Ding Y, Uitto V J, Haapasalo M, Lounatmaa K, Konttinen Y T, Salo T, Grenier D, Sorsa T
Department of Periodontology, University of Helsinki, Finland.
J Dent Res. 1996 Dec;75(12):1986-93. doi: 10.1177/00220345960750121101.
Tissue destruction during periodontitis is believed to be primarily brought about by leukocyte proteinases. We postulate that oral spirochetes cause discharge of polymorphonuclear leukocyte (PMN) lysosomal enzymes. Effects of Treponema denticola 53-kDa outer membrane protein, lipopolysaccharide (LPS), and peptidoglycan on degranulation of matrix metalloproteinases (MMP)-8 (collagenase) and -9 (gelatinase), cathepsin G, and elastase by human peripheral blood PMNs were studied by specific enzyme assays and Western blot analysis. T. denticola 53-kDa kDa outer membrane protein was found to be a particularly efficient inducer of MMP-8 release. The induction was comparable with that of phorbol myristate acetate, a known inducer of PMN specific granule discharge. All of the treponemal substances, most notably the 53-kDa protein and LPS, induced release of MMP-9, a component of C-type granules. Both collagenase and gelatinase released from PMNs were mostly in active forms. Release of cathepsin G and elastase was also observed with the 53-kDa protein treatment. The other T. denticola substances did not induce release of these serine proteinases. Lactate dehydrogenase was not released from PMNs by the treatments, indicating that the degranulation was specific and not caused by toxic effects of the substances. This was confirmed by transmission electron microscopy of PMNs treated with the 53-kDa protein that showed rapid vacuole formation and cell shape changes but no disintegration of the cells. Thus, T. denticola may participate in the PMN-dependent extracellular matrix degradation during the course of periodontal inflammation by triggering the secretion and activation of matrix metalloproteinases.
牙周炎期间的组织破坏被认为主要是由白细胞蛋白酶引起的。我们推测口腔螺旋体导致多形核白细胞(PMN)溶酶体酶的释放。通过特异性酶测定和蛋白质印迹分析,研究了齿垢密螺旋体53-kDa外膜蛋白、脂多糖(LPS)和肽聚糖对人外周血PMN释放基质金属蛋白酶(MMP)-8(胶原酶)和-9(明胶酶)、组织蛋白酶G和弹性蛋白酶的影响。发现齿垢密螺旋体53-kDa外膜蛋白是MMP-8释放的特别有效的诱导剂。这种诱导作用与佛波酯肉豆蔻酸酯相当,佛波酯肉豆蔻酸酯是一种已知的PMN特异性颗粒释放诱导剂。所有密螺旋体物质,最显著的是53-kDa蛋白和LPS,都诱导了C型颗粒成分MMP-9的释放。从PMN释放的胶原酶和明胶酶大多为活性形式。用53-kDa蛋白处理也观察到了组织蛋白酶G和弹性蛋白酶的释放。其他齿垢密螺旋体物质未诱导这些丝氨酸蛋白酶的释放。这些处理未导致PMN释放乳酸脱氢酶,表明脱颗粒是特异性的,并非由这些物质的毒性作用引起。用53-kDa蛋白处理的PMN的透射电子显微镜检查证实了这一点,该检查显示快速形成液泡和细胞形状改变,但细胞未解体。因此,齿垢密螺旋体可能通过触发基质金属蛋白酶的分泌和激活,参与牙周炎症过程中PMN依赖性细胞外基质的降解。