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J Dent Res 83(2): 139-144, 2004
© 2004 International and American Associations for Dental Research


RESEARCH REPORT
Biological

Lactational Exposure of Han/Wistar Rats to 2,3,7,8-Tetrachlorodibenzo-p-dioxin Interferes with Enamel Maturation and Retards Dentin Mineralization

Y. Gao1,8,9, C. Sahlberg1,9,10, A. Kiukkonen1, S. Alaluusua1,2, R. Pohjanvirta3,4,5, J. Tuomisto5, and P.-L. Lukinmaa6,7

1 Department of Pedodontics and Orthodontics, Institute of Dentistry, University of Helsinki, Finland;
2 Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Finland;
3 Department of Food and Environmental Hygiene, Faculty of Veterinary Medicine, University of Helsinki, Finland;
4 Kuopio Department, National Veterinary and Food Research Institute, Finland;
5 Department of Environmental Health, National Public Health Institute, Kuopio, Finland;
6 Department of Oral Pathology, Institute of Dentistry, University of Helsinki, Finland;
7 Department of Pathology, Helsinki University Central Hospital, Finland;

10 corresponding author, Institute of Dentistry, Biomedicum Helsinki, PO Box 63, FIN-00014 UNIVERSITY OF HELSINKI, Finland, carin.sahlberg{at}helsinki.fi


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Exposure to environmental dioxins via mother’s milk may be one causative factor of mineralization defects in children’s teeth. A prerequisite for the completion of enamel mineralization is the removal of enamel matrix. To test the hypothesis that dioxins interfere with enamel maturation, we administered lactating Han/Wistar rats a single dose of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD; 50 or 1000 µg/kg) on the day after delivery and analyzed tissue sections of the pup heads at post-natal days (Pn) 9 and 22. By Pn22, the first and second molars of the exposed pups, but not controls, showed retention of enamel matrix. Predentin was thicker than normal. Immunostaining for the aryl hydrocarbon/dioxin receptor (AhR) and cytochrome P4501A1 (CYP1A1) in ameloblasts and odontoblasts was reduced, suggesting that TCDD interferes with tooth mineralization via AhR. Extinction of AhR may lead to abolition of CYP1A1 expression as a sign of impaired dental cell function.

KEY WORDS: TCDD • enamel maturation • dentin mineralization • AhR • CYP1A1


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) and related chemicals are ubiquitous environmental contaminants that have many adverse biological effects. Their persistence and accumulation in tissue lipid and, consequently, in the food chain may result in chronic low-level exposure in humans. As a developmental toxicant, TCDD affects tooth morphogenesis and hard-tissue formation in laboratory rodents (Alaluusua et al., 1993; Partanen et al., 1998; Kattainen et al., 2001; Lukinmaa et al., 2001). Mineralization defects in children’s permanent first molars may be associated with exposure to environmental dioxins and dioxin-like compounds via mother’s milk (Alaluusua et al., 1999). Developmental enamel defects were also seen after direct long-term exposure of children to polychlorinated biphenyls in a contaminated region (Jan and Vrbic, 2000).

The detailed mechanisms underlying the spectrum of toxic responses elicited by TCDD are poorly understood. Several studies indicate that the effects of TCDD are mediated by the aryl hydrocarbon receptor (AhR) (Nebert et al., 2000). AhR is a cytosolic protein, which belongs to a family of transcriptional regulatory proteins containing the basic helix-loop-helix/Per-Arnt-Sim (bHLH/PAS) domain structure (Gu et al., 2000). An important feature of AhR, distinguishing it from other members of this protein family, is that around the C-terminal end of its PAS domain, it possesses a ligand-binding subunit for high-affinity binding to TCDD (Schmidt and Bradfield, 1996). Experiments on AhR knockout mice show that, for the most part, TCDD toxicity is not observed in mice lacking a functional AhR gene (Fernandez-Salguero et al., 1996). Versatility of AhR-related biological responses implies that signal transduction of AhR involves a complex process, during which AhR expression is regulated in a tissue-, species-, and developmental-stage-dependent manner.

