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Infection and Immunity, August 2000, p. 4746-4751, Vol. 68, No. 8
Department of Periodontology and Oral
Biology1 and Department of
Endodontics,3 Boston University School of Dental
Medicine, Boston University, Boston, Massachusetts 02118, and
Dental Department, Tri-Service General Hospital, and School of
Dentistry, National Defense Medical Center, Taipei, Taiwan, Republic of
China2
Received 22 October 1999/Returned for modification 10 January
2000/Accepted 25 May 2000
Infection of the dental pulp leads to an osteolytic lesion that
results from a polymicrobial infection consisting largely of pathogenic
anaerobes. Infection causes significant morbidity and mortality
mediated by bacterial factors and in some cases by the up-regulation of
inflammatory cytokines. The inflammatory cytokines interleukin-1 (IL-1)
and tumor necrosis factor (TNF), in particular, play a complex and
central role in the responses to microbial pathogens. However,
relatively little is known about the significance of these cytokines in
protecting the host from focal polymicrobial anaerobic infections. To
establish the relative importance of IL-1 and TNF in mediating the
response to a mixed anaerobic infection, we inoculated the dental pulp
of mice with six anaerobic pathogens containing functional
deletions of receptors to IL-1 (IL-1R1
0019-9567/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Interleukin-1 Receptor Signaling Rather than That of Tumor
Necrosis Factor Is Critical in Protecting the Host from the Severe
Consequences of a Polymicrobe Anaerobic Infection
/
),
TNF (TNFRp55
/
-p75
/
), or both
(TNFRp55
/
-IL-1RI
/
). The results
indicate that IL-1 receptor signaling and TNF receptor signaling both
play similarly important roles in protecting the host from local tissue
damage. However, IL-1 receptor signaling is considerably more important
than TNF receptor signaling in preventing the spread of infection into
surrounding fascial planes, since IL-1R1
/
but not
TNFRp55
/
-p75
/
mice exhibited
significantly higher morbidity and mortality. Moreover, all of the
fatal infections occurred in male mice, suggesting the importance of
gender differences in limiting the impact of these infections.
*
Corresponding author. Mailing address: Department of
Periodontology and Oral Biology, Boston University School of Dental
Medicine, 700 Albany St. W201, Boston, MA 02118. Phone: (617) 638-8547. Fax: (617) 638-4924. E-mail: dgraves{at}acs.bu.edu.
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