Abstract

Alzheimer’s disease (AD) is a degenerative disease of the central nervous system with unclear etiology and pathogenesis. In recent years, as the infectious theory and endotoxin hypothesis of AD has gained substantial attention, several studies have proposed that Porphyromonas gingivalis (P. gingivalis), one of the main pathogenic bacteria of chronic periodontitis, and the lipopolysaccharide (LPS) of P. gingivalis may lead to AD-like pathological changes and cognition impairment. However, research on the relationship between P. gingivalis-LPS and neuroinflammation is still lacking. Our study aimed to investigate the effects of P. gingivalis-LPS preparation on immuno-inflammation in microglial cells and further compared the differential inflammatory response induced by P. gingivalis-LPS and Escherichia coli (E. coli) LPS preparations. The results showed that P. gingivalis-LPS could upregulate the gene expression and release of pro-inflammatory factors in BV-2 microglial cells, including IL-1β, IL-6, TNF-α, IL-17, and IL-23. We also observed an increase in the level of Toll-like receptor 2/4 (TLR2/4) and NF-κB/STAT3 signaling. Moreover, the changes mentioned above were more significant in the E. coli-LPS group and the effects of both kinds of LPS could be differentially reversed by the administration of the TLR2 inhibitor C29 and TLR4 inhibitor TAK-242. The molecular simulation showed that the binding affinity of P. gingivalis-lipid A to TLR4-MD-2 was weaker than E. coli-lipid A, which was probably due to the presence of fewer acyl chains and phosphate groups of P. gingivalis-lipid A than E. coli-lipid A. We conclude that P. gingivalis-LPS could activate TLR2/4-mediated NF-κB/STAT3 signaling pathways, which ultimately resulted in an immune-inflammatory response in BV-2 microglia. In contrast to E. coli-LPS, P. gingivalis-LPS is a weaker TLR2/4 agonist and NF-κB/STAT3 signaling activator. Furthermore, the different fatty acid chains and phosphate groups between P. gingivalis-lipid A and E. coli-lipid A may be the reason for the weaker activating properties of P. gingivalis-LPS.

Highlights

  • Alzheimer’s disease (AD) is a degenerative disorder of the central nervous system (CNS) characterized by progressive cognitive dysfunction, memory impairment, and other dementia manifestations, and it has been identified as the most common cause for dementia (Abeysinghe et al, 2020)

  • Upregulation of TLR2, TLR4, and CD14 mRNA was observed in cells stimulated with 1mg/mL P. gingivalisLPS

  • western blotting (WB) analysis was performed for TLR2, TLR4, and CD14 protein to investigate the effects of P. gingivalis-LPS in BV-2 cells

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Summary

Introduction

Alzheimer’s disease (AD) is a degenerative disorder of the central nervous system (CNS) characterized by progressive cognitive dysfunction, memory impairment, and other dementia manifestations, and it has been identified as the most common cause for dementia (Abeysinghe et al, 2020). Our previous study indicated that periodontitis induced by topical application of P. gingivalis-LPS into the gingival sulcus could contribute to learning and memory impairment via neuroinflammation in Sprague-Dawley rats, and the activation of microglia is closely related to disease progression (Hu et al, 2020). These findings indicate that P. gingivalis and its virulence factors may infect the CNS, cause neuroinflammation, and eventually AD-like pathological changes (Halliday et al, 2016; Singhrao et al, 2017; Zhang et al, 2018)

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