employee
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
employee
Ekaterinburg, Ekaterinburg, Russian Federation
Ufa, Ufa, Russian Federation
Between the blood and the organs, between the blood and tissues there are special barriers (blood-tissue barriers), which represent the multilevel security system of the organism, aimed at providing general and local homeostasis. The protective function of organs and tissues that are protected by blood-tissue barriers is realized by the changes of the permeability barrier for certain substances and is quantitatively estimated by the permeability coefficient (PC). In-depth studies of the functioning of blood-tissue barriers in lichen planus of the oral mucosa (LP OM) are relevant today. But they have not been conducted yet. In this study were involved 191 patients with various forms of lichen planus of the oral mucosa ( typical — 43 patients, exudative — hyperemic — 43 people, erosive-ulcerative — 47 patients, hyperkeratotic — 24 people, atypical — 28 patients, bullous — 6 people) a violation of a permeability condition of the blood-tissue barriers for some mineral elements (zinc, copper, iron, magnesium), which is of importance in the pathogenesis of the disease was found. This manifests itself in multidirectional changes in mineral composition of blood serum and oral fluid, which correlate to the severity of the clinical course of the disease. Thus, the definition of pathogenetic importance of the detected changes will allow solving the issue of a possible correction of the mineral content, resulting in a deficit, by assigning mineral supplements. The expected effects can be a relief of the clinical course of the process, a more rapid healing of erosions and ulcers in the mouth, improvement of the general condition of patients and improving their quality of life.
lichen planus, oral mucosa, zinc, copper, iron, magnesium, pathogenesis, blood-tissue barriers, permeability
1. Akmalova G.M., Chuykin S.V., Ron' G.I., Chernysheva N.D., Galimova E.S., Gilyazova I.R., Husnutdinova E.K. Primenenie geneticheskih markerov v prognozirovanii razvitiya i recidiva krasnogo ploskogo lishaya slizistoy obolochki rta. Problemy stomatologii. 2016;12(1):62-69. [G.M. Akmalova, S.V. Chuikin, G.I. Ron, N.D. Chernysheva, E.S. Galimova, I.R. Gilyazova, E.K. Khusnutdinova. Application of genetic markers in predicting the development and recurrence of lichen planus of the oral mucosa. Actual problems in dentistry. 2016;12(1):62-69. (In Russ.)]. https://www.elibrary.ru/item.asp?id=25781406
2. Anisimova I.V., Simonyan L.A. Chastota sochetaniya krasnogo ploskogo lishaya s somaticheskoy patologiey i mestnymi neblagopriyatnymi faktorami polosti rta. Problemy stomatologii. 2019;15(1):16-22. [I.V. Anisimova, L.A. Simonyan. The frequency of the combination of lichen planus with somatic pathology and local adverse factors of the oral cavity. Actual problems in dentistry. 2019;15(1):16-22. (In Russ.)]. https://www.elibrary.ru/item.asp?id=37602574
3. Bykov V.L. Gistologiya i embrional'noe razvitie organov polosti rta cheloveka. Moskva : GEOTAR-Media. 2014:624. [V.L. Bykov. Histology and embryonic development of the human oral cavity organs. Moscow: GEOTAR-Media. 2014:624. (In Russ.)].
4. Ron' G.I., Pomazkina A.A. Klinicheskiĭ sluchaĭ razvitiya krasnogo ploskogo lishaya na slizistoĭ obolochke polosti rta u muzhchiny molodogo vozrasta, dlitel'no rabotayuschego s personal'nym komp'yuterom. Problemy stomatologii. 2016;12(2):50-54. [G.I. Ron, A.A. Pomazkina. A clinical case of the development of lichen planus on the mucous membrane of the oral cavity in a young man who has been working with a personal computer for a long time. Actual problems in dentistry. 2016;12(2):50-54. (In Russ.)]. https://www.elibrary.ru/item.asp?id=26324572
5. Rosin Ya.A., Uchenie L.S. Gistogematicheskie bar'ery i neyro-gumoral'naya regulyaciya. Moskva : Nauka. 1981:315. [Ya.A. Rosin, L.S. Ucheniye. Histohematogenous barriers and neuro-humoral regulation. Moscow: Science. 1981:315. (In Russ.)].
6. Skal'nyy A.V., Rudakov I.A. Bioelementy v medicine. Moskva : Izdatel'skiy dom «Oniks 21 vek» - Mir. 2004. [A.V. Skalny, I.A. Rudakov. Bioelements in medicine. Moscow : Onyx 21st Century Publishing House - Mir. 2004. (In Russ.)].
