The defensive role of lysozyme in human gingiva in inflammatory periodontal disease.
OBJECTIVE
The presence of lysozyme in human gingiva has not previously been demonstrated. In this study, we looked for evidence for the potential role of lysozyme as a protector of gingival elastic fibres. The objective of this study was also to determine the ex vivo susceptibility to hydrolysis of gingival elastic fibres from patients with or without periodontal disease by human leukocyte elastase and by human cathepsin G.


METHODS
Using gingival tissue sections from eight control, 10 gingivitis and 10 periodontitis patients, we evaluated the area fraction occupied by gingival elastic fibres (after selective staining) by the use of automated image analysis. In the ex vivo experiments, serial tissue sections from four control, four gingivitis, four young periodontitis and four aged periodontitis patients were submitted to the action of human leukocyte elastase and cathepsin G, after which enzymatic activities were determined by image analysis. Indirect immunodetection of lysozyme was also done on tissue sections for all patients included in this study.


RESULTS
Large variations of the area fraction occupied by elastic fibres were observed in human gingiva from young and aged patients with and without periodontal disease. In control and gingivitis patients, leukocyte elastase and cathepsin G had high comparable elastin solubilizing activities. With young and aged periodontitis patients, the two serine proteinases had weak elastin solubilizing activities. Lysozyme appeared to be present at the periphery of gingival elastic fibres in periodontitis patients.


CONCLUSIONS
Lysozyme can be considered an important natural protector of elastic fibres in pathological gingiva.
Younes
R
R
Faculty of Dental Medicine, St Joseph University, Beirut, Lebanon. ronald.younes@usj.edu.lb
Yousfi
M
M
Ghorra
C
C
Khalife
S
S
Igondjo-Tchen-Changotade
S
S
Willig
C
C
Senni
K
K
Charpiot
P
P
Naaman
N
N
Godeau
G
G