Dental fluorosis is characterized by subsurface hypomineralization and retention of
enamel matrix proteins.
Fluoride (F(-)) exposure generates
reactive oxygen species (ROS) that can cause endoplasmic reticulum (ER)-stress. We therefore screened oxidative stress arrays to identify genes regulated by F(-) exposure.
Vitamin E is an
antioxidant so we asked if a diet high in
vitamin E would attenuate
dental fluorosis. Maturation stage incisor enamel organs (EO) were harvested from F(-)-treated rats and mice were assessed to determine if
vitamin E ameliorates
dental fluorosis.
Uncoupling protein-2 (Ucp2) was significantly up-regulated by F(-) (∼1.5 & 2.0 fold for the 50 or 100 ppm F(-) treatment groups, respectively). Immunohistochemical results on maturation stage rat incisors demonstrated that
UCP2 protein levels increased with F(-) treatment. UCP2 down-regulates mitochondrial production of ROS, which decreases
ATP production. Thus, in addition to reduced protein translation caused by ER-stress, a reduction in
ATP production by UCP2 may contribute to the inability of ameloblasts to remove
protein from the hardening enamel.
Fluoride-treated mouse enamel had significantly higher quantitative fluorescence (QF) than the untreated controls. No significant QF difference was observed between control and
vitamin E-enriched diets within a given F(-) treatment group. Therefore, a diet rich in
vitamin E did not attenuate
dental fluorosis. We have identified a novel oxidative stress response gene that is up-regulated in vivo by F(-) and activation of this gene may adversely affect ameloblast function.