Innovative histological and histochemical characterization of tongue biopsies from patients with burning mouth syndrome
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Imanol Zubiate Illarramendi
, Angel Martinez-Sahuquillo
, Fernando Monsalve Iglesias und Jose Dario Sanchez Lopez
Abstract
Objectives
The present pilot study aims to perform an innovative histological and histochemical characterization of samples from patients with burning mouth syndrome (BMS) to correlate these findings with the clinical scenario.
Methods
To carry out this objective, the study samples were stained with the hematoxylin-eosin stain and later, an histochemical study was carried out to determine the composition of the extracellular matrix (ECM) using the stains of Alcian Blue, Picrosirius, Reticulin from Gomori and Verhoeff
Results
The results of this study revealed histological patterns compatible with cellular hypertrophy in different layers of the epithelium as well as a greater keratinization in BMS cases. On the other hand, a lower amount of proteoglycans and a greater amount of collagen fibers were observed compared to the control. In addition, older patients had fewer reticular fibers and younger patients had fewer elastic fibers compared to the control.
Conclusions
In conclusion, the present study shows the existence of a correlation between the histological patterns, age and symptoms of patients with BMS. Therefore, it is necessary to develop synergistic studies in order to assess and implement new classification systems that could improve the therapeutic approach of patients with BMS.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: The local Institutional Review Board deemed the study exempt from review.
References
1. Ariyawardana, A, Chmieliauskaite, M, Farag, AM, Albuquerque, R, Forssell, H, Nasri-Heir, C, et al.. World workshop on oral medicina VII: burning mouth syndrome: a systematic review of disease definitions and diagnostic criteria utilized in randomized clinical trials. Oral Dis 2019;25:141–56. https://doi.org/10.1111/odi.13067.Suche in Google Scholar PubMed
2. Speciali, JG, Stuginski-Barbosa, J. Burning mouth syndrome. Curr Pain Headache Rep 2008;12:279–94. https://doi.org/10.1007/s11916-008-0047-9.Suche in Google Scholar PubMed
3. Brittany Klein, DDS, Jaisri, R, Scott, SDR, Ciarrocca, K. Burning mouth syndrome. Dermatol Clin 2020;38:477–53. https://doi.org/10.1016/j.det.2020.05.008.Suche in Google Scholar PubMed
4. Chimenos-Kustner, E, Arcos-Guerra, C, Marques-Soares, MS. Burning mouth syndrome: diagnostic and therapeutic keys. Med Clin 2014;142:370–4. https://doi.org/10.1016/j.medcli.2013.09.027.Suche in Google Scholar PubMed
5. Spanemberg, JC, Cherubini, K, de FIgueiredo, MAZ, Yurgel, LS. Aetiology and therapeutics of burning mouth syndrome. Gerodontology 2012;29:84–9. https://doi.org/10.1111/j.1741-2358.2010.00384.x.Suche in Google Scholar PubMed
6. Kohorst, J, Bruce, A, Togerson, R, Schenck, LA, Davis, M. The prevalence of burning mouth syndrome. Br J Dermatol 2015;176:1654–6. https://doi.org/10.1111/bjd.13613.Suche in Google Scholar PubMed PubMed Central
7. Grushka, M, Epstein, JB, Gorsky, M. Burning mouth syndrome. Am Fam Physician 2002;65:615–220.Suche in Google Scholar
8. Lauria, G, Majorana, A, Borgna, M, Lombardi, R, Penza, P, Padovani, A, et al.. Trigeminal small-fiber sensory neuropathy causes burning mouth syndrome. Pain 2005;115:332–7. https://doi.org/10.1016/j.pain.2005.03.028.Suche in Google Scholar PubMed
9. Puhakka, A, Forssell, H, Soinila, S, Virtanen, A, Röyttä, M, Laine, M, et al.. Peripheral nervous system involvement in primary burning mouth syndrome, results of a pilot study. Oral Dis 2016;22:338–44. https://doi.org/10.1111/odi.12454.Suche in Google Scholar PubMed
10. Yilmaz, Z, Renton, T, Yiangou, Y, Zakrzewska, J, Chessell, IP, Bountra, C, et al.. Burning mouth syndrome as a trigeminal small fibre neuropathy: increased heat and capsaicin receptor TRPV1 in nerve fibres correlates with pain score. J Clin Neurosci 2007;14:864–71. https://doi.org/10.1016/j.jocn.2006.09.002.Suche in Google Scholar PubMed
11. Carcamo Fonfria, A, Gomez-Vicente, L, Pedraza, MI, Cuadrado-Pérez, ML, Guerrero, AL, Porta-Etessam, J, et al.. Síndrome de boca ardiente: descripción clínica, planteamiento fisiopatológico y una nueva opción terapéutica. Neurologia 2017;32:219–23. https://doi.org/10.1016/j.nrl.2015.10.008.Suche in Google Scholar PubMed
12. Lamey, PJ, Lewis, MA. Oral medicine in practice: burning mouth syndrome. Br Dent J 1989;167:197–200. https://doi.org/10.1038/sj.bdj.4806969.Suche in Google Scholar PubMed