Cytochrome P450 enzymes play important roles in drug, toxicant, steroid hormone, and fatty acid metabolism. Some substrates like TCDD can induce their own metabolism by regulating cytochrome P450 transcription. Cytochrome P4501A1 (CYP1A1) is a substrate-inducible microsomal enzyme, which oxygenates TCDD and related compounds as the initial step in their metabolic processing to water-soluble derivatives for excretion from the body (Whitlock, 1999). In addition, the induction of CYP1A1 is thought to be a paradigm of gene regulation by TCDD. Upon TCDD binding, AhR translocates into the nucleus, forms a heterodimer with AhR nuclear translocator (ARNT, another bHLH/PAS transcription factor), and induces the transcription of the CYP1A1 gene.

Han/Wistar (Kuopio; H/W) rats are exceptionally resistant to the acute lethality of TCDD, but the strain still exhibits many biochemical and toxic responses to TCDD, such as CYP1A1 induction, thymic atrophy, and teratogenic and developmental effects comparable with those seen in other strains (Huuskonen et al., 1994; Pohjanvirta et al., 1998; Kiukkonen et al., 2002). To guarantee maximal response, we chose H/W rats to test our hypothesis that TCDD interferes with mineralization of the dental matrices.


   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Exposure of the Rats to TCDD
Adult male and female rats of the H/W strain, bred in the National Public Health Institute (Kuopio, Finland), were mated. On the day after delivery, the dams were given a single intraperitoneal injection of 50 or 1000 µg/kg TCDD. Control dams received the same volume (5 mL/kg) of vehicle (corn oil). Each dam nourished its own offspring throughout the experiment. The pups were killed by decapitation under slight CO2 anesthesia at post-natal day 9 (Pn9) or 22 (Pn22). The experimental material and design are shown in the TableGo. The use of animals was approved by the Institutional Animal Care and Use Committee (IACUC) of the Faculty of Science of the University of Helsinki.


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Table. Experimental Material and Design for the Examination of TCDD Effect on Tooth Formation in H/W Rats
 
Processing of Pup Heads
All pup heads were processed under the same conditions. The 6 heads to be analyzed for the expression of AhR and CYP1A1 were demineralized and immunostained simultaneously. The heads were fixed with 10% formalin, demineralized with 12.5% EDTA (pH 7.0) for 3 (Pn9 rats) or 6 (Pn22 rats) mos, bisected sagittally, rinsed, dehydrated, and embedded in paraffin.

Antibodies
Specificity of the polyclonal rabbit antibodies to rat AhR has been established (Pohjanvirta et al., 1998). Polyclonal rabbit antibodies to rat CYP1A1 were from Chemicon International, Inc. (Temecula, CA, USA). A Rabbit ABC Elite kit (Vector Laboratories, Inc., Burlingame, CA, USA) was used to detect reactivities.

Histology and Immunohistochemistry
The pup heads were serially cut at 7 µm, deparaffinized, and stained with hematoxylin-eosin. The presence of enamel matrix was examined in a total of 73 upper first and second molars. Twenty-five teeth were from 8 pups of 4 control dams, 18 teeth were from 6 pups whose dams (3) were given 50 µg/kg TCDD, and 30 teeth were from 9 pups whose dams (3) were given 1000 µg/kg TCDD (TableGo). The same examiner (A.K.) measured thicknesses of predentin and the whole dentin in digital images of 33 upper first and second molars (Pn22 rats) at the deepest site between the mesial and central (first molar) or the central and distal (second molar) principal cusps. The figures obtained were used for the calculation of predentin:whole-dentin ratios. Seven teeth were from 3 pups of 3 control dams. Sixteen teeth were from 5 pups whose dams (3) were exposed to 50 µg/kg TCDD, and 10 teeth were from 3 pups whose dams (2) were exposed to 1000 µg/kg TCDD (TableGo).

Twelve upper first and second molars were immunostained for AhR and CYP1A1. Four teeth were from 2 pups (1 Pn9, 1 Pn22) of a control dam, 4 teeth were from 2 pups (1 Pn9, 1 Pn22) whose dam received 50 µg/kg TCDD, and 4 teeth were from 2 pups (1 Pn9, 1 Pn22) whose dam received 1000 µg/kg TCDD (TableGo). As a slight modification to the manufacturer’s staining instructions, the rehydrated, rinsed sections were autoclaved for 20 min in 10 mM sodium citrate (pH 6.0), to improve staining. Endogenous peroxidase activity was quenched with 0.5% H2O2 in cold methanol. Primary antibodies to AhR and CYP1A1 were used at dilutions of 1:250 and 1:1000, respectively. Goat anti-rabbit IgG was used as the secondary antibody. The color reaction was made visible with AEC, and the sections were counterstained with hematoxylin. Reactions performed in the absence of primary antibodies were negative (not shown).

