Review Article

Influence of Mast Cells in Drug-Induced Gingival Overgrowth

Table 1

Mast cell mediators and their roles in gingival tissue.

MediatorsModelPathophysiological effectReferences

HistamineHuman gingival fibroblast,
skin fibroblast
Fibroblast proliferation and collagen synthesis[17, 35, 36]
Serotonin Rat gingival tissuesVasoconstriction[37]
Arylsulphatases Human gingival tissueLipid and proteoglycan hydrolysis[38]
MMP 1–3, 9, 10Human gingival tissuesMatrix degradation[3945]
Carboxypeptidase AHuman gingival tissuesPeptide processing[38]
KininogenasesRat gingival tissuesSynthesis of vasodilatory kinins[46]
PhospholipaseHuman gingival fibroblastFibroblast proliferation, arachidonic acid generation[47]
ChymaseHuman gingival fibroblast, human gingival tissuesFibroblast proliferation, angiotensin II generation, [8, 12, 29]
TryptaseHuman gingival fibroblast, human gingival tissuesfibroblast proliferation, inflammation[8, 41, 42, 48, 49]
TGF- Human gingival fibroblast, human gingival tissuesCollagen synthesis, fibronectin generation, reduce MMP-1 synthesis[13, 31, 32, 34]
b-FGFHuman gingival fibrobalsts, gingival tissuesFibroblast proliferation[50]
CSF, GM-CSFHuman gingival fibroblast,
human gingival tissues
Fibroblast proliferation, collagen synthesis, cytokine generation[13, 50, 51]
Chondroitin sulfate,
Heparin,
Hyaluronic acid
Human gingival fibroblast
Human gingival tissues
Inflammation, regulation of cell addition and trafficking[29, 38, 52]
Chemotactic factorsHuman gingival tissuesLeukocytes infliltration[51]
Corticotropin releasing factor,
Endorphins,
Somatostatin
Human gingival tissues and crevicular fluid,
Rat oral tissues
Vasodilatation, analgesia, inflammation[38, 53, 54]
BradykininHuman gingival tissues, mouse oral tissuesAntiinflammatory[54]
Substance PHuman gingival fibroblastInflammation[54]
Vasoactive intestinal peptideHuman gingival tissues
Rat mandibular gingiva
Vasodilatation[54]
LeukotrieneHuman gingival tissues,
human gingival fibroblast,
rat oral tissues
Leukocyte chemotaxis[1, 5456]
Platelet activating factorHuman gingival tissues, rat tibiae, gingival fibroblasts.Vasodilatation
Vasoconstriction
[3, 53, 54, 56]
ProstaglandinHuman gingival tissues, gingival fibroblast,Inflammation, fibroblast proliferation[1, 5, 54, 55]
Nitric OxideCrevicular fluid from DIGO developed patients, human gingival tissuesVasodilatation, neurotransmission[4, 5, 57]
IL-1, 2, 3, 4, 5, 6, 8, 9, 10, 13, 16.Human gingival tissues, gingival fibroblastInflammation, leukocyte migration, fibroblast proliferation[13, 38, 50, 54]
INF- , MIFHuman gingival tissuesInflammation, leukocyte proliferation, and activation.[54]
TNF-αHuman gingival tissues, gingival crevicular fluidGingival inflammation, collagen synthesis, fibroblast proliferation[29, 38, 50, 58, 59]
RANTESHuman gingival tissuesChemoattractant, collagen synthesis, fibroblast proliferation, TNF-α generation[17, 54, 55]
MCP-1, 3, 4.Human gingival tissuesChemoattractant, gingival inflammation[54]