<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">MRI</journal-id><journal-title-group><journal-title>Modern Research in Inflammation</journal-title></journal-title-group><issn pub-type="epub">2169-9682</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/mri.2014.32005</article-id><article-id pub-id-type="publisher-id">MRI-45078</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  IL-1 Receptor Type II Production Is Upregulated by IL-4 and IL-13, and Downregulated by IFN-&lt;i&gt;γ&lt;/i&gt; in Mouse Gingival Epithelial Cells
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>.</surname><given-names>Kamiya</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Y.</surname><given-names>Ishihara</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>H.</surname><given-names>Kamei</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Y.</surname><given-names>Ozawa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>H.</surname><given-names>Mizutani</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>K.</surname><given-names>Kubo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>H.</surname><given-names>Maeda</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>T.</surname><given-names>Noguchi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Department of Pathology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan</addr-line></aff><aff id="aff1"><addr-line>Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>mrbox@dpc.aichi-gakuin.ac.jp(YI)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>22</day><month>04</month><year>2014</year></pub-date><volume>03</volume><issue>02</issue><fpage>37</fpage><lpage>47</lpage><history><date date-type="received"><day>8</day>	<month>January</month>	<year>2014</year></date><date date-type="rev-recd"><day>5</day>	<month>February</month>	<year>2014</year>	</date><date date-type="accepted"><day>13</day>	<month>February</month>	<year>2014</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
   
    Background and Objective: Interleukin-1 (IL-1) binds to 2 distinct and separate receptors, types I and II (IL-1RI and IL-1RII, respectively). The binding of IL-1 to IL-1RI induces cellular signaling and biological effects, whereas binding to IL-1RII does not induce cellular signaling and indirectly inhibits IL-1 biological activities such as that of the decoy receptor. Recently, Suzukiet al.reported that soluble IL-1RII (sIL-1RII) was detected in gingival crevicular fluid from a periodontitis patient. However, it remains unclear which cells produce sIL-1RII detected in periodontal tissues. We examined the localization of IL-1RII producing cells in gingival tissues as well as related production control mechanisms. Material and Methods: IL-1RII mRNA expression in gingival epithelial cells (GE1) was performed by real-time PCR analysis, while the amount of sIL-1RII production in supernatant from GE1 cells was examined by dot-blot analysis. Involvement of the phosphorylation of STAT6 in the signaling pathway was determined by western blot analysis. Statistical analysis was performed with Student’st-test. Results: Culturing with IL-4 and IL-13 significantly increased IL-1RII mRNA to levels 10.5-and 8.89-fold, respectively, above that of the control (p&lt; 0.01), while addition of interferon-<em>γ</em> (IFN-<em>γ</em>) significantly suppressed IL-1RII mRNA by 0.22-fold as compared to the control (p&lt; 0.05). Soluble IL-1RII in the supernatant of cultured GE1 cells was increased by IL-4 and IL-13, and decreased by IFN-<em>γ</em>, while western blotting determines the suppression of IL-1RII production by IFN-<em>γ</em>. Without the addition of IL-4 or IL-13 with or without IFN-<em>γ</em>, P-Tyr-STAT6 was not detected. Conclusion: IL-1RII mRNA expression and sIL-1RII production were increased by IL-4 and IL-13, and decreased by IFN-<em>γ</em>. Finally, IL-4 signaling was regulated by IFN-<em>γ</em> through phosphorylation of STAT6 and IL-13 signaling blockage by IFN-<em>γ</em> downstream of STAT6 translocation.  
