牙龈卟啉单胞菌感染诱导单核细胞/巨噬细胞中β淀粉样蛋白的积累。
Porphyromonas gingivalis Infection Induces Amyloid-β Accumulation in Monocytes/Macrophages.
机构信息
Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun, China.
Department of Aging Science and Pharmacology, Faculty of Dental Sciences, Kyushu University, Fukuoka, Japan.
出版信息
J Alzheimers Dis. 2019;72(2):479-494. doi: 10.3233/JAD-190298.
Abnormal accumulation of amyloid-β (Aβ) in the brain is the most significant pathological hallmark of Alzheimer's disease (AD). We have found that chronic systemic exposure to lipopolysaccharide of Porphyromonas gingivalis (P. gingivalis) induces the accumulation of Aβ in the brain of middle-aged mice. On the other hand, recent research has shown that circulating Aβ is transferred into the brain; however, the involvement of chronic systemic P. gingivalis infection in the peripheral Aβ metabolism is unknown. We hypothesized that chronic P. gingivalis infection expands Aβ pools in peripheral inflammatory tissues and thereby contributes to the accumulation of Aβ in the brain of patients with periodontitis. We showed that the increased expression of IL-1β, AβPP770, CatB, Aβ1-42, and Aβ3-42 was mainly co-localized with macrophages in the liver of P. gingivalis infected mice. Blocking CatB and NF-κB significantly inhibited the P. gingivalis-induced expression of IL-1β, AβPP770, Aβ1-42, and Aβ3-42 in RAW264.7 cells. Aβ3-42, but not Aβ1-42, induced the significant death of macrophages, and the reduction of phagocytic abilities induced by Aβ3-42 tended to be higher than that induced by Aβ1-42. Additionally, the expression of AβPP770, CatB, Aβ1-42, and Aβ3-42 was determined in the macrophages of gingival tissues from periodontitis patients. These findings indicate that chronic systemic P. gingivalis infection induces the Aβ accumulation in inflammatory monocytes/macrophages via the activation of CatB/NF-κB signaling, thus suggesting monocytes/macrophages serve as a circulating pool of Aβ in patients with periodontitis. Taken together, CatB may be a novel therapeutic target for preventing the periodontitis-related AD initiation and pathological progression.
淀粉样蛋白-β(Aβ)在大脑中的异常积累是阿尔茨海默病(AD)最显著的病理特征。我们发现,慢性系统性牙周炎牙龈卟啉单胞菌(P. gingivalis)脂多糖暴露会导致中年小鼠大脑中 Aβ的积累。另一方面,最近的研究表明,循环中的 Aβ被转移到大脑中;然而,慢性系统性 P. gingivalis 感染对周围 Aβ代谢的参与尚不清楚。我们假设慢性 P. gingivalis 感染会扩大周围炎症组织中的 Aβ 池,从而导致牙周炎患者大脑中 Aβ的积累。我们表明,在感染 P. gingivalis 的小鼠肝脏中,IL-1β、AβPP770、CatB、Aβ1-42 和 Aβ3-42 的表达增加主要与巨噬细胞共存。阻断 CatB 和 NF-κB 可显著抑制 RAW264.7 细胞中 P. gingivalis 诱导的 IL-1β、AβPP770、Aβ1-42 和 Aβ3-42 的表达。Aβ3-42 而非 Aβ1-42 可诱导巨噬细胞显著死亡,Aβ3-42 诱导的吞噬能力降低趋势高于 Aβ1-42。此外,还检测了牙周炎患者牙龈组织中巨噬细胞的 AβPP770、CatB、Aβ1-42 和 Aβ3-42 的表达。这些发现表明,慢性系统性 P. gingivalis 感染通过激活 CatB/NF-κB 信号通路诱导炎症性单核细胞/巨噬细胞中 Aβ的积累,提示单核细胞/巨噬细胞是牙周炎患者中循环 Aβ的来源。总之,CatB 可能是预防牙周炎相关 AD 发病和病理进展的新的治疗靶点。