After protein blocking (PBS) for 1 hour, the specimens were incubated overnight with Tumor Necrosis Factor alpha (TNF-α) (Abcam®, Cambridge, UK) in 1:100 dilution. Then, the primary antibody Simple Stain Rat MAX PO (Multi) Universal Immuno-peroxidase Polymer (anti-mouse and -rabbit) (Histofine®, Nicherei Biosciences Inc., Tokyo, Japan) was used for 60 minutes. The revelation system 5,5-diaminobenzidine tetrahydrochloride (DAB) (Dako®, Carpinteria, CA, USA) was used for 5 minutes and the counter coloration was Harris hematoxylin, which happened for 30 seconds.
The percentage of cells in connective tissue with cytoplasmatic or nuclear expression was grouped into scores: (0) no positive cells; (1 - mild) 1-33% of positive cells; (2 - moderate) 34-66% of positive cells; (3 - intense) 67-100% positive cells. The same score, obtained by two or more observers, was considered as the final score