Role of TNF-alpha and its receptors in pericoronitis

A Beklen1, M Laine, I Ventä

  • 1Department of Medicine/Invärtes medicin, Helsinki University Hospital, Helsinki, Finland.

Journal of Dental Research
|November 24, 2005
PubMed

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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