Statistics
The predentin:whole-dentin ratios at different exposure levels were compared by a chi-square test. The probability value of <= 0.05 was considered significant.


   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
TCDD Interfered with the Removal of Enamel Matrix and Retarded Dentin Mineralization
At Pn9, crown formation of the upper first and second molars is in progress. At Pn22, the cusps of the first molar have erupted into the oral cavity, and the second molar is just penetrating the oral mucosa. Treatment with EDTA had removed the mineral phase from the enamel and dentin. At Pn9, the organic enamel matrix was consistently and equally retained in the molars of the control and exposed rats (dams given 50 or 1000 µg/kg TCDD). At Pn22, the enamel matrix had been completely degraded and lost in all control rat molars (Figs. 1AGo–1CGo) but was partly preserved at both the lower (Figs. 1DGo–1FGo) and higher (Figs. 1GGo–1IGo) (arrows) exposure levels in all teeth studied. Consistent with the gradient of enamel maturation, the matrix was most abundant cervically but was also retained in the erupted part of the first molars (Figs. 1JGo, 1KGo). Coronal predentin was thin in control rat teeth (Figs. 1AGo–1CGo). The predentin in the molars of the exposed pups appeared thicker, and its border to mineralized dentin was markedly globular (Figs. 1DGo–1IGo) (asterisks). The proportional thickness correlated with the exposure level (p < 0.001).



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Figure 1. Morphology of enamel and dentin matrices after lactational TCDD exposure. Hematoxylin-eosin staining of Pn22 rat upper first (M1) and second (M2) molars. (A–C) Control. No enamel matrix is visible after 6 mos of demineralization with EDTA. The predentin layer (asterisks) is thin in comparison with the mineralized dentin. Dam exposed to 50 µg/kg TCDD (D–F) and 1000 µg/kg TCDD (G–K). A considerable amount of enamel matrix is left after 6 mos of demineralization (arrows). Matrix is more abundant after exposure to the higher dose and is also present in the erupted part of the first molar (J,K). In the exposed rats, the predentin layer (asterisks) is thicker in proportion to mineralized dentin than in control rats. The mineralization front is globular, and interglobular dentin is visible. Cleft between ameloblasts and enamel matrix is artefactual. a, ameloblasts; d, dentin; o, odontoblasts; oe, odontogenic epithelium. Scale bar shown in A represents 500 µm in A, D, and G; bar shown in B is 100 µm in B, C, E, F, H, and I; and bar shown in J is 100 µm in J and K.

 
TCDD Decreased the Expression of AhR and CYP1A1 in Ameloblasts and Odontoblasts
At Pn9, the reactivity of AhR in the upper molars was more intense in ameloblasts than in odontoblasts (Figs. 2AGo, 2CGo, 2EGo). Staining for CYP1A1 was strong in both cell types (Figs. 2BGo, 2DGo, 2FGo). TCDD did not alter the expression of either protein (Fig. 2Go) in any of the teeth analyzed.



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Figure 2. Immunohistochemical staining for AhR (A,C,E) and CYP1A1 (B,D,F) in Pn9 rat upper first/second molars. (A,B) Control. Dam exposed to 50 µg/kg TCDD (C,D) and 1000 µg/kg TCDD (E,F). No differences between controls and exposed rats are obvious in either AhR or CYP1A1 staining. AhR reactivity is more intense in ameloblasts than in odontoblasts. a, ameloblasts; d, dentin; e, enamel; o, odontoblasts. Bar: 100 µm in A-F.

