Beruflich Dokumente
Kultur Dokumente
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Original article
Abstract
Porphyromonas gingivalis is a Gram-negative, keystone pathogen in periodontitis that leads to tissue destruction and ultimately tooth loss.
The organism is able to infect oral epithelial cells and two-dimensional (monolayer) cultures have been used to investigate this process.
However, recently there has been interest in the use of three-dimensional, organotypic mucosal models to analyse infection. These models are
composed of collagen-embedded fibroblasts overlain with multilayers of oral epithelial cells. In this study we report for the first time significant
differences in the response of oral mucosal models to P. gingivalis infection when compared to monolayer cultures of oral epithelial cells.
Intracellular survival (3-fold) and bacterial release (4-fold) of P. gingivalis was significantly increased in mucosal models compared with
monolayer cultures, which may be due to the multi-layered nature and exfoliation of epithelial cells in these organotypic models. Furthermore,
marked differences in the cytokine profile between infected organotypic models and monolayer cultures were observed, particularly for CXCL8
and IL6, which suggested that degradation of cytokines by P. gingivalis may be less pronounced in organotypic compared to monolayer cultures.
These data suggest that use of oral mucosal models may provide a greater understanding of the host responses to P. gingivalis invasion than
simple monolayer cultures.
2014 Institut Pasteur. Published by Elsevier Masson SAS. All rights reserved.
Keywords: Porphyromonas gingivalis; Periodontitis; Epithelial cells; Oral mucosa; Chemokines; Innate immunity
1. Introduction
Porphyromonas gingivalis is a Gram-negative anaerobic
bacterium that significantly contributes to the pathogenesis of
periodontitis. This inflammatory disease affects the tissues that
surround and support the teeth and is the leading cause of
tooth-loss worldwide [1]. P. gingivalis can invade oral
epithelial cells in vivo [2] and in vitro [3e5], and has been
detected in a number of locations within the oral cavity,
including the buccal [6] and gingival mucosa [2]. Bacterial
internalisation by epithelial cells is thought to promote its
persistence within oral tissues by evasion of host immune
1286-4579/$ - see front matter 2014 Institut Pasteur. Published by Elsevier Masson SAS. All rights reserved.
http://dx.doi.org/10.1016/j.micinf.2014.01.004
311
312
2.7. Immunofluorescence
313
Fig. 1. Haematoxylin and eosin staining of air-exposed and submerged OMM cultured using H357 and NOK. The H357 cell line and NOK were cultured on a
fibroblast-populated collagen matrix at the air-to-liquid interface or completely submerged in culture medium.
314
Fig. 2. Detection of P. gingivalis cells within cultured OMMs. P. gingivalis cells (unlabelled (AeC) or FITC-labelled (D)) were incubated with air-exposed H357OMM (A&D), air-exposed NOK-OMM (B) or submerged H357-OMM (C) for 4 h. OMMs were then stained using a P. gingivalis-specific antibody (clone 1B5)
and counter-stained with haematoxylin (AeC) or OMMs were cryosectioned and Hoechst used to stain the epithelial cell nuclei (D). Staining was detected in the
superficial layers of air-exposed H357-OMM (A) and deeper within the OMMs (arrows in C&D). Penetration of P. gingivalis into the connective tissue of
submerged H357-OMM (C). Staining of P. gingivalis within NOK-OMM (B), arrows indicate staining of intracellular bacteria. Images are representative of at least
three independent experiments.
Monolayer
P<0.05
5
Invasion (%)
315
OMM
4
3
2
1
0
H357
NOK
Invasion (%)
5
4
3
2
1
0
Air-exposed
Submerged
Fig. 4. Line charts to show the percentage invasion, CFU recovered from
supernatant and number of exfoliated epithelial cells after invasion of H357
monolayers and H357-OMM by P. gingivalis. H357 monolayers and H357OMM were cultured and exposed to P. gingivalis NCTC 11834 for 90 min
or H357-OMM was exposed to P. gingivalis NCTC 11834 for 4 h. Following
which H357 were washed and incubated with metronidazole for 1 h to kill the
external adherent bacteria. Invasion was calculated as the number of intracellular bacteria as a percentage of the original inoculum. Time 0 h refers to
measurements made immediately after metronidazole treatment. Representative wells were then washed and incubated at 37 C/5% CO2 and measurements made at the time points indicated in the graphs. Measurements included
percentage invasion (A) and the number of bacteria released from the
epithelial cells which is presented as the number of colony forming units
(CFU) counted by viable counting on blood agar plates, as a percentage of the
intracellular extracellular CFU (B). The number of exfoliated cells was also
counted at each time point (C). In all cases error bars indicate means SEM
of three (monolayer) or two (OMM) independent experiments, all repeated in
triplicate.
