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1.
J Periodontal Res ; 53(5): 916-923, 2018 Oct.
Article in English | MEDLINE | ID: mdl-29974476

ABSTRACT

BACKGROUND AND OBJECTIVE: Elevated levels of matrix metalloproteinase-7 (MMP7) have been observed in serum samples of subjects with type 2 diabetes mellitus (T2DM) and in gingival tissues of subjects with periodontitis. The aim of the present study was to collect in vivo and in silico evidence on the role of MMP7 in the interplay between T2DM and generalized periodontitis (GP). MATERIAL AND METHODS: The extent of MMP7 expression and localization were immunohistochemically analyzed in gingival tissues of patients with GP with T2DM (T2DM/GP, n = 11), systemically healthy patients with GP (n = 7), and systemically and periodontally healthy controls (n = 11). An in silico network model was built to determine the interactions between MMP7 and T2DM pathways. Regulation of neutrophil transmigration by MMP7 was analyzed in a knock-out mice model. RESULTS: In human gingival tissues, the proportion of cells with robust MMP7 expression was elevated in patients with T2DM/GP in comparison to controls (P = .014). According to the in silico analysis, "hydroxyl radical" and "hydrogen peroxide" compounds were among the most central nodes of the network, and were within the shortest paths connecting "glucose" to "MMP7." In MMP7 knock-out mice, an intense accumulation of neutrophils was observed in the gingival epithelium as compared to wild-type mice (P = .0001). CONCLUSION: Elevated MMP7 expression in gingival tissues of patients with T2DM/GP is related to the activation of reactive oxygen species by hyperglycemia. Suppression of MMP7 expression results in impaired neutrophil transmigration in gingiva.


Subject(s)
Diabetes Mellitus, Type 2/metabolism , Matrix Metalloproteinase 7/metabolism , Periodontitis/metabolism , Adult , Aged , Animals , Case-Control Studies , Female , Humans , Immunoenzyme Techniques , Male , Mice , Mice, Knockout , Middle Aged , Periodontitis/diagnostic imaging , Radiography, Panoramic , Turkey
2.
West Indian Med J ; 61(2): 191-7, 2012 Mar.
Article in English | MEDLINE | ID: mdl-23155969

ABSTRACT

OBJECTIVE: The aim of this study is to determine whether periodontal health knowledge is associated with frequency of tooth brushing and periodontal treatment need. METHODS: Four hundred and two subjects participated in the study. Data on sociodemographic variables (age, gender, marital status, income, and education), general health, smoking behaviour tooth cleaning habits and knowledge on periodontal health/disease were collected with a questionnaire. Periodontal treatment need was examined using the Community Periodontal Index of Treatment Needs (CPITN). According to the CPITN scores, the treatment needs were grouped as minimum (CPITN = 0), low-level (CPITN = 1-2), or high-level (CPITN = 3-4). RESULTS: Statistical differences were found between the frequency of tooth brushing and smoking status, marital status, periodontal health knowledge and periodontal treatment needs. Gender (females), place of residence (urban areas), education and periodontal health knowledge had positive relationship with tooth brushing frequency, while smoking and periodontal treatment need had negative relationship. When multivariate logistic regression analysis was applied, age, marriage and poor periodontal knowledge were associated with increased low-level periodontal treatment needs, and age, marriage and smoking were associated with increased high-level periodontal treatment need. CONCLUSION: In the limits of this study, we suggest that gender, smoking habits, marital status, place of residence, education and periodontal health knowledge are determining factors related to tooth brushing frequency. Periodontal knowledge and smoking are associated with periodontal treatment needs.


Subject(s)
Health Education, Dental , Periodontal Diseases/prevention & control , Smoking/adverse effects , Toothbrushing , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Periodontal Diseases/etiology , Periodontal Index , Socioeconomic Factors , Turkey , Young Adult
3.
Int J Dent ; 2012: 821383, 2012.
Article in English | MEDLINE | ID: mdl-22899931

ABSTRACT

The dentogingival junction is of crucial importance in periodontal host defense both structurally and functionally. Oral bacteria exert a constant challenge to the host cells and tissues at the dentogingival junction. The host response is set up to eliminate the pathogens by the innate and adaptive defense mechanisms. In health, the commensal bacteria and the host defense mechanisms are in a dynamic steady state. During periodontal disease progression, the dental bacterial plaque, junctional epithelium (JE), inflammatory cells, connective tissue, and bone all go through a series of changes. The tissue homeostasis is turned into tissue destruction and progression of periodontitis. The classical study of Slots showed that in the bacterial plaque, the most remarkable change is the shift from gram-positive aerobic and facultatively anaerobic flora to a predominantly gram-negative and anaerobic flora. This has been later confirmed by several other studies. Furthermore, not only the shift of the bacterial flora to a more pathogenic one, but also bacterial growth as a biofilm on the tooth surface, allows the bacteria to communicate with each other and exert their virulence aimed at favoring their growth. This paper focuses on host-bacteria crosstalk at the dentogingival junction and the models studying it in vitro.