  
 
</p></abstract><kwd-group><kwd>IL-1RII</kwd><kwd> IL-4</kwd><kwd> IL-13</kwd><kwd> IFN-&lt;i&gt;γ&lt;/i&gt;</kwd><kwd> STAT-6</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Subgingival biofilm plays a major role in the pathogenesis of periodontal disease by stimulating an immune response that can lead to periodontal breakdown [<xref ref-type="bibr" rid="scirp.45078-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref2">2</xref>] . In addition to genetic and acquired risk factors that can modify host response, the susceptibility to periodontal disease, as well as its severity and progression is influenced by environmental factors [<xref ref-type="bibr" rid="scirp.45078-ref3">3</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref5">5</xref>] . Microbial challenge from antigens, LPS, and other virulence factors stimulates host responses [<xref ref-type="bibr" rid="scirp.45078-ref6">6</xref>] , while host interactions with infectious agents induce immune system cells to release inflammatory mediators including pro-inflammatory cytokines, which can promote extracellular matrix destruction in the gingivae and stimulate bone resorption [<xref ref-type="bibr" rid="scirp.45078-ref7">7</xref>] .</p><p>Interleukin-1 (IL-1) is an important pro-inflammatory cytokine that plays a major role in several inflammatory diseases such as rheumatoid arthritis and periodontal disease. The IL-1 family consists of 2 proteins with similar biological activities, IL-1α and IL-1β, as well as the IL-1 receptor antagonist (IL-1Ra), a non-signaling ligand. These ligands bind to 2 distinct and separate receptors, the type IL-1 receptor (IL-1RI) and IL-1RII, which are expressed in a variety of cells. Both receptors contain 3 immunoglobulin (Ig)-like domains and are classified as members of the Ig superfamily. The binding of IL-1α and IL-1β to IL-1RI leads to cellular signaling and biological effects [<xref ref-type="bibr" rid="scirp.45078-ref8">8</xref>] , whereas binding of those to IL-1RII does not lead to cellular signaling [<xref ref-type="bibr" rid="scirp.45078-ref9">9</xref>] . IL-1RII can be cleaved from the cell surface and circulate as sIL-1RII, which preferentially binds to IL-1β, further inhibiting the activity of this cytokine [<xref ref-type="bibr" rid="scirp.45078-ref10">10</xref>] .</p><p>IL-1RI expression was found in fibroblasts derived from inflammatory gingiva obtained from a patient with periodontal disease [<xref ref-type="bibr" rid="scirp.45078-ref11">11</xref>] , while another study showed that human gingival fibroblasts overexpressed IL-1RII, which regulated the mRNA expression of IL-1β [<xref ref-type="bibr" rid="scirp.45078-ref12">12</xref>] . IL-1RII expression was also shown to be decreased in stromal and epithelial cells in endometrium specimens obtained from women with endometriosis as compared to healthy subjects [<xref ref-type="bibr" rid="scirp.45078-ref13">13</xref>] , while Suzuki et al. reported that sIL-1RII was detected with IL-1β in gingival crevicular fluid (GCF) from patients with aggressive (AgP) and chronic periodontitis (CP), though sIL-1RII production in the AgP patients was much lower [<xref ref-type="bibr" rid="scirp.45078-ref14">14</xref>] . It has been reported that many cytokines in GCF are produced from gingival tissue [<xref ref-type="bibr" rid="scirp.45078-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref16">16</xref>] . On the other hand, the IL-1RII producing mechanism in periodontal tissue remains unclear. The purpose of the present study was to clear the IL-1RII producing mechanism. We investigated mRNA expression, protein synthesis, and signal transmission in relation to Il-1RII production by using dominant IL- 1RII producing cells obtained from a mouse oral gingiva epithelial cell line.