To Thao T, Gümüş Pinar, Nizam Nejat, Buduneli Nurcan, Darveau Richard P
Department of Periodontics, University of Washington School of Dentistry, Seattle, Washington, USA Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, USA.
Department of Periodontology, School of Dentistry, Ege University, İzmir, Turkey.
Infect Immun. 2015 Oct 19;84(1):120-6. doi: 10.1128/IAI.00693-15. Print 2016 Jan.
The ability of the subgingival microbial community to induce an inappropriate inflammatory response ultimately results in the destruction of bone and gingival tissue. In this study, subgingival plaque samples from both healthy and diseased sites in the same individual were obtained from adults with chronic periodontitis and screened for their ability to either activate Toll-like receptor 2 (TLR2) or TLR4 and to antagonize TLR4-specific activation by agonist, Fusobacterium nucleatum LPS. Subgingival plaque from diseased sites strongly activated TLR4, whereas matched plaque samples obtained from healthy sites were significantly more variable, with some samples displaying strong TLR4 antagonism, while others were strong TLR4 agonists when combined with F. nucleatum LPS. Similar results were observed when TLR4 dependent E-selectin expression by endothelial cells was determined. These results are the first to demonstrate TLR4 antagonism from human plaque samples and demonstrate that healthy but not diseased sites display a wide variation in TLR4 agonist and antagonist behavior. The results have identified a novel characteristic of clinically healthy sites and warrant further study on the contribution of TLR4 antagonism in the progression of a healthy periodontal site to a diseased one.
龈下微生物群落引发不适当炎症反应的能力最终会导致骨质和牙龈组织的破坏。在本研究中,从患有慢性牙周炎的成年人个体的健康部位和患病部位获取龈下菌斑样本,筛选其激活Toll样受体2(TLR2)或TLR4的能力,以及拮抗由具核梭杆菌脂多糖(Fusobacterium nucleatum LPS)引起的TLR4特异性激活的能力。患病部位的龈下菌斑强烈激活TLR4,而从健康部位获取的匹配菌斑样本变异性显著更大,一些样本表现出强烈的TLR4拮抗作用,而其他样本与具核梭杆菌脂多糖联合时则为强烈的TLR4激动剂。在内皮细胞中测定依赖TLR4的E选择素表达时也观察到了类似结果。这些结果首次证明了人类菌斑样本中的TLR4拮抗作用,并表明健康而非患病部位在TLR4激动剂和拮抗剂行为方面存在广泛差异。这些结果确定了临床健康部位的一个新特征,值得进一步研究TLR4拮抗作用在健康牙周部位向患病部位进展过程中的作用。
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