13. Davies, S, Underhill, H, Abdel-Karim, A, Christmas, DM, Prime, S. Individual oral symptoms in burning mouth syndrome may be associated differentially with depression and anxiety. Acta Odontol Scand 2016;74:155–60. https://doi.org/10.3109/00016357.2015.1100324.Suche in Google Scholar PubMed
14. Slebioda, Z, Lukaszewska, M, Dorocka, B. Evaluation of the efficacy of treatment modalities in burning mouth syndrome. A sistemic review. J Oral Reabil 2020;47:1435–47.10.1111/joor.13102Suche in Google Scholar PubMed
15. Orliaguet, M, MiseryNeuropathic, L. Components psychogenic of burning mouth syndrome: a systematic review. Biomolecules 2021;11:1237. https://doi.org/10.3390/biom11081237.Suche in Google Scholar PubMed PubMed Central
16. Grosset, AA, Loayza-Vega, K, Adam-Granger, É, Birlea, M, Gilks, B, Nguyen, B, et al.. Hematoxylin and eosin counterstaining protocol for immunohistochemistry interpretation and diagnosis. Appl immunohistochem mol morphol 2019;27:558–63.10.1097/PAI.0000000000000626Suche in Google Scholar PubMed
17. Otali, D, Fredenburgh, J, Oelschlager, DK, Grizzle, WE. A standard tissue as a control for histochemical and immunohistochemical staining. Biotech Histochem 2016;91:309–26. https://doi.org/10.1080/10520295.2016.1179342.Suche in Google Scholar PubMed PubMed Central
18. Drifka, CR, Loeffler, AG, Mathewson, K, Mehta, G, Keikhosravi, A, Liu, Y, et al.. Comparison of Picrosirius red staining with second harmonic generation imaging for the quantification of clinically relevant collagen fiber features in histopathology samples. J Histochem Cytochem 2016;64:519–29. https://doi.org/10.1369/0022155416659249.Suche in Google Scholar PubMed PubMed Central
19. Öncel, K. Alternative staining method for four parasites that are difficult to identify through direct inspection. Turk Parazitoloji Derg 2018;42:268–76. https://doi.org/10.5152/tpd.2018.5902.Suche in Google Scholar PubMed
20. Tan, T, Guitart, J, Gerami, P, Yazdan, P. Elastic staining in differentiating between follicular streamers and follicular scars in horizontal scalp biopsy sections. Am J Dermatopathol 2018;40:254–8. https://doi.org/10.1097/dad.0000000000000973.Suche in Google Scholar PubMed
21. Tamori, Y, Deng, W. Compensatory cellular hypertrophy: the other strategy for tissue homeostasis. Trends Cell Biol 2014;24:230–7. https://doi.org/10.1016/j.tcb.2013.10.005.Suche in Google Scholar PubMed PubMed Central
22. Karamanos, NK, Piperigkou, Z, Teocharis, AD. Preoglycan cheminal diversity drives multifunctional cell regulation and therapeutics. Chem Rev 2018;118:9152–232. https://doi.org/10.1021/acs.chemrev.8b00354.Suche in Google Scholar PubMed
23. Rittié, L. Method for Picrosirius red-polarization detection of collagen fibers in tissue sections. Methods Mol Biol 2017;1627:395–407. https://doi.org/10.1007/978-1-4939-7113-8_26.Suche in Google Scholar PubMed
24. Kinchen, J, Chen, HH, Parikh, K, Antanaviciute, A, Jagielowicz, M, Fawkner-Corbertt, D, et al.. Structural remodeling of the human colonic mesenchyme in inflammatory bowel disease. Cell 2018;175:372–86. https://doi.org/10.1016/j.cell.2018.08.067.Suche in Google Scholar PubMed PubMed Central
25. Andrés-Ramos, I, Alegría-Landa, V, Gimeno, I, Pérez-Plaza, A, Rütten, A, Kutzner, H, et al.. Cutaneous elastic tissue anomalies. Am J Dermatopathol 2019;41:85–117. https://doi.org/10.1097/dad.0000000000001275.Suche in Google Scholar PubMed
© 2022 Walter de Gruyter GmbH, Berlin/Boston
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- Frontmatter
- Reviews
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- Non-alcoholic fatty liver disease – discussed under the light of Unani medicine
- Phytochemistry and pharmacology of Celastrus paniculatus Wild.: a nootropic drug
- Low back pain patients’ perceived effectiveness of utilizing complementary and alternative medicine: a systematic review of qualitative studies
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- Evaluation of the toxicity of crude aqueous Pleurotus tuber-regium (Fr.) Singer extract in mice
- Effects of crude methanol extract of Adansonia digitata fruit pulp on Naja nigricollis venom-induce toxicity in Wistar rats
- Integrative medicine approaches to chronic depression: case studies of the recovery process with a three-step path to recovery and significant cure
- Antimicrobial, anti-adhesion, anti-biofilm properties of goji berry (Lycium barbarum) against periodontal bacteria: potential benefits for periodontal diseases
- Method development and validation for quantification of six bioactive compounds (andrographolide, columbin, piperine, gallic, paracoumaric and oleanolic acids) by HPTLC
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