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Compromised inflammatory cytokine response to P. gingivalis LPS by fibroblasts from inflamed human gingiva

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Abstract

Objectives

The aims of this study were to compare the in vitro cytokine response of gingival fibroblasts (GF’s) from healthy and inflamed human gingival tissues and to assess whether GF’s from inflamed gingivae are capable of mounting a secondary inflammatory response after exposure to P. gingivalis LPS.

Materials and methods

GF’s were obtained from healthy donors and periodontitis patients and cultured in vitro. Cells were exposed to P. gingivalis LPS for 24h before measurement of MCP-1, GRO, IL-6, IL-8 and VEGF using a bead-based multiplex assay. Statistical comparisons were made between LPS-exposed GF’s and unstimulated cells as well as the two patient groups by two-way ANOVA.

Results

GF’s exposed to P. gingivalis LPS significantly increased their production of MCP-1, GRO, IL-6, IL-8 and VEGF compared to unstimulated cells. GF’s isolated from inflamed tissue from periodontitis patients demonstrated consistently less cytokine production after exposure to P. gingivalis LPS, most notably for GRO and IL-6.

Conclusions

The current study demonstrates that GF’s play an active role in the inflammatory response in periodontal disease by producing a number of chemokines and cytokines. Furthermore, inflamed GF’s may be compromised in their ability to mount an adequate secondary immune response in relation to chemokine/cytokine production.

Clinical relevance

The compromised inflammatory cytokine response of inflamed human gingival fibroblasts to P. gingivalis LPS may impact on their ability to recruit and activate inflammatory cells while maintaining persistent inflammation, a key feature of periodontal disease.

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References

  1. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr (1998) Microbial complexes in subgingival plaque. J Clin Periodontol 25:134–144

    Article  PubMed  Google Scholar 

  2. Takeuchi Y, Umeda M, Sakamoto M, Benno Y, Huang Y, Ishikawa I (2001) Treponema socranskii, Treponema denticola, and Porphyromonas gingivalis are associated with severity of periodontal tissue destruction. J Periodontol 72:1354–1363

    Article  PubMed  Google Scholar 

  3. Fitzsimmons TR, Sanders AE, Slade GD, Bartold PM (2009) Biomarkers of periodontal inflammation in the Australian adult population. Aust Dent J 54:115–122

    Article  PubMed  Google Scholar 

  4. D'Aiuto F, Parkar M, Andreou G, Suvan J, Brett PM, Ready D, Tonetti MS (2004) Periodontitis and systemic inflammation: control of the local infection is associated with a reduction in serum inflammatory markers. J Dent Res 83:156–160

    Article  PubMed  Google Scholar 

  5. Noack B, Genco RJ, Trevisan M, Grossi S, Zambon JJ, De Nardin E (2001) Periodontal infections contribute to elevated systemic C-reactive protein level. J Periodontol 72:1221–1227

    Article  PubMed  Google Scholar 

  6. Moutsopoulos NM, Madianos PN (2006) Low-grade inflammation in chronic infectious diseases: paradigm of periodontal infections. Ann N Y Acad Sci 1088:251–264

    Article  PubMed  Google Scholar 

  7. Bartold PM, Millar SJ (1988) Effect of lipopolysaccharide on proteoglycan synthesis by adult human gingival fibroblasts in vitro. Infect Immun 56:2149–2155

    PubMed  PubMed Central  Google Scholar 

  8. Wilson M (1995) Biological activities of lipopolysaccharides from oral bacteria and their relevance to the pathogenesis of chronic periodontitis. Sci Prog 78(Pt 1):19–34

    PubMed  Google Scholar 

  9. Wang PL, Azuma Y, Shinohara M, Ohura K (2000) Toll-like receptor 4-mediated signal pathway induced by Porphyromonas gingivalis lipopolysaccharide in human gingival fibroblasts. Biochem Biophys Res Commun 273:1161–1167

    Article  PubMed  Google Scholar 

  10. Hatakeyama J, Tamai R, Sugiyama A, Akashi S, Sugawara S, Takada H (2003) Contrasting responses of human gingival and periodontal ligament fibroblasts to bacterial cell-surface components through the CD14/toll-like receptor system. Oral Microbiol Immunol 18:14–23

    Article  PubMed  Google Scholar 

  11. Wang PL, Sato K, Oido M, Fujii T, Kowashi Y, Shinohara M, Ohura K, Tani H, Kuboki Y (1998) Involvement of CD14 on human gingival fibroblasts in Porphyromonas gingivalis lipopolysaccharide-mediated interleukin-6 secretion. Arch Oral Biol 43:687–694

    Article  PubMed  Google Scholar 

  12. Wright SD, Ramos RA, Tobias PS, Ulevitch RJ, Mathison JC (1990) CD14, a receptor for complexes of lipopolysaccharide (LPS) and LPS binding protein. Science 249:1431–1433

