Xing Lu, Dong Wei, Chen Yilin, Dai Wenyu, Xiao Xueling, Liu Zhongyu, Zhang Xiaoqi, Bai Ding, Xu Hui
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, China.
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Department of Periodontology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Int Immunopharmacol. 2023 Jan;114:109607. doi: 10.1016/j.intimp.2022.109607. Epub 2022 Dec 22.
Periodontitis causes inflammatory destructions of tooth-supporting tissue and constitutes a significant burden on public health. Failing to reserve the tissue damage and bone loss by any of the currently available therapies has left periodontitis uncurable thus far. Understanding the molecular mechanism in the inflammatory process is crucial to elucidating the pathogenesis and enlightening new therapeutic strategies for periodontitis. This study was to investigate whether and how ferroptosis, a newly-discovered form of cell death, was involved in the pathogenesis of periodontitis. Healthy and periodontitis human gingiva samples were collected and ligature-induced periodontitis murine models were constructed to investigate the role of ferroptosis in periodontitis. Single-cell RNA sequencing data was analyzed to identify the cell type that underwent ferroptosis. The susceptibility of human gingival fibroblasts to ferroptosis was investigated by in vitro cell cultures. We found that gingival fibroblasts undergo ferroptosis in periodontitis, and that periodontitis-induced tissue damage and bone loss were alleviated by inhibition of ferroptosis. Periodontitis-induced pro-inflammatory immune responses was featured by profound elevation of fibroblast-derived Interleukin-6, which was attenuated by ferroptosis inhibition. These results indicated fibroblast ferroptosis as a new clue to unveiling the cellular and molecular basis for periodontitis-induced tissue damage. Involvement of ferroptosis/Interleukin-6 signaling in the pathogenic process suggested a potential target for immunopharmacological approaches to curing periodontitis.
牙周炎会导致牙齿支持组织的炎症性破坏,对公众健康构成重大负担。目前可用的任何治疗方法都无法阻止组织损伤和骨质流失,因此迄今为止牙周炎仍无法治愈。了解炎症过程中的分子机制对于阐明发病机制和启发牙周炎的新治疗策略至关重要。本研究旨在调查一种新发现的细胞死亡形式——铁死亡是否以及如何参与牙周炎的发病机制。收集健康和牙周炎患者的牙龈样本,并构建结扎诱导的牙周炎小鼠模型,以研究铁死亡在牙周炎中的作用。分析单细胞RNA测序数据以确定发生铁死亡的细胞类型。通过体外细胞培养研究人牙龈成纤维细胞对铁死亡的易感性。我们发现牙龈成纤维细胞在牙周炎中会发生铁死亡,并且抑制铁死亡可减轻牙周炎诱导的组织损伤和骨质流失。牙周炎诱导的促炎免疫反应的特征是成纤维细胞衍生的白细胞介素-6显著升高,而抑制铁死亡可使其减弱。这些结果表明成纤维细胞铁死亡是揭示牙周炎诱导组织损伤的细胞和分子基础的新线索。铁死亡/白细胞介素-6信号通路参与致病过程提示了免疫药理学方法治疗牙周炎的潜在靶点。
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