</p></sec><sec id="s2"><title>2. Material and Methods</title><sec id="s2_1"><title>2.1. Cell Cultures</title><p>GE1 cells were established using gingival epithelial tissues from temperature-sensitive SV40 large T-antigen gene transgenic C57BL/6 mice [<xref ref-type="bibr" rid="scirp.45078-ref17">17</xref>] . Cells were cultured on plastic dishes in chemically defined medium (SFM101, Nissui, Tokyo, Japan), with 1% fetal bovine serum and 10 ng/ml mouse epidermal growth factor (Sigma-Aldrich Japan, Tokyo, Japan) at the recommended temperature (33˚C). After 5-10 passages, GE1 cells were used in the following experiments.</p></sec><sec id="s2_2"><title>2.2. RT-PCR Assay and q-PCR Analysis</title><p>GE1 cells were separately stimulated by recombinant IL-1α, IL-1β, IL-4, IL-13, and IFN-γ (R&amp;D Systems, Minneapolis, MN, USA). Total cellular RNA from those cells was prepared using TRIzol reagent (Invitrogen, Carlsbad, CA, USA), according to the manufacturer’s instructions, then its quality was evaluated by determining the A230/A260 and A260/A280 nm ratios with a fluorospectrometer (NanoDrop<sup>&#174;</sup> ND-1000, NanoDrop Technologies, DE, USA). cDNA was synthesized from total RNA by extension of random primers with 200 U of Superscript III (Invitrogen, Carlsbad, CA, USA). PCR was performed using an AccuPower PCR PreMix (BIONEER, Daejeon, Korea) containing specific primers at 20 pmol and amplification was done in a PCR Thermal Cycler (Takara, Tokyo, Japan). The primers used for PCR were as follows: IL-1RII, forward 5’TGCAAAGTGTTTCTGGGAAC-3’, reverse 5’-ATATTGCCCCCACAACCAAG-3’ 333 bp; and β-actin, forward 5’-ATGGATGACGATATCGCTGC-3’, reverse 5’-GCTGGAAGGTGGACAGTGAG-3’ 1020 bp. The synthesized PCR products were separated by electrophoresis on 1.2% agarose gels and visualized by ethidium bromide staining.</p><p>To quantify IL-1RII mRNA, real-time PCR was performed using an ABI Prism 7000 with TaqMan<sup>&#174;</sup> PreDeveloped Assay Reagents Mouse IL-1RII and 18S rRNA, and TaqMan<sup>&#174;</sup> Universal PCR master mixture (Applied Biosystems, Foster City, CA, USA). For PCR, 5 &#181;l of each sample was directly added to 45 &#181;l of a RT-PCR mixture prepared from 2x RT-PCR TaqMan<sup>&#174;</sup> Universal PCR master mixture containing each primer at a concentration of 1 &#181;M, with 2 mM MgCl and 100-&#181;M probes [<xref ref-type="bibr" rid="scirp.45078-ref18">18</xref>] . The cycle parameters were 10 minutes at 95˚C, 40 cycles of 15 seconds at 95˚C, and 1 minute at 60˚C. The relative amounts of mRNA for the target cytokines were determined by subtracting the Ct value for the gene from that for ribosome RNA (ΔCt). Next, the ΔCt value for the control group was subtracted from that for the experimental group (ΔΔCt). The results are expressed as fold change (2<sup>−ΔΔCt</sup>) between the control and experimental groups.</p></sec><sec id="s2_3"><title>2.3. Dot-Blot Analysis</title><p>The amount of sIL-1RII production in supernatant fluid from cultured GE1 cells was examined using dot-blot analysis. Briefly, supernatant fluid samples (5 μl each) were spotted onto polyvinylidene difluoride (PVDF) membranes (ATTO, Tokyo, Japan) and dried at room temperature for 1 hour. The membranes were blocked with 10% BlockAce (Yukijirushi, Sapporo, Japan)/PBS-0.05% Tween-20 (PBST) buffer for 1 hour. After washing with PBST buffer, the membranes were incubated with a rat anti-mouse IL-1RII monoclonal antibody (R&amp;D Systems, Minneapolis, MN, USA) for 2 hours at room temperature and subjected to extensive washing in PBST buffer. The bound proteins were then visualized by successive incubation with HRP-conjugated mouse anti-rat secondary antibody (Invitrogen, Carlsbad, CA, USA) followed by ECL Plus western blotting detection reagents (GE Healthcare, Tokyo, Japan). Finally, the protein amount was quantified using an LAS-3000 imaging system (Fujifilm, Tokyo, Japan).