Abstract
Whether external root resorption is associated with hypoxia in the periodontal ligaments of teeth with severe periodontitis remains unclear. Hypoxia inducible factor-1α (HIF-1α) expression and external resorption sites in the periodontal ligaments of these teeth were observed to elaborate upon the relationship between hypoxia and external root resorption in severe periodontitis. Histological analysis was performed to observe external root resorption. The expressions of HIF-1α and Nuclear factor-activated T cells c1 (NFATc1) in the periodontal ligaments were detected by immunofluorescence, western blotting and real-time PCR. Bone marrow macrophages (BMMs) were stimulated by Porphyromonas gingivalis lipopolysaccharide (Pg.LPS) and cultured under hypoxia in vitro. High levels of HIF-1α and NFATc1 were detected in severe periodontitis. HIF-1α positive-cells were observed in the external resorption sites. Hypoxia promoted Pg.LPS-stimulated osteoclastogenesis of BMMs and bone resorption by the NFATc1 pathway. Increased HIF-1α in severe periodontitis are associated with external root resorption by the NFATc1 pathway.
Similar content being viewed by others
References
Abbott PV (2016) Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J 61(Suppl 1):82–94
Arnett TR, Gibbons DC, Utting JC, Orriss IR, Hoebertz A, Rosendaal M et al (2003) Hypoxia is a major stimulator of osteoclast formation and bone resorption. J Cell Physiol 196(1):2–8
Blouin CC, Page EL, Soucy GM, Richard DE (2004) Hypoxic gene activation by lipopolysaccharide in macrophages: implication of hypoxia-inducible factor 1alpha. Blood 103(3):1124–1130
Chen LL, Yan J (2001) Porphyromonas gingivalis lipopolysaccharide activated bone resorption of osteoclasts by inducing IL-1, TNF, and PGE. Acta Pharmacol Sin 22(7):614–618
Chen X, Chen X, Zhou Z, Mao Y, Wang Y, Ma Z et al (2019a) Nirogacestat suppresses RANKL-Induced osteoclast formation in vitro and attenuates LPS-Induced bone resorption in vivo. Exp Cell Res 382(1):111470
Chen X, Chen X, Zhou Z, Qin A, Wang Y, Fan B (2019) LY411575, a potent gamma-secretase inhibitor, suppresses osteoclastogenesis in vitro and LPS-induced calvarial osteolysis in vivo. J Cell Physiol 234(11):20944–20956
Chen X, Yu X, Yan K, Liu S, Sun Z, Li S (2020) Multiple idiopathic cervical root resorption involving all permanent teeth. Aust Endod J. https://doi.org/10.1111/aej.12398
Cramer T, Yamanishi Y, Clausen BE, Forster I, Pawlinski R, Mackman N et al (2003) HIF-1alpha is essential for myeloid cell-mediated inflammation. Cell 112(5):645–657
Gölz L, Memmert S, Rath-Deschner B, Jäger A, Appel T, Baumgarten G et al (2015a) Hypoxia and P. gingivalis synergistically induce HIF-1 and NF-κB activation in PDL cells and periodontal diseases. Mediat Inflamm 2015:438085
Gölz L, Memmert S, Rath-Deschner B, Jäger A, Appel T, Baumgarten G et al (2015b) Hypoxia and P. gingivalis synergistically induce HIF-1 and NF-κB activation in PDL cells and periodontal diseases. Mediat Inflamm 2015:438085–438085
Iglesias-Linares A, Hartsfield JK Jr (2017) Cellular and molecular pathways leading to external root resorption. J Dent Res 96(2):145–152
Ikeda F, Nishimura R, Matsubara T, Tanaka S, Inoue J, Reddy SV et al (2004) Critical roles of c-Jun signaling in regulation of NFAT family and RANKL-regulated osteoclast differentiation. J Clin Invest 114(4):475–484
Kato H, Taguchi Y, Tominaga K, Umeda M, Tanaka A (2014) Porphyromonas gingivalis LPS inhibits osteoblastic differentiation and promotes pro-inflammatory cytokine production in human periodontal ligament stem cells. Arch Oral Biol 59(2):167–175
Knowles HJ, Cleton-Jansen AM, Korsching E, Athanasou NA (2010) Hypoxia-inducible factor regulates osteoclast-mediated bone resorption: role of angiopoietin-like 4. FASEB J 24(12):4648–4659
Knowles HJ (2017) Hypoxia-induced fibroblast growth factor 11 stimulates osteoclast-mediated resorption of bone. Calcif Tissue Int 100(4):382–391
