Periapical bone destruction is an important pathogenic sequela of pulp
al infection. Recent findings from this laboratory have demonstrated t
hat most bone-resorbing activity in extracts of rat periapical lesions
can be neutralized by an anti-interleukin (IL)-1 alpha antiserum. To
further clarify pathogenic mechanisms, bone-resorptive cy tokine messe
nger RNA (mRNA) expression was analyzed in developing rat periapical l
esions. The molar teeth of 20 Sprague-Dawley rats were surgically expo
sed and left open to permit infection from the oral environment. Total
cell RNA was isolated from periapical granuloma tissue obtained on da
ys 3, 7, 15 and 30 after exposure. mRNA for IL-1 alpha, IL-1 beta and
tumor necrosis factor alpha (TNF-alpha) was amplified by reverse trans
cription polymerase chain reaction, and levels were approximated by co
mparison to the parallel amplification of the housekeeping gene glycer
aldehyde phosphate dehydrogenase. IL-1 alpha and TNF-alpha mRNA were b
oth highly expressed beginning on day 7, increased on day 15, and decl
ined somewhat on day 30. In contrast; IL-1 beta mRNA was expressed at
much lower levels, but with similar kinetics. The kinetics of steady s
tate IL-1 alpha and TNF-alpha mRNA levels were confirmed using the qua
ntitative RNase protection assay, whereas IL-1 beta mRNA could not be
detected by this technique. IL-1 alpha mRNA-expressing cells were iden
tified using in situ hybridization and included infiltrating macrophag
es, as well as resident fibroblasts, endothelial cells and osteoclasts
. These results demonstrate that the IL-1 alpha and TNF-alpha genes ar
e highly expressed in developing periapical lesions in the rat and con
firm previous studies at the protein level in this model.