4.
Oral Dis ; 17(1): 115-22, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20659259

ABSTRACT

OBJECTIVE: To determine whether oral rinse matrix metalloproteinase (MMP)-8 levels, measured by three different methods, tissue inhibitor of matrix metalloprotease-1 (TIMP-1) levels and elastase activity differentiate subjects with different periodontal condition; and second, to find out if MMP-8 levels were comparable among the methods used. METHODS: MMP-8 levels were analysed with an immunofluorometric method (IFMA), dentoELISA and commercial ELISA. Also TIMP-1 levels and elastase activity were measured. For statistical analysis 214 study subjects were categorized into four groups, specified by the presence and number of moderate (4-5mm) and deep (≥6mm) periodontal pockets, and bleeding on probing percentage. RESULTS: MMP-8 levels especially measured by dentoELISA and adjusted to the number of teeth per subject differentiated the study group with strong periodontal inflammatory burden from groups with lower levels. This was also verified with receiver operating characteristic (ROC) analysis. Elastase activity associated with higher IFMA and dentoELISA MMP-8 levels. IFMA MMP-8/TIMP and dentoELISA MMP-8/TIMP-1 tended to be higher with the increasing level of periodontal inflammatory burden. TIMP-1 levels decreased with increasing age. CONCLUSIONS: Oral rinse MMP-8 together with TIMP-1 analysis may have potential in complementary periodontal diagnostics. dentoELISA can be applied in quantitative oral rinse chair side biomarker diagnostics.


Subject(s)
Gingival Crevicular Fluid/metabolism , Matrix Metalloproteinase 8/metabolism , Periodontal Pocket/enzymology , Periodontitis/enzymology , Tissue Inhibitor of Metalloproteinase-1/metabolism , Adult , Aged , Biomarkers/analysis , Biomarkers/metabolism , Case-Control Studies , Cross-Sectional Studies , Enzyme-Linked Immunosorbent Assay , Female , Fluorescent Antibody Technique , Gingival Crevicular Fluid/chemistry , Humans , Male , Matrix Metalloproteinase 8/analysis , Middle Aged , Pancreatic Elastase/analysis , Pancreatic Elastase/metabolism , Periodontal Pocket/immunology , Periodontitis/immunology , Point-of-Care Systems , Reference Values , Reproducibility of Results , Severity of Illness Index , Specimen Handling/methods , Statistics, Nonparametric , Tissue Inhibitor of Metalloproteinase-1/analysis
5.
Oral Microbiol Immunol ; 24(4): 304-9, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19572892

ABSTRACT

INTRODUCTION: The Prevotella intermedia group bacteria, namely P. intermedia, Prevotella nigrescens, and Prevotella pallens, are phylogenetically closely related and potentially connected with oral and gastrointestinal tract disease pathogenesis. The aim of the present study was to examine whether these species differ in their capabilities of adhesion to and invasion of epithelial cells. METHODS: Adhesion and invasion were assayed by standard antibiotic/culture assays and fluorescent microscopy techniques. The effect of Prevotella strains on epithelial cell viability was measured using a commercial cell proliferation assay. RESULTS: The strains P. intermedia ATCC 25611 and P. nigrescens ATCC 33263 adhered to epithelial cells, the adhesion numbers of P. intermedia being twice as high as those of P. nigrescens. These strains invaded epithelial cells but invasion was weak. The adhesion of P. intermedia was specifically targeted to epithelial cell lamellipodia. The number of adhered P. intermedia cells increased or decreased when the formation of lamellipodia was stimulated or inhibited, respectively. None of the tested strains showed toxic effects on epithelial cells; a clinical P. intermedia strain even increased the number of viable cells by about 20%. CONCLUSION: The results suggest that among the P. intermedia group bacteria, P. intermedia and P. nigrescens type strains can adhere to and invade epithelial cells, the capability of P. intermedia ATCC 25611(T) being highest in this context. This strain proved to have a special affinity in binding to epithelial cell lamellipodia.


Subject(s)
Epithelial Cells/microbiology , Prevotella intermedia/physiology , Pseudopodia/microbiology , Bacterial Adhesion , Cell Line , Cell Proliferation , Cell Survival , Humans , Keratinocytes/microbiology , Prevotella nigrescens/physiology , Skin/cytology , Species Specificity , Virulence
6.
Oral Microbiol Immunol ; 23(5): 432-4, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18793368

ABSTRACT

BACKGROUND/AIMS: Bacterial pathogens involved in periodontal diseases exert their destructive effects primarily by stimulating the host cells to increase their secretion of proinflammatory cytokines and matrix metalloproteinases (MMPs). This study aimed to determine the epithelial cell matrix metalloproteinase and interleukin-8 (IL-8) secretion upon exposure to fusobacteria. METHODS: Eight different oral and non-oral Fusobacterium strains were incubated with HaCaT epithelial cells. Gelatin zymography and Western blot analysis were performed to detect collagenase 3 (MMP-13), gelatinase A (MMP-2), gelatinase B (MMP-9), and IL-8 secretion by epithelial cells. RESULTS: All Fusobacterium strains, especially Fusobacterium necrophorum ATCC 25286, Fusobacterium nucleatum ATCC 25586, and Fusobacterium varium ATCC 51644, increased MMP-9 and MMP-13 secretion. Fusobacterium simiae ATCC 33568, and to a lesser extent F. nucleatum and F. necrophorum, increased epithelial MMP-2 secretion. F. nucleatum and F. necrophorum also increased IL-8 secretion. F. varium ATCC 27725, a strain that only weakly stimulated MMP production, strongly increased the IL-8 production, suggesting that their expression is differently regulated. CONCLUSION: We conclude that the pathogenic potential of fusobacteria may partly result from their ability to stimulate secretion of MMP-9, MMP-13, and IL-8 from epithelial cells.


