title: Oral lichen planus: an immunohistochemical study of heat shock proteins (HSPs) and cytokeratins (CKs) and a unifying hypothesis of pathogenesis.
abstract: The expression of heat shock proteins HSP60 and HSP70 and cytokeratins CK1/10 and CK7/18 were compared in epithelium of oral lichen planus (OLP) lesions and oral fibromas using an avidin-biotin-peroxidase complex (ABC) immunohistochemical method. An immunostaining intensity distribution (IID) index was developed to assess staining intensity and the proportion of positively stained cells in different layers of the epithelium. The expression of HSP60 in the basal layer was significantly higher in OLP than in fibromas. No difference in HSP70 expression was evident between OLP and fibromas. The expression of CK1/10 in the epithelial basal and suprabasal layers was significantly higher in OLP than in fibromas. There was no demonstrable staining for CK7/18 in either OLP or fibromas. A significant correlation was evident between the expression of HSP60 and CK1/10 in the basal epithelial cells in OLP. The findings support a role for HSP60 in the pathogenesis of OLP. A unifying hypothesis of the pathogenesis of OLP, involving two sequential immune reactions, is proposed.
authors.affiliation: Department of Oral Biology, Indiana University School of Dentistry, Indianapolis 46202-5186, USA.
authors.forename: P
authors.initials: P
authors.lastname: Chaiyarit
authors.forename: A H
authors.initials: AH
authors.lastname: Kafrawy
authors.forename: D A
authors.initials: DA
authors.lastname: Miles
authors.forename: S L
authors.initials: SL
authors.lastname: Zunt
authors.forename: M L
authors.initials: ML
authors.lastname: Van Dis
authors.forename: R L
authors.initials: RL
authors.lastname: Gregory
mesh_terms: D000328:Adult; D001485:Basement Membrane / Q000737:chemistry / Q000378:metabolism; D018834:Chaperonin 60 / Q000009:adverse effects / Q000096:biosynthesis*; D004847:Epithelial Cells / Q000737:chemistry / Q000378:metabolism; D005350:Fibroma / Q000209:etiology* / Q000378:metabolism; D020022:Genetic Predisposition to Disease; D018840:HSP70 Heat-Shock Proteins / Q000009:adverse effects / Q000096:biosynthesis; D006801:Humans; D007124:Immunoenzyme Techniques; D007633:Keratins / Q000009:adverse effects / Q000096:biosynthesis*; D017676:Lichen Planus, Oral / Q000209:etiology* / Q000378:metabolism; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000209:etiology* / Q000378:metabolism; D016017:Odds Ratio; D018709:Statistics, Nonparametric
chemical_list: D018834:Chaperonin 60; D018840:HSP70 Heat-Shock Proteins; D007633:Keratins