    Article  PubMed  Google Scholar 

  13. Almasri A, Wisithphrom K, Windsor LJ, Olson B (2007) Nicotine and lipopolysaccharide affect cytokine expression from gingival fibroblasts. J Periodontol 78:533–541

    Article  PubMed  Google Scholar 

  14. Yamazaki K, Ikarashi F, Aoyagi T, Takahashi K, Nakajima T, Hara K, Seymour GJ (1992) Direct and indirect effects of Porphyromonas gingivalis lipopolysaccharide on interleukin-6 production by human gingival fibroblasts. Oral Microbiol Immunol 7:218–224

    Article  PubMed  Google Scholar 

  15. Herath TD, Wang Y, Seneviratne CJ, Darveau RP, Wang CY, Jin L (2013) The expression and regulation of matrix metalloproteinase-3 is critically modulated by Porphyromonas gingivalis lipopolysaccharide with heterogeneous lipid A structures in human gingival fibroblasts. BMC Microbiol 13:73

    Article  PubMed  PubMed Central  Google Scholar 

  16. Jonsson D, Amisten S, Bratthall G, Holm A, Nilsson BO (2009) LPS induces GROalpha chemokine production via NF-kappaB in oral fibroblasts. Inflamm Res 58:791–796

    Article  PubMed  Google Scholar 

  17. Morandini AC, Sipert CR, Gasparoto TH, Greghi SL, Passanezi E, Rezende ML, Sant'ana AP, Campanelli AP, Garlet GP, Santos CF (2010) Differential production of macrophage inflammatory protein-1alpha, stromal-derived factor-1, and IL-6 by human cultured periodontal ligament and gingival fibroblasts challenged with lipopolysaccharide from P. gingivalis. J Periodontol 81:310–317

    Article  PubMed  Google Scholar 

  18. Belibasakis GN, Bostanci N, Hashim A, Johansson A, Aduse-Opoku J, Curtis MA, Hughes FJ (2007) Regulation of RANKL and OPG gene expression in human gingival fibroblasts and periodontal ligament cells by Porphyromonas gingivalis: a putative role of the Arg-gingipains. Microb Pathog 43:46–53

    Article  PubMed  Google Scholar 

  19. El-Awady AR, Messer RL, Gamal AY, Sharawy MM, Wenger KH, Lapp CA (2010) Periodontal ligament fibroblasts sustain destructive immune modulators of chronic periodontitis. J Periodontol 81:1324–1335

    Article  PubMed  Google Scholar 

  20. Sun Y, Li H, Sun MJ, Zheng YY, Gong DJ, Xu Y (2014) Endotoxin tolerance induced by lipopolysaccharides derived from Porphyromonas gingivalis and Escherichia coli: alternations in toll-like receptor 2 and 4 signaling pathway. Inflammation 37:268–276

    Article  PubMed  Google Scholar 

  21. Ara T, Kurata K, Hirai K, Uchihashi T, Uematsu T, Imamura Y, Furusawa K, Kurihara S, Wang PL (2009) Human gingival fibroblasts are critical in sustaining inflammation in periodontal disease. J Periodontal Res 44:21–27

    Article  PubMed  Google Scholar 

  22. Ogawa T, Ozaki A, Shimauchi H, Uchida H (1997) Hyporesponsiveness of inflamed human gingival fibroblasts from patients with chronic periodontal diseases against cell surface components of Porphyromonas gingivalis. FEMS Immunol Med Microbiol 18:17–30

    Article  PubMed  Google Scholar 

  23. Pena OM, Pistolic J, Raj D, Fjell CD, Hancock RE (2011) Endotoxin tolerance represents a distinctive state of alternative polarization (M2) in human mononuclear cells. J Immunol 186:7243–7254

    Article  PubMed  Google Scholar 

  24. Page RC, Eke PI (2007) Case definitions for use in population-based surveillance of periodontitis. J Periodontol 78:1387–1399

    Article  PubMed  Google Scholar 

  25. Kang W, Hu Z, Ge S (2016) Healthy and inflamed gingival fibroblasts differ in their inflammatory response to Porphyromonas gingivalis lipopolysaccharide. Inflammation 39:1842–1852

    Article  PubMed  Google Scholar 

  26. Wada N, Wang B, Lin NH, Laslett AL, Gronthos S, Bartold PM (2011) Induced pluripotent stem cell lines derived from human gingival fibroblasts and periodontal ligament fibroblasts. J Periodontal Res 46:438–447

    Article  PubMed  Google Scholar 

  27. Steffen MJ, Holt SC, Ebersole JL (2000) Porphyromonas gingivalis induction of mediator and cytokine secretion by human gingival fibroblasts. Oral Microbiol Immunol 15:172–180

