (IL)-9 and IL-22, respectively, emphasizes the need for reevaluation of current cytokine paradigms in context of periapical lesions. We investigated the expression of IL-9 and IL-22 in active and stable human granulomas and throughout experimental lesion development in mice. METHODS: Periapical granulomas (N = 83) and control specimens (N = 24) were evaluated regarding the expression of IL-9 and IL-22 via real-time polymerase chain reaction. Experimental periapical lesions were induced in mice (pulp exposure and bacterial inoculation) and the lesions evolution correlation with IL-9 and IL-22 expression kinetics was evaluated. RESULTS: IL-9 and IL-22 mRNA expression was higher in periapical lesions than in control samples; higher levels of IL-9 and IL-22 were observed in inactive than in active lesions. In the experimental lesions model, increasing levels of IL-9 and IL-22 mRNA were detected in the lesions, and inverse correlations were found between IL-9 and IL-22 and the increase of lesion area in the different time point intervals. CONCLUSIONS: Our results suggest that Th9 and Th22 pathways may contribute to human and experimental periapical lesion stability.
Assuntos
Interleucina-9/imunologia , Interleucinas/imunologia , Granuloma Periapical/imunologia , Subpopulações de Linfócitos T/imunologia , Linfócitos T Auxiliares-Indutores/imunologia , Linfócitos T Reguladores/imunologia , Actinomicose/imunologia , Adolescente , Adulto , Animais , Infecções por Bacteroidaceae/imunologia , Exposição da Polpa Dentária/imunologia , Exposição da Polpa Dentária/microbiologia , Modelos Animais de Doenças , Feminino , Infecções por Fusobacterium/imunologia , Fusobacterium nucleatum/imunologia , Humanos , Imunomodulação/imunologia , Masculino , Camundongos , Pessoa de Meia-Idade , Osteoprotegerina/análise , Porphyromonas gingivalis/imunologia , Prevotella nigrescens/imunologia , Ligante RANK/análise , Adulto Jovem , Interleucina 22RESUMO
Abdominal actinomycosis is a rare finding in pediatric patients and its location in the urinary bladder is exceptional. On the other hand, immunodepression can be found in several disorders including that of actinomycosis. The purpose of this study was to report a case of urinary bladder actinomycosis seen in a seven year old girl. No risk factors were found. It was diagnosed as an abdominal tumor which was successfully surgically removed and treated with penicillin. During her recovery, she suffered from a transitory cell-mediated depression of her immune system which later returned to normal once treatment as installed. The pathogenesis of actinomycosis is presented and a review of the literature is cited. Actinomycosis; immunodepression; bladder.