Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?

Periductal mastitis (PDM) is a prolonged inflammatory disease, but the cause of PDM is poorly understood. In the present case control study, 87 PDM and 87 healthy controls were enrolled and the results were evaluated to identify the significant risk factors for PDM. To investigate the roles of bacte...

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Main Authors: Lu Liu, Fei Zhou, Pin Wang, Lixiang Yu, Zhongbing Ma, Yuyang Li, Dezong Gao, Qiang Zhang, Liang Li, Zhigang Yu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/5309081
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author Lu Liu
Fei Zhou
Pin Wang
Lixiang Yu
Zhongbing Ma
Yuyang Li
Dezong Gao
Qiang Zhang
Liang Li
Zhigang Yu
author_facet Lu Liu
Fei Zhou
Pin Wang
Lixiang Yu
Zhongbing Ma
Yuyang Li
Dezong Gao
Qiang Zhang
Liang Li
Zhigang Yu
author_sort Lu Liu
collection DOAJ
description Periductal mastitis (PDM) is a prolonged inflammatory disease, but the cause of PDM is poorly understood. In the present case control study, 87 PDM and 87 healthy controls were enrolled and the results were evaluated to identify the significant risk factors for PDM. To investigate the roles of bacterial infection and critical cytokines expression, 16S rRNA gene sequencing and bacterial culturing were conducted. We also measured the levels of interferon-γ, interleukin-12A, and interleukin-17A by semiquantitative immunohistochemistry method. In a multivariable logistic regression model, we identified overweight/obesity and late onset of menarche as independent risk factors for PDM. In contrast, age of first birth >27 years had a protective effect. With 16S rRNA gene sequencing, we confirmed bacterial infections were found in all PDM patients, but none of the control patients was positive on the gene expression of 16S rRNA. Our results also demonstrated significant increases of the IFN-γ and IL-12A expression in PDM, but there was no difference in IL-17A expression in these two groups. Taken together, this study suggests that reproductive factors and overweight/obesity are possible predisposing risk factors for PDM. Bacterial infection and the increased expression of some proinflammatory cytokines are associated with the pathogenesis of this disease.
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series Mediators of Inflammation
spelling doaj-art-9ee9759ad78d454c92b74398315cfe292025-02-03T06:00:05ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/53090815309081Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?Lu Liu0Fei Zhou1Pin Wang2Lixiang Yu3Zhongbing Ma4Yuyang Li5Dezong Gao6Qiang Zhang7Liang Li8Zhigang Yu9Department of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, ChinaPeriductal mastitis (PDM) is a prolonged inflammatory disease, but the cause of PDM is poorly understood. In the present case control study, 87 PDM and 87 healthy controls were enrolled and the results were evaluated to identify the significant risk factors for PDM. To investigate the roles of bacterial infection and critical cytokines expression, 16S rRNA gene sequencing and bacterial culturing were conducted. We also measured the levels of interferon-γ, interleukin-12A, and interleukin-17A by semiquantitative immunohistochemistry method. In a multivariable logistic regression model, we identified overweight/obesity and late onset of menarche as independent risk factors for PDM. In contrast, age of first birth >27 years had a protective effect. With 16S rRNA gene sequencing, we confirmed bacterial infections were found in all PDM patients, but none of the control patients was positive on the gene expression of 16S rRNA. Our results also demonstrated significant increases of the IFN-γ and IL-12A expression in PDM, but there was no difference in IL-17A expression in these two groups. Taken together, this study suggests that reproductive factors and overweight/obesity are possible predisposing risk factors for PDM. Bacterial infection and the increased expression of some proinflammatory cytokines are associated with the pathogenesis of this disease.http://dx.doi.org/10.1155/2017/5309081
spellingShingle Lu Liu
Fei Zhou
Pin Wang
Lixiang Yu
Zhongbing Ma
Yuyang Li
Dezong Gao
Qiang Zhang
Liang Li
Zhigang Yu
Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
Mediators of Inflammation
title Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
title_full Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
title_fullStr Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
title_full_unstemmed Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
title_short Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?
title_sort periductal mastitis an inflammatory disease related to bacterial infection and consequent immune responses
url http://dx.doi.org/10.1155/2017/5309081
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