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Effect of butyrate, a bacterial byproduct, on the viability and ICAM-1 expression/production of human vascular endothelial cells: role in infectous pulpal/periapical diseases

Int Endod J. 2021 Aug 22. doi: 10.1111/iej.13614. Online ahead of print.

ABSTRACT

AIM: To investigate the effects of butyric acid (BA), a metabolic product generated by pulp and root canal pathogens, on the viability and intercellular adhesion molecule-1 (ICAM-1) production of endothelial cells, which are crucial to angiogenesis and pulpal/periapical wound healing.

METHODOLOGY: Endothelial cells were exposed to butyrate with/without inhibitors. Cell viability, apoptosis, and reactive oxygen species (ROS) were evaluated using an MTT assay, PI/Annexin V, and DCF fluorescence flow cytometry, respectively. RNA and protein expression was determined using a polymerase chain reaction assay and Western blotting or immunofluorescent staining. Soluble ICAM-1 (sICAM-1) was measured using an enzyme-linked immunosorbent assay. The quantitative results were expressed as Mean ± standard error (SE) of the mean. The data were analyzed using a paired Student t-test where necessary. A p-value ≤0.05 was considered to indicate a statistically significant difference between groups.

RESULTS: Butyrate (>4 mM) inhibited cell viability and induced cellular apoptosis and necrosis. It inhibited cyclin B1 but stimulated p21 and p27 expression. Butyrate stimulated ROS production and hemeoxygenase-1 (HO-1) expression as well as activating the Ac-H3, p-ATM, p-ATR, p-Chk1, p-Chk2, p-p38, and p-Akt expression of endothelial cells. Butyrate stimulated ICAM-1 mRNA/protein expression and significant sICAM-1 production (p<0.05). Superoxide dismutase, 5z-7oxozeaenol, SB203580, and compound C (p<0.05), but not ZnPP, CGK733, AZD7762, or LY294002 attenuated butyrate cytotoxicity to endothelial cells. Notably, little effect on butyrate-stimulated sICAM-1 secretion was found. Valproic acid, phenylbutyrate, and trichostatin (three histone deacetylase inhibitors) significantly induced sICAM-1 production (p<0.05).

CONCLUSION: BA inhibited proliferation, induced apoptosis, stimulated ROS and HO-1 production, and increased ICAM-1 mRNA expression and protein synthesis in endothelial cells. Cell viability affected by BA was diminished by some inhibitors; however, the increased sICAM-1 secretion by BA was not affected by any of the tested inhibitors. These results facilitate understanding of the pathogenesis, prevention, and treatment of pulpal/periapical diseases.

PMID:34420220 | DOI:10.1111/iej.13614

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