INTERLEUKIN AS BIOMARKER OF RECURRENT APHTHOUS STOMATITIS (RAS): A SYSTEMATIC LITERATURE REVIEW

Authors

  • INDAH DAMAYANTI Undergraduate Program of Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang km 21, Jatinangor, Sumedang, West Java, 45363
  • NANAN NUR’AENY Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Jl. Sekeloa Selatan no 1, Bandung, West Java, Indonesia 40132
  • INDAH SUASANI WAHYUNI Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Jl. Sekeloa Selatan no 1, Bandung, West Java, Indonesia 40132

DOI:

https://doi.org/10.22159/ijap.2021.v13s4.43813

Keywords:

Interleukin, Recurrent aphthous stomatitis, Biomarker, Gene polymorphism

Abstract

This review aimed to describe the interleukins and interleukin gene polymorphisms related to and recommended as a RAS biomarker. Articles were searched through PubMed, ScienceDirect, and Cochrane Library databases, using the keywords of “Interleukin” AND “Recurrent Aphthous Stomatitis”. The Risk of Bias Assessment tool for Non-randomized Studies (RoBANS) was used, and the writing of this review refers to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. A total of 8 articles met the criteria and showed a low risk of bias assessment. The level of IL-2, IL-6, IL-8, and IL-18 in the acute clinical phase of RAS were higher than in the recovery phase, but IL-10 levels showed decreased. IL-2, IL-6, IL-10 gene polymorphisms were found to be more frequent in RAS patients compared to controls, while IL-12 gene polymorphisms were found to be less associated with RAS pathogenesis. Interleukins at the proteomic level that recommended as a pro-inflammatory biomarker are IL-2, IL-6, IL-8, IL-12, and IL-18, while an anti-inflammatory is IL-10. Only IL-2 can be recommended as a biomarker at the genomic level, as other interleukins still require more investigation.

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References

Brocker C, Thompson D, Matsumoto A, Nebert DW, Vasiliou V. Evolutionary divergence and functions of the human interleukin (IL) gene family. Hum Genomics. 2010;5(1):30-55. doi: 10.1186/1479-7364-5-1-30, PMID 21106488.

Commins SP, Borish L, Steinke JW. Immunologic messenger molecules: cytokines, interferons, and chemokines. J Allergy Clin Immunol. 2010;125(2);Suppl 2:S53-72. doi: 10.1016/j.jaci.2009.07.008, PMID 19932918.

Lieberman M. Marks’ basic medical biochemistry: A clinical approach. Vol 4th; 2017.

Morange M. The central dogma of molecular biology. Resonance. 2009;14(3):236-47. doi: 10.1007/s12045-009-0024-6.

Benveniste EN. Cytokines. Encycl Neurol Sci. 2014;1:921-5.

Guimaraes AL, Correia-Silva Jde F, Sa AR, Victoria JM, Diniz MG, Costa Fde O, Gomez RS. Investigation of functional gene polymorphisms IL-1β, IL-6, IL-10 and TNF-α in individuals with recurrent aphthous stomatitis. Arch Oral Biol. 2007;52(3):268-72. doi: 10.1016/j.archoralbio.2006.08.008, PMID 17052682.

Chavan M, Jain H, Diwan N, Khedkar S, Shete A, Durkar S. Recurrent aphthous stomatitis: a review. J Oral Pathol Med. 2012;41(8):577-83. doi: 10.1111/j.1600-0714.2012.01134.x, PMID 22413800.

Cui RZ, Bruce AJ, Rogers RS. Recurrent aphthous stomatitis. Clin Dermatol. 2016;34(4):475-81. doi: 10.1016/j.clindermatol.2016.02.020, PMID 27343962.

Scully C, Porter S. Oral mucosal disease: recurrent aphthous stomatitis. Br J Oral Maxillofac Surg. 2008;46(3):198-206. doi: 10.1016/j.bjoms.2007.07.201, PMID 17850936.

