Skip to main content
Top
Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Increased interleukin 1α and interleukin 1β expression is involved in the progression of periapical lesions in primary teeth

Authors: Ning-Yan Yang, Yan Zhou, Huan-Ying Zhao, Xiao-Yong Liu, Zheng Sun, Jia-Jian Shang

Published in: BMC Oral Health | Issue 1/2018

Login to get access

Abstract

Background

Interleukin 1 (IL-1) is involved in bone resorption. However, the role of IL-1 in periapical lesions characterized by periapical bone destruction in primary teeth has not yet been fully elucidated. This study aimed to detect the distribution and expression of IL-1 in periapical lesions in primary teeth and assess the relationship between the cytokines and the degree of inflammatory cell infiltration.

Methods

A total of 106 chronic periapical lesions in primary teeth were harvested. Haematoxylin and eosin (H&E) staining was used to determine the histological type and the inflammatory cell infiltration grade (mild, moderate, and severe), and immunohistochemistry and enzyme-linked immunosorbent assay (ELISA) were used to detect the distribution and expression of IL-1α and IL-1β.

Results

Of the 106 chronic periapical lesion samples, there were 85 cases of periapical granuloma, accounting for 80.19% of the total samples, and 21 cases of radicular cysts, accounting for 19.81%; no cases of abscess were detected. Immunohistochemistry results showed that both IL-1α and IL-1β were expressed in periapical granulomas and cysts. ELISA results showed that IL-1α and IL-1β levels were higher in the periapical granuloma group than in the radicular cyst and normal control groups (P < 0.05). In the periapical granuloma group, IL-1α and IL-1β were detected at higher levels in the severe inflammatory cell infiltration subgroup than in the mild-inflammatory cell infiltration subgroup (P < 0.05), and IL-1β expression was also higher in the moderate inflammatory cell infiltration subgroup than in the mild inflammatory cell infiltration subgroup (P < 0.01). A significant positive correlation was observed between the protein expression levels of IL-1α and IL-1β and the inflammation grade in periapical granulomas from primary teeth (P < 0.05).