 
At Pn22, the effect of TCDD on AhR and CYP1A1 expressions was clear and consistently depended on the dose and cell type. In the controls, AhR reactivity was still intense in the enamel organ, including ameloblasts and the papillary layer of the outer enamel epithelium. Staining for AhR in odontoblasts was much weaker than in the dental epithelium (Figs. 3AGo, 3BGo). At the lower dose (dam given 50 µg/kg), TCDD clearly decreased AhR reactivity in ameloblasts and odontoblasts but did not change staining of the papillary layer (Figs. 3CGo, 3DGo). At the higher dose (dam given 1000 µg/kg TCDD), staining for AhR was barely detectable in ameloblasts and odontoblasts but was still visible in the papillary layer (Figs. 3EGo, 3FGo). Control rat ameloblasts and odontoblasts strongly expressed CYP1A1 (Figs. 3GGo, 3HGo), but the expression was weak at the lower dose of TCDD (Figs. 3IGo, 3JGo). At the higher dose, CYP1A1 expression was detectable in neither ameloblasts nor odontoblasts (Figs. 3KGo, 3LGo).



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Figure 3. Effect of lactational TCDD exposure on immunohistochemical staining for AhR (A–F) and CYP1A1 (G–L) in Pn22 rat upper first/second molars. (A,B,G,H) Control. Dam exposed to 50 µg/kg TCDD (C,D,I,J) and 1000 µg/kg TCDD (E,F,K,L). (A,B) AhR expression is still strong in ameloblasts and less intense in odontoblasts (see Figs. 2AGo, 2BGo). (C,D) AhR expression is clearly decreased in ameloblasts and odontoblasts. (E,F) AhR expression has virtually disappeared in both ameloblasts and odontoblasts. Some expression is still present in the papillary layer (arrowheads). (G,H) CYP1A1 expression in ameloblasts and odontoblasts is at the same level as at Pn9. (I,J) The expression has decreased considerably in all cell types. (K,L) No CYP1A1 expression is visible in any dental tissues. a, ameloblasts; d, dentin; e, enamel; o, odontoblasts. Bar: 100 µm in A-L.

 

   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
This study shows that lactational exposure of rats to TCDD interferes with enamel maturation and conversion of predentin to dentin in developing molars and concomitantly decreases the initially high expression levels of AhR and CYP1A1 in secretory dental cells. The presence of enamel matrix, even in the erupted part of the first molar, suggests the permanent nature of the retention. The results are in line with our findings that TCDD can not only affect tooth morphogenesis but also interfere with mineralization of the teeth and skull (Lukinmaa et al., 2001). The lack of marked variation in sensitivity of rat molar morphogenesis (Kattainen et al., 2001) and incisor formation (Kiukkonen et al., 2002) with the AhR genotype implies that the dental effects of TCDD are not modified by the mutation in the AhR transactivation domain, largely accounting for the resistance of H/W rats to the acute lethality of TCDD (Pohjanvirta et al., 1998). Hence, the consequences of TCDD exposure in teeth may essentially depend on dose and developmental stage.

Enamel mineralization is a matrix- and cell-mediated process, which involves both secretion and degradation of the enamel matrix. The matrix provides the framework for the assembly and growth of apatite crystals (Fincham et al., 1999). However, the removal of matrix constituents by proteinases is necessary for the mineralization to be completed (DenBesten et al., 1989). Of the two major classes of proteolytic enzymes present in the developing enamel, metallo-endoproteinases predominate during the secretory stage and serine proteinases during the maturation stage (Robinson et al, 1998, and references therein). Hence, the metalloproteinases could be directly involved in the degradation of enamel matrix proteins, and the function of serine proteinases could be related to their removal. The sparse organic matrix of mature enamel is easily disintegrated and lost upon demineralization. With tooth eruption, ameloblasts undergo morphological changes and subsequently disappear. Therefore, abnormal processing of the matrix during the maturation stage may cause permanent mineralization defects (Paine et al., 2000). At an early stage of first and second molar development (Pn9), TCDD had no detectable effect on the retention of enamel matrix, obviously because of the high proportion of organic constituents in the immature enamel. However, the enamel matrix was completely degraded and lost in the control rat teeth by Pn22 but was partly retained in the exposed rat teeth. In line with our clinical findings that dioxins and dioxin-like compounds may be one causative factor of enamel mineralization defects in children via their mothers’ milk (Alaluusua et al., 1999), this suggests that TCDD arrests the degradation and/or removal of enamel matrix proteins.

