Role of interleukin-4 in pathogenesis of oral lichen planus : a systematic review

Oral lichen planus (OLP) is a premalignant mucocutaneous disease that affects 1-2% of the adult population. Immunological factor may act as etiological factor. The cellular immune cells such as T cells are important in pathogenesis of OLP. Interleukin-4 (IL-4) is secreted by T-helper 2 (Th2). Several studies have been carried out on the role of IL-4 in OLP. The aim of this study was to review the level of IL-4 in OLP, effective factors in the production of IL-4 and its role in the development of OLP. A search in PubMed was performed on the literature published from 2000 until august 2019 using the following keywords: ?oral lichen planus? or ?OLP? and ?interleukin-4? or ?IL-4?. Originally, 37 articles were considered, of which 28 case-control articles were selected according to the inclusion/exclusion criteria. This review study shows that IL-4 plays a key role in the development of OLP. According to the past studies, there are several factors contributing to the production of this cytokine. Identification of the routes of production of IL-4 and its role in OLP might be useful for development of new preventive and therapeutic methods in management of patients with OLP

Advanced nanocomposite membranes for fuel cell applications: a comprehensive review

Combination of inorganic fillers into organic polymer membranes (organic–inorganic hybrid membranes) has drawn a significant deal of attention over the last few decades. This is because of the incorporated influence of the organic and inorganic phases towards proton conductivity and membrane stability, in addition to cost decline, improved water retention property, and also suppressing fuel crossover by increasing the transport pathway tortuousness. The preparation methods of the composite membranes and the intrinsic characteristics of the used particles as filler, such as size, type, surface acidity, shape, and their interactions with the polymer matrix can significantly affect the properties of the resultant matrix. The membranes currently used in proton exchange membrane fuel cells (PEMFCs) are perfluorinated polymers containing sulfonic acid, such as Nafion®. Although these membranes possess superior properties, such as high proton conductivity and acceptable chemical, mechanical, and thermal stability, they suffer from several disadvantages such as water management, CO poisoning, and fuel crossover. Organic-inorganic nanocomposite PEMs offer excellent potentials for overcoming these shortcomings in order to achieve improved FC performance. Various inorganic fillers for the fabrication of composite membranes have been comprehensively reviewed in the present article. Moreover, the properties of polymer composites containing different nanoparticles have been thoroughly discussed

Role of anxiety and depression in association with migraine and myofascial pain temporomandibular disorder

Background: Previous studies have demonstrated a strong association between primary headaches (HAs) and temporomandibular disorders (TMDs), specifically the myofascial pain subtype of TMD (MP TMD). The role of anxiety and depression in presentation and maintenance of MP TMD and migraine is previously demonstrated. Therefore, the objective of the current study was to evaluate the modification effect of anxiety and depression on the possible association of MP TMD and migraine. Methods: In this retrospective case–control study, individuals between 15 and 45 years old who were diagnosed with migraine HA according to the international classification of headache disorder-II (ICHD-II) were selected as case subjects (n = 65). Non-HA control subjects were matched by sex and age (n = 63). Research diagnostic criteria (RDC/TMD) (Axis I) was used to diagnose patients with MP TMD; other subtypes of RDC/TMD Axis I were excluded from the study. Subjects' anxiety and depression were screened using Persian version of Hospital Anxiety and Depression Scale-14. Chi-square and Mantel–Haenszel tests were used to analyze the data. P < 0.05 was considered statistically significant. Results: A significant association was found between migraine and MP TMD so that subjects with MP TMD had a five times chance of developing HA (P < 0.001). Further analysis using stratification method revealed that anxiety and depression have a modification effect in the association of MP TMD and HA and MP TMD patients with anxiety or depression had more chance of developing migraine HA (P = 0.003). Conclusion: Association between HA and TMD was observed in this study. Besides, we depicted that anxiety and depression interact in this association so that patients who did not have anxiety or depression did not demonstrate an association between TMD and HA. We suggest further studies to confirm the modifying effects of anxiety and depression