Abstract

We report here that the leptomeningeal cells transduce inflammatory signals from peripheral macrophages to brain-resident microglia in response to Porphyromonas gingivalis (P.g.) LPS. The expression of Toll-like receptor 2 (TLR2), TLR4, TNF-α, and inducible NO synthase was mainly detected in the gingival macrophages of chronic periodontitis patients. In in vitro studies, P.g. LPS induced the secretion of TNF-α and IL-1β from THP-1 human monocyte-like cell line and RAW264.7 mouse macrophages. Surprisingly, the mean mRNA levels of TNF-α and IL-1β in leptomeningeal cells after treatment with the conditioned medium from P.g. LPS-stimulated RAW264.7 macrophages were significantly higher than those after treatment with P.g. LPS alone. Furthermore, the mean mRNA levels of TNF-α and IL-1β in microglia after treatment with the conditioned medium from P.g. LPS-stimulated leptomeningeal cells were significantly higher than those after P.g. LPS alone. These observations suggest that leptomeninges serve as an important route for transducing inflammatory signals from macrophages to microglia by secretion of proinflammatory mediators during chronic periodontitis. Moreover, propolis significantly reduced the P.g. LPS-induced TNF-α and IL-1 β production by leptomeningeal cells through inhibiting the nuclear factor-κB signaling pathway. Together with the inhibitory effect on microglial activation, propolis may be beneficial in preventing neuroinflammation during chronic periodontitis.

Highlights

  • Periodontitis is the most common adult chronic inflammatory disorder, which results in a consequence of the persistent systemic inflammatory responses [1, 2]

  • We first examined the localization of Toll-like receptor 2 (TLR2), TLR4, and cytokines in human gingival tissues of chronic periodontitis patients, because macrophages are the main population in gingival tissues of chronic periodontitis to response P.g

  • Our immunofluorescent double staining revealed that the immunoreactivities for TLR2, TLR4, TNF-α, and inducible NO synthase (iNOS) corresponded well with those for Iba1 (Figure 1(a)) and their correspondence ratios were 72%, 79%, 53%, and 65%, respectively

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Summary

Introduction

Periodontitis is the most common adult chronic inflammatory disorder, which results in a consequence of the persistent systemic inflammatory responses [1, 2]. M1 macrophages promote inflammation and tissue damage by secreting proinflammatory mediators, including TNF-α, IL-1β, and expressing inducible NO synthase (iNOS). M2 macrophages promote anti-inflammation and wound healing by secreting anti-inflammatory mediators, including IL-10 and TGF-β1, and upregulating arginase 1 (Arg 1) [8, 9]. In addition to causing chronic systemic inflammatory diseases, including atherosclerosis, cardiovascular disease, and diabetes [10,11,12], periodontitis has been proposed as a risk factor for the central nervous system (CNS) disorders, such as Alzheimer’s disease (AD) [13,14,15]. The exact route by which periodontitis transduces the peripheral inflammatory messages into the CNS remains unclear

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