Zubery Y, Dunstan C R, Story B M, Kesavalu L, Ebersole J L, Holt S C, Boyce B F
Departments of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78284-7894, USA.
Infect Immun. 1998 Sep;66(9):4158-62. doi: 10.1128/IAI.66.9.4158-4162.1998.
Gingival inflammation, bacterial infection, alveolar bone destruction, and subsequent tooth loss are characteristic features of periodontal disease, but the precise mechanisms of bone loss are poorly understood. Most animal models of the disease require injury to gingival tissues or teeth, and the effects of microorganisms are thus complicated by host responses to tissue destruction. To determine whether three putative periodontal pathogens, Porphyromonas gingivalis, Campylobacter rectus, and Fusobacterium nucleatum, could cause localized bone resorption in vivo in the absence of tissue injury, we injected live or heat-killed preparations of these microorganisms into the subcutaneous tissues overlying the calvaria of normal mice once daily for 6 days and then examined the bones histologically. We found that all three microorganisms (both live and heat killed) stimulated bone resorption and that the strain of F. nucleatum used appeared to be the strongest inducer of osteoclast activity. Treatment of the mice concomitantly with indomethacin reduced but did not completely inhibit bone resorption by these microorganisms, suggesting that their effects were mediated, in part, by arachidonic acid metabolites (e.g., prostaglandins). Our findings indicate that these potential pathogens can stimulate bone resorption locally when placed beside a bone surface in vivo in the absence of prior tissue injury and support a role for them in the pathogenesis of bone loss around teeth in periodontitis.
牙龈炎症、细菌感染、牙槽骨破坏以及随后的牙齿脱落是牙周病的特征,但骨质流失的确切机制尚不清楚。该疾病的大多数动物模型需要损伤牙龈组织或牙齿,因此微生物的作用因宿主对组织破坏的反应而变得复杂。为了确定三种假定的牙周病原体——牙龈卟啉单胞菌、直肠弯曲菌和具核梭杆菌——在没有组织损伤的情况下是否能在体内引起局部骨质吸收,我们将这些微生物的活体制剂或热灭活制剂每天一次注射到正常小鼠颅骨上方的皮下组织中,持续6天,然后对骨骼进行组织学检查。我们发现,所有三种微生物(活的和热灭活的)均刺激了骨质吸收,并且所用的具核梭杆菌菌株似乎是破骨细胞活性的最强诱导剂。同时用吲哚美辛治疗小鼠可减少但不能完全抑制这些微生物引起的骨质吸收,这表明它们的作用部分是由花生四烯酸代谢产物(如前列腺素)介导的。我们的研究结果表明,这些潜在病原体在体内置于骨表面旁边且无先前组织损伤时可局部刺激骨质吸收,并支持它们在牙周炎牙齿周围骨质流失发病机制中的作用。