Related Experiment Video
Updated: Aug 11, 2026

Isolation, Processing and Analysis of Murine Gingival Cells
Published on: July 2, 2013
Characterization of lymphocyte subpopulations in periapical lesions by flow cytometry
M A Sol1, J Tkaczuk, J J Voigt
1Institut National de la Santé et de la Recherche Médicale, Unit 466, Toulouse, France.
Insights
Bacterial root canal infections cause bone destruction via immune responses. Flow cytometry identified abundant B lymphocytes and dominant CD4+ T cells in cysts, suggesting targeted therapies for periapical lesions.
Area of Science:
- Immunology
- Oral Biology
- Pathology
Background:
- Bacterial root canal infections are linked to periapical bone destruction.
- The precise immune mechanisms driving this destruction remain unclear.
- Previous studies indicated an active immune response within these lesions.
Purpose of the Study:
- To characterize immune cells in periapical lesions using flow cytometry.
- To precisely define the phenotype of lymphocytes involved in the immune response.
- To investigate the cellular composition of periapical cysts and granulomas.
Main Methods:
- Flow cytometry was employed for detailed immune cell phenotyping.
- Semiquantitative immunohistochemistry identified plasma cells, macrophages, B cells, and T cells.
- Multiparametric antibody staining enabled precise lymphocyte subset analysis.
Main Results:
- Periapical lesions showed the presence of plasma cells, macrophages, B cells, and T cells.
- Flow cytometry revealed cysts were rich in B lymphocytes and CD4+ T cells.
- A relative scarcity of CD8+ T cells and a small number of gamma delta T cells and natural killer cells were observed.
Conclusions:
- Flow cytometry is effective for characterizing immune cells in inflamed periapical tissues.
- The immune cell profile suggests a specific B cell and CD4+ T cell-driven response in periapical cysts.
- These findings open avenues for future functional studies and targeted therapeutic strategies.
Abstract:
The mechanisms by which the bacterial root-canal infection leads to periapical bone destruction (cysts or granulomas) are not yet well understood. Previous works have shown elements of an active immune response in the lesions. In the present study, flow cytometry was used to improve the characterization of immune cells. Semiquantitative immunohistochemical analysis showed the presence of plasma cells, macrophages and B and T cells. The simultaneous use of several antibodies in flow cytometry allowed a more precise phenotype of the lymphocytes. The cysts displayed an abundance of B lymphocytes at the same time as a relative scarcity of CD8+ cells. CD4+ lymphocytes were the dominant lymphocyte population in most cases. A small number of gamma delta T lymphocytes and natural killer cells was found. These preliminary results show that flow cytometry may be used to characterize immune cells from inflamed tissue and opens the possibility for further functional studies.

