Endothelin Regulates Porphyromonas gingivalis-Induced Production of Inflammatory Cytokines

PLoS One. 2016 Dec 28;11(12):e0167713. doi: 10.1371/journal.pone.0167713. eCollection 2016.

Abstract

Periodontitis is a very common oral inflammatory disease that results in the destruction of supporting connective and osseous tissues of the teeth. Although the exact etiology is still unclear, Gram-negative bacteria, especially Porphyromonas gingivalis in subgingival pockets are thought to be one of the major etiologic agents of periodontitis. Endothelin (ET) is a family of three 21-amino acid peptides, ET-1, -2, and -3, that activate G protein-coupled receptors, ETA and ETB. Endothelin is involved in the occurrence and progression of various inflammatory diseases. Previous reports have shown that ET-1 and its receptors, ETA and ETB are expressed in the periodontal tissues and, that ET-1 levels in gingival crevicular fluid are increased in periodontitis patients. Moreover, P. gingivalis infection has been shown to induce the production of ET-1 along with other inflammatory cytokines. Despite these studies, however, the functional significance of endothelin in periodontitis is still largely unknown. In this study, we explored the cellular and molecular mechanisms of ET-1 action in periodontitis using human gingival epithelial cells (HGECs). ET-1 and ETA, but not ETB, were abundantly expressed in HGECs. Stimulation of HGECs with P. gingivalis or P. gingivalis lipopolysaccharide increased the expression of ET-1 and ETA suggesting the activation of the endothelin signaling pathway. Production of inflammatory cytokines, IL-1β, TNFα, and IL-6, was significantly enhanced by exogenous ET-1 treatment, and this effect depended on the mitogen-activated protein kinases via intracellular Ca2+ increase, which resulted from the activation of the phospholipase C/inositol 1,4,5-trisphosphate pathway. The inhibition of the endothelin receptor-mediated signaling pathway with the dual receptor inhibitor, bosentan, partially ameliorated alveolar bone loss and immune cell infiltration. These results suggest that endothelin plays an important role in P. gingivalis-mediated periodontitis. Thus, endothelin antagonism may be a potential therapeutic approach for periodontitis treatment.

MeSH terms

  • Animals
  • Calcium / metabolism
  • Cytokines / metabolism*
  • Disease Progression
  • Endothelin-1 / biosynthesis
  • Endothelin-1 / metabolism*
  • Epithelial Cells / cytology
  • Epithelial Cells / metabolism
  • Epithelial Cells / microbiology
  • Humans
  • Inflammation / metabolism
  • Male
  • Mice
  • Periodontitis / pathology
  • Porphyromonas gingivalis / physiology*
  • Signal Transduction

Substances

  • Cytokines
  • Endothelin-1
  • Calcium

Grants and funding

This work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2013R1A1A2061305 for Inik Chang) and the Ministry of Science, ICT and future Planning (2015R1A2A1A15054157 for Dong Min Shin and 2016R1A5A2008630 for Inik Chang and Dong Min Shin). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.