Expression of hypoxia inducible factor-1α and vascular endothelial growth factor-C in human chronic periodontitis

Background/purpose: Evidence shows that there is a relationship between hypoxia and inflammatory response in periodontitis. Hypoxia-inducible factor (HIF)-1α is a major regulator of energy homeostasis and cellular adaptation to low oxygen stress. Although experimental results demonstrate an associat...

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Main Authors: Qing-Yan Shi (Author), Shi-Guang Huang (Author), Jing-Hua Zeng (Author), Xiao-Guo Fang (Author)
Format: Book
Published: Elsevier, 2015-09-01T00:00:00Z.
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Summary:Background/purpose: Evidence shows that there is a relationship between hypoxia and inflammatory response in periodontitis. Hypoxia-inducible factor (HIF)-1α is a major regulator of energy homeostasis and cellular adaptation to low oxygen stress. Although experimental results demonstrate an association between HIF-1α and vascular endothelial growth factor (VEGF)-C in tumor angiogenesis, the role of HIF-1α and VEGF-C in the pathogenesis of periodontitis is still ambiguous. So far, limited attention has been given to the role of hypoxia and VEGF-C in periodontitis. The present study aimed to investigate the expression and distribution of HIF-1α and VEGF-C in gingival tissue samples from patients with different stages of chronic periodontitis and healthy individuals. Materials and methods: A total of 56 samples were involved in this study, including moderate chronic periodontitis (n = 20), advanced chronic periodontitis (n = 20), and healthy control tissues (n = 16). The gingival specimens were stained with hematoxylin and eosin for histopathology. The expression of HIF-1α and VEGF-C in gingival tissues was detected by immunohistochemical staining. Results: HIF-1α and VEGF-C were found in gingival tissues from patients with different stages of chronic periodontitis as well as healthy control tissues. HIF-1α protein was expressed mainly in the epithelial layer of gingival tissues, and VEGF-C protein was mostly located in the connective tissue papilla of gingival tissues. Compared with healthy controls, the expression of HIF-1α and VEGF-C in chronic periodontitis groups was significantly higher (P < 0.01), and the density of HIF-1α and VEGF-C in advanced chronic periodontitis group was even significantly higher than that in the moderate chronic periodontitis group (P < 0.01). Conclusion: Our results suggest that the expression of HIF-1α and VEGF-C increased with severity of periodontitis. So, we conclude that HIF-1α may play an important role in the pathophysiology of human periodontitis and may be related to the function of VEGF-C during periodontitis.
Item Description:1991-7902
10.1016/j.jds.2014.09.004