Abstract

Tetracycline is used as a fluorescent reagent to measure bone formation activity in bone histomorphometric analyses. However, there is a possibility to lead a different conclusion when it is used in a bacteria-infected murine model since the tetracycline is considered to work as an antibiotic reagent. There are non-antibiotic fluorescent reagents such as alizarin and calcein for measuring bone formation activity. The purpose of this study was to clarify whether tetracycline could be an appropriate reagent to measure bone formation activity in a murine bacterial model in the same way as a non-antibiotic fluorescent reagent. We used Streptococcus mutans (S. mutans), a normal inhabitant in the oral cavity and tetracycline-sensitive bacteria, for inducing the bacterial model. The murine bacterial model was generated by intravenously inoculating S. mutans to the tail vein, followed immediately by the injection of the first fluorescent reagent, and the second one was injected 2 days prior to euthanization. After one day of inoculation with S. mutans, the subcutaneously injected alizarin had a similar colony count derived from the liver and the bone marrow tissue compared to the phosphate buffered saline (PBS)-injected control group. On the other hand, subcutaneous injection of tetracycline led to a significantly lower colony count from the liver compared to alizarin- or calcein-injected group. However, on day seven, after S. mutans intravenous injections, bone mineral density of distal femurs was significantly reduced by the bacteria inoculation regardless of which fluorescent reagents were injected subcutaneously. Finally, S. mutans inoculation reduced bone-formation-activity indices in both the tetracycline-alizarin double-injected mice and the calcein-alizarin double-injected mice. These results suggested that a one-time injection of tetracycline did not affect bone formation indices in the S. mutans-induced bone loss model. Tetracycline could be used for measuring bone formation activity in the same way as non-antibiotic fluorescent reagent such as calcein and alizarin, even in a tetracycline-sensitive bacterium-infected model.

Highlights

  • Bone and immune cells share the same microenvironment and interact with each other in the bone marrow, and the bone itself provides a unique harbor for microorganisms (Tsukasaki and Takayanagi, 2019)

  • The purpose of this study was to examine fluorescent reagents suitable for evaluating bone formation activity using infected mice inoculated with S. mutans that are considered to be sensitive to tetracycline (Jarvinen et al, 1993)

  • We used a bacterial model induced by S. mutans to evaluate whether a tetracycline could be an appropriate fluorescent reagent for clarifying the changes of bone formation activity under an infected condition with the tetracycline-sensitive bacteria

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Summary

Introduction

Bone and immune cells share the same microenvironment and interact with each other in the bone marrow, and the bone itself provides a unique harbor for microorganisms (Tsukasaki and Takayanagi, 2019). S. mutans have been reported as the most frequently detected species in cardiovascular patients with high detection rates in the heart valve and aneurysm wall specimens of 42.7% and 62.8%, respectively, when compared among oral bacteria (Nakano et al, 2009) It may be associated with the development of deep cerebral microbleeds, intracerebral hemorrhage, and stroke, with a mechanism linked to chronic inflammation (Tonomura et al, 2016). The bone organ is known to be interconnected with the nervous, endocrine, and immune system The latter is closely related to the formation of osteoclasts and osteoblasts and their function (Okamoto et al, 2017). There is no established procedure in bone histomorphometric analyses to detect changes in bone formation activity, which can be measured using fluorescent reagents in a bacteriuminfected model

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