Makkawi Hasnaa, Hoch Shifra, Burns Elia, Hosur Kavita, Hajishengallis George, Kirschning Carsten J, Nussbaum Gabriel
Institute of Dental Sciences, Hebrew University-Hadassah Faculty of Dental MedicineJerusalem, Israel.
Department of Microbiology, School of Dental Medicine, University of PennsylvaniaPhiladelphia, PA, United States.
Front Cell Infect Microbiol. 2017 Aug 8;7:359. doi: 10.3389/fcimb.2017.00359. eCollection 2017.
is a gram-negative anaerobic periodontal pathogen that persists in dysbiotic mixed-species biofilms alongside a dense inflammatory infiltrate of neutrophils and other leukocytes in the subgingival areas of the periodontium. Toll-like receptor 2 (TLR2) mediates the inflammatory response to and TLR2-deficient mice resist alveolar bone resorption following oral challenge with this organism. Although, MyD88 is an adaptor protein considered necessary for TLR2-induced inflammation, we now report for the first time that oral challenge with leads to alveolar bone resorption in the absence of MyD88. Indeed, in contrast to prototypical TLR2 agonists, such as the lipopeptide Pam3CSK4 that activates TLR2 in a strictly MyD88-dependent manner, strikingly induced TLR2 signaling in neutrophils and macrophages regardless of the presence or absence of MyD88. Moreover, genetic or antibody-mediated inactivation of TLR2 completely reduced cytokine production in -stimulated neutrophils or macrophages, suggesting that TLR2 plays a non-redundant role in the host response to . In the absence of MyD88, inflammatory TLR2 signaling in -stimulated neutrophils or macrophages depended upon PI3K. Intriguingly, TLR2-PI3K signaling was also critical to evasion of killing by macrophages, since their ability to phagocytose this pathogen was reduced in a TLR2 and PI3K-dependent manner. Moreover, within those cells that did phagocytose bacteria, TLR2-PI3K signaling blocked phago-lysosomal maturation, thereby revealing a novel mechanism whereby can enhance its intracellular survival. Therefore, uncouples inflammation from bactericidal activity by substituting TLR2-PI3K in place of TLR2-MyD88 signaling. These findings further support the role of as a keystone pathogen, which manipulates the host inflammatory response in a way that promotes bone loss but not bacterial clearance. Modulation of these host response factors may lead to novel therapeutic approaches to improve outcomes in disease conditions associated with .
是一种革兰氏阴性厌氧性牙周病原体,存在于功能失调的混合物种生物膜中,同时在牙周龈下区域伴有密集的中性粒细胞和其他白细胞炎性浸润。Toll样受体2(TLR2)介导对该病原体的炎症反应,且在用该病原体进行口腔攻击后,TLR2缺陷小鼠可抵抗牙槽骨吸收。虽然髓样分化因子88(MyD88)是一种被认为对TLR2诱导的炎症反应所必需的衔接蛋白,但我们现在首次报告,在用该病原体进行口腔攻击时,在没有MyD88的情况下会导致牙槽骨吸收。事实上,与典型的TLR2激动剂(如以严格依赖MyD88的方式激活TLR2的脂肽Pam3CSK4)相反,无论是否存在MyD88,该病原体均能显著诱导中性粒细胞和巨噬细胞中的TLR2信号传导。此外,TLR2的基因或抗体介导的失活完全降低了该病原体刺激的中性粒细胞或巨噬细胞中的细胞因子产生,这表明TLR2在宿主对该病原体的反应中起非冗余作用。在没有MyD88的情况下,该病原体刺激的中性粒细胞或巨噬细胞中的炎性TLR2信号传导依赖于磷脂酰肌醇-3激酶(PI3K)。有趣的是,TLR2-PI3K信号传导对于该病原体逃避巨噬细胞的杀伤也至关重要,因为巨噬细胞吞噬这种病原体的能力以TLR2和PI3K依赖的方式降低。此外,在那些确实吞噬了细菌的细胞内,TLR2-PI3K信号传导阻断了吞噬溶酶体的成熟,从而揭示了该病原体可增强其细胞内存活能力的一种新机制。因此,该病原体通过用TLR2-PI3K替代TLR2-MyD88信号传导,使炎症与杀菌活性脱钩。这些发现进一步支持了该病原体作为关键病原体的作用,它以促进骨质流失而非细菌清除的方式操纵宿主炎症反应。对这些宿主反应因子的调节可能会导致新的治疗方法,以改善与该病原体相关疾病状况的治疗结果。