Subject(s)
Fusobacterium/physiology , Interleukin-8/metabolism , Keratinocytes/enzymology , Matrix Metalloproteinases/metabolism , Blotting, Western , Cell Line , Epithelial Cells , Fusobacterium/classification , Fusobacterium necrophorum/physiology , Fusobacterium nucleatum/physiology , Humans , Interleukin-8/analysis , Keratinocytes/microbiology , Matrix Metalloproteinase 1/analysis , Matrix Metalloproteinase 1/metabolism , Matrix Metalloproteinase 13/analysis , Matrix Metalloproteinase 13/metabolism , Matrix Metalloproteinase 9/analysis , Matrix Metalloproteinase 9/metabolism , Matrix Metalloproteinases/analysis , Mouth/microbiology , Time Factors
7.
J Pathol ; 202(1): 14-22, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14694517

ABSTRACT

Squamous cell carcinoma (SCC) of the oral cavity is a highly invasive tumour of stratified squamous epithelium that spreads through degradation of the basement membrane (BM) and extracellular matrix (ECM). There are currently no reliable tissue or serum markers to predict whether the tumour has metastasized at the time of diagnosis. Verrucous carcinoma (VC) of the oral cavity is a rare low-grade variant of oral SCC that penetrates into the subepithelial connective tissue. Many matrix metalloproteinases (MMPs), such as MMP-1, -2, -7, -9, -13, and -14, as well as integrin receptors have been implicated in cancer invasion. Integrin alphavbeta6 is induced in SCC and appears to be involved in up-regulation of MMP-9 expression by oral keratinocytes and promotion of their migration. The aim of this study was to investigate whether the pattern of MMP expression or that of alphavbeta6 integrin contributes to the differences in the biological behaviour of oral SCC and VC. The results show that the less aggressive nature of oral VC may be connected to its MMP expression profile. Typically, VCs were devoid of epithelial MMP-3, -7, -9, -12 and -13 expression, compared with SCCs. MMP-19 was expressed by epithelial keratinocytes in hyperproliferative areas of verrucous hyperplasia, VC, and SCC, but was absent in the invasive cancer cell nests of SCC. MMP-26 was expressed by hyperproliferative keratinocytes in VC as well as by invasive cancer cells in SCCs. MMP-10 was expressed widely in the epithelium of all SCC specimens. alphavbeta6 integrin expression was also detected in some cases of epithelial hyperplasia but was significantly more abundant in cancers at the invasive front. The absence of MMP-7, -9 and -12 from epithelial cells may serve as a good prognostic marker of non-invasive oral carcinoma. Blocking the activity of invasion-specific MMPs or alphavbeta6 integrin might offer novel therapeutic modalities in early-stage oral carcinoma.


Subject(s)
Carcinoma, Squamous Cell/genetics , Carcinoma, Verrucous/genetics , Matrix Metalloproteinase 7/analysis , Matrix Metalloproteinase 9/analysis , Metalloendopeptidases/analysis , Mouth Neoplasms/genetics , Antigens, Neoplasm/analysis , Biomarkers, Tumor/analysis , Carcinoma, Squamous Cell/enzymology , Carcinoma, Squamous Cell/pathology , Carcinoma, Verrucous/enzymology , Carcinoma, Verrucous/pathology , Cell Adhesion Molecules/analysis , Collagenases/analysis , Gene Expression Regulation, Neoplastic/genetics , Humans , Hyperplasia/enzymology , Hyperplasia/genetics , Hyperplasia/pathology , Immunohistochemistry/methods , In Situ Hybridization/methods , Integrins/analysis , Matrix Metalloproteinase 10 , Matrix Metalloproteinase 12 , Matrix Metalloproteinase 13 , Matrix Metalloproteinase 3/analysis , Matrix Metalloproteinases/analysis , Matrix Metalloproteinases, Secreted , Mouth Neoplasms/enzymology , Mouth Neoplasms/pathology , Neoplasm Invasiveness/pathology , Prognosis , Kalinin
8.
J Dent Res ; 81(4): 241-6, 2002 Apr.
Article in English | MEDLINE | ID: mdl-12097307

ABSTRACT

Matrilysin is a matrix metalloproteinase expressed in exocrine and mucosal epithelium in many human tissues. Immunohistochemical staining showed that matrilysin is expressed in suprabasal cells of junctional epithelium facing the teeth and in epithelial cell rests of Malassez. No matrilysin expression was seen in the periodontal pocket tissue. In a tissue culture model mimicking junctional epithelium, matrilysin expression was also observed in suprabasal epithelial cells. Of 13 anaerobic oral bacterial species tested, F. nucleatum, F. necrophorum, P. endodontalis, and P. denticola stimulated matrilysin expression in porcine periodontal ligament epithelial cells from 2.5- to 5.7-fold, compared with untreated cells. The enzyme was localized in intracytoplasmic vesicles that also reacted with antibodies against lysosomal membrane protein h-lamp-1. The results indicate that matrilysin may play an important role in the normal physiology of junctional epithelium.