Conclusion

Expression levels of the cytokines IL-1α and IL-1β in periapical granulomas from primary teeth increased with increasing inflammatory severity and appeared to be a contributing factor to the progression of periapical lesions.
Literature
1.
go back to reference Cordeiro MM, Rocha MJ. The effects of periradicular inflamation and infection on a primary tooth and permanent successor. J Clin Pediatr Dent. 2005;29:193–200.CrossRefPubMed Cordeiro MM, Rocha MJ. The effects of periradicular inflamation and infection on a primary tooth and permanent successor. J Clin Pediatr Dent. 2005;29:193–200.CrossRefPubMed
2.
go back to reference Shang JJ, Yang QB, Zhao HY, Cai S, Zhou Y, Sun Z. Preliminary molecular analysis of bacterial composition in periapical lesions with primary endodontic infections of deciduous teeth. Chin Med J. 2013;126:3112–7.PubMed Shang JJ, Yang QB, Zhao HY, Cai S, Zhou Y, Sun Z. Preliminary molecular analysis of bacterial composition in periapical lesions with primary endodontic infections of deciduous teeth. Chin Med J. 2013;126:3112–7.PubMed
3.
go back to reference Silva MJ, Kajiya M, Alshwaimi E, Sasaki H, Hong J, Ok P, et al. Bacteria-reactive immune response may induce RANKL-expressing T cells in the mouse periapical bone loss lesion. J Endod. 2012;38:346–50. Silva MJ, Kajiya M, Alshwaimi E, Sasaki H, Hong J, Ok P, et al. Bacteria-reactive immune response may induce RANKL-expressing T cells in the mouse periapical bone loss lesion. J Endod. 2012;38:346–50.
4.
go back to reference Bolan M, Lima DA, Figueiredo CP, Di Giunta G, Rocha MJ. Immunohistochemical study of presence of T cells, B cells, and macrophages in periradicular lesions of primary teeth. J Clin Pediatr Dent. 2008;32:287–93.CrossRefPubMed Bolan M, Lima DA, Figueiredo CP, Di Giunta G, Rocha MJ. Immunohistochemical study of presence of T cells, B cells, and macrophages in periradicular lesions of primary teeth. J Clin Pediatr Dent. 2008;32:287–93.CrossRefPubMed
5.
go back to reference Schett G, Smolen JS. New insights in the mechanism of bone loss in arthritis. Curr Pharm Des. 2005;11:3039–49.CrossRefPubMed Schett G, Smolen JS. New insights in the mechanism of bone loss in arthritis. Curr Pharm Des. 2005;11:3039–49.CrossRefPubMed
6.
go back to reference Ebersole JL, Kirakodu S, Novak MJ, Stromberg AJ, Shen S, Orraca L, et al. Cytokine gene expression profiles during initiation, progression and resolution of periodontitis. J Clin Periodontol. 2014;41: 853–61. Ebersole JL, Kirakodu S, Novak MJ, Stromberg AJ, Shen S, Orraca L, et al. Cytokine gene expression profiles during initiation, progression and resolution of periodontitis. J Clin Periodontol. 2014;41: 853–61.
7.
go back to reference Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature -- part 2. Influence of clinical factors. Int Endod J. 2008;41:6–31.CrossRefPubMed Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature -- part 2. Influence of clinical factors. Int Endod J. 2008;41:6–31.CrossRefPubMed
8.
go back to reference Rosenwasser LJ. Biologic activities of IL-1 and its role in human disease. J Allergy Clin Immunol. 1998;102:344–50.CrossRefPubMed Rosenwasser LJ. Biologic activities of IL-1 and its role in human disease. J Allergy Clin Immunol. 1998;102:344–50.CrossRefPubMed
9.
go back to reference Martinez ZR, Naruishi K, Yamashiro K, Myokai F, Yamada T, Matsuura K, et al. Gene profiles during root canal treatment in experimental rat periapical lesions. J Endod. 2007;33:936–43. Martinez ZR, Naruishi K, Yamashiro K, Myokai F, Yamada T, Matsuura K, et al. Gene profiles during root canal treatment in experimental rat periapical lesions. J Endod. 2007;33:936–43.
10.
go back to reference Tani-Ishii N, Wang CY, Stashenko P. Immunolocalization of bone-resorptive cytokines in rat pulp and periapical lesions following surgical pulp exposure. Oral Microbiol Immunol. 1995;10:213–9.CrossRefPubMed Tani-Ishii N, Wang CY, Stashenko P. Immunolocalization of bone-resorptive cytokines in rat pulp and periapical lesions following surgical pulp exposure. Oral Microbiol Immunol. 1995;10:213–9.CrossRefPubMed
11.
go back to reference Martinho FC, Chiesa WM, Leite FR, Cirelli JA, Gomes BP. Correlation between clinical/radiographic features and inflammatory cytokine networks produced by macrophages stimulated with endodontic content. J Endod. 2012;38:740–5.CrossRefPubMed Martinho FC, Chiesa WM, Leite FR, Cirelli JA, Gomes BP. Correlation between clinical/radiographic features and inflammatory cytokine networks produced by macrophages stimulated with endodontic content. J Endod. 2012;38:740–5.CrossRefPubMed
12.
