Evidence map›Paper›PMID 18795154›Full record

ArticleEnvironmental health perspectives2008

Fluoride induces endoplasmic reticulum stress and inhibits protein synthesis and secretion.

Ramaswamy Sharma, Masahiro Tsuchiya, John D Bartlett

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Roles of calcium in ameloblasts during tooth development: A scoping review.Journal of Taibah University Medical Sciences · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Advances in epidemiological status and pathogenesis of dental fluorosis.Frontiers in cell and developmental biology · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Fluoride exposure alters CaScience signaling · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. A mini review of fluoride-induced apoptotic pathways.Environmental science and pollution research international · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Ramaswamy SharmaDepartment of Cytokine Biology, Forsyth Institute, Boston, Massachusetts, USA.
Masahiro Tsuchiya
John D Bartlett
Harvard University · USTohoku University · JP

Funding

Enamelysin Processing Mechanisms in AmelogenesisR01DE016276 · NIDCR · OHIO STATE UNIVERSITY · PI BARTLETT, JOHN D · 2006 to 2014
$4.4M
THE ROLE OF STRESS AND PH IN FLUOROSISR01DE018106 · NIDCR · OHIO STATE UNIVERSITY · PI BARTLETT, JOHN D · 2009 to 2016
$3.8M
Enamelysin Processing Mechanisms in AmelogenesisR56DE016276 · NIDCR · ADA FORSYTH INSTITUTE, INC. · PI BARTLETT, JOHN D · 2011 to 2011
$498k
NIDCR NIH HHS DE016276NIDCR NIH HHS R01 DE016276NIDCR NIH HHS R01 DE018106NIDCR NIH HHS R56 DE016276
6 · The paper itself

Abstract

backgroundExposure to excessive amounts of fluoride (F(-)) causes dental fluorosis in susceptible individuals; however, the mechanism of F(-)-induced toxicity is unclear. Previously, we have shown that high-dose F(-) activates the unfolded protein response (UPR) in ameloblasts that are responsible for dental enamel formation. The UPR is a signaling pathway responsible for either alleviating endoplasmic reticulum (ER) stress or for inducing apoptosis of the stressed cells.

objectivesIn this study we determined if low-dose F(-) causes ER stress and activates the UPR, and we also determined whether F(-) interferes with the secretion of proteins from the ER.

methodsWe stably transfected the ameloblast-derived LS8 cell line with secreted alkaline phosphatase (SEAP) and determined activity and localization of SEAP and F(-)-mediated induction of UPR proteins. Also, incisors from mice given drinking water containing various concentrations of F(-) were examined for eucaryotic initiation factor-2, subunit alpha (eIF2alpha) phosphorylation.

resultsWe found that F(-) decreases the extracellular secretion of SEAP in a linear, dose-dependent manner. We also found a corresponding increase in the intracellular accumulation of SEAP after exposure to F(-). These changes are associated with the induction of UPR proteins such as the molecular chaperone BiP and phosphorylation of the UPR sensor PKR-like ER kinase, and its substrate, eIF2alpha. Importantly, F(-)-induced phosphorylation of eIF2alphawas confirmed in vivo.

conclusionsThese data suggest that F(-) initiates an ER stress response in ameloblasts that interferes with protein synthesis and secretion. Consequently, ameloblast function during enamel development may be impaired, and this may culminate in dental fluorosis.

Indexed as

Alkaline PhosphataseAnimalsCell LineDose-Response Relationship, DrugEndoplasmic ReticulumFluoridesImmunohistochemistryMiceProtein Synthesis InhibitorsAlkaline PhosphataseFluoridesProtein Synthesis InhibitorsameloblastseIF2αenamelendoplasmic reticulumER stressfluorideLS8 cellsSEAPUPR

Identifiers

PMID18795154
PMCPMC2535613
OpenAlexW2058412892

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.