Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.
Center for Translational Medicine and Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
J Dent Res. 2022 May;101(5):559-568. doi: 10.1177/00220345211049781. Epub 2021 Nov 19.
Evidence suggests that periodontitis contributes to the pathogenesis of inflammatory bowel disease, including Crohn's disease and ulcerative colitis. However, few studies have examined the role of swallowing and saliva in the pathogenesis of gastrointestinal diseases. Saliva contains an enormous number of oral bacteria and is swallowed directly into the intestine. Here, we explored the influence of periodontitis salivary microbiota on colonic inflammation and possible mechanisms in dextran sulfate sodium (DSS)-induced colitis. The salivary microbiota was collected from healthy individuals and those with periodontitis and gavaged to C57BL/6 mice. Periodontitis colitis was induced by DSS for 5 d and ligature for 1 wk. The degree of colon inflammation was evaluated through hematoxylin and eosin staining, ELISA, and quantitative real-time polymerase chain reaction. Immune parameters were measured with quantitative real-time polymerase chain reaction, flow cytometry, and immunofluorescence. The gut microbiota and metabolome analyses were performed via 16S rRNA gene sequencing and liquid chromatography-mass spectrometry. Although no significant colitis-associated phenotypic changes were found under physiologic conditions, periodontitis salivary microbiota exacerbated colitis in a periodontitis colitis model after DSS induction. The immune response more closely resembled the pathology of ulcerative colitis, including aggravated macrophage M2 polarization and Th2 cell induction (T helper 2). Inflammatory bowel disease-associated microbiota, such as , , and , were changed in DSS-induced colitis after periodontitis salivary microbiota gavage. Periodontitis salivary microbiota decreased unsaturated fatty acid levels and increased arachidonic acid metabolism in DSS-induced colitis, which was positively correlated with and , suggesting the key role of these metabolic events and microbes in the exacerbating effect of periodontitis salivary microbiota on experimental colitis. Our study demonstrated that periodontitis contributes to the pathogenesis of colitis through the swallowing of salivary microbiota, confirming the role of periodontitis in systemic disease and providing new insights into the etiology of gastrointestinal inflammatory diseases.
有证据表明,牙周炎有助于包括克罗恩病和溃疡性结肠炎在内的炎症性肠病的发病机制。然而,很少有研究探讨吞咽和唾液在胃肠道疾病发病机制中的作用。唾液中含有大量的口腔细菌,并直接被吞咽到肠道中。在这里,我们研究了牙周炎唾液微生物群对葡聚糖硫酸钠(DSS)诱导的结肠炎的结肠炎症的影响及其可能的机制。从健康个体和牙周炎患者中收集唾液微生物群,并灌胃给 C57BL/6 小鼠。用 DSS 诱导 5 天和结扎 1 周诱导牙周炎结肠炎。通过苏木精和伊红染色、ELISA 和实时定量聚合酶链反应评估结肠炎症程度。通过实时定量聚合酶链反应、流式细胞术和免疫荧光测量免疫参数。通过 16S rRNA 基因测序和液相色谱-质谱联用进行肠道微生物组和代谢组分析。尽管在生理条件下没有发现与结肠炎相关的表型变化,但在 DSS 诱导后,牙周炎唾液微生物群加剧了牙周炎结肠炎模型中的结肠炎。免疫反应更类似于溃疡性结肠炎的病理学,包括加重的巨噬细胞 M2 极化和 Th2 细胞诱导(辅助性 T 细胞 2)。在牙周炎唾液微生物群灌胃后 DSS 诱导的结肠炎中,炎症性肠病相关微生物群,如 、 和 发生改变。牙周炎唾液微生物群降低了 DSS 诱导的结肠炎中不饱和脂肪酸水平,增加了花生四烯酸代谢,与 和 呈正相关,提示这些代谢事件和微生物在牙周炎唾液微生物群加剧实验性结肠炎中的关键作用。我们的研究表明,牙周炎通过吞咽唾液微生物群促进结肠炎的发病机制,证实了牙周炎在系统性疾病中的作用,并为胃肠道炎症性疾病的病因提供了新的见解。