Kinetics of neutrophil extracellular traps and cytokines in oral mucositis and Candida infection

被引:1
作者
Almeida de Arruda, Jose Alcides [1 ]
Oliveira, Sicilia Rezende [1 ]
Heimlich, Fernanda Vieira [1 ]
de Amorim-Santos, Barbara Maria [2 ]
Schneider, Ayda Henriques [3 ]
Velasco Ponde de Sena, Ana Carolina [4 ]
de Sa Rodrigues, Karla Emilia [5 ]
Macari, Soraia [6 ]
Souza, Daniele Gloria [2 ]
Travassos, Denise Vieira [7 ,8 ]
Abreu, Lucas Guimares [9 ]
Silva, Tarcilia Aparecida [1 ,7 ]
Mesquita, Ricardo Alves [1 ]
机构
[1] Univ Fed Minas Gerais, Sch Dent, Dept Oral Surg Pathol & Clin Dent, Av Pres Antonio Carlos,6627,Room 3202, BR-31270901 Belo Horizonte, MG, Brazil
[2] Univ Fed Minas Gerais, Inst Biol Sci, Dept Microbiol, Belo Horizonte, MG, Brazil
[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Pharmacol, Ribeirao Preto, Brazil
[4] Univ Fed Bahia, Sch Dent, Postgrad Program Dent & Hlth, Salvador, BA, Brazil
[5] Barretos Canc Hosp Barretos Sao Paulo, Childrens Canc Hosp, Dept Pediat Oncol, Barretos, SP, Brazil
[6] Univ Fed Minas Gerais, Sch Dent, Dept Restorat Dent, Belo Horizonte, MG, Brazil
[7] Univ Fed Minas Gerais, Hosp Clin, Multiprofess Integrated Residency Hlth, Belo Horizonte, MG, Brazil
[8] Univ Fed Minas Gerais, Sch Dent, Dept Social & Prevent Dent, Belo Horizonte, MG, Brazil
[9] Univ Fed Minas Gerais, Sch Dent, Dept Child & Adolescent Oral Hlth, Belo Horizonte, MG, Brazil
关键词
Candida; chemotherapy; cytokines; neutrophil extracellular traps; oncology; oral mucositis; PRO-INFLAMMATORY CYTOKINES; CANCER-PATIENTS; PATHOBIOLOGY; BIOMARKERS;
D O I
10.1111/odi.14857
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
ObjectiveThis study investigated the concentrations of neutrophil extracellular traps (NET) and salivary cytokines (IL-1 beta, IL-6, IL-8/CXCL8, TNF, and TGF-beta 1) in patients undergoing chemotherapy and their associations with oral mucositis (OM) and Candida infection. Materials and MethodsThis prospective longitudinal study performed at a Brazilian service included 60 adults diagnosed with hematolymphoid diseases. Saliva samples were collected on days D0, D3, D10, and D15. Cytokines were analyzed by ELISA and NET formation by identification of the myeloperoxidase-DNA complex. Oral Candida spp. was cultured. ResultsOM occurred in 43.3% of patients and oral candidiasis in 20%. However, 66% of individuals had positive cultures for C. albicans. Higher concentrations of IL-6, IL-8/CXCL8, and TNF and lower concentrations of TGF-beta 1 were observed in patients with OM. C. albicans infection contributed to the increase in IL-8/CXCL8, TGF-beta 1, and TNF. Individuals with OM or with oral candidiasis had significant reductions in NET formation. In contrast, individuals with C. albicans and with concomitant C. albicans and OM exhibited higher NET formation. ConclusionThe kinetics of cytokine levels and NET formation in chemotherapy-induced OM appears to be altered by Candida infection, even in the absence of clinical signs of oral candidiasis.
引用
收藏
页码:4751 / 4761
页数:11
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