Diagnostics,
Journal Year:
2024,
Volume and Issue:
14(14), P. 1525 - 1525
Published: July 15, 2024
The
diagnosis
of
oral
lichen
planus
(OLP)
poses
many
challenges
due
to
its
nonspecific
clinical
symptoms
and
histopathological
features.
Therefore,
the
diagnostic
process
should
include
a
thorough
history,
immunological
tests,
histopathology.
Our
study
aimed
enhance
accuracy
OLP
by
integrating
direct
immunofluorescence
(DIF)
results
with
data
develop
multivariate
predictive
model
based
on
Artificial
Neural
Network.
Eighty
patients
were
assessed
using
DIF
for
various
markers
(immunoglobulins
classes
G,
A,
M;
complement
3;
fibrinogen
type
1
2)
characteristics
such
as
age,
gender,
lesion
location.
Statistical
analysis
was
performed
machine
learning
techniques
in
Statistica
13.
following
variables
assessed:
age
day
onset,
immunofluorescence,
location
white
patches,
locations
erosions,
treatment
medications
dietary
supplement
intake,
dental
status,
smoking
flossing,
mouthwash.
Four
statistically
significant
selected
after
initial
assessment.
final
model,
neural
networks,
achieved
85%
testing
sample
71%
validation
sample.
Significant
predictors
included
stress
at
patches
under
tongue,
erosions
mandibular
gingiva.
In
conclusion,
while
shows
promise,
larger
datasets
more
comprehensive
are
needed
improve
OLP,
highlighting
need
further
research
collaborative
collection
efforts.
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
13
Published: Sept. 20, 2022
The
oral
epithelium’s
normal
morphological
structure
and
function
play
an
important
role
in
maintaining
homeostasis,
among
which
microbiota
chronic
stress
are
key
contributing
factors.
However,
the
effects
of
on
structures
molecular
homeostasis
remain
unclear.
In
this
study,
staining
was
used
to
compare
tongue
specific
pathogen-free
germ-free
mice,
integrated
multi-omics
analysis
based
transcriptomics,
proteomics,
metabolomics
performed
investigate
regulatory
mechanisms
homeostasis.
We
found
that
mice
disordered
compared
with
especially
epithelium.
Multi-omics
indicated
differentially
expressed
molecules
between
were
significantly
enriched
mitochondrial
metabolic
process
immune
response.
Interestingly,
also
influenced
permeability
epithelial
barrier,
represented
by
differential
expression
keratinization,
cell
adhesion
molecules.
It
worth
noting
above
changes
more
significant
after
stress.
Collectively,
is
first
study
reveal
might
maintain
reshaping
barrier
changing
biology,
a
may
be
driven
response
tissue.
Furthermore,
can
enhance
Healthcare,
Journal Year:
2023,
Volume and Issue:
11(12), P. 1738 - 1738
Published: June 13, 2023
Psychosocial
factors
influence
the
development,
exacerbation,
or
aggravation
of
some
oral
diseases.
However,
possible
relationship
between
personality
traits,
affective
disorders,
and
psychological
stress
in
diseases,
their
impact
on
health-related
quality
life
(OHRQoL),
has
not
been
fully
clarified.
The
aim
present
study
was
to
determine
association
neuroticism
with
presence
lichen
planus
(OLP),
discover
whether
these
OHRQoL.
This
is
a
case-control
matched
for
age
sex.
case
group
(OLP
group)
composed
20
patients
diagnosed
OLP,
while
people
diagnosis
lesions
associated
formed
control
group.
Three
instruments
were
used:
Holmes–Rahe
Social
Readjustment
Scale,
Five
Factor
Personality
Model,
OHIP-49.
Neuroticism
obtained
score
25.5
(±5.4)
OLP
group,
which
higher
than
value
(21.7)
(±5.1)
(p
=
0.03).
showed
worse
<
0.05);
most
affected
dimensions
discomfort
physical
disability.
It
important
include
profile
establish
comprehensive
treatment
patients.
We
propose
recognition
new
area
clinical
medicine:
psycho-stomatology.
Biomedicines,
Journal Year:
2023,
Volume and Issue:
12(1), P. 77 - 77
Published: Dec. 28, 2023
In
this
narrative
review,
we
aimed
to
overview
the
interplay
between
lichen
planus
(LP)
and
thyroid
conditions
(TCs)
from
a
dual
perspective
(dermatologic
endocrine),
since
current
gap
in
understanding
LP-TC
connections
is
found
so
far
topic
still
matter
of
debate.
We
searched
PubMed
Inception
October
2023
by
using
key
terms
“lichen
planus”
“thyroid”,
(alternatively,
“endocrine”
or
“hormone”).
included
original
clinical
studies
humans
according
three
sections:
LP
TC
dysfunction,
autoimmunity,
neoplasia.
Six
confirmed
an
association
dysfunction
(exclusively
hypothyroidism)
LP/OL
(oral
LP);
note,
only
one
study
addressed
cutaneous
LP.
The
sample
size
LP/OLP
groups
varied
12–14
1500
individuals.
Hypothyroidism
prevalence
OLP
was
30–50%.
