Department of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, USA; Center for Oral Health Research, College of Dentistry, University of Kentucky, USA.
Center for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield Clinic Health System, USA.
Mol Immunol. 2022 Aug;148:18-33. doi: 10.1016/j.molimm.2022.05.006. Epub 2022 Jun 2.
Colonization of mucosal tissues throughout the body occurs by a wide array of bacteria in the microbiome that stimulate the cells and tissues, as well as respond to changes in the local milieu. A feature of periodontitis is the detection of adaptive immune responses to members of the oral microbiome that show specificity and changes with disease and treatment. Thus, variations in antibody responses are noted across the population and affected by aging, albeit, data are still unclear as to how these differences relate to disease risk and expression. This study used a nonhuman primate model of experimental periodontitis to track local microbiome changes as they related to the use and expression of a repertoire of immunoglobulin genes in gingival tissues. Gingival tissue biopsies from healthy tissues and following ligature-placement for disease initiation and progression provided gene expression analysis. Additionally, following removal of the ligatures, clinical healing occurs with gene expression in disease resolved tissues. Groups of 9 animals (young: <3 yrs., adolescent: 3-7 yrs., adult -12 to 15 yrs.; aged: 17-22 yrs) were used in the investigation. In healthy tissues, young and adolescent animals showed levels of expression of 78 Ig genes that were uniformly less than adults. In contrast, ⅔ of the Ig genes were elevated by > 2-fold in the aged samples. Specific increases in an array of the Ig gene transcripts were detected in adults at disease initiation and throughout progression, while increases in young and adolescent animals were observed only with disease progression, and in aged samples primarily late in disease progression. Resolved lesions continued to demonstrate elevated levels of Ig gene expression in only young, adolescent and adult animals. The array of Ig genes significantly correlated with inflammatory, tissue biology and hypoxia genes in the gingival tissues, with variations associated with age. In the young group of animals, specific members of the oral microbiome positively correlated with Ig gene expression, while in the older animals, many of these correlations were negative. Significant correlations were observed with a select assortment of bacterial OTUs and multiple Ig genes in both younger and older animal samples, albeit the genera/species showed little overlap. Incorporating this array of microbes and host responses clearly discriminated the various time points in transition from health to disease and resolution in both the young and adult animals. The results support a major importance of adaptive immune responses in the kinetics of periodontal lesion formation, and support aging effects on the repertoire of Ig genes that may relate to the increased prevalence and severity of periodontitis with age.
全身黏膜组织的定植是由微生物组中大量的细菌引起的,这些细菌会刺激细胞和组织,并对局部环境的变化做出反应。牙周炎的一个特征是检测到针对口腔微生物组成员的适应性免疫反应,这些反应具有特异性,并随着疾病和治疗而变化。因此,人群中抗体反应存在差异,并且受衰老影响,尽管目前尚不清楚这些差异与疾病风险和表达的关系如何。本研究使用实验性牙周炎的非人类灵长类动物模型来跟踪局部微生物组的变化,以及这些变化与牙龈组织中免疫球蛋白基因表达谱的使用和表达之间的关系。来自健康组织的牙龈组织活检以及在结扎放置以启动和进展疾病后提供了基因表达分析。此外,结扎去除后,疾病组织的临床愈合伴随着疾病缓解组织中基因表达的恢复。本研究使用了 9 只动物(年轻:<3 岁;青少年:3-7 岁;成年:12-15 岁;老年:17-22 岁)。在健康组织中,年轻和青少年动物的 78 种 Ig 基因表达水平普遍低于成年动物。相比之下,2/3 的 Ig 基因在老年样本中升高了 2 倍以上。在疾病启动和进展过程中,在成年动物中检测到一系列 Ig 基因转录物的特异性增加,而在年轻和青少年动物中仅观察到疾病进展时增加,在老年样本中主要在疾病进展后期增加。仅在年轻、青少年和成年动物中,缓解病变继续表现出 Ig 基因表达水平的升高。Ig 基因与牙龈组织中的炎症、组织生物学和缺氧基因显著相关,其变化与年龄有关。在年轻动物组中,口腔微生物组的特定成员与 Ig 基因表达呈正相关,而在老年动物中,许多相关性呈负相关。在年轻和老年动物样本中,与选定的细菌 OTU 和多个 Ig 基因都观察到显著相关性,尽管属/种之间几乎没有重叠。整合这一系列微生物和宿主反应,可以清楚地区分从健康到疾病和缓解的各个时间点,在年轻和成年动物中都是如此。研究结果支持适应性免疫反应在牙周病形成的动力学中的重要作用,并支持衰老对 Ig 基因谱的影响,这可能与年龄相关的牙周炎的患病率和严重程度增加有关。