Miyauchi M, Takata T, Ito H, Ogawa I, Kobayashi J, Nikai H, Ijuhin N
Department of Oral Pathology, Hiroshima University, Japan.
J Endod. 1996 Dec;22(12):635-7. doi: 10.1016/S0099-2399(96)80054-9.
The immunohistochemical localization of prostaglandin (PG) E2, PGF2 alpha, and 6-keto-PGF1 alpha (a stable metabolite of PGI2) was demonstrated in rat periapical inflammatory lesions induced by opening the pulp chamber. Two wk postoperatively, suppurative periapical lesions were formed, and active bone resorption was seen surrounding these lesions. Immunohistochemical examination showed that macrophages infiltrating in inflammatory tissue were positively stained for the examined PGs. In some lesions, wherein acute inflammatory changes subsided and proliferation of fibroblasts started, the fibroblasts were positively stained for 6-keto-PGF1 alpha. Osteocytes and osteoblasts were also positive for 6-keto-PGF1 alpha not only in experimental animals, but also in untreated animals. However the staining intensity of the PG in these cells was higher in periapical lesions than in normal condition. These findings suggested that the cellular sources of the PGs in the periapical lesions are mainly macrophages and fibroblasts, and that the PGs produced by these cells, and possibly osteoblast and osteocytes, may contribute to the osteolytic resorption of periapical lesions.
通过打开髓腔诱导大鼠根尖周炎性病变,对前列腺素(PG)E2、PGF2α和6-酮-PGF1α(前列环素(PGI2)的稳定代谢产物)进行免疫组织化学定位。术后两周,形成化脓性根尖周病变,在这些病变周围可见活跃的骨吸收。免疫组织化学检查显示,浸润在炎症组织中的巨噬细胞对所检测的前列腺素呈阳性染色。在一些急性炎症变化消退且成纤维细胞开始增殖的病变中,成纤维细胞对6-酮-PGF1α呈阳性染色。不仅在实验动物中,而且在未处理的动物中,骨细胞和成骨细胞对6-酮-PGF1α也呈阳性。然而,这些细胞中前列腺素的染色强度在根尖周病变中高于正常情况。这些发现表明,根尖周病变中前列腺素的细胞来源主要是巨噬细胞和成纤维细胞,并且这些细胞以及可能的成骨细胞和骨细胞产生的前列腺素可能促成根尖周病变的溶骨性吸收。