METHODS: Immunohistochemical staining was employed to determine the expression of FcRn-protein in rat and mouse gingival epithelium. FcRn-KO mice were compared to their wild-type mice to examine the transport of topically applied OPG-Fc in vivo from oral cavity to gingival lamina propria. OPG-Fc contained in gingival tissue homogenates was quantitated by an ELISA system. Effects of topical gingival application of OPG-Fc on RANKL-mediated periodontal bone loss were examined using a rat periodontitis model.
RESULTS: In wild type (intact FcRn) mice, FcRn-protein was specifically found in gingival epithelium and OPG-Fc transport to gingival lamina propria was significantly greater than in FcRn-KO mice, implying that FcRn might be involved in transport of OPG-Fc to gingival lamina propria. Topical gingival application of OPG-Fc in a rat periodontitis model inhibited RANKL-mediated bone resorption (53%). Most importantly, co-localization of OPG-Fc and FcRn in the gingival epithelium was detected by fluorescent confocal microscopy. These results suggested that FcRn expressed in gingival epithelium may partake in transport of OPG-Fc to gingival lamina propria resulting in amelioration of bone resorption.
CONCLUSION: These results implied that FcRn expressed in gingival epithelial cells may facilitate non-invasive-delivery of Fc-conjugated fusion compounds (OPG-Fc in this study) to ameliorate the pathogenic complications of periodontal disease. Supported by IADR-GSK.