High glucose-induced oxidative stress impairs proliferation and migration of human gingival fibroblasts

PLoS One. 2018 Aug 9;13(8):e0201855. doi: 10.1371/journal.pone.0201855. eCollection 2018.

Abstract

Delayed gingival wound healing is widely observed in periodontal patients with diabetes. However, the molecular mechanisms of the impaired function of gingival fibroblasts in diabetes remain unclear. The purpose of this study was to investigate changes in the properties of human gingival fibroblasts (HGFs) under high-glucose conditions. Primary HGFs were isolated from healthy gingiva and cultured with 5.5, 25, 50, and 75 mM glucose for 72 h. In vitro wound healing, 5-ethynyl-2'-deoxyuridine (EdU), and water-soluble tetrazolium salt (WST-8) assays were performed to examine cell migration and proliferation. Lactase dehydrogenase (LDH) levels were measured to determine cytotoxicity. The mRNA expression levels of oxidative stress markers were quantified by real-time PCR. Intracellular reactive oxygen species (ROS) were also measured in live cells. The antioxidant N-acetyl-l-cysteine (NAC, 1 mM) was added to evaluate the involvement of ROS in the glucose effect on HGFs. As a result, the in vitro wound healing assay showed that high glucose levels significantly reduced fibroblast migration and proliferation at 6, 12, 24, 36, and 48 h. The numbers of cells positive for EdU staining were decreased, as was cell viability, at 50 and 75 mM glucose. A significant increase in LDH was proportional to the glucose concentration. The mRNA levels of heme oxygenase-1 and superoxide dismutase-1 and ROS levels were significantly increased in HGFs after 72 h of exposure to 50 mM glucose concentration. The addition of NAC diminished the inhibitory effect of high glucose in the in vitro wound healing assay. The results of the present study show that high glucose impairs the proliferation and migration of HGFs. Fibroblast dysfunction may therefore be caused by high glucose-induced oxidative stress and may explain the delayed gingival wound healing in diabetic patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcysteine / pharmacology
  • Adult
  • Aged
  • Antioxidants / pharmacology
  • Cell Movement / drug effects
  • Cell Movement / physiology*
  • Cell Proliferation / drug effects
  • Cell Proliferation / physiology*
  • Cell Survival / drug effects
  • Cell Survival / physiology
  • Cells, Cultured
  • Female
  • Fibroblasts / drug effects
  • Fibroblasts / metabolism*
  • Fibroblasts / pathology
  • Gingiva / drug effects
  • Gingiva / injuries
  • Gingiva / metabolism*
  • Gingiva / pathology
  • Glucose / adverse effects*
  • Glucose / metabolism
  • Heme Oxygenase-1 / metabolism
  • Humans
  • Male
  • Middle Aged
  • Oxidative Stress / drug effects
  • Oxidative Stress / physiology*
  • RNA, Messenger / metabolism
  • Reactive Oxygen Species / metabolism
  • Superoxide Dismutase-1 / metabolism
  • Wound Healing / drug effects
  • Wound Healing / physiology

Substances

  • Antioxidants
  • RNA, Messenger
  • Reactive Oxygen Species
  • SOD1 protein, human
  • HMOX1 protein, human
  • Heme Oxygenase-1
  • Superoxide Dismutase-1
  • Glucose
  • Acetylcysteine

Grants and funding

This study was supported by a Grant-in-Aid for Scientific Research from the Japan Society for the promotion of Science, 16K20666 and 25862043 (https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16K20666/). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.