    Article  PubMed  Google Scholar 

  28. Doyle CJ, Fitzsimmons TR, Marchant C, Dharmapatni AA, Hirsch R, Bartold PM (2014) Azithromycin suppresses P. gingivalis LPS-induced pro-inflammatory cytokine and chemokine production by human gingival fibroblasts in vitro. Clin Oral Investig 19(2):221–227

    Article  PubMed  Google Scholar 

  29. Suthin K, Matsushita K, Machigashira M, Tatsuyama S, Imamura T, Torii M, Izumi Y (2003) Enhanced expression of vascular endothelial growth factor by periodontal pathogens in gingival fibroblasts. J Periodontal Res 38:90–96

    Article  PubMed  Google Scholar 

  30. Yu X, Graves DT (1995) Fibroblasts, mononuclear phagocytes, and endothelial cells express monocyte chemoattractant protein-1 (MCP-1) in inflamed human gingiva. J Periodontol 66:80–88

    Article  PubMed  Google Scholar 

  31. Bartold PM, Haynes DR (1991) Interleukin-6 production by human gingival fibroblasts. J Periodontal Res 26:339–345

    Article  PubMed  Google Scholar 

  32. Pradeep AR, Daisy H, Hadge P (2009) Serum levels of monocyte chemoattractant protein-1 in periodontal health and disease. Cytokine 47:77–81

    Article  PubMed  Google Scholar 

  33. Giannopoulou C, Kamma JJ, Mombelli A (2003) Effect of inflammation, smoking and stress on gingival crevicular fluid cytokine level. J Clin Periodontol 30:145–153

    Article  PubMed  Google Scholar 

  34. Teles R, Sakellari D, Teles F, Konstantinidis A, Kent R, Socransky S, Haffajee A (2009) Relationships among gingival crevicular fluid biomarkers, clinical parameters of periodontal disease, and the subgingival microbiota. J Periodontol 81:89–98

    Article  Google Scholar 

  35. Scheres N, Crielaard W (2013) Gingival fibroblast responsiveness is differentially affected by Porphyromonas gingivalis: implications for the pathogenesis of periodontitis. Mol Oral Microbiol 28:204–218

    Article  PubMed  Google Scholar 

  36. Bozkurt SB, Hakki SS, Hakki EE, Durak Y, Kantarci A (2017) Porphyromonas gingivalis lipopolysaccharide induces a pro-inflammatory human gingival fibroblast phenotype. Inflammation 40:144–153

    Article  PubMed  Google Scholar 

  37. Zaric S, Shelburne C, Darveau R, Quinn DJ, Weldon S, Taggart CC, Coulter WA (2010) Impaired immune tolerance to Porphyromonas gingivalis lipopolysaccharide promotes neutrophil migration and decreased apoptosis. Infect Immun 78:4151–4156

    Article  PubMed  PubMed Central  Google Scholar 

  38. Pap T, Müller-Ladner U, Gay RE, Gay S (2000) Fibroblast biology: role of synovial fibroblasts in the pathogenesis of rheumatoid arthritis. Arthritis Research & Therapy 2:361

    Article  Google Scholar 

  39. Brouty-Boyé D, Pottin-Clémenceau C, Doucet C, Jasmin C, Azzarone B (2000) Chemokines and CD40 expression in human fibroblasts. Eur J Immunol 30:914–919

    Article  PubMed  Google Scholar 

  40. Slany A, Meshcheryakova A, Beer A, Ankersmit HJ, Paulitschke V, Gerner C (2014) Plasticity of fibroblasts demonstrated by tissue-specific and function-related proteome profiling. Clin Proteomics 11:41

    Article  PubMed  PubMed Central  Google Scholar 

  41. Jang JY, Song IS, Baek KJ, Choi Y, Ji S (2016) Immunologic characteristics of human gingival fibroblasts in response to oral bacteria. J Periodontal Res 52:447–457

    Article  PubMed  Google Scholar 

  42. Stathopoulou PG, Benakanakere MR, Galicia JC, Kinane DF (2009) The host cytokine response to Porphyromonas gingivalis is modified by gingipains. Oral Microbiol Immunol 24:11–17

    Article  PubMed  PubMed Central  Google Scholar 

  43. Muthukuru M, Jotwani R, Cutler CW (2005) Oral mucosal endotoxin tolerance induction in chronic periodontitis. Infect Immun 73:687–694

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Tracy R. Fitzsimmons.

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Conflict of interest

The authors declare that they have no competing interests.

Funding

This study was supported with internal funding from the University of Adelaide.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Fitzsimmons, T.R., Ge, S. & Bartold, P.M. Compromised inflammatory cytokine response to P. gingivalis LPS by fibroblasts from inflamed human gingiva. Clin Oral Invest 22, 919–927 (2018). https://doi.org/10.1007/s00784-017-2171-6

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  • DOI: https://doi.org/10.1007/s00784-017-2171-6

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