E. Hedner et al., RECRUDESCENCE OF HERPES-SIMPLEX VIRUS TYPE-1 IN LATENTLY INFECTED-RATS AFTER TRAUMA TO ORAL-TISSUES, Journal of oral pathology & medicine, 22(5), 1993, pp. 214-220
Tooth extraction in rats was used to trigger a latent HSV-1 infection.
HSV-1 was inoculated unilaterally in the rat palates. Eight weeks lat
er two molars were removed bilaterally. The trigeminal ganglia were co
-cultivated and HSV-1 was isolated from 63% of the ganglia on the infe
cted sides but from only 11% on control sides. The immune response pat
tern was analysed by immunoblotting of rat serum, and strong reactivit
y to HSV-1 specific cell polypeptides and glycoproteins (ICP6, gC, pgC
, gD) was seen after reactivation. The extraction sockets were histopa
thologically evaluated and showed healing on the infected side in 26%
compared to 63% in contralateral control sockets. The effect of acyclo
vir (ACV) treatment was elucidated and was found to influence the subs
equent development of antibodies and to promote healing of the sockets
. Vesiculation in intra- and subepithelial tissue was present on the i
nfected side in 58% but in only 12% of ACV-treated animals. The presen
t study in rats has shown that a latent HSV-1 infection can be establi
shed and reactivated by tooth extraction. Reactivation resulted in del
ayed healing of sockets on the latently infected side but not on the c
ontralateral control side. HSV-1 reactivation was demonstrated serolog
ically by immunoblotting. Healing was significantly promoted by admini
stration of ACV, which also supports the contention that HSV-1 interfe
res with the healing process.