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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Systemic inhibition of 5-lipoxygenase by MK-886 exacerbates apical periodontitis bone loss in a mouse model

Authors: Igor Bassi Ferreira Petean, Alice Corrêa Silva-Sousa, Raquel Assed Bezerra da Silva, Marília Pacífico Lucisano, Léa Assed Bezerra da Silva, Guilherme Piedade Assed de Castro, Manoel Damião Sousa-Neto, Lúcia Helena Faccioli, Francisco Wanderley Garcia Paula-Silva

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

To investigate if 5-LO selective inhibitor (MK-886) could be used for systemic treatment of experimentally induced apical periodontitis in a mouse model.

Methods

Twenty-four C57BL/6 mice were used. After coronal opening, a solution containing Escherichia coli LPS (1.0 µg/µL) was inoculated into the root canals of the lower and upper right first molars (n = 72 teeth). After 30 days apical periodontitis was established, and the animals were treated with MK-886 (5 mg/kg), a 5-LO inhibitor, for 7 and 14 days. The tissues were removed for histopathological and histometric analyses, evaluation of osteoclast number and gene expression for receptor activator of nuclear factor kappa-B (Tnfrsf11a), receptor activator of nuclear factor kappa-B ligand (Tnfsf11), osteoprotegerin (Tnfrsf11b), tartrate-resistant acid phosphatase (Acp5), matrix metalloproteinase-9 (Mmp9), cathepsin K (Ctsk) and calcitonin receptor (Calcr). Statistical data analysis was performed using Kruskal Wallis followed by Dunn’s tests (α = 0.05).

Results

Administration of MK-886 for 7 days exerted no effect on apical periodontitis progression compared to LPS inoculation without treatment (p = 0.3549), while treatment for 14 days exacerbated bone loss (p < 0.0001). Administration of MK-886 enhanced osteoclastogenesis signaling and osteoclast formation within 7 days (p = 0.0005), but exerted no effect at 14 days (p > 0.9999). After 7 days of treatment, MK-886 induced mRNA expression for Acp5 (p = 0.0001), Calcr (p = 0.0003), Mmp9 (p = 0.0005) and Ctsk (p = 0.0008), however no effect in those gene expression was observed after 14 days (p > 0.05).

