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From the Departments of Periodontology and Oral
Biology*
and Endodontics,
Boston University School of Dental Medicine, Boston University,
Boston, Massachusetts
Bacterial infection causes significant morbidity, mediated in part by the up-regulation of inflammatory cytokines. Cytokine induction is thought to stimulate osteolysis in conditions such as periodontal disease and otitis media. To establish the relative importance of interleukin-1 (IL-1) and tumor necrosis factor (TNF) in mediating the response to a mixed anaerobic infection, we used an in vivo model in which the dental pulp was inoculated with six anaerobic pathogens, in mice with functional deletions of receptors to IL-1 (IL-1RI-/-), TNF (TNFRp55-/--p75-/-), or both (TNFRp55-/--IL-1RI-/-). Polymorphonuclear and mononuclear phagocyte recruitment occurred to the greatest extent in TNFRp55-/--IL-1RI-/- mice, and to a lesser extent in IL-1RI-/- or TNFRp55-/--p75-/- mice, and the least in wild-type mice, demonstrating that recruitment of these phagocytes is not dependent on IL-1 or TNF receptor signaling. A similar pattern was observed for bacterial penetration into host tissue. Because it had recently been reported that TNF played a critical role in mediating lipopolysaccharide-induced bone loss, we anticipated that mice with targeted deletions of TNFRp55-/- would have reduced osteoclastogenesis. Surprisingly, osteolytic lesion formation was greatest in animals lacking TNF and/or IL-1 receptors. These results indicate that IL-1 or TNF receptor signaling is not required for bacteria-induced osteoclastogenesis and bone loss, but does play a critical role in protecting the host against mixed anaerobic infections.
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