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Oral Paracoccidioidomycosis Granulomas are Predominantly Populated by CD163+ Multinucleated Giant Cells

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Abstract

Multinucleated giant cells (MGC) are considered to be a hallmark of granulomatous inflammation; thus, they may play an essential role in the host response against pathogens, particularly Paracoccidioides brasiliensis. This study characterizes the MGC found in oral paracoccidioidomycosis and assesses the correlation of MGC with the amount of fungi within oral tissues. Twenty-six cases were included. They were classified as loose or dense granulomas, and the total MGC, including foreign-body and Langhans giant cells, besides the total and intracellular fungi, were taken into consideration. CD163 immunoexpression was performed, and CD163+ multinucleated giant cells were also quantified. Dense granulomas revealed more foreign-body type and total giant cells than loose granulomas (P < 0.05). Total giant cells showed a positive linear correlation with the CD163+ cells (P = 0.003; r = 0.56) and intracellular fungi quantification (P = 0.045; r = 0.40). Oral paracoccidioidomycosis lesions contain MGC that mainly belong to a CD163+ phenotype, also showing both Langhans and foreign-body arrangements. Additionally, the higher the presence of MGC, the higher the amount of phagocytized fungi.

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Acknowledgements

The authors are thankful to Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES AUX PE PNPD 2386/2011) for financially supporting this study.

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Authors and Affiliations

  1. Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil

    Renato do Prado Gomes Pedreira, Marina Lara de Carli, Noé Vital Ribeiro Junior & João Adolfo Costa Hanemann

  2. Institute of Exact Sciences, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil

    Luiz Alberto Beijo

  3. Pathology Center, Adolfo Lutz Institute, Av. Dr. Arnaldo, 355 Cerqueira César, São Paulo, SP, 01246-902, Brazil

    Suely Nonogaki

  4. Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil

    Alessandro Antônio Costa Pereira & Felipe Fornias Sperandio

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  1. Renato do Prado Gomes Pedreira
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  2. Marina Lara de Carli
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Correspondence to João Adolfo Costa Hanemann.

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All procedures performed in the present study involving human participants were in accordance with the ethical standards of the institutional research committee (protocol #814.059) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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do Prado Gomes Pedreira, R., de Carli, M.L., Beijo, L.A. et al. Oral Paracoccidioidomycosis Granulomas are Predominantly Populated by CD163+ Multinucleated Giant Cells. Mycopathologia 181, 709–716 (2016). https://doi.org/10.1007/s11046-016-0016-5

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  • DOI: https://doi.org/10.1007/s11046-016-0016-5

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