Subject(s)
Epithelial Attachment/enzymology , Matrix Metalloproteinase 7/biosynthesis , Periodontal Ligament/enzymology , Adolescent , Adult , Animals , Bacteria, Anaerobic/immunology , Blotting, Northern , Cells, Cultured , Cytoplasmic Vesicles/enzymology , Epithelial Cells/enzymology , Female , Gene Expression Regulation, Enzymologic , Humans , Immunohistochemistry , Male , Mouth Mucosa/enzymology , Periodontal Ligament/cytology , Swine , Up-Regulation
9.
J Periodontol ; 72(6): 714-21, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11453232

ABSTRACT

BACKGROUND: Dipeptide bestatin has been previously reported to selectively inhibit the growth of Porphyromonas gingivalis. The aims of this study were to investigate the mechanism of action of bestatin and to evaluate its effect on epithelial cells. METHODS: The inhibitory effect of bestatin on P. gingivalis was tested in vitro (culture medium) and in vivo (guinea pig model). Radiolabeled compounds were used to investigate the effect of bestatin on the uptake of amino acids and peptides. The cytotoxic effect of bestatin was evaluated using a keratinocyte cell line. RESULTS: The growth inhibition of P. gingivalis by bestatin was concentration-dependent. Even at high concentrations, compounds possessing a chemical structure or an aminopeptidase inhibitor activity related to bestatin had no effect on growth of P. gingivalis. When injected in the presence of P. gingivalis, bestatin was able to prevent the development of a necrotic abscess in a guinea pig model. Data were obtained suggesting that bestatin does not act on proteinases of P. gingivalis. Rather, bestatin was found to inhibit the intracellular uptake of radioactivity from 14C-labeled amino acids or heat-denatured type I collagen. This was not observed with a spontaneous mutant of P. gingivalis, whose growth was not affected by bestatin. In the second part of the study, bestatin was found to have no effect on epithelial cell viability in culture at concentrations effective on P. gingivalis. In addition, bestatin did not show effects on epithelial cell migration or production of gelatinases. CONCLUSIONS: This study suggests that bestatin selectively inhibits growth of P. gingivalis by affecting the intracellular uptake of amino acids and peptides, which serve as energy and nitrogen sources for this bacterial species. Bestatin has no cytotoxicity and may represent a therapeutic molecule for local treatment of P. gingivalis-associated periodontitis.


Subject(s)
Aminopeptidases/antagonists & inhibitors , Anti-Bacterial Agents/pharmacology , Leucine/pharmacology , Porphyromonas gingivalis/drug effects , Protease Inhibitors/pharmacology , Abscess/microbiology , Abscess/prevention & control , Amino Acids/antagonists & inhibitors , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/toxicity , Bacteroidaceae Infections/prevention & control , Carbon Radioisotopes , Cell Line , Cell Movement/drug effects , Cell Survival/drug effects , Collagen/antagonists & inhibitors , Colony Count, Microbial , Culture Media , Disease Models, Animal , Dose-Response Relationship, Drug , Epithelial Cells/drug effects , Gelatinases/drug effects , Guinea Pigs , Humans , Keratinocytes/drug effects , Leucine/administration & dosage , Leucine/analogs & derivatives , Leucine/toxicity , Peptides/antagonists & inhibitors , Porphyromonas gingivalis/growth & development , Protease Inhibitors/administration & dosage , Protease Inhibitors/toxicity , Radiopharmaceuticals
10.
Wound Repair Regen ; 9(2): 86-94, 2001.
Article in English | MEDLINE | ID: mdl-11350646

ABSTRACT

Phospholipase C secreted by bacterial pathogens has been identified as a virulence factor in several human diseases and has been implicated in impeding wound healing. The role of phospholipase C in the intracellular signal control of epithelial growth was studied in normal human skin keratinocytes cultured in conditions simulating aspects of wound healing. Bacillus cereus phospholipase C decreased cell-cell contact and increased cell migration resulting in disruption of the advancing epithelial sheet. Phospholipase C-induced migration was blocked by inhibitor of the phosphoinositol signal transduction pathway neomycin sulfate and protein kinase C inhibitor RO-31-8220. Induced migration was associated with elevated levels of matrix metalloproteinase-9 which, when blocked by tissue inhibitor of metalloproteinase-1, was accompanied by a loss of migration. Adhesion studies showed that phospholipase C treatment enhanced cell binding to fibronectin, vitronectin and collagen IV. Immunostained phospholipase C-stimulated cells cultured on fibronectin showed enhanced expression and relocation of the integrin subunits alpha(v), alpha5 and beta1. Confocal microscopy showed that phospholipase C-induced levels of integrin subunit beta1 were predominantly deposited on the basal surface of the cell apparently in focal contacts and associated with actin stress fibers. These results indicate that exogenous phospholipase C signaling from a bacterial source may play an important role in perturbing normal reepithelialization via altered expression of integrins and matrix metalloproteinase-9.


Subject(s)
Integrins/metabolism , Keratinocytes/physiology , Signal Transduction/drug effects , Type C Phospholipases/pharmacology , Wound Healing/physiology , Bacillus cereus/enzymology , Cell Movement/drug effects , Cells, Cultured , Epithelium/physiology , Extracellular Matrix , Humans , Immunohistochemistry , Integrin beta1/metabolism , Microscopy, Confocal , Virulence
11.
Exp Cell Res ; 266(1): 11-20, 2001 May 15.
Article in English | MEDLINE | ID: mdl-11339820