</p></sec><sec id="s2_4"><title>2.4. Western Blot Analysis</title><p>GE1 cells (8 &#215; 10<sup>4</sup>/well) were stimulated with or without IL-4, IL-13, and IFN-γ for 15 or 60 minutes, then lysed with cell lysis buffer (Cell Signaling Technology Inc., Massachusetts, MA, USA). Cell lysates were separated using 7.5% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to PVDF membranes (ATTO, Tokyo, Japan). The following steps were then performed the same as in the dot-blot analysis using a goat anti-mouse tyrosine phosphorylated STAT6 (P-Tyr-STAT6) antibody (R&amp;D Systems, Minneapolis, MN, USA) and HRP-conjugated donkey anti-goat secondary antibody (R&amp;D Systems, Minneapolis, MN, USA).</p></sec><sec id="s2_5"><title>2.5. Statistical Analysis</title><p>Data were analyzed using the SPSS II software package (SPSS Japan Inc., Tokyo, Japan). IL-1RII mRNA and sIL-1RII concentrations were compared using Student’s t-test. A p &lt; 0.05 was considered to be significant.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. IL-1RII mRNA Expression by GE1 Cells Following Cytokine Stimulation</title><p>RT-PCR analysis indicated that IL-1RII mRNA expression from GE1 cells was increased by treatments with IL-4 and IL-13, and decreased by IFN-γ as compared to the control cells. In contrast, that expression was not changed by stimulation with IL-1α or IL-1β (<xref ref-type="fig" rid="fig1">Figure 1</xref>).</p><p>GE1 cells were cultured in the presence or absence of IL-4, IL-13, and IFN-γ for 2 hours, then RNA was extracted and quantitative analysis was performed using real-time PCR. IL-1RII mRNA expression by GE1 cells was significantly increased by 10.5- and 8.89-fold after stimulation with IL-4 and IL-13 (each 100 ng/ml), respectively, as compared with the control (p &lt;0.05). In contrast, that expression was significantly decreased by</p><p>0.22-fold as compared with the control following stimulation with IFN-γ (100 ng/ml) (p &lt;0.05) (<xref ref-type="fig" rid="fig2">Figure 2</xref>). IL- 1RII mRNA expression by GE1 cells in the presence of IL-4, IL-13 (20 - 100 ng/ml) were significantly increased dependent on concentration IL-4 and IL-13 (date not shown).</p></sec><sec id="s3_2"><title>3.2. Soluble IL-1RII Production from GE1 Cell Culture Supernatant Fluids</title><p>GE1 cell culture supernatant fluids were stimulated with IL-4, IL-13, and/or IFN-γ for 24 hours, then collected and the levels of sIL-1RII were determined using dot-blot analysis. The level of sIL-1RII was significantly increased by IL-4 and IL-13 as compared to the control (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Those in combination also significantly increased the level of IL-1RII production by GE1 cells. However, the addition of IFN-γ significantly decreased the level of sIL-1RII production by the cells similar to the decrease in mRNA expression seen in the previous experiment. In addition, IFN-γ significantly decreased the level of sIL-1RII production induced by IL-4 and IL-13 stimulation.</p></sec><sec id="s3_3"><title>3.3. Suppression of P-Tyr-STAT6 by IFN-γ</title><p>We also examined P-Tyr-STAT6, which is involved in the signaling pathways of IL-4 and IL-13, using western blotting to determine the suppression of IL-1RII production by IFN-γ. Without the addition of IL-4 or IL-13 with or without IFN-γ, P-Tyr-STAT6 was not detected (<xref ref-type="fig" rid="fig4">Figure 4</xref>; lane 1, 5). Furthermore, when IL-4, IL-13, and IL-4 plus IL-13 were added without IFN-γ, P-Tyr-STAT6 expression was increased (<xref ref-type="fig" rid="fig4">Figure 4</xref>; lane 2, 3, 4). When IL-4 was added with IFN-γ, P-Tyr-STAT6 expression was decreased as compared to IL-4 added alone (<xref ref-type="fig" rid="fig4">Figure 4</xref>; lane 6), while no change in expression was seen when IL-13 was added with IFN-γ as compared with IL-13 alone (<xref ref-type="fig" rid="fig4">Figure 4</xref>; lane 7).