Detection of Herpes Simplex Virus, Varicella Zoster Virus, Helicobacter Pylori and Candida in Saliva of Patients with Recurrent Aphthous Ulceration

재발성 아프타성 궤양 환자의 타액에서 Herpes Simplex Virus, Varicella Zoster Virus, Helicobacter pylori 그리고 Candida 검출

  • Hur, Woong (Department of Oral Medicine, Institute of Forensic Odontology, College of Dentistry, Chosun University) ;
  • Yoon, Chang-Lyuk (Department of Oral Medicine, Institute of Forensic Odontology, College of Dentistry, Chosun University) ;
  • Ahn, Jong-Mo (Department of Oral Medicine, Institute of Forensic Odontology, College of Dentistry, Chosun University)
  • 허웅 (조선대학교 치과대학 구강내과학교실.법의치과학연구소) ;
  • 윤창륙 (조선대학교 치과대학 구강내과학교실.법의치과학연구소) ;
  • 안종모 (조선대학교 치과대학 구강내과학교실.법의치과학연구소)
  • Published : 2005.09.30

Abstract

To examine whether HSV, VZV, H. pylori and Candida that are known to be microorganisms causing ulcerative disease in oral cavity and have the relatively high contigiousness are detected in saliva of patients with RAU and related to the development with RAU, PCR and culture were performed on the saliva of 29 patients with RAU and 29 control subjects who visited the Department of Oral Medicine, Dental Hospital, Chosun University. The results were obtained as follows; 1. HSV DNA was detected in 41.4% patients with RAU, and 55.2% control subjects, however, a significant difference between the two groups was not detected, (P>0.05), and VZV DNA was not detected in both groups. 2. H. pylori DNA was detected in 27.6% patients with RAU, and 48.3% control subjects, however, a significant difference between the two groups was not detected (P>0.05). 3. Candida was cultured in 13.8% patients with RAU, and 6.9% control subjects, however, a significant difference between the two groups was not detected (P>0.05). This results suggest that HSV, VZV, H. pylori and Candida can not be regarded to play a direct role in the development of RAU. Thus it is considered that in future, on a larger sample, also, it has to be examined whether other microorganisms acts as a trigger factor of the development of RAU.

재발성 아프타성 궤양 환자의 타액에서 구강내 궤양성 병소를 유발할 수 있고 감염성이 비교적 높은 미생물로 알려진 Herpes Simplex virus, Varicella Zoster virus, Helicobacter pylori 그리고 Candida가 발현되는지 여부와 병소의 발생과 상관관계가 있는지를 알아보고자 조선대학교 치과병원 구강내과에 내원한 재발성 아프타성 궤양을 가진 환자 29명과 대조군 29명의 타액을 이용하여 PCR과 배양을 통해 발현율을 비교한바 다음과 같은 결과를 얻었다. 1. HSV DNA는 재발성 아프타성 궤양 환자군에서 41.4%, 대조군에서 55.2%가 발현되었으나 두 군간에 유의한 차이는 없었고(P>0.05), VZV DNA는 두 군에서 모두 나타나지 않았다. 2. H. pylori DNA는 재발성 아프타성 궤양 환자군에서 27.6%, 대조군에서 48.3%가 발현되었으나 두 군간에 유의한 차이는 없었다(P>0.05). 3. Candida는 재발성 아프타성 궤양 환자군에서 13.8%, 대조군에서 6.9%가 배양되었으나 두 군간에 유의한 차이는 없었다(P>0.05). 이상의 연구를 종합하여 보았을 때, HSV, VZV, H. pylori 그리고 Candida는 재발성 아프타성 궤양의 발생에 직접적인 역할을 한다고는 볼 수 없으므로 향후 더 많은 표본을 대상으로 다른 미생물이 병소 발생의 유발요인으로 작용하는지 연구하여야 할 것으로 사료된다.

