High levels of CXC Ligand 12/stromal cell-derived factor 1 in apical lesions of endodontic origin associated with mast cell infiltration

Franco Cavalla, Montserrat Reyes, Rolando Vernal, Carla Álvarez, Rodolfo Paredes, Jocelyn García-Sesnich, Magdalena Infante, Valeska Fariña, Ignacio Barrón, Marcela Hernández

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

Introduction CXC ligand 12/stromal-derived factor-1 (CXCL12/SDF-1) is a pleiotropic chemokine that regulates the influx of a wide range of leukocytes. The aim of this study was to characterize CXCL12/SDF-1 in apical lesions (ALs) of endodontic origin, with special emphasis in associated immune cell populations. Methods In this case-control study, 29 individuals with chronic apical periodontitis and 21 healthy volunteers were enrolled. ALs and healthy periodontal ligament samples were obtained for tissue homogenization, immune Western blotting, and enzyme-linked immunosorbent assay to determine CXCL12/SDF-1 forms and levels. Anatomopathologic diagnosis, immunostaining for CXCL12/SDF-1, CD117-CXCL12/SDF-1, and toluidine blue were also performed to identify tissue and cell localization. Finally, a set of tissue samples were digested and analyzed by flow cytometry to identify CXCL12/SDF-1 in different immune cell populations. Data were analyzed with Stata v11 and WinDi 2.9 software, and significance was considered if P <.05. Results CXCL12/SDF-1 was predominantly identified as monomers; levels of CXCL12/SDF-1 were significantly higher in ALs compared with controls, and it was primarily localized to inflammatory infiltrates. Expression of CXCL12/SDF-1 was colocalized to mast cells in tissue sections. Furthermore, CD117+ mast cells were the second most frequent infiltrating cells and the main CXCL12/SDF-1 expressing cells, followed by CD4+ lymphocytes, monocytes/macrophages, neutrophils, and dendritic cells. Conclusions ALs of endodontic origin demonstrated higher levels of CXCL12/SDF-1 compared with controls. CXCL12/SDF-1 was identified in immune cell populations, whereas mast cells represented the major CXCL12/SDF-1 expressing cells, suggesting that this chemokine might play a central role in apical tissue destruction, most probably inducing persistent recruitment of immune cells, particularly of mast cells.

Original languageEnglish
Pages (from-to)1234-1239
Number of pages6
JournalJournal of Endodontics
Volume39
Issue number10
DOIs
Publication statusPublished - Oct 2013

Keywords

  • Apical periodontitis
  • CXCL12/SDF-1
  • mast cells

ASJC Scopus subject areas

  • General Dentistry
  • General Medicine

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