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2OO9 – 2O1O - Faculty of Dentistry - University of Otago

2OO9 – 2O1O - Faculty of Dentistry - University of Otago

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Oral Molecular and Immunopathology<br />

Programme Leaders: Pr<strong>of</strong>essor Greg Seymour and Associate Pr<strong>of</strong>essor Alison Rich<br />

OVERVIEW<br />

The main objective <strong>of</strong> our group is to explore the cellular<br />

and molecular basis <strong>of</strong> oral diseases, so as to improve<br />

their diagnosis and treatment. The group has three<br />

major themes: (i) periodontal diseases; (ii) oral mucosal<br />

disease including oral squamous cell carcinoma; and (iii)<br />

tissue regeneration. In this context, a range <strong>of</strong> molecular,<br />

immunological and pathological tools are employed,<br />

including genomic and focused micro-arrays, real time PCR,<br />

and immunohistochemistry. In terms <strong>of</strong> periodontal disease,<br />

the focus is on using the peripheral blood and salivary<br />

transcriptomes in the determination <strong>of</strong> susceptibility, the<br />

use <strong>of</strong> metagenomics to further our understanding <strong>of</strong> the<br />

oral microbiota in health and disease, and epigenetics to<br />

determine the influence <strong>of</strong> environmental factors such as<br />

smoking. The relationship with systemic diseases is being<br />

investigated as part <strong>of</strong> a multidisciplinary international<br />

collaborative study, while the immunopathological<br />

mechanisms underpinning oral mucosal disease and<br />

periapical pathology are being investigated using<br />

single and double layer immun<strong>of</strong>luorescence and<br />

immunohistochemistry augmented by PCR and microarray<br />

technology. Endoplasmic stress in inflamed oral tissues<br />

is being explored and the role <strong>of</strong> periapical stem cells<br />

and angiogenesis in root development and the effect <strong>of</strong><br />

bisphosphonates on gene expression in oral cells are<br />

also being investigated. In collaboration with the oral<br />

implantology research group, healing associated with dental<br />

implants is being studied in terms <strong>of</strong> gene expression<br />

and immunohistology. An evaluation is being made <strong>of</strong> the<br />

relationship between intestinal and oral manifestations <strong>of</strong><br />

Crohn’s Disease.<br />

STAFF AND STUDENTS<br />

Praveen Parachuru Doris Lam<br />

Dawn Coates Kimmy Lin<br />

Eric Chen Robert Love<br />

Patty Chou Trudy Milne<br />

Mary Cullinan Anita Nolan<br />

Norman Firth Erni Noor<br />

Lara Friedlander Edward Ohlrich<br />

Osea Gavidi Alison Rich<br />

Nick Heng Benedict Seo<br />

Haizal Hussaini Greg Seymour<br />

Faizal Hidayat Sobia Zafar<br />

Lynda Horne<br />

12 FACULTY OF DENTISTRY RESEARCH REPORT 2009-2010<br />

The Crohn’s disease study is being undertaken in<br />

conjunction with colleagues in the Department <strong>of</strong><br />

Biochemistry <strong>University</strong> <strong>of</strong> <strong>Otago</strong>, and Dunedin,<br />

Christchurch and Auckland Hospitals.<br />

We have international collaborative studies with the Oral<br />

Cancer Research and Coordinating Centre, <strong>University</strong> <strong>of</strong><br />

Malaya (www.malaysiaoralcancer.org) Malaysia, the School<br />

<strong>of</strong> Medicine <strong>of</strong> the <strong>University</strong> <strong>of</strong> Queensland, Australia,<br />

the School <strong>of</strong> <strong>Dentistry</strong>, Niigata <strong>University</strong>, Japan, the<br />

<strong>University</strong> <strong>of</strong> Hong Kong, and a developing collaboration<br />

with the <strong>University</strong> <strong>of</strong> Sheffield.<br />

In association with the School <strong>of</strong> Medicine at the <strong>University</strong><br />

<strong>of</strong> Queensland, the group is conducting a major 5-year<br />

longitudinal clinical study on the relationship between<br />

periodontal and cardiovascular diseases. This study has<br />

attracted over $3 million in funding over the past 5 years<br />

and, as a result, the group is considered a world leader in<br />

this field. The group is also recognised as a world leader in<br />

using molecular and cellular techniques in clinical trials.<br />

SPECIFIC RESEARCH PROJECTS<br />

Characterisation <strong>of</strong> natural regulatory T cells and Th17<br />

cells in human periodontal disease;<br />

Expression <strong>of</strong> pro-inflammatory cytokines and distribution<br />

<strong>of</strong> immune cells in oral squamous cell carcinoma;<br />

Expression <strong>of</strong> toll-like receptor 2 in oral mucosal lichen<br />

planus using immunohistochemistry and quantitative realtime<br />

reverse transcriptase polymerase chain reaction;<br />

Endoplasmic stress in periodontal diseases;<br />

TLR2 & 4 in periapical lesions and Immunohistochemical<br />

localization <strong>of</strong> TLR2, TLR4, and the RANK/RANKL/<br />

OPG system in pulp and periradicular disease associated<br />

inflammatory root resorption;<br />

Gene expression pr<strong>of</strong>iles <strong>of</strong> GroEL and heat shock<br />

protein 60 specific T cells in atherosclerosis and chronic<br />

periodontitis;<br />

The salivary and peripheral blood transcriptomes and<br />

susceptibility to progressive periodontal disease;<br />

The relationship between intestinal and oral Crohn’s disease;<br />

The role <strong>of</strong> bisphosphates on gingival fibroblast gene<br />

expression; and<br />

Periapical stem cells and angiogenesis in the periapical<br />

region.

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