Conclusion

Systemic treatment with MK-886 exacerbated LPS-induced apical periodontitis in a mouse model.
Literature
1.
go back to reference Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J. 2006;39(4):249–81.CrossRef Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J. 2006;39(4):249–81.CrossRef
2.
go back to reference Petean IBF, Küchler EC, Soares IMV, et al. Genetic polymorphisms in RANK and RANKL are associated with persistent apical periodontitis. J Endod. 2019;45(5):526–31.CrossRef Petean IBF, Küchler EC, Soares IMV, et al. Genetic polymorphisms in RANK and RANKL are associated with persistent apical periodontitis. J Endod. 2019;45(5):526–31.CrossRef
3.
go back to reference Tibúrcio-Machado CS, Michelon C, Zanatta FB, Gomes MS, Marin JA, Bier CA. The global prevalence of apical periodontitis: a systematic review and meta-analysis. Int Endod J. 2021;54(5):712–35.CrossRef Tibúrcio-Machado CS, Michelon C, Zanatta FB, Gomes MS, Marin JA, Bier CA. The global prevalence of apical periodontitis: a systematic review and meta-analysis. Int Endod J. 2021;54(5):712–35.CrossRef
4.
go back to reference Barbosa-Ribeiro M, Arruda-Vasconcelos R, Louzada LM, Dos Santos DG, Andreote FD, Gomes BPFA. Microbiological analysis of endodontically treated teeth with apical periodontitis before and after endodontic retreatment. Clin Oral Investig. 2021;25(4):2017–27.CrossRef Barbosa-Ribeiro M, Arruda-Vasconcelos R, Louzada LM, Dos Santos DG, Andreote FD, Gomes BPFA. Microbiological analysis of endodontically treated teeth with apical periodontitis before and after endodontic retreatment. Clin Oral Investig. 2021;25(4):2017–27.CrossRef
5.
go back to reference Chugal N, Mallya SM, Kahler B, Lin LM. Endodontic treatment outcomes. Dent Clin North Am. 2017;61(1):59–80.CrossRef Chugal N, Mallya SM, Kahler B, Lin LM. Endodontic treatment outcomes. Dent Clin North Am. 2017;61(1):59–80.CrossRef
6.
go back to reference Bardini G, Casula L, Ambu E, Musu D, Mercadè M, Cotti E. A 12-month follow-up of primary and secondary root canal treatment in teeth obturated with a hydraulic sealer [published correction appears in Clin Oral Investig. 2021 Aug;25(8):5121]. Clin Oral Investig. 2021;25(5):2757–64.CrossRef Bardini G, Casula L, Ambu E, Musu D, Mercadè M, Cotti E. A 12-month follow-up of primary and secondary root canal treatment in teeth obturated with a hydraulic sealer [published correction appears in Clin Oral Investig. 2021 Aug;25(8):5121]. Clin Oral Investig. 2021;25(5):2757–64.CrossRef
7.
go back to reference Siqueira JF Jr, Rôças IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod. 2008;34(11):1291-1301.e3.CrossRef Siqueira JF Jr, Rôças IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod. 2008;34(11):1291-1301.e3.CrossRef
8.
go back to reference Dessaune Neto N, Porpino MTM, Antunes HDS, et al. Pro-inflammatory and anti-inflammatory cytokine expression in post-treatment apical periodontitis. J Appl Oral Sci. 2018;26:e20170455.CrossRef Dessaune Neto N, Porpino MTM, Antunes HDS, et al. Pro-inflammatory and anti-inflammatory cytokine expression in post-treatment apical periodontitis. J Appl Oral Sci. 2018;26:e20170455.CrossRef
9.
go back to reference Cosme-Silva L, Dal-Fabbro R, Cintra LTA, et al. Systemic administration of probiotics reduces the severity of apical periodontitis. Int Endod J. 2019;52(12):1738–49.CrossRef Cosme-Silva L, Dal-Fabbro R, Cintra LTA, et al. Systemic administration of probiotics reduces the severity of apical periodontitis. Int Endod J. 2019;52(12):1738–49.CrossRef
10.
go back to reference Petean IBF, Almeida-Junior LA, Arnez MFM, et al. Celecoxib treatment dampens LPS-induced periapical bone resorption in a mouse model. Int Endod J. 2021;54(8):1289–99.CrossRef Petean IBF, Almeida-Junior LA, Arnez MFM, et al. Celecoxib treatment dampens LPS-induced periapical bone resorption in a mouse model. Int Endod J. 2021;54(8):1289–99.CrossRef