Predentin exists throughout the lifetime of the tooth, which implies that the conversion of predentin to dentin involves not only cellular activities but also structural and compositional changes in the collagenous matrix (Beniash et al., 2000). Whether the retardation by TCDD of the mineralization of rat molars involves failure of implementation of mineralization-promoting mechanisms or of withdrawal of inhibitory factors is unknown.

Consistent with our previous findings of AhR expression in secretory dental cells of the mouse (Sahlberg et al., 2002), immunoreactivity of AhR was strong in control rat ameloblasts and odontoblasts. In contrast to the generally low CYP1A1 expression in unexposed animals, at least in the liver (Franc et al., 2001), control rat ameloblasts and odontoblasts expressed CYP1A1 clearly. In general, transient suppression of AhR after TCDD exposure is followed by up-regulation of AhR and CYP1A1 in vivo (Franc et al., 2001). However, the expression levels of AhR and CYP1A1 in ameloblasts and odontoblasts decreased with the increasing dose. At Pn9, exposure of the lactating dam to either dose of TCDD showed no obvious effects on the expression levels in the pup teeth. At Pn22, the initially high reactivities decreased sharply with the increase of the dose, concomitantly with the retention of excess enamel matrix after removal of the mineral phase. These results suggest that the depletion of AhR and CYP1A1 by TCDD is developmental stage- (or time-) and dose-dependent. They are also in line with results obtained by Western blottings, showing that TCDD reduces the AhR protein level in various tissues such as liver, spleen, thymus, lung, and reproductive organs (Pollenz et al., 1998; Roman and Peterson, 1998). Recent in vitro studies also show that TCDD induces AhR nuclear translocation and concomitantly promotes ubiquitin-mediated AhR degradation (Ma et al., 2000). It is well-documented that TCDD toxicity is, for the most part, mediated by AhR (Fernandez-Salguero et al., 1996), and also that the toxicity is dose-dependent. Interestingly, TCDD exposure depleted AhR reactivity in ameloblasts more quickly than in the papillary layer. Since the papillary layer appears at a late stage of tooth development (Shellis and Berkovitz, 1981), ameloblasts were available for exposure for a longer time, but there may also be sensitivity differences between secretory and non-secretory epithelial dental cells, leading to failure of the extinguished AhR to be up-regulated in secretory ameloblasts.

CYP1A1 gene expression is primarily induced by activators of AhR, and it is well-established that, upon TCDD binding, AhR translocates into the nucleus, where it induces CYP1A1 expression (Nebert et al., 2000). In H/W rats, CYP1A1 induction is sustained in the liver for at least 76 days after a single dose of TCDD (Pohjanvirta et al., 1990a), and increased expression in the liver is also found after lactational exposure (Iba et al., 2000). However, in our current study, TCDD dose-dependently reduced CYP1A1 expression in developing teeth. Recent studies have reported that chronic exposure of mouse to TCDD may cause a sustained oxidative stress response (Slezak et al., 2000), and this may repress the CYP1A1 gene transcription (Barouki and Morel, 2001). However, oxidative stress caused by TCDD in H/W rats is minimal, as measured by lipid peroxidation in the liver (Pohjanvirta et al., 1990b). Therefore, the dramatic reduction of CYP1A1 in odontoblasts and ameloblasts after TCDD exposure is more likely to be secondary to the repressed AhR expression and to be an early sign of impaired function of secretory dental cells.


   ACKNOWLEDGMENTS
 
We thank Arja Tamminen and Minna Voutilainen for managing the mating and care of the rats. The expert technical assistance of Pirjo Jutila and Marjatta Kivekäs is acknowledged. This study was supported by the Research Program for Environmental Health, Academy of Finland, the Finnish Dental Society Apollonia, and the Finnish Cultural Foundation. The work is part of a EU-funded project (QLK4-1999-01446).


   FOOTNOTES
 
8 present address, Department of Matrix Dynamics, Faculty of Dentistry, University of Toronto, ON, Canada; Back

9 authors contributing equally to this work; Back

Received April 10, 2003; Last revision November 28, 2003; Accepted December 1, 2003


   REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
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