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

Abstract

Background/purposeEvidence 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 methodsA 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. ResultsHIF-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). ConclusionOur 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.