Abstract

Antimicrobial photothermal/photodynamic therapy (PTT/PDT) with indocyanine green (ICG) is an adjuvant therapeutic approach in the treatment of periodontitis. To explore whether PTT/PDT with ICG causes cell death by apoptosis in human gingival fibroblast (HGF) cells, BAX and BCL-2 genes expression as key events for apoptosis were evaluated in this study. HGF cells were treated with: 1) different concentrations (500-2000 µg/mL) of ICG alone, 2) Diode laser irradiation alone with a fluency of 39.06 J/cm2; 3) PTT/PDT combined different concentrations (500-2000 µg/mL) of ICG with an 808 nm diode laser with a fluency of 39.06 J/cm2, and 4) controls (untreated cells). After that, BAX and BCL-2 messenger RNA levels were evaluated by real-time quantitative reverse transcription PCR. PTT/PDT with 500 µg/mL of ICG caused significant increases in the expression of the BAX gene, with an 8.5-fold increase, which was approximately 7- and 8.5-fold higher than PTT/PDT with ICG for 1500 and 2000 µg/mL of ICG, respectively, indicating induction of apoptosis in HGF cells. ICG (in different test concentrations), diode laser, and PTT/PDT with ICG (1500 and 2000 µg/mL of ICG) treatment displayed insignificant increases in expression levels of BAX (all p>0.05). Our experiments showed an insignificant increase (1.1-1.6-fold) in the expression of BCL-2 after ICG, diode laser, and PTT/PDT with ICG treatment (all p>0.05). This study suggests that various concentration of ICG can be the diverse expression of BAX responses to PTT/PDT on HGF cells.

Highlights

  • Antimicrobial photothermal/photodynamic therapy (PTT/PDT) with indocyanine green (ICG) is an adjuvant therapeutic approach in the treatment of periodontitis

  • This study suggests that various concentration of ICG can be the diverse expression of BAX responses to PTT/PDT on human gingival fibroblast (HGF) cells

  • To examine whether the expression of BAX and BCL-2 genes changed after diode laser (L+ P−), ICG (L− P+), or PTT/PDT with ICG (L+ P+) treatment, we compared the relative gene-specific messenger RNA quantities of HGF cells under-treated versus control

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Summary

Introduction

Antimicrobial photothermal/photodynamic therapy (PTT/PDT) with indocyanine green (ICG) is an adjuvant therapeutic approach in the treatment of periodontitis. To explore whether PTT/PDT with ICG causes cell death by apoptosis in human gingival fibroblast (HGF) cells, BAX and BCL-2 genes expression as key events for apoptosis were evaluated in this study. PTT/PDT on the Expression of BCL-2 and BAX physiological process essential for the maintenance of cellular homeostasis in multicellular organisms that can be induced or inhibited by different stimuli.[2,3,4] It is clear that Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis as periopathogen bacteria can induce significant apoptosis in monocytes and primary human gingival epithelial cells, respectively.[5,6] Microbial by-products including hydrogen sulfide and proteases can induce apoptosis in gingival epithelial cells and human gingival fibroblasts in the oral cavity, which may cause periodontal diseases.[7,8]

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