Nastri Livia, Guida Luigi, Annunziata Marco, Ruggiero Nunzia, Rizzo Antonietta
Unit of Periodontology and Implantology, Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy -
Unit of Periodontology and Implantology, Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.
Minerva Stomatol. 2018 Jun;67(3):102-110. doi: 10.23736/S0026-4970.18.04118-3. Epub 2018 Feb 9.
It has been demonstrated that vitamin D exerts several functions other than those implied in the bone homeostasis. It has been published the vitamin D can act on many cells and tissues behaving also as a modulatory factor in the immune responses. The aim of our study was to evaluate the effect of active vitamin D3 (VD) on the expression of pro-inflammatory and anti-inflammatory cytokines (IL-6, IL-8, IL-10 and IL-12) in human gingival fibroblasts (hGF) and human periodontal ligament cells (hPDLc) triggered by Porphyromonas gingivalis and Streptococcus pyogenes.
Primary hGF and hPDLc pretreated or not by VD (10-8 mol/L) were exposed to P. gingivalis and S. pyogenes for 24 h. Production of IL-6, IL-8, IL-10 and IL-12 was evaluated by immunoenzymatic assay. mRNA of the same cytokines were evaluated by PCR.
IL-6 secretion increased by 25.2% (±2.1) up to 51% (±3.3) in VD treated hGF and hPDLc exposed to P. gingivalis and S. pyogenes, compared to VD not treated cells. IL-8 secretion decreased approximately by 30% in VD-treated hGF and hPDLc compared to VD not-treated cells. IL-12 secretion decreased by 60%. On the contrary, anti-inflammatory cytokine IL-10 increased by approximately 200%. mRNA PCR confirmed these results.
Within the limits of the study, the obtained results support the hypothesis of a modulatory role of VD on periodontal cells exposed to bacterial infection, reducing their inflammatory response and increasing the secretion of anti-inflammatory and modulatory cytokines. Consequently, it could be speculated that vitamin D assessment, and its possible implementation in deficiency cases, could play a role in periodontal treatment.
已证实维生素D除了在骨稳态中发挥作用外,还具有多种其他功能。已有研究表明,维生素D可作用于许多细胞和组织,在免疫反应中也作为一种调节因子。我们研究的目的是评估活性维生素D3(VD)对牙龈卟啉单胞菌和化脓性链球菌刺激的人牙龈成纤维细胞(hGF)和人牙周膜细胞(hPDLc)中促炎和抗炎细胞因子(IL-6、IL-8、IL-10和IL-12)表达的影响。
将经VD(10-8 mol/L)预处理或未预处理的原代hGF和hPDLc暴露于牙龈卟啉单胞菌和化脓性链球菌中24小时。通过免疫酶测定法评估IL-6、IL-8、IL-10和IL-12的产生。通过PCR评估相同细胞因子的mRNA。
与未用VD处理的细胞相比,在暴露于牙龈卟啉单胞菌和化脓性链球菌的经VD处理的hGF和hPDLc中,IL-6分泌增加了25.2%(±2.1)至51%(±3.3)。与未用VD处理的细胞相比,经VD处理的hGF和hPDLc中IL-8分泌减少了约30%。IL-12分泌减少了60%。相反,抗炎细胞因子IL-10增加了约200%。mRNA PCR证实了这些结果。
在本研究范围内,所得结果支持VD对暴露于细菌感染的牙周细胞具有调节作用的假设,可降低其炎症反应并增加抗炎和调节性细胞因子的分泌。因此,可以推测维生素D评估及其在缺乏病例中的可能应用可能在牙周治疗中发挥作用。