Characterization, study of cytokines and virus infections in stomatitis lesions related to the use of mTOR inhibitors in renal transplant patients.

• Grant number: 18/02568-8
• Support Opportunities: Regular Research Grants
• Start date: April 01, 2019
• End date: March 31, 2022
• Field of knowledge: Health Sciences - Medicine - Medical Clinics
• Principal Investigator: Fabiana Martins e Martins de Oliveira
• Grantee: Fabiana Martins e Martins de Oliveira
• Host Institution: Universidade de Santo Amaro (UNISA). São Paulo , SP, Brazil
• Associated researchers: Aluisio Augusto Cotrim Segurado ; Elias David-Neto ; Ligia Camera Pierrotti ; Paulo Henrique Braz da Silva

Abstract

The mammalian target of mTOR, a serine / threonine kinase is associated with several cellular activities. Due to the several cellular activities that are attributed to this protein, drugs have been developed inhibiting its function, the mTOR inhibitors (imTOR), represented by sirolimus, and everolimus. ImTOR are associated with severe adverse events (AE), patients on everolimus therapy most commonly exhibit the following AE: hyperlipidemia, dermatitis, oral stomatitis. The mTOR-induced stomatitis (mIAS) has as differential diagnosis recurrent aphthous stomatitis or herpesvirus lesions The aim of this study is to analyze the cytokine profile and to investigate the presence of human herpesviruses during the post-renal transplant period in renal transplant patients who developed or not stomatitis associated with the use of imTOR and to comparatively evaluate patients who use other immunosuppressants; evaluate the incidence of oral lesions in individuals using of imTOR and to analyze possible cytological changes in smears from renal transplant patients, correlating to oral alterations and the drugs used. Saliva, peripheral blood and oral epithelial cells smears will be collected in renal transplant recipients using mTOR inhibitors and other types of immunosuppressive therapies (G1mTOR and G2imuno). The following cytokines will be analyzed: (IL-6, IFN-gama, IL-10, \ IL-8, e TNF-alfa); PCR for the detection and quantification of herpesvirus (whole blood,saliva) polyomaviruses (BK) (whole blood) will be used for viruses screening. The cytological alterations will be studied using the Papanicolau technique. (AU)

Scientific publications

(6)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

MACEDO, DEBORA S.; JACOMO, THIERRY S.; MORAES, BRUNA; ORTEGA, KAREM L.; BRAZ-SILVA, PAULO H.; ZONTA, MARCO A.; PALLOS, DEBORA; MARTINS, FABIANA. Cytomorphometric Evaluation of Oral Mucosa of Patients with Duchenne Muscular Dystrophy. Head and Neck Pathology, v. N/A, p. 4-pg., 2022-01-22. (18/02568-8)

CAMPOS, LUANA; BRAGA MIZIARA, LUCIANO NASCIMENTO; GALLOTTINI, MARINA; ORTEGA, KAREM; MARTINS, FABIANA. Medication-related osteonecrosis of the jaw in a Duchenne muscular dystrophy patient. Photodiagnosis and Photodynamic Therapy, v. 31, p. 4-pg., 2020-09-01. (18/02568-8)

DE OLIVEIRA, MARCIO AUGUSTO; REIS, BRUNA; PALLOS, DEBORA; KIM, YEON JUNG; BRAZ-SILVA, PAULO HENRIQUE; MARTINS, FABIANA. The Importance of Histopathological Examination to the Final Diagnosis of Peripheral Odontogenic Tumors: A Case Report of a Peripheral Odontoma. CASE REPORTS IN DENTISTRY, v. 2019, SEP 8 2019. (15/07727-9, 18/02568-8)

BRAGA MIZIARA, LUCIANO NASCIMENTO; SENDYK, WILSON ROBERTO; ORTEGA, KAREM LOPEZ; GALLOTTINI, MARINA; SENDYK, DANIEL ISAAC; MARTINS, FABIANA. Risk of Bleeding during Implant Surgery in Patients Taking Antithrombotics: A Systematic Review. SEMINARS IN THROMBOSIS AND HEMOSTASIS, v. 47, n. 06, p. 702-708, SEP 2021. (18/02568-8)

CAMPOS, LUANA; RAMIRES, MARCIA CHRISTINA CAMARGO HERNANDES; OLIVEIRA, MARIA TERESA SANTOS; ZERBINATI, RODRIGO; BRAZ-SILVA, PAULO; MARTINS, FABIANA; PALMA, LUIZ FELIPE. Photodynamic viral inactivation in COVID-19-related orofacial lesions: myth or fact?. Photodiagnosis and Photodynamic Therapy, v. 42, p. 2-pg., 2023-04-13. (18/02568-8)

ANASENKO, STEPHANIE; CAMPOS, LUANA; GALLOTTINI, MARINA; TANAKA, MARCIA HIROMI; MARTINS, FABIANA. High-power laser as a treatment of recurrent gingival fibromatosis in a patient with a rare syndrome: A case report. PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE, v. 39, n. 1, p. 3-pg., 2022-05-25. (18/02568-8)