Characterisation of Macrophage Sub-populations in Oral Lichen Planus using CD64 and CD163 - An Evaluative Study

L Surya Surendran1, Anna P Joseph1, Varun B Raghavan Pillai1,2

  • 1Department of Oral & Maxillofacial Pathology and Oral Microbiology, PMS College of Dental Sciences and Research, Kerala University of Health Sciences, Trivandrum, Kerala, India.

Abstract

Insights

This study found that M1 macrophages, involved in inflammation, are more prevalent than M2 macrophages in oral lichen planus (OLP). This suggests M1 macrophages may drive OLP immunopathogenesis, offering therapeutic targets.

Area of Science:

  • Immunology
  • Oral Pathology

Background:

  • Oral lichen planus (OLP) is a common chronic inflammatory oral condition with immune-mediated origins.
  • Macrophages are key immune cells, but their specific roles and phenotypes in OLP pathogenesis are not fully understood.

Purpose of the Study:

  • To compare M1 and M2 macrophage expression in reticular and erosive OLP.
  • To investigate the roles of CD64 (M1 marker) and CD163 (M2 marker) in OLP.

Main Methods:

  • Cross-sectional study of 15 OLP cases and 15 controls.
  • Quantified CD64+ (M1) and CD163+ (M2) macrophage densities in epithelial and sub-epithelial tissues.

Main Results:

  • Significant correlation found between macrophage subpopulations in OLP (P < 0.001).
  • Higher densities of both M1 and M2 macrophages were observed in the sub-epithelial areas of OLP lesions.
  • M1 macrophages predominated over M2 macrophages in OLP, suggesting a pro-inflammatory role.

Conclusions:

  • M1 macrophage predominance in OLP implicates them in the disease's immunopathogenesis.
  • Findings provide a basis for future research into targeted OLP therapies.

Related Concept Videos