Abstract

Nickel is a component of several alloy types that are widely used in our environment, including several dental alloy types that cause intraoral metal contact allergy. However, metal-specific immune responses in the oral mucosa have not been elucidated because a suitable animal model has not been established. In this study, we established a novel murine model of nickel-induced intraoral metal contact allergy and aimed to elucidate the immune response in terms of T-cell receptor repertoire and cytokine profiles in inflamed oral mucosa. The intraoral metal contact allergy model was induced by two sensitizations of nickel plus lipopolysaccharide solution into the postauricular skin followed by a single nickel challenge of the buccal mucosa. Cytokine expression profiles and T-cell phenotypes were determined by quantitative polymerase chain reaction. T cells accumulated in the cervical lymph nodes and inflamed oral mucosa were characterized by analyzing their T-cell receptor α- and β-chain repertoires, and the nucleotide sequences of complementary determining region 3. Significant swelling and pathological features were histologically evident at 1 day after challenge in mice with nickel allergy. At 1 day after the challenge, CD8-positive T cells producing high levels of T helper 1 type cytokines had accumulated in the allergic oral mucosa. At 7 days after the challenge, excessive nickel allergy in the oral mucosa was suppressed by regulatory T cells. Characterization of the T-cell receptor repertoire in nickel allergic mice revealed the presence of natural killer T cells and T cells bearing Trav6-6-Traj57 at 1 day after the challenge. Our murine model of nickel-induced intraoral metal contact allergy showed that natural killer T cells and T cells bearing Trav6-6-Traj57 might be involved in the immune responses of nickel-induced intraoral metal contact allergy.

Highlights

  • Nickel (Ni) is a component of several alloy types that are widely used in the environment and it is the most common allergic metal in patch testing [1]

  • At 7 days after challenge, swelling of the buccal mucosa was significantly higher in allergic contact mucositis (ACM) mice compared with control mice, whereas swelling in irritant contact mucositis (ICM) mice was not significantly different compared with control mice

  • From 6 h to 3 days after challenge, swelling of the buccal area in the oral mucosa was increased in ACM mice compared with control and ICM mice (Fig 1)

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Summary

Introduction

Nickel (Ni) is a component of several alloy types that are widely used in the environment and it is the most common allergic metal in patch testing [1]. Ni is a component of several dental alloy types including dentures, orthodontic wires, and dental implants [2]. It was previously suggested that metal allergy in the oral mucosa may be caused by Ni-containing dental alloys [3, 4]. Metal allergy is thought to be an inflammatory disease categorized as a delayed-type hypersensitivity (DTH) reaction caused by haptens that exert antigenicity [5]. Previous studies reported that dental metals may cause allergic reactions in the oral mucosa that manifest as stomatitis, cheilitis, oral lichenoid lesions and burning mouth syndrome [5,6,7,8]. The pathological mechanism of intraoral metal contact allergy remains unclear because an animal model of metal allergy in the oral mucosa has not been established

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