A
higher
rate
levothyroxine
replacement
identified
among
patients,
at
10%
versus
2.5%
controls.
highest
OR
(odd
ratio)
treated
hypothyroidism
amid
2.99
(p
<
0.005).
be
associated
with
milder
phenotype
two
studies.
single
cohort
revealed
similar
non-LP.
Non-confirmatory
(only
on
OLP,
not
LP)
five
cohorts:
controls,
showed
that
subjects
actually
had
lower
controls
(1%
4%).
Positive
autoimmunity
eight
studies;
cohorts
varied,
for
instance,
619
persons
76,
92,
105,
108,
192,
247,
585
patients
(a
total
1405)
respectively;
notably,
largest
control
group
10,441
Four
clusters
approaches
respect
were
found:
analysis
HT/ATD
(Hashimoto’s
thyroiditis/autoimmune
diseases)
prevalence;
considerations
over
specific
antibody
levels;
sex-related
features
females
are
more
prone
autoimmunity;
associations
(if
any)
aspects
LP/OLP.
HT
statistically
significantly
higher,
as
follows:
19%
5%;
12%
6%;
20%
9.8%.
addressing
ATDs.
One
did
confirm
correlation
OLP-associated
elements
(and
severity)
values
against
thyroid,
another
positive
TPOAb
(anti-thyroperoxidase
antibodies)
often
erosive
than
non-erosive
(68%
33%).
Just
reverse,
(9%
15%).
Five
case-control
issue
prior
diagnosed
(no
identified);
them
treatment
(at
8.9%,
9.7%,
10.6%)
conclusion,
regard
LP/OLP-TC,
note
several
main
practical
points
multidisciplinary
practitioners:
rather
requires
awareness;
when
it
comes
type
mostly,
should
expected;
female
ATDs;
potential
ratio
taking
found,
thus
good
collaboration
endocrinology
team
mandatory;
far,
individuals
have
been
risk
nodules/cancer.
Journal of Dental Sciences,
Journal Year:
2024,
Volume and Issue:
19(3), P. 1320 - 1327
Published: May 18, 2024
Oral
Lichen
Planus
(OLP)
presents
a
significant
challenge
in
diagnosis
due
to
its
varied
clinical
manifestations
and
the
absence
of
specific
biomarkers.
Timely
accurate
is
crucial,
particularly
given
association
with
oral
squamous
cell
carcinoma
(OSCC).
This
review
aims
explore
potential
role
exosomes,
small
extracellular
vesicles,
pathogenesis
OLP
their
utility
as
diagnostic
Exosomes
facilitate
exchange
information
between
cells
modulate
immune
responses
by
carrying
various
bioactive
molecules
such
proteins,
lipids,
nucleic
acids.
In
context
OLP,
exosomes
derived
from
affected
tissues
or
are
thought
contribute
disease
progression
mediating
transfer
pro-inflammatory
molecules,
including
cytokines
like
interleukin-6
tumour
necrosis
factor-alpha
chemokines
CCL2,
CCL5
microRNAs
miR-155,
miR-146a,
miR-21,
miR-34a,
etc.
Additionally,
distinct
molecular
contents
lesions
may
accurately
represent
pathological
changes
occurring
these
tissues.
suggests
be
used
non-invasive
biomarkers
for
diagnosing
tracking
disease.
Understanding
microenvironment
within
this
critical
advancing
our
knowledge
identifying
new
therapeutic
strategies.
However,
challenges
remain
characterising
translation.
Further
research
warranted
address
fully
exploit
exosomes'
other
inflammatory
diseases.
Diagnostics,
Journal Year:
2024,
Volume and Issue:
14(14), P. 1525 - 1525
Published: July 15, 2024
The
diagnosis
of
oral
lichen
planus
(OLP)
poses
many
challenges
due
to
its
nonspecific
clinical
symptoms
and
histopathological
features.
Therefore,
the
diagnostic
process
should
include
a
thorough
history,
immunological
tests,
histopathology.
Our
study
aimed
enhance
accuracy
OLP
by
integrating
direct
immunofluorescence
(DIF)
results
with
data
develop
multivariate
predictive
model
based
on
Artificial
Neural
Network.
Eighty
patients
were
assessed
using
DIF
for
various
markers
(immunoglobulins
classes
G,
A,
M;
complement
3;
fibrinogen
type
1
2)
characteristics
such
as
age,
gender,
lesion
location.
Statistical
analysis
was
performed
machine
learning
techniques
in
Statistica
13.
following
variables
assessed:
age
day
onset,
immunofluorescence,
location
white
patches,
locations
erosions,
treatment
medications
dietary
supplement
intake,
dental
status,
smoking
flossing,
mouthwash.
Four
statistically
significant
selected
after
initial
assessment.
final
model,
neural
networks,
achieved
85%
testing
sample
71%
validation
sample.
Significant
predictors
included
stress
at
patches
under
tongue,
erosions
mandibular
gingiva.
In
conclusion,
while
shows
promise,
larger
datasets
more
comprehensive
are
needed
improve
OLP,
highlighting
need
further
research
collaborative
collection
efforts.