go back to reference Morsani JM, Aminoshariae A, Han YW, Montagnese TA, Mickel A. Genetic predisposition to persistent apical periodontitis. J Endod. 2011;37:455–9.CrossRefPubMed Morsani JM, Aminoshariae A, Han YW, Montagnese TA, Mickel A. Genetic predisposition to persistent apical periodontitis. J Endod. 2011;37:455–9.CrossRefPubMed
13.
go back to reference Torabinejad M, Walton RE. Periradicular lesions. In: Ingle JI, Bakland LK, editors. Endodontics, 5th ed. Hamilton, Ont: BC Decker Ibnc; 2002. p. 175–201. Torabinejad M, Walton RE. Periradicular lesions. In: Ingle JI, Bakland LK, editors. Endodontics, 5th ed. Hamilton, Ont: BC Decker Ibnc; 2002. p. 175–201.
14.
go back to reference Tsai CH, Weng SF, Yang LC, Huang FM, Chen YJ, Chang YC. Immunohistochemical localization of tissue-type plasminogen activator and type I plasminogen activator inhibitor in radicular cysts. J Oral Pathol Med. 2004;33:156–61.CrossRefPubMed Tsai CH, Weng SF, Yang LC, Huang FM, Chen YJ, Chang YC. Immunohistochemical localization of tissue-type plasminogen activator and type I plasminogen activator inhibitor in radicular cysts. J Oral Pathol Med. 2004;33:156–61.CrossRefPubMed
15.
go back to reference Gazivoda D, Dzopalic T, Bozic B, Tatomirovic Z, Brkic Z, Colic M. Production of proinflammatory and immunoregulatory cytokines by inflammatory cells from periapical lesions in culture. J Oral Pathol Med. 2009;38:605–11.CrossRefPubMed Gazivoda D, Dzopalic T, Bozic B, Tatomirovic Z, Brkic Z, Colic M. Production of proinflammatory and immunoregulatory cytokines by inflammatory cells from periapical lesions in culture. J Oral Pathol Med. 2009;38:605–11.CrossRefPubMed
16.
go back to reference Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:93–102.CrossRefPubMed Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:93–102.CrossRefPubMed
17.
go back to reference Gbadebo SO, Akinyamoju AO, Sulaiman AO. Periapical pathology: comparison of clinical diagnosis and histopathological findings. J West Afr Coll Surg. 2014;4:74–88.PubMedPubMedCentral Gbadebo SO, Akinyamoju AO, Sulaiman AO. Periapical pathology: comparison of clinical diagnosis and histopathological findings. J West Afr Coll Surg. 2014;4:74–88.PubMedPubMedCentral
18.
go back to reference Saraf PA, Kamat S, Puranik RS, Puranik S, Saraf SP, Singh BP. Comparative evaluation of immunohistochemistry, histopathology and conventional radiography in differentiating periapical lesions. J Conserv Dent. 2014;17:164–8.CrossRefPubMedPubMedCentral Saraf PA, Kamat S, Puranik RS, Puranik S, Saraf SP, Singh BP. Comparative evaluation of immunohistochemistry, histopathology and conventional radiography in differentiating periapical lesions. J Conserv Dent. 2014;17:164–8.CrossRefPubMedPubMedCentral
19.
go back to reference Safi L, Adl A, Azar MR, Akbary RA. Twenty-year survey of pathologic reports of two common types of chronic periapical lesions in shiraz dental school. J Dent Res Dent Clin Dent Prospects. 2008;2:63–70.PubMedPubMedCentral Safi L, Adl A, Azar MR, Akbary RA. Twenty-year survey of pathologic reports of two common types of chronic periapical lesions in shiraz dental school. J Dent Res Dent Clin Dent Prospects. 2008;2:63–70.PubMedPubMedCentral
20.
go back to reference Mass E, Kaplan I, Hirshberg A. A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med. 1995;24:458–61.CrossRefPubMed Mass E, Kaplan I, Hirshberg A. A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med. 1995;24:458–61.CrossRefPubMed
21.
go back to reference Sullivan M, Gallagher G, Noonan V. The root of the problem: occurrence of typical and atypical periapical pathoses. J Am Dent Assoc. 2016;147:646–9.CrossRefPubMed Sullivan M, Gallagher G, Noonan V. The root of the problem: occurrence of typical and atypical periapical pathoses. J Am Dent Assoc. 2016;147:646–9.CrossRefPubMed
22.
go back to reference Torabinejad M. Pulp and periradicular pathosis. In: Walton RE, Torabinejad M, editors. Principles and practice of endodontics, 3rd ed. Philadelphia: W.B. Sanders; 2002. p. 27–48. Torabinejad M. Pulp and periradicular pathosis. In: Walton RE, Torabinejad M, editors. Principles and practice of endodontics, 3rd ed. Philadelphia: W.B. Sanders; 2002. p. 27–48.
23.
go back to reference Fukushima A, Kajiya h IT, Shigeyama C, Okabe K, Anan H. Pro-inflammatory cytokines induce suppressor of cytokine signaling-3 in human periodontal ligament cells. J Endod. 2010;36:1004–8.CrossRefPubMed Fukushima A, Kajiya h IT, Shigeyama C, Okabe K, Anan H. Pro-inflammatory cytokines induce suppressor of cytokine signaling-3 in human periodontal ligament cells. J Endod. 2010;36:1004–8.CrossRefPubMed
24.
