Watanabe Norihisa, Yokoe Sho, Ogata Yorimasa, Sato Shuichi, Imai Kenichi
Department of Periodontology, Nihon University School of Dentistry, Chiyoda-ku, Tokyo 101-8310, Japan.
Department of Microbiology, Nihon University School of Dentistry, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan.
J Clin Med. 2020 Oct 26;9(11):3433. doi: 10.3390/jcm9113433.
Aspiration pneumonia is a major health problem owing to its high mortality rate in elderly people. The secretion of proinflammatory cytokines such as interleukin (IL)-8 and IL-6 by respiratory epithelial cells, which is induced by infection of respiratory bacteria such as , contributes to the onset of pneumonia. These cytokines thus play a key role in orchestrating inflammatory responses in the lower respiratory tract. In contrast, chronic periodontitis, a chronic inflammatory disease caused by the infection of periodontopathic bacteria, typically , is one of the most prevalent microbial diseases affecting humans globally. Although emerging evidence has revealed an association between aspiration pneumonia and chronic periodontitis, a causal relationship between periodontopathic bacteria and the onset of aspiration pneumonia has not been established. Most periodontopathic bacteria are anaerobic and are therefore unlikely to survive in the lower respiratory organs of humans. Therefore, in this study, we examined whether simple contact by heat-inactivated induced proinflammatory cytokine production by several human respiratory epithelial cell lines. We found that induced strong IL-8 and IL-6 secretion by BEAS-2B bronchial epithelial cells. also induced strong IL-8 secretion by Detroit 562 pharyngeal epithelial cells but not by A549 alveolar epithelial cells. Additionally, Toll-like receptor (TLR) 2 but not TLR4 was involved in the -induced proinflammatory cytokine production. Furthermore, induced considerably higher IL-8 and IL-6 production than heat-inactivated . Our results suggest that is a powerful inflammatory stimulant for human bronchial and pharyngeal epithelial cells and can stimulate TLR2-mediated cytokine production, thereby potentially contributing to the onset of aspiration pneumonia.
吸入性肺炎因其在老年人中的高死亡率而成为一个主要的健康问题。呼吸道细菌感染诱导呼吸道上皮细胞分泌促炎细胞因子,如白细胞介素(IL)-8和IL-6,这有助于肺炎的发病。因此,这些细胞因子在协调下呼吸道的炎症反应中起关键作用。相比之下,慢性牙周炎是一种由牙周病原菌感染引起的慢性炎症性疾病,通常是全球影响人类的最普遍的微生物疾病之一。尽管新出现的证据揭示了吸入性肺炎与慢性牙周炎之间的关联,但牙周病原菌与吸入性肺炎发病之间的因果关系尚未确立。大多数牙周病原菌是厌氧菌,因此不太可能在人类的下呼吸道器官中存活。因此,在本研究中,我们检测了热灭活的[病原菌名称]与几种人类呼吸道上皮细胞系简单接触是否会诱导促炎细胞因子的产生。我们发现[病原菌名称]诱导BEAS-2B支气管上皮细胞强烈分泌IL-8和IL-6。[病原菌名称]也诱导底特律562咽上皮细胞强烈分泌IL-8,但不诱导A549肺泡上皮细胞分泌。此外,Toll样受体(TLR)2而非TLR4参与了[病原菌名称]诱导的促炎细胞因子产生。此外,[病原菌名称]诱导产生的IL-8和IL-6比热灭活的[病原菌名称]高得多。我们的结果表明,[病原菌名称]是人类支气管和咽上皮细胞的一种强大的炎症刺激物,可刺激TLR2介导的细胞因子产生,从而可能导致吸入性肺炎的发病。