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Published on: May 31, 2021
Histamine H4 receptor in oral lichen planus
A Salem1, A Al-Samadi, V Stegajev
1Department of Medicine, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland; Department of Oral Pathology, University of Helsinki, Helsinki, Finland.
In oral lichen planus (OLP), histamine H4 receptors (H4Rs) on oral epithelial cells are reduced, linked to increased mast cells. This suggests H4Rs are vital for oral mucosa health, potentially impaired in OLP.
Area of Science:
- Immunology
- Dermatology
- Cell Biology
Background:
- Oral lichen planus (OLP) is an autoimmune condition affecting oral mucosa.
- It involves T-cell infiltration, epithelial cell apoptosis, and basement membrane damage.
- Histamine H4 receptors (H4Rs) are implicated in immune responses.
Purpose of the Study:
- To investigate the hypothesis that H4Rs are downregulated in OLP.
- To determine the role of histamine and cytokines in H4R regulation in OLP.
Main Methods:
- Immunohistochemistry and immunofluorescence staining of OLP tissues.
- Quantitative real-time PCR on tissue samples and cultured oral keratinocytes.
- Analysis of mast cell (MC) counts and H4R immunoreactivity.
Main Results:
- H4R immunoreactivity was significantly weaker in OLP tissues compared to controls.
- Weak H4R staining in OLP correlated negatively with mast cell hyperplasia and degranulation.
- High histamine concentrations and interferon-γ reduced H4R gene expression, while H4R agonists caused rapid receptor internalization.
Conclusions:
- Healthy oral epithelium expresses H4Rs independently of mast cells.
- In OLP, increased activated mast cells are associated with decreased epithelial H4R expression.
- H4R dysfunction, driven by mast cell degranulation and cytokines, may impair oral mucosa maintenance in OLP.
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