Detection and quantification of mast cell, vascular endothelial growth factor, and microvessel density in human

T Fonseca-Silva1, C C O Santos, L R Alves

  • 1Department of Dentistry, State University of Montes Claros, Montes Claros, MG, Brazil.

Abstract

Insights

Periapical cysts showed significantly more mast cells (MCs) than granulomas. Both lesion types exhibited similar vascular endothelial growth factor (VEGF) expression and microvessel density (MVD), suggesting distinct immune roles.

Area of Science:

  • Oral pathology
  • Immunohistochemistry
  • Cell biology

Background:

  • Periapical lesions, including cysts and granulomas, are inflammatory responses to pulpal necrosis.
  • Mast cells (MCs) and vascular endothelial growth factor (VEGF) play roles in inflammation and angiogenesis.
  • Microvessel density (MVD) is a marker of neovascularization in pathological tissues.

Purpose of the Study:

  • To quantify mast cells (MCs) in human periapical cysts and granulomas.
  • To evaluate and compare vascular endothelial growth factor (VEGF) expression in these lesions.
  • To determine and compare microvessel density (MVD) in periapical cysts and granulomas.

Main Methods:

  • Analysis of archived human periapical cysts (n=40) and granulomas (n=28).
  • Mast cells (MCs) identified and counted using toluidine blue staining.
  • Vascular endothelial growth factor (VEGF) expression and microvessel density (MVD) assessed via immunohistochemistry (CD31 antibody).

Main Results:

  • Mast cells (MCs) were present in both lesion types, predominantly in peripheral regions.
  • Significantly higher mast cell (MC) counts were found in periapical cysts compared to granulomas (P < 0.05).
  • Vascular endothelial growth factor (VEGF) expression and microvessel density (MVD) were comparable between cysts and granulomas.

Conclusions:

  • Periapical cysts exhibit a greater abundance of mast cells (MCs) than periapical granulomas.
  • The presence of VEGF and MVD supports their involvement in the immune mechanisms of these periapical lesions.
  • Findings suggest distinct roles for mast cells in the pathogenesis of periapical cysts and granulomas.

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