Beguerie JR, Sabas M. Recurrent aphthous stomatitis: An update on etiopathogenia and treatment. J Dermatol Nurs Assoc. 2015;7(1):8-12. doi: 10.1097/JDN.0000000000000099.

Ślebioda Z, Szponar E, Kowalska A. Etiopathogenesis of recurrent aphthous stomatitis and the role of immunologic aspects: literature review. Arch Immunol Ther Exp (Warsz). 2014;62(3):205-15. doi: 10.1007/s00005-013-0261-y, PMID 24217985.

Portin P, Wilkins A. The evolving definition of the term “Gene” genetics. 2017;205(4):1353-64. doi: 10.1534/ genetics.116.196956, PMID 28360126.

Eguia Del Valle A, Martinez Conde Llamosas R, Lopez Vicente J, Uribarri Etxebarria A, Aguirre Urizar JM. Salivary levels of tumour necrosis factor-alpha in patients with recurrent aphthous stomatitis. Med Oral Patol Oral Cir Bucal. 2011;16(1):e33-6. PMID 20711148.

Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am. 2014;58(2):281-97. doi: 10.1016/j.cden.2013.12.002, PMID 24655523.

Wu D, Xin J, Liu J, Zhou P. The association between interleukin polymorphism and recurrent aphthous stomatitis: A meta-analysis. Arch Oral Biol. 2018;93(May):3-11. doi: 10.1016/j.archoralbio.2018.05.011, PMID 29800802.

Albanidou-Farmaki E, Markopoulos AK, Kalogerakou F, Antoniades DZ. Detection, enumeration and characterization of T helper cells secreting type 1 and type 2 cytokines in patients with recurrent aphthous stomatitis. Tohoku J Exp Med. 2007;212(2):101-5. doi: 10.1620/tjem.212.101, PMID 17548954.

Onwuegbuzie AJ, Leech NL, Collins KMT. Qualitative analysis techniques for the review of the literature. Qual Rep. 2012;17(28):1-28.

Kalpana R, Thubashini M, Sundharam BS. Detection of salivary interleukin-2 in recurrent aphthous stomatitis. J Oral Maxillofac Pathol. 2014;18(3):361. doi: 10.4103/0973-029X.151313, PMID 25948989.

Avci E, Akarslan ZZ, Erten H, Coskun Cevher S. Oxidative stress and cellular immunity in patients with recurrent aphthous ulcers. Braz J Med Biol Res. 2014;47(5):355-60. doi: 10.1590/1414-431x20143714, PMID 24760117.

Lu J, Zhang N, Wu C. LncRNA CASC 2 is upregulated in aphthous stomatitis and predicts the recurrence. BMC Oral Health. 2020;20(1):12. doi: 10.1186/s12903-019-0993-0, PMID 31937279.

Gupta P, Ashok L, Naik SR. Assessment of serum interleukin-8 as a sensitive serological marker in monitoring the therapeutic effect of levamisole in recurrent aphthous ulcers: A randomized control study. Indian J Dent Res. 2014;25(3):284-9. doi: 10.4103/0970-9290.138293, PMID 25098981.

Najafi S, Yousefi H, Mohammadzadeh M, Bidoki AZ, Farhadi E, Rezaei N. Interleukin-2, interferon-gamma gene polymorphisms in recurrent aphthous stomatitis. Prague Med Rep. 2017;118(2-3):81-6. doi: 10.14712/23362936.2017.7, PMID 28922104.

Firouze Moqadam I, Najafi S, Mohammadzadeh M, Zare Bidoki A, Yousefi H, Farhadi E, Tonekaboni A, Meighani G, Mohammadzadeh M, Amirzargar AA, Rezaei N. Lack of association between interleukin-12 gene polymorphisms and recurrent aphthous stomatitis. Avicenna J Med Biotechnol. 2016;8(4):200-1. PMID 27920889.