go back to reference Matsumoto A, Anan H, Maeda K. An immunohistochemical study of the behavior of cells expressing interleukin-1 alpha and interleukin-1 beta within experimentally induced periapical lesions in rats. J Endod. 1998;24:811–6.CrossRefPubMed Matsumoto A, Anan H, Maeda K. An immunohistochemical study of the behavior of cells expressing interleukin-1 alpha and interleukin-1 beta within experimentally induced periapical lesions in rats. J Endod. 1998;24:811–6.CrossRefPubMed
25.
go back to reference Motta AC, Furini RB, Simao JC, Ferreira MA, Komesu MC, Foss NT. The recurrence of leprosy reactional episodes could be associated with oral chronic infections and expression of serum IL-1, TNF-alpha, IL-6, IFN-gamma and IL-10. Braz Dent J. 2010;21:158–64.CrossRefPubMed Motta AC, Furini RB, Simao JC, Ferreira MA, Komesu MC, Foss NT. The recurrence of leprosy reactional episodes could be associated with oral chronic infections and expression of serum IL-1, TNF-alpha, IL-6, IFN-gamma and IL-10. Braz Dent J. 2010;21:158–64.CrossRefPubMed
26.
go back to reference Nair PN. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15:348–81.CrossRefPubMed Nair PN. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15:348–81.CrossRefPubMed
27.
go back to reference Andrade A, Santos EM, Carmo AF, Freitas RA, Galvão HC. Analysis of tryptase-positive mast cells and immunoexpression of MMP-9 and MMP-13 in periapical lesions. Int Endod J. 2017;50:446–54.CrossRefPubMed Andrade A, Santos EM, Carmo AF, Freitas RA, Galvão HC. Analysis of tryptase-positive mast cells and immunoexpression of MMP-9 and MMP-13 in periapical lesions. Int Endod J. 2017;50:446–54.CrossRefPubMed
28.
go back to reference Yildirim S, Yapar M, Kubar A, Slots J. Human cytomegalovirus, Epstein-Barr virus and bone resorption-inducing cytokines in periapical lesions of deciduous teeth. Oral Microbiol Immunol. 2006;21:107–11.CrossRefPubMed Yildirim S, Yapar M, Kubar A, Slots J. Human cytomegalovirus, Epstein-Barr virus and bone resorption-inducing cytokines in periapical lesions of deciduous teeth. Oral Microbiol Immunol. 2006;21:107–11.CrossRefPubMed
29.
go back to reference Muglali M, Komerik N, Bulut E, Yarim GF, Celebi N, Sumer M. Cytokine and chemokine levels in radicular and residual cyst fluids. J Oral Pathol Med. 2008;37:185–9.CrossRefPubMed Muglali M, Komerik N, Bulut E, Yarim GF, Celebi N, Sumer M. Cytokine and chemokine levels in radicular and residual cyst fluids. J Oral Pathol Med. 2008;37:185–9.CrossRefPubMed
30.
go back to reference Trebec-Reynolds DP, Voronov I, Heersche JN, Manolson MF. IL-1 alpha and IL-1beta have different effects on formation and activity of large osteoclasts. J Cell Biochem. 2010;109:975–82.PubMed Trebec-Reynolds DP, Voronov I, Heersche JN, Manolson MF. IL-1 alpha and IL-1beta have different effects on formation and activity of large osteoclasts. J Cell Biochem. 2010;109:975–82.PubMed
31.
go back to reference Jakovljevic A, Knezevic A, Karalic D, Soldatovic I, Popovic B, Milasin J, et al. Pro-inflammatory cytokine levels in human apical periodontitis: correlation with clinical and histological findings. Aust Endod J 2015; 41: 72–77. Jakovljevic A, Knezevic A, Karalic D, Soldatovic I, Popovic B, Milasin J, et al. Pro-inflammatory cytokine levels in human apical periodontitis: correlation with clinical and histological findings. Aust Endod J 2015; 41: 72–77.
32.
go back to reference Rawlinson A, Dalati MH, Rahman S, Walsh TF, Fairclough AL. Interleukin-1 and IL-1 receptor antagonist in gingival crevicular fluid. J Clin Periodontol. 2000;27:738–43.CrossRefPubMed Rawlinson A, Dalati MH, Rahman S, Walsh TF, Fairclough AL. Interleukin-1 and IL-1 receptor antagonist in gingival crevicular fluid. J Clin Periodontol. 2000;27:738–43.CrossRefPubMed
33.
go back to reference Bujak M, Frangogiannis NG. The role of IL-1 in the pathogenesis of heart disease. Arch Immunol Ther Exp. 2009;57:165–76.CrossRef Bujak M, Frangogiannis NG. The role of IL-1 in the pathogenesis of heart disease. Arch Immunol Ther Exp. 2009;57:165–76.CrossRef
34.
go back to reference Terlizzi M, Colarusso C, Popolo A, Pinto A, Sorrentino R. IL-1α and IL-1β-producing macrophages populate lung tumor lesions in mice. Oncotarget. 2016;7:58181–92.CrossRefPubMedPubMedCentral Terlizzi M, Colarusso C, Popolo A, Pinto A, Sorrentino R. IL-1α and IL-1β-producing macrophages populate lung tumor lesions in mice. Oncotarget. 2016;7:58181–92.CrossRefPubMedPubMedCentral
35.
Metadata
Title
Increased interleukin 1α and interleukin 1β expression is involved in the progression of periapical lesions in primary teeth
Authors
Ning-Yan Yang
Yan Zhou
Huan-Ying Zhao
Xiao-Yong Liu
Zheng Sun
Jia-Jian Shang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0586-3

Other articles of this Issue 1/2018

BMC Oral Health 1/2018 Go to the issue