Expression of PLUNC family protein in major salivary gland of the autopsied patients with advanced AIDS and without AIDS / Expressão das proteinas da familia PLUNC nas glandulas salivares maiores de pacientes autopsiados com AIDS em fase avançada e sem AIDS

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Objectives: The aim of this study was to determine the expression of PLUNC proteins in major salivary glands (MSG) of AIDS patients with or without infectious conditions and non-HIV patients using post-mortem material. Methods: Sex, age, CD4 cell count, and clinical history were obtained retrospectively from the clinical records of all patients (n=63). We analysed the expression of PLUNCs (SPLUNC1, SPLUNC2, LPLUNC1) using immunohistochemistry in parotid (n=45), submandibular (n=47) and sublingual gland (n=37) samples of AIDS patients [30 with normal histology, 21 with mycobacteriosis, 14 with cytomegalovirus (CMV) infection, 30 with chronic nonspecific sialadenitis, and 30 HIV-negative controls. In situ hybridization (ISH) for SPLUNC2 in the MSG of the HIVnegative group was performed. Immunoreactivity was assessed as positive or negative. Results: The mean age of the patients who died of AIDS (n=63) and CD4 cell count (n=44) were 37 years and 63 cells microL(-1), respectively. The mean age of the HIV negative patients was 61 years. SPLUNC 1 expression was detected in the mucous acini of submandibular and sublingual glands, and SPLUNC2 was seen in the serous cells of the MSG. LPLUNC 1 expression was only positive in the salivary ducts of the MSG. There was a higher expression of SPLUNC2 in AIDS patients with CMV infection and mycobacteriosis when compared with all other groups. The intensity of staining for SPLUNC2 was greater around the lesions than the peripheral ones. There were no significant differences between control subjects and AIDS patients without histologic alterations or with chronic nonspecific sialadenitis. ISH for SPLUNC 2 showed perinuclear positivity in the serous cells in all HIV-negative cases. Conclusions: SPLUNC1 and LPLUNC1 proteins were similarly expressed in the MSG of AIDS patients and non-HIV patients. CMV infection and mycobacteriosis increase SPLUNC2 expression in serous cells in the MSG of AIDS patients. Further studies are needed to understand the biological processes involved in SPLUNC2 expression in the MSG infected by CMV and mycobacteriosis

ASSUNTO(S)

imunoistoquimica in situ hybridization hibridização in situ immunohistochemistry

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