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Omega-3 Fatty Acids Reduce Inflammation in Rat Apical Periodontitis
Authors:Mariane Maffei Azuma  João Eduardo Gomes-Filho  Edilson Ervolino  Carolina de Barros Moraes Cardoso  Camila Barbosa Pipa  Toshihisa Kawai  Leticia Citelli Conti  Luciano Tavares Angelo Cintra
Affiliation:1. Department of Endodontics, Araçatuba Dental School, Universidade Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil;2. Department of Basic Sciences, Araçatuba Dental School, Universidade Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil;3. Department of Periodontology, NOVA Southeastern University College of Dental Medicine, Fort Lauderdale, Florida;4. Department of Cariology, Restorative Sciences and Endodontics, University of Michigan, Ann Arbor, Michigan
Abstract:

Introduction

The effects of omega-3 polyunsaturated fatty acids (ω-3 PUFAs) on pro- and anti-inflammatory mediators were evaluated in a rat model of pulp exposure–induced apical periodontitis (AP).

Methods

Twenty-eight male Wistar rats were divided into 4 groups: control, untreated rats (group C); control rats treated with ω-3 PUFAs (group C-O); rats with pulp exposure–induced AP (group AP); and rats with pulp exposure–induced AP treated with ω-3 PUFAs (group AP-O). Omega-3 PUFAs were administered orally once a day for 15 days before pulp exposure; this treatment was continued for 30 days after pulp exposure. The rats were sacrificed 30 days after pulp exposure, and their dissected jaws were subjected to immunohistochemical analysis to detect immunoreactivity for tumor necrosis factor alpha (TNF-α), interleukin (IL)-6, IL-1β, IL-17, and IL-10 on the periapical bone surface. The results were statistically evaluated using analysis of variance and the Tukey post-test. The significance level was set at 5%.

Results

Immunoreactivity for the proinflammatory cytokines TNF-α, IL-6, IL-1β, and IL-17 was higher in the AP group than in the AP-O, C, and C-O groups (P < .05). Immunoreactivity for the anti-inflammatory cytokine IL-10 was lower in the AP group than in the AP-O group (P < .05).

Conclusions

Supplementation with ω-3 PUFAs can modulate the inflammatory response in rat AP, decreasing levels of TNF-α, IL-6, IL-1β, and IL-17 but increasing levels of IL-10.
Keywords:Apical periodontitis  cytokine, endodontic infection  omega-3 fatty acid
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