Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis

<i>Background and Objectives:</i> Interferon-gamma (IFN-&#947;)/interleukin-4 (IL-4) ratio may indicate a change in the immune response with a potential pathological effect presented in oral lichen planus (OLP) patients. Herein, this meta-analysis evaluated the role of serum and sali...

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Main Authors: Hamid Reza Mozaffari, Maryam Molavi, Pia Lopez-Jornet, Masoud Sadeghi, Mohsen Safaei, Mohammad Moslem Imani, Roohollah Sharifi, Hedaiat Moradpoor, Amin Golshah, Ladan Jamshidy
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Medicina
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Online Access:https://www.mdpi.com/1010-660X/55/6/257
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author Hamid Reza Mozaffari
Maryam Molavi
Pia Lopez-Jornet
Masoud Sadeghi
Mohsen Safaei
Mohammad Moslem Imani
Roohollah Sharifi
Hedaiat Moradpoor
Amin Golshah
Ladan Jamshidy
author_facet Hamid Reza Mozaffari
Maryam Molavi
Pia Lopez-Jornet
Masoud Sadeghi
Mohsen Safaei
Mohammad Moslem Imani
Roohollah Sharifi
Hedaiat Moradpoor
Amin Golshah
Ladan Jamshidy
author_sort Hamid Reza Mozaffari
collection DOAJ
description <i>Background and Objectives:</i> Interferon-gamma (IFN-&#947;)/interleukin-4 (IL-4) ratio may indicate a change in the immune response with a potential pathological effect presented in oral lichen planus (OLP) patients. Herein, this meta-analysis evaluated the role of serum and salivary interferon-gamma/interleukin-4 ratio in the severity and development of OLP. <i>Materials and Methods:</i> The Scopus, Cochrane Library, PubMed, and Web of Science databases were systematically searched to retrieve the relevant studies published up from the database inception to March 2019. The crude mean difference (MD) and 95% confidence interval (CI) were calculated by RevMan 5.3 software using a random-effects model. A sensitivity analysis was performed on the results using the CMA 2.0 software. A total of 98 studies were retrieved from the databases, of which at last seven studies were included in this meta-analysis. <i>Results:</i> The findings showed that the pooled MDs of serum and salivary IFN-&#947;/IL-4 ratio were &#8722;0.22 (95% CI: &#8722;1.16, 0.72; <i>p</i> = 0.64) and 0.17 (95% CI: &#8722;1.50, 1.84; <i>p</i> = 0.84) in OLP patients compared to controls, respectively. In addition, the pooled MDs of serum and salivary IFN-&#947;/IL-4 ratio were &#8722;0.15 (95% CI: &#8722;0.53, 0.23; <i>p</i> = 0.43) and &#8722;0.39 (95% CI: &#8722;0.63, &#8722;0.15; <i>p</i> = 0.001) in patients with erythematous/ulcerative subtype compared to patients with reticular subtype, respectively. <i>Conclusions:</i> In conclusion, the results of meta-analysis demonstrated that serum and salivary IFN-&#947;/IL-4 ratio cannot play a major role in OLP development and severity.
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spelling doaj.art-9ba74b854f20485f978db584c01876252023-09-02T14:10:29ZengMDPI AGMedicina1010-660X2019-06-0155625710.3390/medicina55060257medicina55060257Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-AnalysisHamid Reza Mozaffari0Maryam Molavi1Pia Lopez-Jornet2Masoud Sadeghi3Mohsen Safaei4Mohammad Moslem Imani5Roohollah Sharifi6Hedaiat Moradpoor7Amin Golshah8Ladan Jamshidy9Department of Oral and Maxillofacial Medicine, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranStudents Research Committee, Kermanshah University of Medical Sciences, Kermanshah 6715847141, IranFacultad de Medicina y Odontologia Universidad de Murcia, Hospital Morales Meseguer, Clinica Odontologic Adv Marques Velez s/n, 30008 Murcia, SpainMedical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah 6714415185, IranOral and Dental Sciences Research Laboratory, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranDepartment of Orthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranDepartment of Endodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranDepartment of Prosthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranDepartment of Orthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, IranDepartment of Prosthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah 6713954658, Iran<i>Background and Objectives:</i> Interferon-gamma (IFN-&#947;)/interleukin-4 (IL-4) ratio may indicate a change in the immune response with a potential pathological effect presented in oral lichen planus (OLP) patients. Herein, this meta-analysis evaluated the role of serum and salivary interferon-gamma/interleukin-4 ratio in the severity and development of OLP. <i>Materials and Methods:</i> The Scopus, Cochrane Library, PubMed, and Web of Science databases were systematically searched to retrieve the relevant studies published up from the database inception to March 2019. The crude mean difference (MD) and 95% confidence interval (CI) were calculated by RevMan 5.3 software using a random-effects model. A sensitivity analysis was performed on the results using the CMA 2.0 software. A total of 98 studies were retrieved from the databases, of which at last seven studies were included in this meta-analysis. <i>Results:</i> The findings showed that the pooled MDs of serum and salivary IFN-&#947;/IL-4 ratio were &#8722;0.22 (95% CI: &#8722;1.16, 0.72; <i>p</i> = 0.64) and 0.17 (95% CI: &#8722;1.50, 1.84; <i>p</i> = 0.84) in OLP patients compared to controls, respectively. In addition, the pooled MDs of serum and salivary IFN-&#947;/IL-4 ratio were &#8722;0.15 (95% CI: &#8722;0.53, 0.23; <i>p</i> = 0.43) and &#8722;0.39 (95% CI: &#8722;0.63, &#8722;0.15; <i>p</i> = 0.001) in patients with erythematous/ulcerative subtype compared to patients with reticular subtype, respectively. <i>Conclusions:</i> In conclusion, the results of meta-analysis demonstrated that serum and salivary IFN-&#947;/IL-4 ratio cannot play a major role in OLP development and severity.https://www.mdpi.com/1010-660X/55/6/257oral lichen planusratiointerferon-gammainterleukin-4meta-analysis
spellingShingle Hamid Reza Mozaffari
Maryam Molavi
Pia Lopez-Jornet
Masoud Sadeghi
Mohsen Safaei
Mohammad Moslem Imani
Roohollah Sharifi
Hedaiat Moradpoor
Amin Golshah
Ladan Jamshidy
Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
Medicina
oral lichen planus
ratio
interferon-gamma
interleukin-4
meta-analysis
title Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
title_full Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
title_fullStr Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
title_full_unstemmed Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
title_short Salivary and Serum Interferon-Gamma/Interleukin-4 Ratio in Oral Lichen Planus Patients: A Systematic Review and Meta-Analysis
title_sort salivary and serum interferon gamma interleukin 4 ratio in oral lichen planus patients a systematic review and meta analysis
topic oral lichen planus
ratio
interferon-gamma
interleukin-4
meta-analysis
url https://www.mdpi.com/1010-660X/55/6/257
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