</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>Although IL-1RII binds to IL-1 with a strong affinity, it is unable to engage the signal transduction process, thereby preventing inflammation. IL-1RII is found in the serum of patients with sepsis, as well as epithelial cells of the endometrium of patients with endometriosis and also in patients with inflammatory diseases [<xref ref-type="bibr" rid="scirp.45078-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref19">19</xref>] . Thus, IL1RII is an important regulator that prevents IL-1β-mediated inflammation.</p><p>Immunohistological localization of IL-1RII has been observed in not only the proliferative phase but also the secretory phase in endometrial<sup> </sup>epithelial cells of healthy women [<xref ref-type="bibr" rid="scirp.45078-ref13">13</xref>] , while its mRNA expression has been detected in neutrophils, monocytes, and B cells [<xref ref-type="bibr" rid="scirp.45078-ref20">20</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref22">22</xref>] . Gingival epithelium is in direct contact with the environment and functions as a physical barrier against bacterial invasion when periodontal pathogenic bacteria stimulated gingival epithelia, inflammatory and anti-inflammatory cytokines are produced [<xref ref-type="bibr" rid="scirp.45078-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref24">24</xref>] . Cubitt et al. reported IL-1RII mRNA expression in corneal epithelial cells, which was enhanced by stimulation with the inflammatory cytokines IL-1α and TNF-α [<xref ref-type="bibr" rid="scirp.45078-ref25">25</xref>] . It is well known that IL-1Ra production is primarily regulated by IL-1 [<xref ref-type="bibr" rid="scirp.45078-ref26">26</xref>] . In our study, IL-1RII was found expressed from gingival epithelium cells, indicating that IL-1RII regulates inflammatory reactions in gingival tissue in cooperation with IL-1Ra.</p><p>In a previous study, GE1 cells exhibited a phenotype characterized by non-keratinized sulcular epithelium possessing potency and undergoing keratinization in highly stratified cultures such as oral gingival epithelium, and also showed increased expression levels of IL-1β and TNF-α mRNA following stimulation with lipopolysaccharide and extracellular oral streptococci substances [<xref ref-type="bibr" rid="scirp.45078-ref17">17</xref>] . IL-1RII was also found localized in human gingival epithelium tissues using gingival tissues by immunohistochemical analysis (date not shown). So in this study we choose this cell line for the good cytokine production. But additional studies with gingival fibroblasts will be needed to clear the IL-1RII producing mechanism.</p><p>In the present study, IL-1RII mRNA expression was not changed when cells were stimulated with IL-1α or IL-1β, while IL-1RII production was upregulated by IL-4 and IL-13, which shared various biological activities including monocyte morphology, phenotype, function, and cytokine production [<xref ref-type="bibr" rid="scirp.45078-ref27">27</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref28">28</xref>] .</p><p>It has been reported that the Th2-type cytokine IL-4 prevents periodontitis progression [<xref ref-type="bibr" rid="scirp.45078-ref29">29</xref>] . Similar to IL-10, that cytokine also has marked suppressive and anti-inflammatory properties mediated by its capacity to inhibit the transcription of pro-inflammatory cytokines and IFN-γ, while it also suppresses the polarization of Th1 cells [<xref ref-type="bibr" rid="scirp.45078-ref29">29</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref33">33</xref>] . Moreover, IL-4 induces the production of cytokines with similar or complementary suppressive properties as reported for IL-10 [<xref ref-type="bibr" rid="scirp.45078-ref31">31</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref34">34</xref>] . In an investigation with human tissues, IL-4 levels in gingival tissue supernatant samples were low and similar levels were found in those from periodontitis patients and healthy