11.
go back to reference Ribeiro-Santos FR, Arnez MFM, de Carvalho MS, et al. Effect of non-steroidal anti-inflammatory drugs on pulpal and periapical inflammation induced by lipopolysaccharide. Clin Oral Investig. 2021;25(11):6201–9.CrossRef Ribeiro-Santos FR, Arnez MFM, de Carvalho MS, et al. Effect of non-steroidal anti-inflammatory drugs on pulpal and periapical inflammation induced by lipopolysaccharide. Clin Oral Investig. 2021;25(11):6201–9.CrossRef
12.
go back to reference Paula-Silva FW, Petean IB, da Silva LA, Faccioli LH. Dual role of 5-lipoxygenase in osteoclastogenesis in bacterial-induced apical periodontitis. J Endod. 2016;42(3):447–54.CrossRef Paula-Silva FW, Petean IB, da Silva LA, Faccioli LH. Dual role of 5-lipoxygenase in osteoclastogenesis in bacterial-induced apical periodontitis. J Endod. 2016;42(3):447–54.CrossRef
13.
go back to reference Ribeiro-Santos FR, Silva GGD, Petean IBF, et al. Periapical bone response to bacterial lipopolysaccharide is shifted upon cyclooxygenase blockage. J Appl Oral Sci. 2019;27:e20180641.CrossRef Ribeiro-Santos FR, Silva GGD, Petean IBF, et al. Periapical bone response to bacterial lipopolysaccharide is shifted upon cyclooxygenase blockage. J Appl Oral Sci. 2019;27:e20180641.CrossRef
14.
go back to reference Paula-Silva FWG, Ribeiro-Santos FR, Petean IBF, et al. Root canal contamination or exposure to lipopolysaccharide differentially modulate prostaglandin E 2 and leukotriene B 4 signaling in apical periodontitis. J Appl Oral Sci. 2020;28:e20190699.CrossRef Paula-Silva FWG, Ribeiro-Santos FR, Petean IBF, et al. Root canal contamination or exposure to lipopolysaccharide differentially modulate prostaglandin E 2 and leukotriene B 4 signaling in apical periodontitis. J Appl Oral Sci. 2020;28:e20190699.CrossRef
15.
go back to reference Paula-Silva FWG, Arnez MFM, Petean IBF, et al. Effects of 5-lipoxygenase gene disruption on inflammation, osteoclastogenesis and bone resorption in polymicrobial apical periodontitis. Arch Oral Biol. 2020;112:104670.CrossRef Paula-Silva FWG, Arnez MFM, Petean IBF, et al. Effects of 5-lipoxygenase gene disruption on inflammation, osteoclastogenesis and bone resorption in polymicrobial apical periodontitis. Arch Oral Biol. 2020;112:104670.CrossRef
16.
go back to reference Dixon RA, Diehl RE, Opas E, et al. Requirement of a 5-lipoxygenase-activating protein for leukotriene synthesis. Nature. 1990;343(6255):282–4.CrossRef Dixon RA, Diehl RE, Opas E, et al. Requirement of a 5-lipoxygenase-activating protein for leukotriene synthesis. Nature. 1990;343(6255):282–4.CrossRef
17.
go back to reference Okiji T, Morita I, Sunada I, Murota S. The role of leukotriene B4 in neutrophil infiltration in experimentally-induced inflammation of rat tooth pulp. J Dent Res. 1991;70(1):34–7.CrossRef Okiji T, Morita I, Sunada I, Murota S. The role of leukotriene B4 in neutrophil infiltration in experimentally-induced inflammation of rat tooth pulp. J Dent Res. 1991;70(1):34–7.CrossRef
18.
go back to reference Torabinejad M, Cotti E, Jung T. Concentrations of leukotriene B4 in symptomatic and asymptomatic periapical lesions. J Endod. 1992;18(5):205–8.CrossRef Torabinejad M, Cotti E, Jung T. Concentrations of leukotriene B4 in symptomatic and asymptomatic periapical lesions. J Endod. 1992;18(5):205–8.CrossRef
19.
go back to reference Cotti E, Torabinejad M. Detection of leukotriene C4 in human periradicular lesions. Int Endod J. 1994;27(2):82–6.CrossRef Cotti E, Torabinejad M. Detection of leukotriene C4 in human periradicular lesions. Int Endod J. 1994;27(2):82–6.CrossRef
20.