ABSTRACT

Heat shock proteins (hsp) have important roles in the regulation and protection of both prokaryotic and eukaryotic cells, especially during environmental stress. Hsps are also important bacterial virulence factors. We investigated whether bacterial hsp60 can alter epithelial cell mitogen-activated protein kinase (MAPK) signaling and cell proliferation. Human skin keratinocytes (HaCaT cell line) were cultured in the presence of hsp60 purified from Actinobacillus actinomycetemcomitans, an important oral pathogen. Protein kinases in the ERK1/2 and p38 MAPK signaling pathways were probed with kinase-specific and phosphorylation-site-specific antibodies on Western blots. In quiescent cultures, hsp60 increased ERK1/2 phosphorylation in a sustained manner and p38 phosphorylation transiently. Hsp60 also increased epithelial cell proliferation by about 30%. Inhibition of the ERK1/2 pathway by PD 98059 (a MEK1 inhibitor) reversed partially ERK1/2 phosphorylation and totally cell proliferation indicating that the ERK1/2 MAPK pathway is involved in the hsp60-induced cell growth. This was supported by findings that hsp60 stimulated phosphorylation of RSK1/2 and cyclic AMP response element-binding protein and increased expression of transcription factors c-Jun and c-Fos. Recombinant human hsp60 did not alter ERK1/2 or p38 phosphorylation and had no effect on epithelial cell proliferation. Inhibition of p38 MAPK pathway by SB 203580 increased both ERK1/2 phosphorylation and cell proliferation demonstrating that the inhibitor can either directly or indirectly activate the ERK1/2 MAPK pathway. The results show that exogenous bacterial hsp60 is able to activate ERK1/2 phosphorylation and thereby cause increased epithelial proliferation. In case of mucosal infection this effect may either lead to increased wound repair or participate in the pathological mechanism of some bacterial diseases that involve increased epithelial proliferation.


Subject(s)
Bacterial Infections/metabolism , Bacterial Infections/physiopathology , Cell Division/physiology , Chaperonin 60/pharmacology , Epithelial Cells/drug effects , Epithelial Cells/metabolism , Mitogen-Activated Protein Kinase 1/metabolism , Mitogen-Activated Protein Kinases/metabolism , Ribosomal Protein S6 Kinases, 90-kDa , Actinobacillus/metabolism , Actinobacillus/pathogenicity , Cell Division/drug effects , Cell Line, Transformed/cytology , Cell Line, Transformed/drug effects , Cell Line, Transformed/metabolism , Chaperonin 60/metabolism , Cyclic AMP Response Element-Binding Protein/drug effects , Cyclic AMP Response Element-Binding Protein/metabolism , Enzyme Inhibitors/pharmacology , Epithelial Cells/cytology , Humans , Keratinocytes/cytology , Keratinocytes/drug effects , Keratinocytes/metabolism , MAP Kinase Kinase Kinases/drug effects , MAP Kinase Kinase Kinases/metabolism , Mitogen-Activated Protein Kinase 1/drug effects , Mitogen-Activated Protein Kinase 3 , Mitogen-Activated Protein Kinases/drug effects , Phosphorylation/drug effects , Proto-Oncogene Proteins c-fos/drug effects , Proto-Oncogene Proteins c-fos/metabolism , Proto-Oncogene Proteins c-jun/drug effects , Proto-Oncogene Proteins c-jun/metabolism , p38 Mitogen-Activated Protein Kinases
12.
J Periodontol ; 71(1): 58-62, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10695939

ABSTRACT

BACKGROUND: We have previously reported that elastase activity in oral fluids is significantly increased in most adult periodontitis patients. In some patients, however, elastase levels remain low despite the presence of deep periodontal pockets. In this study we explored whether or not smoking is related to the unexpected low elastase values in these patients. METHODS: We determined what proportion of the periodontitis patients that showed low oral elastase values were smokers. Paraffin-stimulated saliva or oral rinse samples (3 ml of water, 30 second rinse) were assayed for elastase activity by incubating with 1 mM succinyl-alanyl-alanyl-valine-p-nitroanilide for 20 hours at 37 degrees C, and the color formation read with a spectrophotometer. Neutrophil numbers were analyzed by staining the cells in the oral rinse smear samples. RESULTS: In 2 patient groups, one in Helsinki, Finland (n = 46) and the other in Vancouver, British Columbia (n = 25), 63% and 83%, respectively, of the adult periodontitis patients who had one or more pockets > or =6 mm and had low oral elastase values (increase of optical density <0.5) were smokers. Non-smoking periodontitis patients had elevated neutrophil numbers compared to healthy subjects, while the smoking patients showed no significant change. Next we analyzed elastase levels in stimulated whole saliva in a group of smokers (n = 300) and those who had quit smoking (n = 102). Smokers had significantly lower oral elastase levels than former smokers in both advanced and moderate periodontitis groups. In this subject group, 56% of all smokers with periodontitis (at least one pocket > or =6 mm) had oral elastase values less than 0.5 U while only 31% of those patients who had quit smoking had low values. CONCLUSIONS: Cigarette smoking leads to lowered elastase and neutrophil levels in the oral cavity. The oral neutrophil elastase assay, therefore, cannot be used to measure the periodontal status of smokers.


Subject(s)
Pancreatic Elastase/analysis , Periodontitis/enzymology , Saliva/enzymology , Smoking/metabolism , Adult , Aged , Aged, 80 and over , Analysis of Variance , Coloring Agents , Humans , Leukocyte Count , Leukocyte Elastase/analysis , Middle Aged , Mouth Mucosa/enzymology , Mouth Mucosa/pathology , Mouthwashes , Neutrophils/pathology , Periodontal Pocket/enzymology , Periodontal Pocket/pathology , Periodontitis/pathology , Saliva/cytology , Smoking Cessation , Spectrophotometry
13.
J Med Microbiol ; 49(3): 245-252, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10707944

