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Updated: May 31, 2026

Accessing the Cytotoxicity and Cell Response to Biomaterials
Published on: July 8, 2021
Sodium fluoride induces apoptosis and alters bcl-2 family protein expression in MC3T3-E1 osteoblastic cells
Shiyong Yang1, Zhi Wang, Colin Farquharson
1College of Veterinary Medicine, China Agricultural University, 100193 Beijing, China.
Abstract:
Chronic excessive fluoride intake is known to be toxic and can lead to fluorosis and bone pathologies. However, the cellular mechanisms underlying NaF-induced cytotoxicity in osteoblasts are not well understood. The objectives of this study were to determine the effects of fluoride treatment on MC3T3-E1 osteoblastic cell viability, cell cycle analysis, apoptosis and the expression levels of bcl-2 family members: bcl-2 and bax. MC3T3-E1 cells were treated with 10(-5); 5 × 10(-5); 10(-4); 5 × 10(-4) and 10(-3)M NaF for up to 48 h. NaF was found to reduce cell viability in a temporal and concentration dependent manner and promote apoptosis even at low concentrations (10(-5)M). This increased apoptosis was due to alterations in the expression of both pro-apoptotic bax and anti-apoptotic bcl-2. The net result was a decrease in the bcl-2/bax ratio which was found at both the mRNA and protein levels. Furthermore, we also noted that NaF-induced S-phase arrest during the cell cycle of MC3T3-E1 cells. These data suggest that fluoride-induced osteoblast apoptosis is mediated by direct effects of fluoride on the expression of bcl-2 family members.
Insights
Excessive fluoride (NaF) exposure harms osteoblasts, reducing cell viability and increasing apoptosis by altering bcl-2 and bax expression. This study clarifies fluoride
Area of Science:
- Cell Biology
- Toxicology
- Biochemistry
Background:
- Chronic excessive fluoride intake can cause fluorosis and bone pathologies.
- The cellular mechanisms of sodium fluoride (NaF)-induced cytotoxicity in osteoblasts remain unclear.
Purpose of the Study:
- To investigate the effects of NaF on osteoblastic cell viability, cell cycle, apoptosis, and bcl-2 family member expression.
- To elucidate the cellular mechanisms of fluoride toxicity in osteoblasts.
Main Methods:
- MC3T3-E1 osteoblastic cells were treated with varying concentrations of NaF (10⁻⁵ to 10⁻³ M) for up to 48 hours.
- Cell viability, cell cycle progression, apoptosis, and the expression of bcl-2 and bax (mRNA and protein levels) were analyzed.
Main Results:
- NaF reduced osteoblast cell viability in a dose- and time-dependent manner.
- NaF induced apoptosis even at low concentrations, associated with decreased bcl-2/bax ratio.
- NaF treatment caused S-phase arrest in the cell cycle and altered bcl-2 family gene expression.
Conclusions:
- Fluoride-induced osteoblast apoptosis is mediated by direct effects on bcl-2 family member expression.
- NaF cytotoxicity involves apoptosis and cell cycle disruption in osteoblasts.
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