Characterization of induced pulpal hypoxia using 3H-misonidazole.

Tritiated misonidazole (3H-MISO) is a bioreductively activated marker which preferentially binds to cells with decreased oxygen tension (hypoxia). Detection of hypoxia may be an important indicator of metabolic imbalance. For 3H-MISO to be functional as a marker, normal oxygen (normoxic) levels must be distinguishable from increased hypoxic retention. This investigation characterized retention of 3H-MISO in: (a) normoxic pulp, (b) induced hypoxic pulp, and (c) reoxygenated hypoxic pulp. Rats were injected intraperitoneally with either 3H-MISO, unlabeled MISO, or saline, then divided into normoxic and hypoxic groups with appropriate controls. Normoxic animals were maintained at ambient pressure. Hypoxia was induced by placing animals in a hypobaric chamber at 0.5 atm. Pulps were then removed and prepared for liquid scintillation counting. Hypoxic pulps retained significantly more 3H-MISO than normoxic pulps (analysis of variance, p = 0.001). Hypoxic 3H-MISO retention was unaffected by subsequent, transient tissue reoxygenation. 3H-MISO detects changes in pulpal oxygen status that deviate from normal.