Abstract

As type-I-allergies show an increasing prevalence in the general populace, orthodontic patients may also be affected by histamine release during treatment. Human periodontal ligament fibroblasts (PDLF) are regulators of orthodontic tooth movement. However, the impact of histamine on PDLF in this regard is unknown. Therefore PDLF were incubated without or with an orthodontic compressive force of 2g/cm2 with and without additional histamine. To assess the role of histamine-1-receptor (H1R) H1R-antagonist cetirizine was used. Expression of histamine receptors and important mediators of orthodontic tooth movement were investigated. PDLF expressed histamine receptors H1R, H2R and H4R, but not H3R. Histamine increased the expression of H1R, H2R and H4R as well as of interleukin-6, cyclooxygenase-2, and prostaglandin-E2 secretion even without pressure application and induced receptor activator of NF-kB ligand (RANKL) protein expression with unchanged osteoprotegerin secretion. These effects were not observed in presence of H1R antagonist cetirizine. By expressing histamine receptors, PDLF seem to be able to respond to fluctuating histamine levels in the periodontal tissue. Increased histamine concentration was associated with enhanced expression of proinflammatory mediators and RANKL, suggesting an inductive effect of histamine on PDLF-mediated osteoclastogenesis and orthodontic tooth movement. Since cetirizine inhibited these effects, they seem to be mainly mediated via histamine receptor H1R.

Highlights

  • In the dental specialty of orthodontics malpositioned teeth, which give rise to functional problems as well as affect facial aesthetics, are moved into their correct physiological position within the alveolar bone by fixed or removable orthodontic appliances via the application of mechanical forces in the direction of required movement [1]

  • Increasing histamine concentrations led to a significant increase of all expressed histamine receptors in periodontal ligament fibroblasts (PDLF) using a concentration of 100 μM histamine (Fig 2A– 2D)

  • To determine which histamine receptor was responsible for this upregulation, we tested cetirizine which is a H1R antagonist, ranitidine as histamine 2 receptor (H2R) antagonist and JNJ777210, which acts as H4R antagonist

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Summary

Introduction

In the dental specialty of orthodontics malpositioned teeth, which give rise to functional problems as well as affect facial aesthetics, are moved into their correct physiological position within the alveolar bone by fixed or removable orthodontic appliances via the application of mechanical forces in the direction of required movement [1]. Histamine effects on PDLF during orthodontic pressure

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