ABSTRACT

Accumulating dental plaque at the gingival margin contains lipoteichoic acids (LTAs) from the cell walls of gram-positive bacteria. In subgingival plaque associated with periodontal disease the amount of lipopolysaccharides (LPSs) from gram-negative bacteria increases. As the gingival junctional epithelium (JE) is an important structural and functional tissue, participating in the first line defence against apical advancement of dental plaque, this study examined the direct effects of LTAs (from Streptococcus mutans and S. sanguis) and LPSs (from Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Treponema denticola and Escherichia coli) on two epithelial cell lines (HaCaT and ERM) and a culture model for human JE. The cells were exposed to the LTAs or LPSs (10-50 microg/ml) for variable periods of time. None of the bacterial surface components had any effect on primary adhesion or on the epithelial attachment of the JE cultures. However, cell growth and mitotic activity were consistently reduced in all cultures treated with LTAs. In contrast, LPSs showed only slight or no effects on cell growth and mitotic activity depending on the epithelial cells used. This suggests that LPSs, despite their established role as modulators of inflammation, do not have direct harmful effects - at the concentrations found in dental plaque and gingival crevicular fluid - which would explain the mechanism of epithelial degeneration and detachment from the tooth surface. However, the LTAs appear to inhibit the renewal of epithelium and may thus contribute to degeneration of coronal JE and subgingival colonisation by periodontal pathogens.


Subject(s)
Gingiva/drug effects , Gram-Negative Bacteria , Gram-Positive Bacteria , Lipopolysaccharides/pharmacology , Mouth Mucosa/drug effects , Teichoic Acids/pharmacology , Cell Adhesion/drug effects , Cell Division/drug effects , Cell Line , Cells, Cultured , Epithelial Cells/cytology , Epithelial Cells/drug effects , Epithelial Cells/ultrastructure , Gingiva/cytology , Humans , Microscopy, Electron , Mouth Mucosa/cytology
15.
Matrix Biol ; 18(3): 239-51, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10429943

ABSTRACT

Integrin heterodimers sharing the common alphaV subunit are receptors for adhesion glycoproteins such as vitronectin and fibronectin. They are suggested to play an essential role in cell anchoring, differentiation, and survival. Here, we describe the construction of an expression plasmid coding for an intracellular single-chain antibody against alphaV integrin subunit. Saos-2 osteosarcoma cells transfected with this DNA construct showed an approximately 70-100% decrease in the cell surface expression of alphaVbeta3 and alphaVbeta5 integrins as shown by flow cytometry. Intracellular antibody expression had no effect on the mRNA levels of alphaV integrin. Pulse chase experiments of metabolically labeled integrins showed that the translation of precursor alphaV integrin subunit was not affected. However, the maturation of alphaV integrins as glycoproteins was slow suggesting that the transport from endoplasmic reticulum to Golgi complex was partially prevented. Depletion of alphaV integrins from Saos-2 cells led to a decreased ability to spread on fibronectin and vitronectin. Furthermore, the expression of osteoblast differentiation marker genes, alkaline phosphatase and osteopontin, was induced and concomitantly the expression of matrix metalloproteinase-2 decreased. Thus, alphaV integrins seem to be important regulators of osteosarcoma cell phenotypes. Our data also indicate that the expression of intracellular antibodies is an effective strategy to study the significance of specific integrins for cell phenotype and differentiation.


Subject(s)
Antigens, CD/metabolism , Bone and Bones/cytology , Matrix Metalloproteinase 2/biosynthesis , Alkaline Phosphatase/biosynthesis , Antigens, CD/genetics , Antigens, CD/immunology , Biomarkers , Bone and Bones/metabolism , Cell Adhesion , Cell Differentiation/genetics , Enzyme Induction , Fibronectins/metabolism , Glycoproteins/biosynthesis , Glycoproteins/genetics , Humans , Immunoglobulin Fragments/genetics , Immunoglobulin Fragments/immunology , Integrin alphaV , Intracellular Fluid , Matrix Metalloproteinase 2/genetics , Osteopontin , Osteosarcoma , Sialoglycoproteins/biosynthesis , Tumor Cells, Cultured , Vitronectin/metabolism
16.
Exp Cell Res ; 251(1): 67-78, 1999 Aug 25.
Article in English | MEDLINE | ID: mdl-10438572

ABSTRACT

The role of matrix metalloproteinases (MMPs) in cell migration was studied by measuring cell growth, migration, and production of MMP-2 and -9 in oral mucosal and skin keratinocytes cultured in the presence of synthetic MMP inhibitors. MMP-2 was the major gelatinolytic MMP produced by these cells while MMP-9 was produced at a low basal level. Inhibitor effects on MMP-9 production were therefore studied in keratinocytes stimulated by tumor necrosis factor alpha (TNFalpha). Tetracycline analogues at concentrations that inhibited the production of MMP-2 but not MMP-9 were able to drastically inhibit migration of both mucosal and skin keratinocytes. Tetracycline analogues also inhibited keratinocyte growth, an effect not found for the other inhibitors tested. Heterocyclic carbonate-derived compounds (LWs) that inhibited MMP-9 but not MMP-2 production had no effect on cell migration. Batimastat, a potent MMP inhibitor, did not have any effect on MMP production or cell growth but did inhibit keratinocyte migration. Tumor growth factor beta (TGFbeta) increased keratinocyte migration as well as both cell-associated and secreted MMP-2 production in wounded cell cultures. The secreted enzyme was partially converted into an active form. In this model batimastat totally blocked TGFbeta-promoted keratinocyte migration. Immunostaining of keratinocytes advancing into the wound revealed that MMP-2 was localized in extracellular matrix contactlike structures against the endogenously produced laminin-5-rich matrix. MMP-9 was localized diffusely along the cell membranes. Using in situ hybridization we observed that in chronically inflamed human gingiva MMP-2 is expressed in epithelium extending into subepithelial connective tissue. These results suggest that MMP-2 plays a specific role in epithelial migration, possibly by detaching the advancing cells from the pericellular matrix or by activating other MMPs.