controls, whereas the frequency of IL-4 detection was higher in the healthy controls [<xref ref-type="bibr" rid="scirp.45078-ref35">35</xref>] . IL-4-producing CD4-positive T cells have been detected in regeneration tissue obtained from human apical periodontitis [<xref ref-type="bibr" rid="scirp.45078-ref36">36</xref>] . In addition, when IL-4 and IL-13 mRNA expressions in gingival tissues from patients with AgP were compared with those from healthy subjects, IL-13 was detected in the healthy subjects, while neither IL-4 nor IL-13 was detected in the patients [<xref ref-type="bibr" rid="scirp.45078-ref37">37</xref>] . Furthermore, other studies have noted that IL-4 induces IL-lRa production by monocytes in vitro and in vivo [<xref ref-type="bibr" rid="scirp.45078-ref38">38</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref41">41</xref>] . Together, these results suggest that IL-1RII mRNA expression and protein synthesis are elevated by IL-4 and IL-13 in healthy subjects, and decrease in AgP patients. In our study, culturing with IL-4 and IL-13 increased IL-1RII expression, it is considered to regulate the periodontal tissue destruction by IL-1. We have not investigated IL-1RI expression in GE1 after stimulation with IL-4 and IL-13. Additionally, it will be important to examine relationship between IL-1RI and IL-1RII of expression.</p><p>In the present study, IL-1RII expression and production were down-regulated by IFN-γ, and also reported with human monocytes [<xref ref-type="bibr" rid="scirp.45078-ref42">42</xref>] . IFN-γ is the signature cytokine of Th1-type responses and considered to be the main phagocyte-activating cytokine, while it is also characteristically associated with production of inflammatory cytokines and chemokines [<xref ref-type="bibr" rid="scirp.45078-ref32">32</xref>] [<xref ref-type="bibr" rid="scirp.45078-ref43">43</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref45">45</xref>] . Salvi et al. noted that high levels of IFN-γ were detected in AgP gingival crevicular fluids. As for periodontal disease, IFN-γ is present at high levels in periodontal lesions, and associated with progressive lesions or forms of periodontitis with higher severity [<xref ref-type="bibr" rid="scirp.45078-ref46">46</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref48">48</xref>] . IFN-γ and IL-4 have been detected in chronic and aggressive periodontal lesions, though their levels were described to be inversely correlated [<xref ref-type="bibr" rid="scirp.45078-ref49">49</xref>] . We previously reported that sIL-1RII was detected less frequently in the GCF of patients with AgP as compared to that of patients with chronic periodontitis [<xref ref-type="bibr" rid="scirp.45078-ref14">14</xref>] . These results suggest that a high level of IFN-γ in gingival tissue of AgP patients induces a decrease in sIL-1RII levels in the GCF, which indirectly enhances the inflammatory cytokines such as IL-1β and induces severe tissue destruction. Moreover, Yoshinari et al. reported that clinical parameters were improved after scaling and root planning (SRP), whereas the level of IL-1β in GCF was found to increase and the expression of IL-1β mRNA remained detectable in gingival tissues after SRP [<xref ref-type="bibr" rid="scirp.45078-ref50">50</xref>] . Although IL-1RII binds tightly to IL-1β, it does not elicit a biological response. IL-1RII also binds with IL-1α, but with significantly lower affinity, and also poorly to IL-1Ra [<xref ref-type="bibr" rid="scirp.45078-ref51">51</xref>] . Accordingly, an imbalance between IL-1β and IL-1RII might be involved in progression of periodontitis and healing of periodontal tissues after periodontal therapies, similar to the conditions seen in patients with endometriosis.