go back to reference Chen ZK, Lv HS, Jiang J. LTB4 can stimulate human osteoclast differentiation dependent of RANKL. Artif Cells Blood Substit Immobil Biotechnol. 2010;38(1):52–6.CrossRef Chen ZK, Lv HS, Jiang J. LTB4 can stimulate human osteoclast differentiation dependent of RANKL. Artif Cells Blood Substit Immobil Biotechnol. 2010;38(1):52–6.CrossRef
21.
go back to reference Dixit N, Wu DJ, Belgacem YH, Borodinsky LN, Gershwin ME, Adamopoulos IE. Leukotriene B4 activates intracellular calcium and augments human osteoclastogenesis. Arthritis Res Ther. 2014;16(6):496.CrossRef Dixit N, Wu DJ, Belgacem YH, Borodinsky LN, Gershwin ME, Adamopoulos IE. Leukotriene B4 activates intracellular calcium and augments human osteoclastogenesis. Arthritis Res Ther. 2014;16(6):496.CrossRef
22.
go back to reference Wu Y, Sun H, Yang B, Liu X, Wang J. 5-lipoxygenase knockout aggravated apical periodontitis in a murine model. J Dent Res. 2018;97(4):442–50.CrossRef Wu Y, Sun H, Yang B, Liu X, Wang J. 5-lipoxygenase knockout aggravated apical periodontitis in a murine model. J Dent Res. 2018;97(4):442–50.CrossRef
24.
go back to reference Gillard J, Ford-Hutchinson AW, Chan C, et al. L-663,536 (MK-886) (3-[1-(4-chlorobenzyl)-3-t-butyl-thio-5-isopropylindol-2-yl]-2,2 - dimethylpropanoic acid), a novel, orally active leukotriene biosynthesis inhibitor. Can J Physiol Pharmacol. 1989;67(5):456–64.CrossRef Gillard J, Ford-Hutchinson AW, Chan C, et al. L-663,536 (MK-886) (3-[1-(4-chlorobenzyl)-3-t-butyl-thio-5-isopropylindol-2-yl]-2,2 - dimethylpropanoic acid), a novel, orally active leukotriene biosynthesis inhibitor. Can J Physiol Pharmacol. 1989;67(5):456–64.CrossRef
25.
go back to reference Evans JF, Ferguson AD, Mosley RT, Hutchinson JH. What’s all the FLAP about?: 5-lipoxygenase-activating protein inhibitors for inflammatory diseases. Trends Pharmacol Sci. 2008;29(2):72–8.CrossRef Evans JF, Ferguson AD, Mosley RT, Hutchinson JH. What’s all the FLAP about?: 5-lipoxygenase-activating protein inhibitors for inflammatory diseases. Trends Pharmacol Sci. 2008;29(2):72–8.CrossRef
27.
go back to reference Le Bel M, Brunet A, Gosselin J. Leukotriene B4, an endogenous stimulator of the innate immune response against pathogens. J Innate Immun. 2014;6(2):159–68.CrossRef Le Bel M, Brunet A, Gosselin J. Leukotriene B4, an endogenous stimulator of the innate immune response against pathogens. J Innate Immun. 2014;6(2):159–68.CrossRef
28.
go back to reference Li YJ, Kukita A, Watanabe T, et al. Nordihydroguaiaretic acid inhibition of NFATc1 suppresses osteoclastogenesis and arthritis bone destruction in rats. Lab Invest. 2012;92(12):1777–87.CrossRef Li YJ, Kukita A, Watanabe T, et al. Nordihydroguaiaretic acid inhibition of NFATc1 suppresses osteoclastogenesis and arthritis bone destruction in rats. Lab Invest. 2012;92(12):1777–87.CrossRef
29.
go back to reference Kang JH, Ting Z, Moon MR, et al. 5-Lipoxygenase inhibitors suppress RANKL-induced osteoclast formation via NFATc1 expression. Bioorg Med Chem. 2015;23(21):7069–78.CrossRef Kang JH, Ting Z, Moon MR, et al. 5-Lipoxygenase inhibitors suppress RANKL-induced osteoclast formation via NFATc1 expression. Bioorg Med Chem. 2015;23(21):7069–78.CrossRef
30.
go back to reference Lorencetti-Silva F, Arnez MFM, Thomé JPQ, Carvalho MS, Carvalho FK, Queiroz AM, Faccioli LH, Paula-Silva FWG. Leukotriene B4 Loaded in Microspheres Inhibits Osteoclast Differentiation and Activation. Braz Dent J. 2022;33(5):35-45.CrossRef Lorencetti-Silva F, Arnez MFM, Thomé JPQ, Carvalho MS, Carvalho FK, Queiroz AM, Faccioli LH, Paula-Silva FWG. Leukotriene B4 Loaded in Microspheres Inhibits Osteoclast Differentiation and Activation. Braz Dent J. 2022;33(5):35-45.CrossRef
31.