Keywords

References

  1. Park SB, Kim BG, Bae JS. Detection of viruses and changes of protein of saliva in patients with recurrent aphthous ulcer. J Kor Acad Oral Med 1999;24(2): 125-135
  2. Brice SL, Cook D, Leahy H, Huff JC, Weston WL. Examination of the oral mucosa and peripheral blood cells of patients with recurrent aphthous ulceration for human herpesvirus DNA. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89(2):193-198 https://doi.org/10.1067/moe.2000.102041
  3. Embil JA, Stephens RG, Manuel FR. Prevalence of recurrent herpes labialis and aphthous ulcers among young adults on six continents. J Can Med Assoc 1975;113 627-630
  4. Regezi JA, Sciubba J. Ulceration conditions. In Oral pathology Clinical-pathologic correlations edited by Regezi JA, Sciubba J, Philadelphia, 1999, WB Saunders, 46-53
  5. Safronova LA, Poltavs'kyi OM, Tsaruk'janova IH et al. Oral cavity microbial coenobia in healthy children and childre with chronic recurrent aphthous stomatitis. Mikrobiol Z 2003;65(6):49-58
  6. Shimoyama T, Horie N, Kato T, Kaneko T, Komiyama K. Helicobacter pylori in oral ulcerations. J Oral Sci 2000;42(4):225-229 https://doi.org/10.2334/josnusd.42.225
  7. Briek C, Grandhi R, McNeil K et al. Detection of Helicobacter pylori in oral aphthous ulcers. J Oral Pathol Med 2000;29(10):523-525 https://doi.org/10.1034/j.1600-0714.2000.291008.x
  8. Di Luca D, Mirandola P, Ravaioli T et al. Human herpesvirus 6 and 7 in salivary glands and shedding in saliva of healthy and human immunodeficiency virus positive individuals. J Med Virol 1995;45(4):462-468 https://doi.org/10.1002/jmv.1890450418
  9. Ghodratnama F, Riggio MP, Wray D. Search for human herpesvirus 6, human cytomegalovirus and varicella zoster virus DNA in recurrent aphthous stomatitis tissue. J Oral Pathol Med 1997;26(4): 192-197 https://doi.org/10.1111/j.1600-0714.1997.tb00457.x
  10. Riggio MP, Lennon A, Ghodratnama F, Wray D. Lack of association between streptococcus oralis and recurrent aphthous stomatitis. J Oral Pathol Med 2000;29(1):26-32 https://doi.org/10.1034/j.1600-0714.2000.290105.x
  11. Hoover CI, Olson JA, Greenspan JS. Humoral responses and cross-reactivity to viridans streptococci in recurrent aphthous ulceration. J Dent Res 1986;65(8):1101-1104 https://doi.org/10.1177/00220345860650081101
  12. Mandel ID. The function of saliva. J Dent Res 1987;66:623-627 https://doi.org/10.1177/00220345870660S103
  13. Sciubba JJ. Herpes simplex and aphthous ulceration : presentation, diagnosis and management an update. Gen Dent 2003;51(6):510-516
  14. Gileva O, Sazhina H, Gileva E, Efimov A, Scully C. Spectrum of oral manifestation of HIV/AIDS in the perm region (Russia) and identification of self-induced ulceronegotic lingual lesions. Med Oral 2004;9(3):212-215
  15. Ramos-Gomez F. Dental corsiderations for the paediatric AIDS/HIV patient. Oral Dis 2002;2(8): 49-54
  16. Pedersen A. Are recurrent oral aphthous ulcers of viral etiology? Med Hypotheses 1991;36(3):206-210 https://doi.org/10.1016/0306-9877(91)90132-I
  17. Pedersen A, Hornsleth A. Recurrent aphthous ulceration: a possible clinical manifestation of reactivation of varicella zoster or cytomegalovirus infection. J Oral Pathol Med 1993;22(2):64-68 https://doi.org/10.1111/j.1600-0714.1993.tb00045.x
  18. Studd M, McCance DJ, Lehner T. Detection of HSV-1 DNA in patients with Béhçet's syndrome and in patients with recurrent oral ulcers by the polymerase chain reaction. J Med Microbiol 1991;34:39-43 https://doi.org/10.1099/00222615-34-1-39
  19. Galliani EA, Infantolino D, Tarantello M, Cipriani R, De Lazzari F. Recurrent aphthous stomatitis: which role for viruses, food, and dental materials? Ann Ital Med Int 1998;13(3):152-156
  20. Lee S, Bang D, Cho YH, Lee ES, Sohn S. Polymerase chain reaction reveals herpes simplex virus DNA in saliva of patients with Béhçet's disease. Arch Dermatol Res 1996;288:179-183 https://doi.org/10.1007/BF02505221
  21. Donatsky O, Justensen T, Lind K, Vestergaard BF. Microorganism in recurrent aphthous ulcerations. Scand J Dent Med 1977;85(6):426-433
  22. Narikawa S, Suzuki Y, Takahashi M et al. Streptococcus oralis previously identified as uncommon 'streptococcus sanguis' in Béhçet's disease. Arch Oral Biol 1995;40(8):685-690 https://doi.org/10.1016/0003-9969(95)00042-N
  23. Vidoria JM, Kalopothakis E, Silva JdeF, Gomez RS. Helicobacter pylori DNA in recurrent aphthous stomatitis. J Oral Pathol Med 2003;32(4):219-223 https://doi.org/10.1034/j.1600-0714.2003.00136.x
  24. Goodwin CS, Mendall MM, Northfield TC. Helicobacter pylori infection. Lancet 1999;349: 265-269
  25. Pavelic J, Gall-Troselj K, Jurak I, Mravak-Stipetic M. Helicobacter pylori in oral aphthous ulcers. J Oral Pathol Med 2000;29:523-525 https://doi.org/10.1034/j.1600-0714.2000.291008.x
  26. Kim HC, Kim JH, Lee SS et al. Incidence of Helicobacter pylori detected by PCR and its relation to the potential etiology of recurrent aphthous ulcerations. J Kor Acad Oral Med 2002;27(4):401-413
  27. Shames B, Krajden S, Fuksa M, Babida C, Penner JL. Evidence fot the occurrence of the same strain of Campylobacter pylori in the stomach and the dental plaque. J Cli Microbiol 1989;27(12):2849-2850
  28. Dowsett SA, Kowolik M. Oral Helicobacter pylori: Can we stomach it? Crit Rew Oral Biol Med 2003;14(3):226-233 https://doi.org/10.1177/154411130301400307
  29. Richter J, Grimmova M, Stiborova I, Kral V, Jeilek D. Detection of Helicobacter pylori in the saliva of patients with recurrent apthous stomatitis. Cas Lek Cesk 2003;142(11):665-669
  30. Fritscher AM, Cherubini K, Chies J, Dias AC. Association between Helicobacter pylori and recurrent aphthous stomatitis in children and adolescents. J Oral Pathol Med 2004;33(3):129-132 https://doi.org/10.1111/j.0904-2512.2004.00074.x
  31. Iamaroon A, Chaimano S, Linpisan S, Pangsiriwet S, Phomphutkul K. Detection of Helicobacter pylori in recurrent aphthous ulceration by nested PCR. J Oral Sci 2003;:107-110
  32. Oudshoorn AH, Ramaker C. Stomatitis in childhood, not always benign. Ned Tijdschr Geneeskd 2000;(2): 1985-1990