</p><p>In addition to Th1 cells, recent studies have pointed out Th17 lymphocytes as an osteoclastogenic cell subset [<xref ref-type="bibr" rid="scirp.45078-ref52">52</xref>] . The presence of Th17 cells was demonstrated in chronic periodontal lesions [<xref ref-type="bibr" rid="scirp.45078-ref53">53</xref>] , while Th17 cytokines, such as IL-17, IL-23, and IFN-γ, were shown to be produced in periodontal lesions [<xref ref-type="bibr" rid="scirp.45078-ref54">54</xref>] . In a future study, we intend to investigate the effects of those cytokines on IL-1RII expression in GE1 cells.</p><p>As for the signaling of IL-4 and IL-13, it is indispensable to activate a Janus kinase (JAK)/signal transducers and activator of transcription (STAT) pathway. STAT6 is tyrosine-phosphorylated by the JAK family because a specific ligand combines with a receptor. And it is clear for tyrosine phosphorylation of STAT6 to form a dimer, to transfer into a nucleus, and to work as a transcription factor [<xref ref-type="bibr" rid="scirp.45078-ref55">55</xref>] .</p><p>It has also been reported that activation of the transcription factor STAT6 is essential for induction of multiple IL-4/IL-l3-inducible genes, including IL-1Ra [<xref ref-type="bibr" rid="scirp.45078-ref56">56</xref>] , Fc epsilon receptor II [<xref ref-type="bibr" rid="scirp.45078-ref57">57</xref>] , and IL-4 receptor [<xref ref-type="bibr" rid="scirp.45078-ref58">58</xref>] . IL-4 and IL-13 failed to induce expression of those genes in STAT6 knock-out mice [<xref ref-type="bibr" rid="scirp.45078-ref59">59</xref>] -[<xref ref-type="bibr" rid="scirp.45078-ref61">61</xref>] , and induction of STAT6 by IL-4 or Il-13 in monocytes is blocked by IFN-γ. However, induction of STAT6 by IL-4 stimulation was blocked by IFN-γ, whereas STAT6 induction by IL-13 or IL-4/IL-13 was not blocked by IFN-γ in GE1 cells in our study. GE1 cells possess keratin 10, which is essential for terminal differentiation of keratinized epithelia and found to be expressed in the uppermost cells of confluent multilayered cultures [<xref ref-type="bibr" rid="scirp.45078-ref17">17</xref>] . Huang et al. also reported that keratinocyte CDw60 expression was modulated by IFN-γ, IL-4, and IL-13, while induction of STAT6 by IL-13 was not blocked by IFN-γ, the same as in our study [<xref ref-type="bibr" rid="scirp.45078-ref62">62</xref>] . These findings indicate that IL-13 signaling blockage by IFN-γ occurs downstream of STAT6 translocation in GE1 cells. Baker et al. created an experimental mouse model of periodontitis that exhibits alveolar bone destruction following oral infection with periodontal pathogenic bacteria [<xref ref-type="bibr" rid="scirp.45078-ref63">63</xref>] .</p></sec><sec id="s5"><title>5. Conclusion</title><p>IL-IRII mRNA expression and sIL-1RII production from mouse GE1 cells were increased by IL-4 and IL-13, and decreased by IFN-γ. IL-4 signaling was regulated by IFN-γ through phosphorylation of STAT6, but IL-13 signaling blockage by IFN-γ downstream of STAT6 translocation. Based on the present results, we intend to investigate the protective role of IL-1RII against inflammatory bone resorption in periodontitis using an experimental mouse model.</p></sec><sec id="s6"><title>Acknowledgements</title><p>This work was supported by the AGU High-Tech Research Center Project for Private Universities matching fund subsidy, 2003-2007, as a grant to Aichi Gakuin University (21592638), and a subsidy from the Strategic Research AGU-Platform Formation group.</p></sec><sec id="s7"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.45078-ref1"><label>1</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Zijnge</surname><given-names> V.</given-names></name>,<name name-style="western"><surname> Ammann</surname><given-names> T.</given-names></name>,<name name-style="western"><surname> Thurnheer</surname><given-names> T. and Gmur</given-names></name>,<name name-style="western"><surname> R. </surname><given-names>  </given-names></name>,<etal>et al</etal>. 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