title: Expression of laminin 5, fibronectin, and epithelium-associated integrins in recurrent aphthous ulcers.
abstract: Recurrent aphthous ulceration (RAU) is characterized by an ulcerated lesion that persists longer than traumatic ulcers of similar size. This delayed healing phase of the lesion was investigated for extracellular matrix components and matrix receptors (integrins). The hypothesis tested was that aphthous ulcers may lack key extracellular matrix components, or their receptors, that are necessary for the migration of marginal keratinocytes from the ulcer edge. We immunocytochemically stained biopsy specimens of RAUs and non-involved mucosal specimens from HIV+ and non-infected individuals to investigate the presence and distribution of molecules reported to be associated with reepithelialization of mucosal and cutaneous wounds. Fibronectin, laminin type 5 (kalinin), and integrin subunits beta 1, beta 4, alpha 6, and alpha v were consistently found at the margins of RAU, as they are in traumatic ulcers. The alpha 5 and beta 6 subunits were not always present. We also found alpha v in the intact stratified squamous epithelium adjacent to ulcers. Immunohistochemical stains showed distruption in the deposition of laminin 5 and an apparent lack of fibronectin at the edges of some ulcers. Although these tissue results do not determine which integrin subunits are paired with each other, they do show some alterations in their expression in RAU. Absence of one or more of these molecules at the migrating front may contribute to delayed epithelial regeneration. It is likely that the absence or inappropriate expression of keratinocyte integrins or their extracellular matrix receptors occurs after the causative factors (currently unknown) of the lesion are gone. The reason for the altered expression of these molecules may be related to the secretory products (including lymphokines and proteinases) of the lymphocytic infiltrate.
authors.affiliation: Department of Stomatology, School of Dentistry, University of California, San Francisco 94143, USA.
authors.forename: D W
authors.initials: DW
authors.lastname: Richards
authors.forename: L A
authors.initials: LA
authors.lastname: MacPhail
authors.forename: N
authors.initials: N
authors.lastname: Dekker
authors.forename: D
authors.initials: D
authors.lastname: Greenspan
authors.forename: J S
authors.initials: JS
authors.lastname: Greenspan
authors.forename: F
authors.initials: F
authors.lastname: Lozada-Nur
authors.forename: J A
authors.initials: JA
authors.lastname: Regezi
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D015815:Cell Adhesion Molecules / Q000096:biosynthesis / Q000276:immunology*; D002465:Cell Movement; D004848:Epithelium / Q000276:immunology; D016326:Extracellular Matrix Proteins / Q000096:biosynthesis / Q000276:immunology; D005260:Female; D005353:Fibronectins / Q000096:biosynthesis / Q000276:immunology; D015658:HIV Infections / Q000150:complications / Q000276:immunology; D006801:Humans; D007124:Immunoenzyme Techniques; D016023:Integrins / Q000096:biosynthesis / Q000276:immunology*; D015603:Keratinocytes / Q000276:immunology* / Q000378:metabolism; D008297:Male; D016024:Receptors, Cytoadhesin / Q000096:biosynthesis / Q000276:immunology; D012038:Regeneration / Q000276:immunology; D013281:Stomatitis, Aphthous / Q000209:etiology / Q000276:immunology* / Q000378:metabolism; D014945:Wound Healing / Q000276:immunology*; D000097794:Kalinin
chemical_list: D015815:Cell Adhesion Molecules; D016326:Extracellular Matrix Proteins; D005353:Fibronectins; D016023:Integrins; D016024:Receptors, Cytoadhesin; D000097794:Kalinin