Anti-inflammatory effect of amalgam on periapical lesion cells in culture
2019
Background/Aim. Amalgam has been used for years in dentistry, but controversy
on its adverse effects both on local oral/dental tissues and systemic
health still exists. When used for retrograde filling in apical surgery,
amalgam comes in close contact with periapical tissue and sometimes is
responsible for induction of periapical lesion (PL) or its exacerbation.
Therefore, our aim was to examine the effect of amalgam on cytotoxicity and
production of pro-inflammatory cytokine by cells isolated from PL. Methods.
Conditioned medium from freshly prepared amalgam (ACM) was performed
according to ISO 10993-12, by incubating the alloy in RPMI medium (0.2g/ml)
for 3 days at 37°C. Cells were isolated from 20 human PLs after apicotomy by
collagenase/DNA-ase digestion and cultured with different dilutions of ACM.
Cytotoxicity was determined by MTT (n=7 cultures) and apoptosis/necrosis
assays (n=8 cultures), whereas cytokine production was measured by a Flow
Cytomix Microbeads Assay (n= 8 cultures). Results. Undiluted (100%) and 75%
ACM was cytotoxic due to induction of apoptosis of PL cells. Non-cytotoxic
concentrations of ACM (50% and 25%) inhibited the production of
pro-inflammatory cytokines (TNF-α, IL-1β, IL-6 and IL-8), concentration
dependently. Conclusion. Our results showed for the first time an unexpected
anti-inflammatory property of amalgam on PL cells, which could be beneficial
for PL healing after apicotomy. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. OI 175102]
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