Skip to main content
Top
Published in: Clinical Oral Investigations 2/2015

01-03-2015 | Original Article

Detection of herpesviruses and human papillomavirus in acute apical abscesses by real-time PCR

Authors: Ahmet Ozbek, Selcuk M. Ozbek

Published in: Clinical Oral Investigations | Issue 2/2015

Login to get access

Abstract

Objective

The recent use of polymerase chain reaction (PCR)-based molecular methods to detect herpesviruses in periradicular lesions has suggested that some herpesviruses, especially human cytomegalovirus (HCMV) and Epstein–Barr virus (EBV) can participate in the pathogenesis of the periradicular lesions. Based on the applicability of molecular techniques for virus identification, the aim of the study was to investigate the presence of HCMV, EBV, and human papillomavirus (HPV) in samples from acute apical abscesses. To the best of our knowledge, this is the first study in Turkish population to survey apical abscess samples for the presence of herpesviruses and HPV.

Material and methods

Microbial samples were collected from 27 apical abscess specimens and 6 control samples. DNA was extracted from clinical samples by using spin column-based nucleic acid purification method, and viral loads were evaluated using real-time PCR methods following the kit protocols recommended by the manufacturers.

Results

HCMV DNA was found alone in five (18.5 %) samples, EBV DNA alone in two (7.4 %), HPV DNA alone in two (7.4 %), and in one, both HCMV and EBV (4 %). As for the healthy pulps used as noninflamed controls, no control specimens contained HCMV, EBV, or HPV DNA.

Conclusion

The present PCR-based findings have identified HCMV, EBV, and HPV as an inhabitant of acute apical abscesses. Additional studies using in vitro or animal model systems are required to elucidate the role of HCMV, EBV, and HPV in the pathogenesis of periapical pathosis.

