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结扎诱导的牙周炎促进结直肠癌:一种在小鼠中的实验模型。

Ligature-Induced Periodontitis Drives Colorectal Cancer: An Experimental Model in Mice.

机构信息

Department of Stomatology, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang Province, China.

Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Clinical Research Center for Oral Diseases of Zhejiang Province, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China.

出版信息

J Dent Res. 2023 Jun;102(6):689-698. doi: 10.1177/00220345231158269. Epub 2023 Mar 21.

Abstract

Periodontitis is a prevalent inflammatory oral disease associated with an increased risk of colorectal cancer. Experimental animal models are critical tools to investigate the effects and mechanisms of periodontitis on colorectal cancer. Several murine periodontitis models have been used in research, including oral gavage, periodontal pathogen injection, and ligature models. The role of experimental periodontitis caused by silk ligation in colorectal cancer remains unclear. In this study, we used an experimental periodontitis model on a colitis-associated colorectal cancer model and a spontaneous model, respectively. We observed the promotion of colorectal cancer in ligature-induced periodontitis mice compared to those control mice in 2 different models, as assessed by tumor number, tumor size, and tumor load. Since bacterial dysbiosis is an important feature of periodontitis, we next analyzed the oral and gut microbiomes using 16S ribosomal RNA gene sequencing. We found that the experimental periodontitis model reshaped the microbial community in the oral cavity and gut. In addition, we found a higher extent of programmed death 1 (PD-1)-positive CD8 T-cell infiltration in tumor samples of the periodontitis group than in controls by immunofluorescence staining. Regarding the potential molecular mechanism, we transplanted the fecal microbiota of the periodontitis patient into mice and observed a tumor-promoting effect in the periodontitis group, assessed by tumor volume and tumor weight, together with a low level of INF-γ CD8 T-cell infiltration in subcutaneous tumor mice. Taken together, we show that ligature-induced periodontitis model promotes colorectal cancer by microbiota remodeling and suppression of the immune response.

摘要

牙周炎是一种常见的炎症性口腔疾病,与结直肠癌的风险增加有关。实验动物模型是研究牙周炎对结直肠癌影响和机制的重要工具。已有多种鼠牙周炎模型用于研究,包括口腔灌胃、牙周致病菌注射和结扎模型。丝线结扎引起的实验性牙周炎在结直肠癌中的作用尚不清楚。在这项研究中,我们分别在结肠炎相关结直肠癌模型和自发性模型上使用了实验性牙周炎模型。我们观察到结扎诱导的牙周炎小鼠与对照小鼠相比,在 2 种不同模型中结直肠肿瘤的数量、大小和负荷均增加,提示促进了结直肠癌的发生。由于细菌失调是牙周炎的一个重要特征,我们接下来使用 16S 核糖体 RNA 基因测序分析了口腔和肠道微生物组。我们发现实验性牙周炎模型重塑了口腔和肠道微生物群落。此外,通过免疫荧光染色,我们发现牙周炎组肿瘤样本中程序性死亡 1(PD-1)阳性 CD8 T 细胞浸润程度高于对照组。关于潜在的分子机制,我们将牙周炎患者的粪便微生物群移植到小鼠中,观察到牙周炎组的肿瘤促进作用,通过肿瘤体积和肿瘤重量评估,同时皮下肿瘤小鼠中 INF-γ CD8 T 细胞浸润水平降低。总之,我们表明结扎诱导的牙周炎模型通过微生物群重塑和抑制免疫反应促进结直肠癌的发生。

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