Subject(s)
Cell Movement , Gelatinases/antagonists & inhibitors , Gelatinases/metabolism , Keratinocytes/cytology , Keratinocytes/enzymology , Metalloendopeptidases/antagonists & inhibitors , Metalloendopeptidases/metabolism , Cell Adhesion Molecules/metabolism , Cell Division/drug effects , Cell Line , Cell Movement/drug effects , Cell Size/drug effects , Cells, Cultured , Collagenases/biosynthesis , Collagenases/metabolism , Dose-Response Relationship, Drug , Gelatinases/biosynthesis , Gelatinases/genetics , Gene Expression Regulation, Enzymologic/drug effects , Gingivitis/enzymology , Gingivitis/pathology , Humans , In Situ Hybridization , Keratinocytes/drug effects , Keratinocytes/metabolism , Matrix Metalloproteinase 2 , Matrix Metalloproteinase 9 , Matrix Metalloproteinase Inhibitors , Metalloendopeptidases/biosynthesis , Metalloendopeptidases/genetics , Mouth Mucosa/enzymology , Mouth Mucosa/pathology , RNA, Messenger/genetics , RNA, Messenger/metabolism , Transforming Growth Factor beta/pharmacology , Tumor Necrosis Factor-alpha/pharmacology , Wound Healing , Kalinin
17.
J Periodontal Res ; 34(1): 50-3, 1999 Jan.
Article in English | MEDLINE | ID: mdl-10086886

ABSTRACT

Matrix metalloproteinases (MMPs) are capable of cleaving almost all macromolecules of the extracellular connective tissue matrix and are thought to play a major role in tissue destructive inflammatory diseases such as periodontitis. The aim of this study was to determine the effects of siderophores, which are iron-chelating molecules produced by a variety of microorganisms, on the activity of MMP-2. Heat-denatured type I collagen (gelatin) was incubated with p-aminophenylmercuric acetate-activated MMP-2 and siderophores. Degradation of gelatin was monitored by SDS-PAGE and Coomassie blue staining. Ferrichrome, rhodotorulic acid, desferoxamine mesylate and 2,3-dihydroxybenzoic acid were found to inhibit the MMP-2 activity whereas beta-phenylpyruvic acid had no effect. The inhibition could be reversed by adding an excess calcium chloride or ferric chloride to the assay mixtures. Our study suggests that microbial siderophores may represent new-potential therapeutic molecules for the treatment of destructive inflammatory diseases involving excess MMP-2 activity, such as periodontitis.


Subject(s)
Enzyme Inhibitors/pharmacology , Gelatinases/antagonists & inhibitors , Metalloendopeptidases/antagonists & inhibitors , Siderophores/pharmacology , Bacteria , Calcium Chloride/pharmacology , Chelating Agents/pharmacology , Chlorides , Chromium/pharmacology , Collagen/metabolism , Connective Tissue/drug effects , Deferoxamine/pharmacology , Electrophoresis, Polyacrylamide Gel , Extracellular Matrix/drug effects , Ferric Compounds/pharmacology , Ferrichrome/pharmacology , Humans , Hydroxybenzoates/pharmacology , Indicators and Reagents , Iron Chelating Agents/pharmacology , Macromolecular Substances , Matrix Metalloproteinase 2 , Periodontitis/enzymology , Phenylmercuric Acetate/analogs & derivatives , Phenylmercuric Acetate/pharmacology , Phenylpyruvic Acids/pharmacology , Piperazines/pharmacology , Rosaniline Dyes , Sodium Dodecyl Sulfate , Sulfhydryl Reagents/pharmacology
18.
Cell Adhes Commun ; 7(3): 211-21, 1999.
Article in English | MEDLINE | ID: mdl-10626905

ABSTRACT

Keratinocyte growth factor (KGF) induction of keratinocyte attachment and migration on provisional and basement membrane proteins was examined. KGF-treated keratinocytes showed increased attachment to collagen types I and IV and fibronectin, but, not to laminin-1, vitronectin, or tenascin. This increase was time- and dose-dependent. Increase in attachment occurred with 2 10 microg/ml of ECM proteins. This KGF-stimulated cell attachment was beta1 integrin-dependent but was not associated with stimulation of the cell surface expression nor affinity (activity) of the collagen integrin receptor (alpha2beta1) nor the fibronectin integrin receptors (alpha5beta1 or alphav). At the basal layer of KGF-treated cells significant accumulation of beta1 integrins was found at the leading edges, and actin stress fibers colocalized with beta1. KGF also induced migratory phenotype and stimulated keratinocyte migration on both fibronectin and collagen types I and IV but not on laminin-1, vitronectin nor tenascin. The results suggest that in addition to its proliferation promoting activity. KGF is able to modulate keratinocyte adhesion and migration on collagen and fibronectin. Our data suggest that KGF induced integrin avidity (clustering), a signaling event, which is not dependent on the alteration of cell surface integrin numbers.