Clinical relevance

The present viral findings may have future therapeutic relevance for periapical abscesses and other periapical pathosis.
Literature
1.
go back to reference Sabeti M, Valles Y, Nowzari H, Simon JH, Kermani-Arab V, Slots J (2003) Cytomegalovirus and Epstein-Barr virus DNA transcription in endodontic symptomatic lesions. Oral Microbiol Immunol 18:104–108CrossRefPubMed Sabeti M, Valles Y, Nowzari H, Simon JH, Kermani-Arab V, Slots J (2003) Cytomegalovirus and Epstein-Barr virus DNA transcription in endodontic symptomatic lesions. Oral Microbiol Immunol 18:104–108CrossRefPubMed
2.
3.
go back to reference Ferreira DC, Paiva SS, Carmo FL, Rôças IN, Rosado AS, Santos KR et al (2011) Identification of herpesviruses types 1 to 8 and human papillomavirus in acute apical abscesses. J Endod 37:10–16CrossRefPubMed Ferreira DC, Paiva SS, Carmo FL, Rôças IN, Rosado AS, Santos KR et al (2011) Identification of herpesviruses types 1 to 8 and human papillomavirus in acute apical abscesses. J Endod 37:10–16CrossRefPubMed
4.
go back to reference Siqueira JF Jr, Rôças IN (2007) Bacterial pathogenesis and mediators in apical periodontitis. Braz Dent J 18:267–280CrossRefPubMed Siqueira JF Jr, Rôças IN (2007) Bacterial pathogenesis and mediators in apical periodontitis. Braz Dent J 18:267–280CrossRefPubMed
5.
go back to reference Sabeti M, Simon JH, Nowzari H, Slots J (2003) Cytomegalovirus and Epstein–Barr virus active infection in periapical lesions of teeth with intact crowns. J Endod 29:321–323CrossRefPubMed Sabeti M, Simon JH, Nowzari H, Slots J (2003) Cytomegalovirus and Epstein–Barr virus active infection in periapical lesions of teeth with intact crowns. J Endod 29:321–323CrossRefPubMed
6.
go back to reference Sabeti M, Simon JH, Slots J (2003) Cytomegalovirus and Epstein–Barr virus are associated with symptomatic periapical pathosis. Oral Microbiol Immunol 18:327–328CrossRefPubMed Sabeti M, Simon JH, Slots J (2003) Cytomegalovirus and Epstein–Barr virus are associated with symptomatic periapical pathosis. Oral Microbiol Immunol 18:327–328CrossRefPubMed
7.
go back to reference Sabeti M, Slots J (2004) Herpesviral–bacterial coinfection in periapical pathosis. J Endod 30:69–72CrossRefPubMed Sabeti M, Slots J (2004) Herpesviral–bacterial coinfection in periapical pathosis. J Endod 30:69–72CrossRefPubMed
8.
go back to reference Slots J, Sabeti M, Simon JH (2003) Herpesviruses in periapical pathosis: an etiopathogenic relationship? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96:327–331CrossRefPubMed Slots J, Sabeti M, Simon JH (2003) Herpesviruses in periapical pathosis: an etiopathogenic relationship? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96:327–331CrossRefPubMed
9.
go back to reference Saygun I, Yapar M, Ozdemir A, Kubar A, Slots J (2004) Human cytomegalovirus and Epstein-Barr virus type 1 in periodontal abscesses. Oral Microbiol Immunol 19:83–87CrossRefPubMed Saygun I, Yapar M, Ozdemir A, Kubar A, Slots J (2004) Human cytomegalovirus and Epstein-Barr virus type 1 in periodontal abscesses. Oral Microbiol Immunol 19:83–87CrossRefPubMed
10.
go back to reference Slots J (2009) Oral viral infections of adults. Periodontol 2000(49):60–86CrossRef Slots J (2009) Oral viral infections of adults. Periodontol 2000(49):60–86CrossRef
11.
go back to reference Slots J, Nowzari H, Sabeti M (2004) Cytomegalovirus infection in symptomatic periapical pathosis. Int Endod J 37:519–524CrossRefPubMed Slots J, Nowzari H, Sabeti M (2004) Cytomegalovirus infection in symptomatic periapical pathosis. Int Endod J 37:519–524CrossRefPubMed
12.
13.
go back to reference Slots J (2005) Herpesviruses in periodontal diseases. Periodontol 2000(38):33–62CrossRef Slots J (2005) Herpesviruses in periodontal diseases. Periodontol 2000(38):33–62CrossRef
14.
go back to reference Siqueira JF Jr, Rôças IN (2003) PCR methodology as a valuable tool for identification of endodontic pathogens. J Dent 31:333–339CrossRefPubMed Siqueira JF Jr, Rôças IN (2003) PCR methodology as a valuable tool for identification of endodontic pathogens. J Dent 31:333–339CrossRefPubMed
15.
go back to reference Li H, Chen V, Chen Y, Baumgartner JC, Machida CA (2009) Herpesviruses in endodontic pathoses: association of Epstein-Barr Virus with irreversible pulpitis and apical periodontitis. J Endod 35:23–29CrossRefPubMed Li H, Chen V, Chen Y, Baumgartner JC, Machida CA (2009) Herpesviruses in endodontic pathoses: association of Epstein-Barr Virus with irreversible pulpitis and apical periodontitis. J Endod 35:23–29CrossRefPubMed
16.
go back to reference Sabeti M (2009) Herpesviruses in endodontic pathosis. In: Fouad AF (ed) Endodontic microbiology. Wiley, Blackwell, pp 152–163 Sabeti M (2009) Herpesviruses in endodontic pathosis. In: Fouad AF (ed) Endodontic microbiology. Wiley, Blackwell, pp 152–163
17.
