Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α

Background and Objective. This study investigated the effects and underlying mechanisms of azithromycin (AZM) treatment on the osteogenic differentiation of human periodontal ligament stem cells (PDLSCs) after their stimulation with TNF-α in vitro. Methods. PDLSCs were isolated from periodontal liga...

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Main Authors: Tingting Meng, Ying Zhou, Jingkun Li, Meilin Hu, Xiaomeng Li, Pingting Wang, Zhi Jia, Liyu Li, Dayong Liu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2018/7961962
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author Tingting Meng
Ying Zhou
Jingkun Li
Meilin Hu
Xiaomeng Li
Pingting Wang
Zhi Jia
Liyu Li
Dayong Liu
author_facet Tingting Meng
Ying Zhou
Jingkun Li
Meilin Hu
Xiaomeng Li
Pingting Wang
Zhi Jia
Liyu Li
Dayong Liu
author_sort Tingting Meng
collection DOAJ
description Background and Objective. This study investigated the effects and underlying mechanisms of azithromycin (AZM) treatment on the osteogenic differentiation of human periodontal ligament stem cells (PDLSCs) after their stimulation with TNF-α in vitro. Methods. PDLSCs were isolated from periodontal ligaments from extracted teeth, and MTS assay was used to evaluate whether AZM and TNF-α had toxic effects on PDLSCs viability and proliferation. After stimulating PDLSCs with TNF-α and AZM, we analyzed alkaline phosphatase staining, alkaline phosphatase activity, and alizarin red staining to detect osteogenic differentiation. Real-time quantitative polymerase chain reaction (RT-qPCR) analysis was performed to detect the mRNA expression of osteogenic-related genes, including RUNX2, OCN, and BSP. Western blotting was used to measure the NF-κB signaling pathway proteins p65, phosphorylated p65, IκB-α, phosphorylated IκB-α, and β-catenin as well as the apoptosis-related proteins caspase-8 and caspase-3. Annexin V assay was used to detect PDLSCs apoptosis. Results. TNF-α stimulation of PDLSCs decreased alkaline phosphatase and alizarin red staining, alkaline phosphatase activity, and mRNA expression of RUNX2, OCN, and BSP in osteogenic-conditioned medium. AZM enhanced the osteogenic differentiation of PDLSCs that were stimulated with TNF-α. Western blot analysis showed that β-catenin, phosphorated p65, and phosphorylated IκB-α protein expression decreased in PDLSCs treated with AZM. In addition, pretreatment of PDLSCs with AZM (10 μg/ml, 20 μg/ml) prevented TNF-α-induced apoptosis by decreasing caspase-8 and caspase-3 expression. Conclusions. Our results showed that AZM promotes PDLSCs osteogenic differentiation in an inflammatory microenvironment by inhibiting the WNT and NF-κB signaling pathways and by suppressing TNF-α-induced apoptosis. This suggests that AZM has potential as a clinical therapeutic for periodontitis.
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spelling doaj-art-3ccd392aaed546678be65e12dd2e91dd2025-02-03T06:12:35ZengWileyStem Cells International1687-966X1687-96782018-01-01201810.1155/2018/79619627961962Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-αTingting Meng0Ying Zhou1Jingkun Li2Meilin Hu3Xiaomeng Li4Pingting Wang5Zhi Jia6Liyu Li7Dayong Liu8Department of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Prosthodontics, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaDepartment of Intensive Care Unit, The Second Hospital of Tianjin Medical University, Tianjin 300211, ChinaDepartment of Endodontics & Laboratory of Stem Cells and Endocrine Immunology, Tianjin Medical University School of Stomatology, Tianjin 300070, ChinaBackground and Objective. This study investigated the effects and underlying mechanisms of azithromycin (AZM) treatment on the osteogenic differentiation of human periodontal ligament stem cells (PDLSCs) after their stimulation with TNF-α in vitro. Methods. PDLSCs were isolated from periodontal ligaments from extracted teeth, and MTS assay was used to evaluate whether AZM and TNF-α had toxic effects on PDLSCs viability and proliferation. After stimulating PDLSCs with TNF-α and AZM, we analyzed alkaline phosphatase staining, alkaline phosphatase activity, and alizarin red staining to detect osteogenic differentiation. Real-time quantitative polymerase chain reaction (RT-qPCR) analysis was performed to detect the mRNA expression of osteogenic-related genes, including RUNX2, OCN, and BSP. Western blotting was used to measure the NF-κB signaling pathway proteins p65, phosphorylated p65, IκB-α, phosphorylated IκB-α, and β-catenin as well as the apoptosis-related proteins caspase-8 and caspase-3. Annexin V assay was used to detect PDLSCs apoptosis. Results. TNF-α stimulation of PDLSCs decreased alkaline phosphatase and alizarin red staining, alkaline phosphatase activity, and mRNA expression of RUNX2, OCN, and BSP in osteogenic-conditioned medium. AZM enhanced the osteogenic differentiation of PDLSCs that were stimulated with TNF-α. Western blot analysis showed that β-catenin, phosphorated p65, and phosphorylated IκB-α protein expression decreased in PDLSCs treated with AZM. In addition, pretreatment of PDLSCs with AZM (10 μg/ml, 20 μg/ml) prevented TNF-α-induced apoptosis by decreasing caspase-8 and caspase-3 expression. Conclusions. Our results showed that AZM promotes PDLSCs osteogenic differentiation in an inflammatory microenvironment by inhibiting the WNT and NF-κB signaling pathways and by suppressing TNF-α-induced apoptosis. This suggests that AZM has potential as a clinical therapeutic for periodontitis.http://dx.doi.org/10.1155/2018/7961962
spellingShingle Tingting Meng
Ying Zhou
Jingkun Li
Meilin Hu
Xiaomeng Li
Pingting Wang
Zhi Jia
Liyu Li
Dayong Liu
Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
Stem Cells International
title Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
title_full Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
title_fullStr Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
title_full_unstemmed Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
title_short Azithromycin Promotes the Osteogenic Differentiation of Human Periodontal Ligament Stem Cells after Stimulation with TNF-α
title_sort azithromycin promotes the osteogenic differentiation of human periodontal ligament stem cells after stimulation with tnf α
url http://dx.doi.org/10.1155/2018/7961962
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