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Updated: Aug 8, 2026

A Mouse Model for Pathogen-induced Chronic Inflammation at Local and Systemic Sites
Published on: August 8, 2014
Role of TNF-alpha and its receptors in pericoronitis
1Department of Medicine/Invärtes medicin, Helsinki University Hospital, Helsinki, Finland.
Abstract:
The classic stimulus for cellular cytokine production is bacterial lipopolysaccharide (endotoxin). It was therefore hypothesized that tumor necrosis factor-alpha (TNF-alpha) may be responsible for pericoronitis. TNF-alpha and its receptors were detected by immunohistochemical staining in third molar pericoronitis in ten patients and ten healthy control samples. The percentage of TNF-alpha positive cells was high in pericoronitis (p = 0.0317). TNF receptors TNF-R1 and TNF-R2 were found in macrophage- and fibroblast-like cells, vascular endothelial cells in post-capillary venules, and basal epithelial cells in pericoronitis, but were only weakly expressed in controls. Increased expression of interleukin-1beta and vascular cell adhesion molecule-1 was found as a biological indicator of TNF-alpha ligand-receptor interaction. Explanted tissues acquired destructive potential upon TNF-alpha stimulation, whereas TNF-alpha blockers controlled it in inflamed tissues. These findings suggest that, in pericoronitis, inflammatory and resident cells produce and respond to potent pro-inflammatory cytokine TNF-alpha, with pathogenic and potential therapeutic relevance.
Insights
Tumor necrosis factor-alpha (TNF-alpha) drives pericoronitis by activating inflammatory cells. Blocking TNF-alpha shows therapeutic potential for this condition.
Area of Science:
- Oral pathology
- Immunology
- Cytokine biology
Background:
- Bacterial lipopolysaccharide commonly stimulates cytokine production.
- Pericoronitis is an inflammatory condition often associated with third molars.
- Tumor necrosis factor-alpha (TNF-alpha) was investigated as a potential mediator.
Purpose of the Study:
- To investigate the role of TNF-alpha and its receptors in pericoronitis.
- To assess the pathogenic and therapeutic relevance of TNF-alpha in this condition.
Main Methods:
- Immunohistochemical staining was used to detect TNF-alpha and its receptors (TNF-R1, TNF-R2).
- Samples from ten pericoronitis patients and ten healthy controls were analyzed.
- Expression of interleukin-1beta and vascular cell adhesion molecule-1 was measured.
Main Results:
- TNF-alpha positive cells were significantly higher in pericoronitis tissues (p = 0.0317).
- TNF receptors were expressed on various cells in pericoronitis, with weak expression in controls.
- Increased interleukin-1beta and vascular cell adhesion molecule-1 indicated TNF-alpha activity.
Conclusions:
- Inflammatory and resident cells produce and respond to TNF-alpha in pericoronitis.
- TNF-alpha plays a pathogenic role in pericoronitis.
- TNF-alpha blockers demonstrated control of inflammation in affected tissues, suggesting therapeutic potential.
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