Immune cells in periapical granuloma: morphological and immunohistochemical characterization

A Piattelli1, L Artese, S Rosini

  • 1Department of Human Pathology, University of Chieti, Italy.

Journal of Endodontics
|January 1, 1991
PubMed

Insights

Periapical granulomas contain monocytes/macrophages, lymphocytes, and plasma cells. Mast cells may regulate immune responses by interacting with lymphoid cells and absorbing interleukin-2.

Area of Science:

  • Immunology
  • Oral Pathology
  • Cell Biology

Background:

  • Periapical granulomas are inflammatory lesions at the root apex of teeth.
  • The cellular composition and immune mechanisms within these lesions are not fully understood.

Purpose of the Study:

  • To investigate the cellular infiltrate and potential immunoregulatory roles of mast cells in periapical granulomas.

Main Methods:

  • Light and electron microscopy were used to examine granuloma samples from 12 patients.
  • Monoclonal antibodies, including an anti-interleukin-2 receptor antibody, were employed for immunohistochemical staining.

Main Results:

  • Monocytes/macrophages, lymphocytes, and plasma cells were the predominant cell types.
  • Lymphoid cells exhibited blastic features and close contact with macrophages.
  • Interleukin-2 receptor expression was low, primarily on lymphocytes and some mast cells.
  • Mast cells, often perivascular, were frequently associated with lymphoid cells.

Conclusions:

  • Periapical granulomas feature a complex immune cell infiltrate with macrophage-lymphocyte interactions.
  • Mast cells, expressing interleukin-2 receptors and associated with lymphoid cells, may play a regulatory role in the local immune response, potentially through histamine release or interleukin-2 absorption.