316
- P. gingivalis
+ P. gingivalis
A B C D E F G H I J K L
A B C D E F G H I J
A B C D E F G H
A B C D E F G H
J K
Monolayer
J K L
OMM
A
B
1
Pos
Pos
2
Pos
Pos
3
IL-1
IL-2
4
IL-1
IL-2
5
IL-13
IL-15
6
IL-13
IL-15
7 RANTES TGF-1
8 RANTES TGF-1
C
D
E
Neg
Neg
Eotaxin
Neg
Neg
Eotaxin
IL-3
IL-4
IL-6
IL-3
IL-4
IL-6
IL-16 IL-17
IP-10
IL-16 IL-17
IP-10
TNF- TNF- s TNF R1
TNF- TNF- s TNF R1
Chemokine/
Cytokine
F
G
H
I
Eotaxin 2 GCSF GM-CSF ICAM-1
Eotaxin 2 GCSF GM-CSF ICAM-1
IL-6sR
IL-7
IL-8
IL-10
IL-6sR
IL-7
IL-8
IL-10
MCP-1
MCP-2
M-CSF
MIG
MCP-1
MCP-2
M-CSF
MIG
s TNF RII PDGF-BB TIMP-2
Blank
s TNF RII PDGF-BB TIMP-2
Blank
Also known as
J
K
L
IFN-
I-309
IL-1
IFN-
I-309
IL-1
IL-11 IL-12 p40 IL-12 p70
IL-11 IL-12 p40 IL-12 p70
MIP-1 MIP-1
MIP-1
MIP-1 MIP-1
MIP-1
Blank
Neg
Pos
Blank
Neg
Pos
Fold Change
Monolayer
OMM
CXCL8
Interleukin 8
-0.7
0.5
IL-1
Interleukin 1
2.3
-0.1
IL-6
Interleukin 6
-0.1
0.3
CCL2
-0.1
-0.6
CXCL10
-0.1
-0.1
CCL5
-0.1
-0.6
TIMP-2
-0.1
-0.1
TNF-
-0.1
-0.1
Fig. 5. Cytokine immunoblot of NOK-monolayer and NOK-OMM stimulated with TNF-a and P. gingivalis NCTC 11834. NOK monolayer and NOK OMM were
pre-stimulated with TNF-a for 4 h. Monolayers and OMMs were exposed to TNF-a with or without P. gingivalis for 1.5 h and 4 h respectively. Monolayers and
OMMs were washed and incubated with metronidazole for 4 h during which time cytokines were released. A cytokine array was performed and the density of each
dot analysed. Using the internal positive control (Pos), the relative density was calculated between eP. gingivalis and P. gingivalis for monolayer and OMM.
Immunoblots (A), location of cytokine antibodies on the array membranes (B), fold changes between infected and non-infected blots (C). Results shown are
representative of duplicate experiments.
317
318
the OMM and consequent relative protection against the action of bacterial proteases or perhaps due to intrinsic differences between the physiology of the two model systems.
While it is possible that the action of gingipains might be
reduced in the aerobic conditions of these tissue culture systems, previous workers have reported that most of the proteolytic activity of P. gingivalis cultures was retained in the
presence of oxygen [36] and that gingipains are active in
tissue culture systems incubated aerobically [8]. We cannot
rule out that some of the cytokines secreted may have originated from oral fibroblasts within the OMM. However, experiments comparing stimulated OMM containing fibroblasts
to those without fibroblasts show that these cells contribute
only a small increase in CXCL8 production (approximately
0.4-fold) but no apparent contribution to the secretion of IL-6
(data not shown). Therefore, these data suggest that the fibroblasts may only play a minor role in chemokine/cytokine
contribution in the OMM and their presence seems unlikely to
explain the lack of attenuation of these cytokines compared
with monolayer cultures. Additionally, the chemokine/cytokine contribution from fibroblasts, as part of OMM, is an
intrinsic feature that qualifies these models as more representative of the oral tissues.
In summary, we have shown that monolayer cultures may
be suitable to determine trends in experimental data on cell
invasion by P. gingivalis. However, when requiring absolute
end-point values, the use of organotypic models are a more
relevant in vitro model of the cellular microenvironment
encountered by P. gingivalis in vivo.
Acknowledgements
The authors would like to thank GlaxoSmithKline for
funding this work.
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