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International Poster Journal of Dentistry and Oral Medicine



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Int Poster J Dent Oral Med 9 (2007), No. 1     15. Mar. 2007

Int Poster J Dent Oral Med 2007, Vol 9 No 01, Poster 344

Cyclosporin-induced gingival overgrowth is associated with elevated gene expression for MMP-1, MMP-10 and TIMP-1

Language: English

Dr. med. dent. Bettina Dannewitz, Sektion Parodontologie, Universitätsklinikum Heidelberg
Christina Edrich, Poliklinik für Zahnerhaltungskunde, Universitätsklinikum Heidelberg
Prof. Dr. rer. nat. Pascal Tomakidi, Poliklinik für Kieferorthopädie, Universitätsklinikum Heidelberg
Annette Kohl, Poliklinik für Kieferorthopädie, Universitätsklinikum Heidelberg
Prof. Dr. med. dent. Peter Eickholz, Poliklinik für Parodontologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
Prof. Dr. med. dent. Gerda Komposch, Poliklinik für Kieferorthopädie, Universitätsklinikum Heidelberg
Dr. rer. nat. Thorsten Steinberg, Poliklinik für Kieferorthopädie, Universitätsklinikum Heidelberg

Europerio 5
Madrid, Spain


In humans, pathogenesis of cyclosporin A (CsA)-induced gingival overgrowth (GO) includes the accumulation of extracellular matrix (ECM) constituents, such as collagen type-I, type–III and proteoglycans in the subgingival connective gingival tissue. However, it remains unclear whether this increase is associated with alterations of molecules pivotal for the turnover of collagens and proteoglycans. Therefore, the present study explores the status of molecules which are involved in ECM-turnover. In detail, we have analysed the status of matrix metalloproteinase (MMP)-1, MMP-10, and their tissue inhibitor TIMP-1.

Material and Methods

The above-mentioned molecules were studied on the mRNA expression level by in situ hybridisation (ISH) and quantitative real-time PCR (RT-PCR) as well as on the protein level by indirect immunofluorescence (IIF). Tissue specimens derived from 5 patients with CsA-induced GO after renal transplantation and 5 patients with clinically heathy gingiva and were analysed on frozen sections.


Molecule Tissue area in normal gingiva Tissue area in gingival overgrowth
connective tissue
connective tissue
connective tissue
connective tissue
IIF MMP-1 - - - - + -
MMP-10 - - - ++ ++ ++
TIMP-1 - - - - ++ +++
ISH MMP-1 + + + + ++ ++
MMP-10 ++ + + ++ + +++
TIMP-1 + + + ++ +++ +++
Tab. 1: Relative expression of MMP-1, MMP-10, and TIMP-1 is given on an arbitrary scale (+++ strong, ++ intermediate variable, + low, - no expression).

ISH revealed elevated levels of MMP-1 mRNA expression in the epithelial compartment of GO compared to normal tissue (Fig. 1A and B, Tab. 1). This elevation also applied to MMP-10 (Fig. 1C and D, Tab. 1), while MMP-10 gene transcription appeared generally stronger, rather than that observed for MMP-1. For TIMP-1, transcription levels were week in normal and strong in GO tissue (Fig. 1E and F, Tab 1). These differences detected in ISH were corroborated by RT-PCR (Fig. 3). RT-PCR revealed for all three molecules an increase of the relative mRNA expression level in GO compared to normal gingiva, with TIMP-1 showing the most significant change (4.8-fold; Fig. 3 orange collum). Detection of the protein by IIF showed that normal gingival tissue was devoid of all three molecules, while they were detectable in GO tissue, with emphasis on TIMP-1 (Fig. 2, Tab. 1).

Fig. 1: ISH for MMP-1, MMP-10, and TIMP-1 in normal and overgrown gingiva. Fig. 2: ISH for MMP-1, MMP-10, and TIMP-1 in normal and overgrown gingiva.
Fig. 3: Relative mRNA-expression for MMP-1, MMP-10, and TIMP-1 in CsA-induced gingival overgrowth compared to normal gingiva.


Analysis of our data indicates elevated levels of MMP-1, MMP-10 and particularly TIMP-1. With respect to TIMP-1, this elevation may in turn lead to alterations in ECM-degradadtion by abrogating MMP-1 and MMP-10, thereby contributing to ECM accumulation associated with GO.

This Poster was submitted by Dr. med. dent. Bettina Dannewitz.

Correspondence address:
Dr. med. dent. Bettina Dannewitz
Sektion Parodontologie
Poliklinik für Zahnerhaltungskunde MZK-Klinik
Universitätsklinikum Heidelberg
Im Neuenheimer Feld 400
69120 Heidelberg