Abstract

BackgroundPeriodontitis is a bacteria-driven inflammatory bone loss disease. Previous studies showed that the oral pathogen Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) stimulated the generation of sphingosine 1 phosphate (S1P). In addition, S1P signaling regulated the migration of osteoclast precursors and affected osteoclastogenesis. Furthermore, treatment with FTY720 (also called fingolimod, a modulator of multiple S1P receptors) alleviated osteoporosis and suppressed arthritis in animals. This study determined the effect of FTY720 on proinflammatory cytokine production and osteoclastogenesis in murine bone marrow cells with or without A. actinomycetemcomitans stimulation.MethodsMurine bone marrow-derived monocytes and macrophages (BMMs) were treated with vehicle ethanol or FTY720, and were either unstimulated or stimulated for 0.5 to 6 h with A. actinomycetemcomitans. The protein levels of interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF)-α in the media of BMMs were quantified by enzyme-linked immunosorbent assay (ELISA). Protein expressions, including phosphorylated phosphoinositide 3-kinase (p-PI3K), p-Akt, p-extracellular signal-regulated kinase (p-ERK), PI3K, Akt, and ERK were evaluated by Western blot. In addition, murine bone marrow-derived pre-osteoclasts were treated with macrophage colony-stimulating factor (M-CSF) and receptor activator of nuclear factor kappa-B ligand (RANKL) for three days. Then the cells were treated with either vehicle or FTY720 and were either unstimulated or stimulated with A. actinomycetemcomitans for 4 to 24 h. Control cells were treated with M-CSF alone with or without bacterial stimulation. Osteoclasts were stained by tartrate-resistant acid phosphatase (TRAP) staining. The mRNA levels of osteoclastogenic factors, including nuclear factor of activated T-cells cytoplasmic calcineurin-dependent 1 (Nfatc1), cathepsin K (Ctsk), acid phosphatase 5 (Acp5), osteoclast-associated receptor (Oscar), and RANKL were quantified by quantitative real-time polymerase chain reaction (PCR).ResultsFTY720 dose-dependently inhibited IL-1β, IL-6, and TNF-α protein levels induced by A. actinomycetemcomitans in BMMs compared with controls. Additionally, FTY720 attenuated p-PI3K, p-Akt, and p-ERK expressions induced by A. actinomycetemcomitans. Furthermore, FTY720 suppressed osteoclastogenesis in bone marrow-derived pre-osteoclasts with or without bacterial stimulation and reduced the mRNA levels of Nfatc1, Ctsk, Acp5, and Oscar, but not RANKL in bone marrow-derived pre-osteoclasts.ConclusionFTY720 inhibited proinflammatory cytokine production and suppressed osteoclastogenesis, supporting FTY720 as a potential therapy for inflammatory bone loss diseases.

Highlights

  • Periodontitis is a bacteria-driven inflammatory bone loss disease

  • FTY720 dose-dependently inhibited IL-1β, IL-6, and tumor necrosis factor (TNF)-α protein levels induced by A. actinomycetemcomitans in Bone marrow-derived monocytes and macrophages (BMM) Because FTY720 inhibited inflammatory response in previous in vivo studies [26], we hypothesized that FTY720 regulated the proinflammatory responses induced by A. actinomycetemcomitans

  • FTY720 attenuated p-phosphoinositide 3-kinase (PI3K), p-Akt, and p-extracellular signalregulated kinase (ERK) expressions induced by A. actinomycetemcomitans in BMMs To further elucidate which signaling pathways were affected by FTY720 in regulating the immune response induced by A. actinomycetemcomitans, we performed Western blot assays in BMMs treated with vehicle or FTY720 (8 μM), with or without A. actinomycetemcomitans stimulation

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Summary

Introduction

Previous studies showed that the oral pathogen Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) stimulated the generation of sphingosine 1 phosphate (S1P). This study determined the effect of FTY720 on proinflammatory cytokine production and osteoclastogenesis in murine bone marrow cells with or without A. actinomycetemcomitans stimulation. Oral bacterial pathogens initiate a host inflammatory response, leading to proinflammatory cytokine production, progressive alveolar bone loss, and subsequent tooth loss [1]. The mechanisms associated with the inflammatory bone loss response induced by oral pathogens have not been completely elucidated. We showed that A. actinomycetemcomitans stimulated the generation of sphingosine-1-phosphate (S1P) in RAW 264.7 cells, a murine monocyte and macrophage cell line [2]. S1P signaling plays an important role in regulating cell growth, proliferation, adhesion, chemotaxis, cytokine production, and bone homeostasis [4, 6,7,8]

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