Najafi S, Firooze Moqadam IF, Mohammadzadeh M, Bidoki AZ, Yousefi H, Farhadi E, Tonekaboni A, Meighani G, Amirzargar AA, Rezaei N. Interleukin-10 gene polymorphisms in recurrent aphthous stomatitis. Immunol Investig. 2014;43(4):405-9. doi: 10.3109/08820139.2014.880119, PMID 24564196.

Karakus N, Yigit S, Rustemoglu A, Kalkan G, Bozkurt N. Effects of interleukin (IL)-6 gene polymorphisms on recurrent aphthous stomatitis. Arch Dermatol Res. 2014;306(2):173-80. doi: 10.1007/s00403-013-1406-x, PMID 23982631.

Altay DU, Korkmaz M, Ergun S, Korkmaz H, Noyan T. Salivary irisin: potential inflammatory biomarker in recurrent apthous stomatitis patients. Eur Rev Med Pharmacol Sci. 2021;25(5):2252-9. doi: 10.26355/eurrev_202103_25257, PMID 33755963.

Nur’aeny N, Sufiawati I, Suwarsa O, Gurnida DA. Serum IL-6 levels of atopic patients with recurrent aphthous stomatitis (RAS). Padjadjaran J Dent. 2019;31(1):20-4. doi: 10.24198/pjd.vol31no1.21223.

Simcic D, Pezelj Ribaric S, Gržic R, Horvat J, Brumini G, Muhvic Urek M. Detection of salivary interleukin 2 and interleukin 6. In: Patients with burning mouth syndrome. Mediators of Inflammations 2006;2006. PMID 054632.

Bhosale SS, Rajput BS, Takkar H, Bhagat SV, Vagger RM, Shaikh MIK. Establishment of role of IL-2, IL-10 and IL-12 in patients with recurrent aphthous stomatitis-a clinical study. J Contemp Dent Pract. 2018;19(10):1242-5. doi: 10.5005/jp-journals-10024-2411, PMID 30498180.

Sun M, Fu SM, Dong GY, Wu D, Wang GX, Wu Y. Inflammatory factors gene polymorphism in recurrent oral ulceration. J Oral Pathol Med. 2013;42(7):528-34. doi: 10.1111/jop.12048, PMID 23406059.

Najafi S, Yousefi H, Mohammadzadeh M, Bidoki AZ, Firouze Moqadam IF, Farhadi E, Amirzargar AA, Rezaei N. Association study of interleukin-1 family and interleukin-6 gene single nucleotide polymorphisms in recurrent aphthous stomatitis. Int J Immunogenet. 2015;42(6):428-31. doi: 10.1111/iji.12228, PMID 26385127.

Nur’aeny N, Gurnida DA, Suwarsa O, Sufiawati I. The impact of DNA methylation on IL6 mRNA levels in hematinic deficiency and atopy-associated recurrent aphthous stomatitis patients. Int J Dent. 2021;2021:5560695. doi: 10.1155/2021/5560695, PMID 33936205.

Ficarra G, Baroni G, Massi D. Pyostomatitis vegetans: cellular immune profile and expression of IL-6, IL-8 and TNF-alpha. Head Neck Pathol. 2010;4(1):1-9. doi: 10.1007/s12105-009-0149-7, PMID 20237982.

Lee JH, Cho DH, Park HJ. IL-18 and cutaneous inflammatory diseases. Int J Mol Sci. 2015;16(12):29357-69. doi: 10.3390/ijms161226172, PMID 26690141.

Published

11-12-2021

How to Cite

DAMAYANTI, I., NUR’AENY, N., & WAHYUNI, I. S. (2021). INTERLEUKIN AS BIOMARKER OF RECURRENT APHTHOUS STOMATITIS (RAS): A SYSTEMATIC LITERATURE REVIEW. International Journal of Applied Pharmaceutics, 13(4), 27–33. https://doi.org/10.22159/ijap.2021.v13s4.43813

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