7. Usmanova I.N., Hismatullina Z.R., Granot I., Ahmerov R.R., Abdrahmanova E.R., Husnarizanova R.F., Usmanov I.R., Mudrik O.V., Gerasimova L.P. Ocenka rezul'tatov kompleksnoy terapii krasnogo ploskogo lishaya slizistoy obolochki rta s ispol'zovaniem autologichnoy plazmy i gidrolizata placenty cheloveka. Problemy stomatologii. 2019;15(2):37-44. [I.N. Usmanova, Z.R. Khismatullina, I. Granot, R.R. Akhmerov, E.R. Abdrakhmanova, R.F. Khusnarizanova, I.R. Usmanov, O.V. Mudrik, L.P. Gerasimova. Evaluation of the results of complex therapy of lichen planus of the oral mucosa using autologous plasma and hydrolyzate of the human placenta. Actual problems in dentistry. 2019;15(2):37-44. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39165960
8. Chuykin S.V., Akmalova G.M., Chernysheva N.D. Harakteristika mikroflory polosti rta u bol'nyh s krasnym ploskim lishaem. Parodontologiya. 2014;19(4):41-43. [S.V. Chuikin, G.M. Akmalova, N.D. Chernysheva. Characteristics of the microflora of the oral cavity in patients with lichen planus. Periodontics. 2014;19(4):41-43. (In Russ.)]. https://www.elibrary.ru/item.asp?id=22872760
9. Adamo D., Ruoppo E., Leuci S. et al. Sleep disturbances, anxiety and depression in patients with oral lichen planus: a case-control study // J Eur Acad Dermatol Venereol. - 2015;29(2):291-297.https://doi.org/10.1111/jdv.12525
10. Radwan-Oczko M., Zwyrtek E., Owczarek J.E. et al. Psychopathological profile and quality of life of patients with oral lichen planus // J Appl Oral Sci. - 2018;26:e20170146.https://doi.org/10.1590/1678-7757-2017-0146
11. Manczyk B., Gołda J., Biniak A. et al. Evaluation of depression, anxiety and stress levels in patients with oral lichen planus // J Oral Sci. - 2019;61(3):391-397.https://doi.org/10.2334/josnusd.18-0113
12. Amadori F., Bardellini E., Conti G. et al. Oral mucosal lesions in teenagers: a cross-sectional study // Ital J Pediatr. - 2017;43(1):50.https://doi.org/10.1186/s13052-017-0367-7
13. Bandyopadhyay A., Behura S.S., Nishat R., Dash K.C., Bhuyan L., Ramachandra S. Clinicopathological Profile and Malignant Transformation in Oral Lichen Planus: A Retrospective Study // J Int Soc Prev Community Dent. - 2017;7(3):116-124. doi:https://doi.org/10.4103/jispcd.JISPCD_103_17.
14. Cerqueira J.D.M., Moura J.R., Arsati F. et al. Psychological disorders and oral lichen planus: A systematic review // J Invest Clin Dent. - 2018;9(4):e12363.https://doi.org/10.1111/jicd.12363
15. Farhi D., Dupin N. Pathophysiology, etiologic factors, and clinical management of oral lichen planus, Part I: Facts and controversies // Clin. Dermatol. - 2010;28(1):100-108.
16. Gravina G., Wasén C., Garcia-Bonete M.J. et al. Survivin in autoimmune diseases // Autoimmun Rev. - 2017;16(8):845-855.https://doi.org/10.1016/j.autrev.2017.05.016
17. Gupta S., Jawanda M.K. Oral lichen planus: An update on etiology, pathogenesis, clinical presentation, diagnosis and management // Indian J Dermatol. - 2015;60:222. https://www.e-ijd.org/text.asp?2015/60/3/222/156315
18. Hasan S., Ahmed S., Kiran R. et al. Oral lichen planus and associated comorbidities: An approach to holistic health // J Family Med Prim Care. - 2019;8(11):3504-3517.https://doi.org/10.4103/jfmpc.jfmpc_749_19
19. Lauritano D., Arrica M., Lucchese A. et al. Oral lichen planus clinical characteristics in Italian patients: a retrospective analysis // Head Face Med. - 2016;12:128.https://doi.org/10.1186/s13005-016-0115-z
20. Nogueira P.A., Carneiro S., Ramos-E-Silva M. Oral lichen planus: an update on its pathogenesis // Int J Dermatol. -- 2015;54(9):1005-1010.https://doi.org/10.1111/ijd.12918
21. Srinivas K., Aravinda K., Ratnakar P. et al. Oral lichen planus - Review on etiopathogenesis // Natl. J. Maxillofac. Surg. - 2011;2(1):15-16.
22. Lavanya N., Jayanthi P., Rao U.K., Ranganathan K. Oral lichen planus: An update on pathogenesis and treatment // J. Oral Maxillofac. Pathol. - 2011;15(2):127-132.
23. Payeras M.R., Cherubini K., Figueiredo M.A., Salum F.G. Oral lichen planus: Focus on etiopathogenesis Review // Salum. Archives of Oral Biology. - 2013;58(9):1057-1069.
24. Pol C.A., Ghige S.K., Gosavi S.R. Role of human papilloma virus-16 in the pathogenesis of oral lichen planus--an immunohistochemical study // Int. Dent. J. - 2015;65(1):11-14.
25. Shavit E., Hagen K., Shear N. Oral lichen planus: a novel staging and algorithmic approach and all that is essential to know // F1000Research. - 2020:9:F1000 Faculty Rev-206. https://doi.org/10.12688/f1000research.18713.1
26. Chen H.M. et al. Significant association of deficiencies of hemoglobin, iron, folic acid, and vitamin B 12 and high homocysteine level with oral lichen planus // J. Form. Med. Assoc. - 2015;114(2):124-129.
27. Sun A., Lin H.P., Wang Y.P., Chiang C.P. Significant association of deficiency of hemoglobin, iron and vitamin B12, high homocysteine level, and gastric parietal cell antibody positivity with atrophic glossitis // J. Oral Pathol. Med. - 2012;41(6):500-504.
28. Varghese S.S., George G.B., Sarojini S.B., Vinod S., Mathew P., Mathew D.G., Sebastian J., George A. Epidemiology of Oral Lichen Planus in a Cohort of South Indian Population: A Retrospective Study // J Cancer Prev. - 2016;21(1):55-59. doi:https://doi.org/10.15430/JCP.2016.21.1.55.
29. Villa T.G., Sánchez-Pérez Á., Sieiro C. Oral lichen planus: a microbiologist point of view // Int Microbiol. - 2021. https://doi.org/10.1007/s10123-021-00168-y