Subject(s)
Cell Adhesion , Cell Movement , Collagen/metabolism , Fibroblast Growth Factors , Fibronectins/metabolism , Growth Substances/physiology , Keratinocytes/physiology , Antigens, CD/metabolism , Cell Adhesion/drug effects , Cell Culture Techniques/methods , Cell Line , Cell Movement/drug effects , Cells, Cultured , Collagen/pharmacology , Cytoskeleton/metabolism , Dose-Response Relationship, Drug , Fibroblast Growth Factor 10 , Fibroblast Growth Factor 7 , Flow Cytometry , Growth Substances/pharmacology , Humans , Integrin alpha2 , Integrin alpha5 , Integrin alphaV , Integrin beta1/metabolism , Keratinocytes/cytology , Keratinocytes/drug effects , Time Factors
19.
Cell Adhes Commun ; 7(3): 245-57, 1999.
Article in English | MEDLINE | ID: mdl-10626908

ABSTRACT

Collaborative role of various fibronectin-binding integrins (alpha5beta1, alphavbeta1 and alphavbeta6) as mediators of cell adhesion and migration on fibronectin was studied using cultured HaCaT keratinocytes. This cell line spontaneously expressed all three fibronectin-binding integrins. In addition, the expression of alphavbeta6 integrin was strongly and specifically upregulated by transforming growth factor-beta1 (TGFbeta1) whereas the amount of other integrins remained practically unchanged on the cell surface. Adhesion, spreading and motility of HaCaT keratinocytes on fibronectin were promoted by TGFbeta1. Based on antibody blocking experiments, both untreated and TGFbeta1-treated HaCaT cells used alphavbeta6 integrin as their main fibronectin receptor for cell spreading. In contrast to TGFbeta1-treated cells, the untreated cells also needed alpha5beta1 integrin for maximal cell spreading on fibronectin. Combinations of antibodies blocking both of these receptors totally prevented spreading of both untreated and TGFbeta1-treated cells. Haptotactic motility of individual HaCaT cells through fibronectin-coated membranes was again mainly dependent on alphavbeta6 integrin, while alphavbeta1 and alpha5beta1 integrins played a lesser role both in untreated and TGFbeta1-treated HaCaT cells. However, unlike haptotaxis, lateral migration of HaCaT cell sheet was mainly mediated by beta1 integrins, and alphavbeta6 integrin showed a minor role. The migration process appeared to involve a number of beta1 integrins that could adaptively replace each other when blocking antibodies were present. Thus, keratinocytes appear to use different fibronectin receptors for different functions, such as cell spreading, haptotaxis and lateral migration. The cells can also adapt to a situation where one receptor is unfunctional by switching to another receptor of the same ligand.


Subject(s)
Antigens, Neoplasm , Cell Movement , Fibronectins/metabolism , Integrins/physiology , Keratinocytes/physiology , Receptors, Fibronectin/physiology , Receptors, Vitronectin , Cell Adhesion/drug effects , Cell Line , Cell Movement/drug effects , Dose-Response Relationship, Drug , Flow Cytometry , Humans , Immunoblotting , Integrins/biosynthesis , Integrins/genetics , Precipitin Tests , Receptors, Fibronectin/biosynthesis , Receptors, Fibronectin/genetics , Transforming Growth Factor beta/pharmacology , Up-Regulation
20.
Infect Immun ; 66(11): 5307-13, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9784537

ABSTRACT

The subcellular locations, ultrastructure, and cytotoxic activity of the GroEL-like protein from Actinobacillus actinomycetemcomitans were investigated. Two-dimensional sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) clearly indicated that synthesis of the GroEL-like protein is substantially increased after a thermal shock. Analysis of the purified native GroEL-like protein by transmission electron microscopy revealed the typical 14-mer cylindrical molecule, which had a diameter of about 12 nm. A. actinomycetemcomitans cells grown at 35 degreesC and heat shocked at 43 degreesC were fractionated, and fractions were separated by SDS-PAGE and analyzed by Western immunoblotting using antibodies to GroEL- and DnaK-like proteins. The GroEL-like protein was found in both the soluble and membrane fractions, whereas the DnaK-like protein was mostly found in the cytoplasm. An increase in specific proteins, including the GroEL- and DnaK-like proteins, was found in heat-shocked cells. The subcellular localization of the GroEL-like protein was examined by immunoelectron microscopy of whole cells. More GroEL-like protein was detected in stressed cells than in unstressed cells, and most of it was found not directly associated with outer membranes but rather in extracellular material. The native GroEL-like protein was assessed for cytotoxic activities. The GroEL-like protein increased the proliferation of periodontal ligament epithelial cells at concentrations between 0.4 and 1.0 microgram/ml. The number of cells in the culture decreased significantly at higher concentrations. A cell viability assay using HaCaT epithelial cells indicated that the GroEL-like protein was strongly toxic for the cells. These studies suggest the extracellular nature of the GroEL-like protein and its putative role in disease initiation.


Subject(s)
Aggregatibacter actinomycetemcomitans/immunology , Chaperonin 60/metabolism , Chaperonin 60/toxicity , Cytotoxins/metabolism , Cytotoxins/toxicity , Aggregatibacter actinomycetemcomitans/metabolism , Aggregatibacter actinomycetemcomitans/ultrastructure , Animals , Cell Line , Chaperonin 60/isolation & purification , Epithelial Cells/immunology , Epithelial Cells/microbiology , Epithelial Cells/ultrastructure , Heat-Shock Response/immunology , Humans , Molecular Weight , Periodontal Ligament , Subcellular Fractions/immunology , Subcellular Fractions/metabolism , Subcellular Fractions/ultrastructure , Swine
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