Liu F, Wang Y, Xu J, Liu F, Hu R, Deng H (2016) Effects of Porphyromonas gingivalis lipopolysaccharide on the expression of key genes involved in cholesterol metabolism in macrophages. Arch Med Sci AMS 12(5):959–967
Ma Z, Yu R, Zhao J, Sun L, Jian L, Li C et al (2019) Constant hypoxia inhibits osteoclast differentiation and bone resorption by regulating phosphorylation of JNK and IκBα. Inflamm Res 68(2):157–166
Mavridou AM, Hilkens P, Lambrichts I, Hauben E, Wevers M, Bergmans L et al (2019) Is hypoxia related to external cervical resorption? A case report. J Endod 45(4):459–470
Muzylak M, Price JS, Horton MA (2006) Hypoxia induces giant osteoclast formation and extensive bone resorption in the cat. Calcif Tissue Int 79(5):301–309
Patel S, Foschi F, Mannocci F, Patel K (2018) External cervical resorption: a three-dimensional classification. Int Endod J 51(2):206–214
Pereira SA, Melo A, Resende E, Regateiro F, Coimbra Silva H (2018) Antagonistic effect of IL1 variants in periodontitis and external apical root resorption: evidence from a literature review. Arch Oral Biol 95:195–201
Popescu SM, Mercu TV, Scrieciu M, Mercu TR, Popescu FD, Chiriac AM et al (2017) Radiological and optical coherence tomography aspects in external root resorption. Rom J Morphol Embryol 58(1):131–137
Russo R, Mallia S, Zito F, Lampiasi N (2019) Gene expression profiling of NFATc1-knockdown in RAW 264.7 cells: an alternative pathway for macrophage differentiation. Cells 8(2):131
Semenza GL (2014) Oxygen sensing, hypoxia-inducible factors, and disease pathophysiology. Annu Rev Pathol 9:47–71
Song MK, Park C, Lee YD, Kim H, Kim MK, Kwon JO et al (2018) Galpha12 regulates osteoclastogenesis by modulating NFATc1 expression. J Cell Mol Med Sci 22(2):849–860
Takayanagi H, Kim S, Koga T, Nishina H, Isshiki M, Yoshida H et al (2002) Induction and activation of the transcription factor NFATc1 (NFAT2) integrate RANKL signaling in terminal differentiation of osteoclasts. Dev Cell 3(6):889–901
Takedachi M, Iyama M, Sawada K, Mori K, Yamamoto S, Morimoto C et al (2017) Hypoxia-inducible factor-1alpha inhibits interleukin-6 and -8 production in gingival epithelial cells during hypoxia. J Periodontal Res 52(1):127–134
Wang Y, Chen X, Chen X, Zhou Z, Xu W (2019) AZD8835 inhibits osteoclastogenesis and periodontitis-induced alveolar bone loss in rats. J Cell Physiol 234(7):10432–10444
Wu JY, Li X, Wang CL, Ye L, Yang J (2019) Research progress on the pathogenesis of inflammatory external root resorption. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China J Stomatol 37(6):656–659.
Xue L, Su L, Zhao L, Li J, Du Y, Yu X (2018) Cyclophilin a increases CD68(+) cell infiltration in rat experimental periodontitis. J Mol Histol 49(2):157–164
Yan B, Zhang H, Dai T, Gu Y, Qiu X, Hu C et al (2018) Necrostatin-1 promotes ectopic periodontal tissue like structure regeneration in LPS-treated PDLSCs. PLoS ONE 13(11):e0207760
Yu X, Gong Z, Lin Q, Wang W, Liu S, Li S (2017) Denervation effectively aggravates rat experimental periodontitis. J Periodontal Res 52(6):1011–1020
Yu XJ, Xiao CJ, Du YM, Liu S, Du Y, Li S (2015) Effect of hypoxia on the expression of RANKL/OPG in human periodontal ligament cells in vitro. Int J Clin Exp Pathol 8(10):12929–12935
Zhao C, Chen Q, Yu S, Xu C, Li X, Zhang C et al (2020) Effect of interleukin-22 on osteogenic differentiation and the osteoclastogenic response of human periodontal ligament fibroblasts in vitro. J Periodontol. https://doi.org/10.1002/JPER.19-0470
Zhu J, Tang Y, Wu Q, Ji YC, Kang FW (2019). [Mechanism of participation of osteocytes in the formation of osteoclasts under hypoxia]. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology 37(5):463–468.
Acknowledgements
Clinical Medicine Science and Technology Innovation Plan of Jinan (201907099).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Xiao, C., Bai, G., Du, Y. et al. Association of high HIF-1α levels in serous periodontitis with external root resorption by the NFATc1 pathway. J Mol Hist 51, 649–658 (2020). https://doi.org/10.1007/s10735-020-09911-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10735-020-09911-7