go back to reference Yildirim S, Yapar M, Kubar A, Slots J (2006) Human cytomegalovirus, Epstein-Barr virus and bone resorption-inducing cytokines in periapical lesions of deciduous teeth. Oral Microbiol Immunol 21:107–111CrossRefPubMed Yildirim S, Yapar M, Kubar A, Slots J (2006) Human cytomegalovirus, Epstein-Barr virus and bone resorption-inducing cytokines in periapical lesions of deciduous teeth. Oral Microbiol Immunol 21:107–111CrossRefPubMed
18.
go back to reference Sabeti M, Kermani V, Sabeti S, Simon JH (2012) Significance of human cytomegalovirus and Epstein-Barr virus in inducing cytokine expression in periapical lesions. J Endod 38:47–50CrossRefPubMed Sabeti M, Kermani V, Sabeti S, Simon JH (2012) Significance of human cytomegalovirus and Epstein-Barr virus in inducing cytokine expression in periapical lesions. J Endod 38:47–50CrossRefPubMed
19.
go back to reference Sabeti M, Daneshmand A, Simon JH, Slots J (2009) Cytomegalovirus-infected inflammatory cells in dental periapical lesions. Oral Microbiol Immunol 24:434–436CrossRefPubMed Sabeti M, Daneshmand A, Simon JH, Slots J (2009) Cytomegalovirus-infected inflammatory cells in dental periapical lesions. Oral Microbiol Immunol 24:434–436CrossRefPubMed
20.
go back to reference Contreras A, Slots J (2000) Herpesviruses in human periodontal disease. J Periodontal Res 35:3–16CrossRefPubMed Contreras A, Slots J (2000) Herpesviruses in human periodontal disease. J Periodontal Res 35:3–16CrossRefPubMed
21.
go back to reference Demkin VV, Kruglova AI, Nikolaeva NP, Yurchenko JV (2002) Detection and species identification of four human herpesviruses using polymerase chain reaction coupled with restriction endonuclease analysis. J Virol Methods 103:121–128CrossRefPubMed Demkin VV, Kruglova AI, Nikolaeva NP, Yurchenko JV (2002) Detection and species identification of four human herpesviruses using polymerase chain reaction coupled with restriction endonuclease analysis. J Virol Methods 103:121–128CrossRefPubMed
23.
go back to reference Marton IJ, Kiss C (2000) Protective and destructive immune reactions in apical periodontitis. Oral Microbiol Immunol 15:139–150CrossRefPubMed Marton IJ, Kiss C (2000) Protective and destructive immune reactions in apical periodontitis. Oral Microbiol Immunol 15:139–150CrossRefPubMed
24.
go back to reference Wara-aswapati N, Boch JA, Auron PE (2003) Activation of interleukin 1b gene transcription by human cytomegalovirus: molecular mechanisms and relevance to periodontitis. Oral Microbiol Immunol 18:67–71CrossRefPubMed Wara-aswapati N, Boch JA, Auron PE (2003) Activation of interleukin 1b gene transcription by human cytomegalovirus: molecular mechanisms and relevance to periodontitis. Oral Microbiol Immunol 18:67–71CrossRefPubMed
25.
go back to reference Aalto SM, Linnavuori K, Peltola H, Vuori E, Weissbrich B, Schubert J et al (1998) Immunoreactivation of Epstein-Barr virus due to cytomegalovirus primary infection. J Med Virol 56:186–191CrossRefPubMed Aalto SM, Linnavuori K, Peltola H, Vuori E, Weissbrich B, Schubert J et al (1998) Immunoreactivation of Epstein-Barr virus due to cytomegalovirus primary infection. J Med Virol 56:186–191CrossRefPubMed
26.
go back to reference Siqueira JF Jr, Rôças IN (2005) Exploiting molecular methods to explore endodontic infections: part 1—current molecular technologies for microbiological diagnosis. J Endod 31:411–423CrossRefPubMed Siqueira JF Jr, Rôças IN (2005) Exploiting molecular methods to explore endodontic infections: part 1—current molecular technologies for microbiological diagnosis. J Endod 31:411–423CrossRefPubMed
27.
go back to reference Ferreira DC, Roças IN, Paiva SS, Carmo FL, Cavalcante FS, Rosado AS et al (2011) Viral-bacterial associations in acute apical abscesses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:264–271CrossRefPubMed Ferreira DC, Roças IN, Paiva SS, Carmo FL, Cavalcante FS, Rosado AS et al (2011) Viral-bacterial associations in acute apical abscesses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:264–271CrossRefPubMed
28.
go back to reference Saboia-Dantas CJ, Coutrin de Toledo LF, Sampaio-Filho HR, Siqueira JF Jr (2007) Herpesviruses in asymptomatic apical periodontitis lesions: an immunohistochemical approach. Oral Microbiol Immunol 22:320–325CrossRefPubMed Saboia-Dantas CJ, Coutrin de Toledo LF, Sampaio-Filho HR, Siqueira JF Jr (2007) Herpesviruses in asymptomatic apical periodontitis lesions: an immunohistochemical approach. Oral Microbiol Immunol 22:320–325CrossRefPubMed
Metadata
Title
Detection of herpesviruses and human papillomavirus in acute apical abscesses by real-time PCR
Authors
Ahmet Ozbek
Selcuk M. Ozbek
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 2/2015
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-014-1251-0

Other articles of this Issue 2/2015

Clinical Oral Investigations 2/2015 Go to the issue