Osteoblast Play an Essential Role in Periodontal Bone Loss Through Activation of

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1 Osteoblast Play an Essential Role in Periodontal Loss Through Activation of Nuclear Factor-Kappa B Authors: Sandra Pacios 1, Wenmei Xiao 1,2, Marcelo Mattos 1, Jason Lim 1, Rohinton S. Tarapore 1, Sarah Alsadun 1, Bo Yu 3, Cun-Yu Wang 3, and Dana T. Graves 1. Affiliations: 1 Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 2 Department of Periodontology, School and Hospital of Stomatology, Peking University, Beijing, China 3 Division of Oral Biology and Medicine, School of Dentistry, University of California, Los Angeles, CA First three authors contributed equally Corresponding author: Dana T. Graves, DDS, DMSc Department of Periodontics University of Pennsylvania 24 S 4th St, Levy 122 Philadelphia, PA dtgraves@dental.upenn.edu Key Words: bone loss, osteoblast, osteoclast, inflammation, infection, periodontitis, periodontium

2 DAPI NF-κB Merge infected Infected Immunofluorescence image on NF-κB. Periodontal disease was induced in wild-type and IKK-DN mice by oral inoculation of bacteria. Nuclear NF-κB in an and infected specimens, measured by immunofluorescence by co-localization of p65 (red), a subunit of NF-κB and DAPI (blue) nuclear staining. Arrows indicate osteocalcin positive osteoblastic cells lining bone with cuboidal nuclei that were not fusiform or parallel to the bone surface. Matched control antibody was negative.

3 a NF-kB nuclear localization (%) Hour 1 Hour 8 Hours 24 Hours b RANKL expression (MFI) Hour 1 Hour 8 Hours 24 Hours c NF-kB nuclear localization (%) Osteocytes Hour 1 Hour 8 Hours 24 Hours d RANKL expression (MFI) Osteocytes Hour 1 Hour 8 Hours 24 Hours Kinetics of NF-κB and RANKL after. MC3T3 osteoblasts and MLO-Y4 osteocytes were incubated with TNFα as indicated. NF-κΒ nuclear localization was determined by immunofluorescence with antibody specific for p65 (red) and co-localization with DAPI (blue) nuclear stain. RANKL was measured by immunofluorescence and data collected as mean fluorescence intensity. Matched control antibody was negative., significantly different when compared to nonstimulated control.

4 DAPI Osteocalcin Merge Osteocalcin expression. Osteocalcin was detected by immunofluorescence with specific antibody (red) in a and animals that had oral inoculation of periodontal pathogens. Sections were stained with DAPI (blue) nuclear stain. The white line indicates bone surface with periodontal ligament to the left. Arrows point to osteocalcin positive cells. White line indicates bone surface with periodontal ligament to the left and bone to the right. Matched control antibody was negative.

5 a New bone/osteoclasts Non-Infected Non Inf Infected Inf b New bone/eroded bone surface Non-Infected Infected Assessment of bone formed in relationship to osteoclasts or osteoclast activity. formed was assessed using the reversal line as a guide as described in Figure 6a and values were divided by the number of osteoclasts or eroded bone surface, measured in Fig 5. significantly increased in infected mice (P<.5).

6 a Annexin V positive cells (%) Vehicle pcdna IKK b DAPI positive cells (%) Large Nuclei Small/Bright Nuclei + Vehicle pcdna IKK Annexin V expression and nuclei morphology in apoptotic MC3T3 cells. MC3T3 preosteoblastic cells transfected with IKK had significantly more annexin V+ cells than the control cells. It was also noticed that the cells that had brighter and smaller nuclei (based on the DAPI staining) were the cells that were undergoing apoptosis. significantly different when compared to control.

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