go back to reference Coffey MJ, Phare SM, Peters-Golden M. Prolonged exposure to lipopolysaccharide inhibits macrophage 5-lipoxygenase metabolism via induction of nitric oxide synthesis. J Immunol. 2000;165(7):3592–8.CrossRef Coffey MJ, Phare SM, Peters-Golden M. Prolonged exposure to lipopolysaccharide inhibits macrophage 5-lipoxygenase metabolism via induction of nitric oxide synthesis. J Immunol. 2000;165(7):3592–8.CrossRef
32.
go back to reference Sforcin JM, Nunes GA, Missima F, Sá-Nunes A, Faccioli LH. Effect of a leukotriene inhibitor (MK886) on nitric oxide and hydrogen peroxide production by macrophages of acutely and chronically stressed mice. J Pharm Pharmacol. 2007;59(9):1249–54.CrossRef Sforcin JM, Nunes GA, Missima F, Sá-Nunes A, Faccioli LH. Effect of a leukotriene inhibitor (MK886) on nitric oxide and hydrogen peroxide production by macrophages of acutely and chronically stressed mice. J Pharm Pharmacol. 2007;59(9):1249–54.CrossRef
33.
go back to reference Erdem SB, Nacaroglu HT, Unsal Karkiner CS, Gunay I, Can D. Side effects of leukotriene receptor antagonists in asthmatic children. Iran J Pediatr. 2015;25(5):e3313.CrossRef Erdem SB, Nacaroglu HT, Unsal Karkiner CS, Gunay I, Can D. Side effects of leukotriene receptor antagonists in asthmatic children. Iran J Pediatr. 2015;25(5):e3313.CrossRef
34.
go back to reference Siqueira JF Jr. The defense: host-pathogen interactions and immune response. In: Siqueira JF, editor. Treatment of endodontic infections. 1st ed. London: Quintessence Publishing; 2011. p. 41–62. Siqueira JF Jr. The defense: host-pathogen interactions and immune response. In: Siqueira JF, editor. Treatment of endodontic infections. 1st ed. London: Quintessence Publishing; 2011. p. 41–62.
35.
go back to reference Siddique R, Nivedhitha MS. Effectiveness of rotary and reciprocating systems on microbial reduction: a systematic review. J Conserv Dent. 2019;22(2):114–22.CrossRef Siddique R, Nivedhitha MS. Effectiveness of rotary and reciprocating systems on microbial reduction: a systematic review. J Conserv Dent. 2019;22(2):114–22.CrossRef
36.
go back to reference Aksoy U, Savtekin G, Şehirli AÖ, Kermeoğlu F, Kalender A, Özkayalar H, Sayıner S, Orhan K. Effects of alpha-lipoic acid therapy on experimentally induced apical periodontitis: a biochemical, histopathological and micro-CT analysis. Int Endod J. 2019;52:1317–26.CrossRef Aksoy U, Savtekin G, Şehirli AÖ, Kermeoğlu F, Kalender A, Özkayalar H, Sayıner S, Orhan K. Effects of alpha-lipoic acid therapy on experimentally induced apical periodontitis: a biochemical, histopathological and micro-CT analysis. Int Endod J. 2019;52:1317–26.CrossRef
37.
go back to reference Chen S, Lei H, Luo Y, Jiang S, Zhang M, Lv H, Cai Z, Huang X. Micro-CT analysis of chronic apical periodontitis induced by several specific pathogens. Int Endod J. 2019;52:1028–39.CrossRef Chen S, Lei H, Luo Y, Jiang S, Zhang M, Lv H, Cai Z, Huang X. Micro-CT analysis of chronic apical periodontitis induced by several specific pathogens. Int Endod J. 2019;52:1028–39.CrossRef
38.
go back to reference Justo MP, Cardoso CBM, Cantiga-Silva C, de Oliveira PHC, Sivieri-Araújo G, Azuma MM, Ervolino E, Cintra LTA. Curcumin reduces inflammation in rat apical periodontitis. Int Endod J. 2022;55(11):1241–51.CrossRef Justo MP, Cardoso CBM, Cantiga-Silva C, de Oliveira PHC, Sivieri-Araújo G, Azuma MM, Ervolino E, Cintra LTA. Curcumin reduces inflammation in rat apical periodontitis. Int Endod J. 2022;55(11):1241–51.CrossRef
Metadata
Title
Systemic inhibition of 5-lipoxygenase by MK-886 exacerbates apical periodontitis bone loss in a mouse model
Authors
Igor Bassi Ferreira Petean
Alice Corrêa Silva-Sousa
Raquel Assed Bezerra da Silva
Marília Pacífico Lucisano
Léa Assed Bezerra da Silva
Guilherme Piedade Assed de Castro
Manoel Damião Sousa-Neto
Lúcia Helena Faccioli
Francisco Wanderley Garcia Paula-Silva
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02712-w

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