Methods: PDL cells derived from human teeth were stimulated with IGF-2 in the presence and absence of oxygen deficiency (3% O2) or dynamic tensile strain applied to mimic biomechanical loading conditions for different time periods. Proliferation was analyzed by WST-1, nuclear incorporation of bromodeoxyuridine, cell counting, and real-time PCR. Apoptosis was determined by a cell death detection ELISA. Cell differentiation was assessed by studying the gene expression of osteogenesis-related molecules (alkaline phosphatase, runx2, osteopontin, periostin and S100A4 by real-time PCR. For blocking the phosphoinositide 3-kinase pathway, wortmannin was used. For statistical analysis, the Mann-Whitney test (p<0.05) was applied.
Results: Under normal conditions, IGF-2 increased significantly cell proliferation and this stimulatory effect could be neutralized by wortmannin. In the presence of oxygen deficiency, the IGF-2-induced effect on cell proliferation was significantly enhanced. IGF-2 did not change the apoptosis rate in any condition. Additionally, IGF-2 stimulated its own synthesis but did not affect IGF-1 expression. Finally, IGF-2 regulated the expression of IGFBPs and these effects were modified by oxygen deficiency and biomechanical loading.
Conclusions: Our findings show that IGF-2 can regulate, at least in part, PDL homeostasis. However, the IGF-2 effects seem to be strongly dependent on the cellular environment.
Acknowledgment: Clinical Research Unit (KFO208/TP7)