AbstractAimTo investigate the effects of butyric acid (BA), a metabolic product generated by pulp and root canal pathogens, on the viability and intercellular adhesion molecule‐1 (ICAM‐1) production of endothelial cells, which are crucial to angiogenesis and pulpal/periapical wound healing.MethodologyEndothelial cells were exposed to butyrate with/without inhibitors. Cell viability, apoptosis and reactive oxygen species (ROS) were evaluated using an MTT assay, PI/annexin V and DCF fluorescence flow cytometry respectively. RNA and protein expression was determined using a polymerase chain reaction assay and Western blotting or immunofluorescent staining. Soluble ICAM‐1 (sICAM‐1) was measured using an enzyme‐linked immunosorbent assay. The quantitative results were expressed as mean ± standard error (SE) of the mean. The data were analysed using a paired Student's t‐test where necessary. A p‐value ≤0.05 was considered to indicate a statistically significant difference between groups.ResultsButyrate (>4 mM) inhibited cell viability and induced cellular apoptosis and necrosis. It inhibited cyclin B1 but stimulated p21 and p27 expression. Butyrate stimulated ROS production and hemeoxygenase‐1 (HO‐1) expression as well as activated the Ac‐H3, p‐ATM, p‐ATR, p‐Chk1, p‐Chk2, p‐p38 and p‐Akt expression of endothelial cells. Butyrate stimulated ICAM‐1 mRNA/protein expression and significant sICAM‐1 production (p < .05). Superoxide dismutase, 5z‐7oxozeaenol, SB203580 and compound C (p < .05), but not ZnPP, CGK733, AZD7762 or LY294002, attenuated butyrate cytotoxicity to endothelial cells. Notably, little effect on butyrate‐stimulated sICAM‐1 secretion was found. Valproic acid, phenylbutyrate and trichostatin (three histone deacetylase inhibitors) significantly induced sICAM‐1 production (p < .05).ConclusionButyric acid inhibited proliferation, induced apoptosis, stimulated ROS and HO‐1 production and increased ICAM‐1 mRNA expression and protein synthesis in endothelial cells. Cell viability affected by BA was diminished by some inhibitors; however, the increased sICAM‐1 secretion by BA was not affected by any of the tested inhibitors. These results facilitate understanding of the pathogenesis, prevention and treatment of pulpal/periapical diseases.