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Updated: Feb 6, 2026

Inducing Apical Periodontitis in Mice
Published on: August 6, 2019
microRNA-146a and Hey2 form a mutual negative feedback loop to regulate the inflammatory response in chronic apical
Shao Lina1, Qiu Lihong1, Yang Di1
1Department of Endodontics, School of Stomatology, China Medical University, China.
Abstract:
Chronic apical periodontitis (CAP) is defined as chronic inflammation of the dental pulp and root canal system. Porphyromonas endodontalis lipopolysaccharide ( P. endodontalis LPS) plays an important role in inducing an inflammatory response in CAP. microRNA-146a (miR-146a) is a key regulator of inflammation and is induced by LPS. Hairy and enhancer-of-split related with YRPW motif 2 (Hey2) has been confirmed to be induced by the Notch signaling pathway, which is involved in tooth development, pulp regeneration, and repair after injury. Our study aimed to investigate the functional role of miR-146a via the targeting of Hey2 in CAP as well as the underlying mechanism. Compared with 13 healthy controls, miR-146a and Hey2 expressions were significantly higher in 20 patients with CAP. In addition, miR-146a, Hey2, interleukin (IL)-6, IL-1β, and tumor necrosis factor (TNF)-α expressions were significantly increased in MC3T3-E1 cells stimulated with different concentrations (0-20 μg/mL) of P. endodontalis LPS for different amounts of time (0-48 hours). Moreover, miR-146a, which acts as an anti-inflammatory mediator, negatively regulated the expression of IL-6, IL-1β, and TNF-α, and Hey2 was confirmed as a target gene of miR-146a by a luciferase reporter assay. Hey2 also negatively regulated miR-146a, IL-6, IL-1β, and TNF-α expressions, and P. endodontalis LPS strongly induced Hey2 recruitment to the IL-6 promoter (-400 ~ -200 bp). These findings suggest that miR-146a and Hey2 form a mutual negative feedback regulatory loop, demonstrating a novel mechanism that regulates inflammatory responses in CAP.
Insights
MicroRNA-146a (miR-146a) and Hey2 regulate inflammation in chronic apical periodontitis (CAP). They form a feedback loop, impacting inflammatory responses in CAP by targeting key inflammatory molecules.
Area of Science:
- Oral Biology
- Immunology
- Molecular Biology
Background:
- Chronic apical periodontitis (CAP) involves inflammation of the dental pulp and root canal system.
- Porphyromonas endodontalis lipopolysaccharide (P. endodontalis LPS) is a key inducer of inflammation in CAP.
- MicroRNA-146a (miR-146a) is a critical regulator of inflammatory responses, and Hey2 is involved in pulp repair.
Purpose of the Study:
- To investigate the role of miR-146a targeting Hey2 in CAP.
- To elucidate the underlying molecular mechanisms of miR-146a and Hey2 in CAP-induced inflammation.
Main Methods:
- Analysis of miR-146a and Hey2 expression in CAP patients and healthy controls.
- In vitro stimulation of MC3T3-E1 cells with P. endodontalis LPS.
- Luciferase reporter assay to confirm Hey2 as a target gene of miR-146a.
- Assessment of inflammatory cytokine expression (IL-6, IL-1β, TNF-α).
Main Results:
- miR-146a and Hey2 expression were significantly elevated in CAP patients.
- P. endodontalis LPS increased the expression of miR-146a, Hey2, IL-6, IL-1β, and TNF-α in vitro.
- miR-146a negatively regulated inflammatory cytokine expression, and Hey2 was validated as a miR-146a target.
- Hey2 also negatively regulated inflammatory markers and was recruited to the IL-6 promoter by P. endodontalis LPS.
Conclusions:
- miR-146a and Hey2 form a mutual negative feedback loop that regulates inflammatory responses in CAP.
- This study reveals a novel mechanism involving miR-146a and Hey2 in the pathogenesis of chronic apical periodontitis.
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