Les parodontites sont des maladies chroniques inflammatoires causées par un biofilm bactérien. Elles sont la première cause de perte des dents dans les pays industrialisés et représentent donc un coût important pour la société. Le biofilm buccal est composé de plus de 500 espèces différentes, parmi lesquelles Porphyromonas gingivalis est reconnue comme une cause majeure du développement des symptômes. Cette bactérie à Gram négatif est considérée comme anaérobie bien qu’elle tolère des concentrations faibles en oxygène, ce qui favorise la colonisation de la cavité orale. Notre objectif était de mettre en évidence les processus biologiques conférant à P. gingivalis sa résistance à l’oxygène et au stress oxydant, mais également ceux impliqués dans la transition métabolique en concentrations variables d’oxygène. Des analyses in silico des génomes de souches de P. gingivalis ont révélé la présence d’un système respiratoire dépendant de l’oxygène, impliquant une cytochrome bd oxydase CydAB. Nous avons construit un mutant de P. gingivalis ATCC 33277 par délétion des gènes cydAB. Nos travaux ont montré que ce mutant était plus sensible que la souche parentale aux espèces réactives de l’oxygène (ROS) dont le peroxyde d’hydrogène et le générateur d’anion superoxyde paraquat. De plus, nous avons démontré que CydAB était impliquée dans le phénotype aérotolérant de P. gingivalis, et que cette enzyme consommait effectivement l’oxygène grâce à une étude par oxygraphie à haute résolution. Les mécanismes de régulations en réponse aux ROS et à l’oxygène sont encore mal connus, notamment en ce qui concerne la régulation positive de l’expression des gènes cydAB en présence d’oxygène. Deux gènes codant des régulateurs de type FNR ont été identifiés dans le génome de P. gingivalis, l’un d’entre eux codant un régulateur de la réponse au stress nitrosant, HcpR. Le second gène PGN_1569 a fait l’objet de notre étude. Par mutation et par analyses transcriptomiques, nous avons démontré que ce régulateur s’autorégulait négativement et activait l’expression de 4 groupes de gènes en anaérobie, n’incluant pas les gènes cydAB. L’expression de ces gènes est par ailleurs contrôlée par d’autres régulateurs redox, OxyR et/ou SigH et/ ou RprY. Cette étude met donc en évidence une connexion entre FNR et les autres régulateurs de la réponse au stress oxydant chez P. gingivalis. Des études complémentaires permettront de caractériser la fonction encore hypothétique des protéines codées par le régulon FNR. Il est intéressant de noter que l’absence de FNR confère à P. gingivalis une plus grande capacité à former un biofilm en anaérobie / Periodontal diseases are chronic inflammatory infections caused by bacteria in oral biofilm they are the first cause of loss of tooth in industrial countries with an important cost for the society. The biofilm comprises more than 500 bacterial species. Amongst them, Porphyromonas gingivalis, a Gram-negative bacterium, is well known as a major causative agent of periodontitis. Although considered as mainly anaerobe, P. gingivalis tolerates low oxygen concentration, therefore enhancing its ability to colonize the oral cavity. Our aim was to decipher the biological processes underpinning the resistance of P. gingivalis to oxygen and reactive oxygen species (ROS) and to characterise the transition from anaerobiosis to hypoxia. In silico studies of P. gingivalis genomes have revealed the presence of a putative oxygen-dependent respiratory system involving a cytochrome bd oxidase CydAB. We constructed a mutant deleted for cydAB genes in the P. gingivalis ATCC 33277 strain. Our study showed that cydAB mutation increased the sensibility of the mutant to reactive oxygen species such as the anion-superoxide generator paraquat and hydrogen peroxide. Moreover we demonstrated that CydAB is involved in the aerotolerance of P. gingivalis, and in oxygen consumption, as demonstrated by high resolution respirometry assay. Many regulations in response to ROS and oxygen are still unexplained in P. gingivalis, including the activation of cydAB expression by oxygen exposure. Two genes encoding FNR-like regulators were identified in the genome of P. gingivalis. One of them encodes the HcpR regulator which controls part of the nitrosative stress response. The second gene PGN_1569 was the focus of our study. By mutation and transcriptome analysis, we demonstrated that this FNR-like regulator repressed its own transcription and activated the expression of 4 gene clusters in anaerobiosis, but not including cydAB genes. The expression of these 4 gene clusters is also controlled by other redox regulators, OxyR and/or SigH and/or RprY. Therefore, this study pointed out the interplay between FNR and known oxidative stress response regulators of P. gingivalis. Further work will study the functions of the hypothetical proteins encoded by the FNR regulon. Interestingly, the fnr mutant displayed higher ability than the wild-type strain to form biofilm in anaerobiosis.

Introduction.Le fibroblaste gingival (FG) est la cellule majoritaire de la gencive. Cette dernière fait face constamment aux agressions physico-chimiques, infectieuses et thermiques. L'une des caractéristiques de la gencive est sa réparation quasi-parfaite suite à une lésion ponctuelle. Ce n'est pas le cas pour d'autres tissus comme la paroi aortique. L'anévrisme aortique (AA) est un affaiblissement de la paroi aortique provoqué par une sécrétion exhaustive de métalloprotéases (MMPs) et en particulier de MMP-9. Il en résulte une dilatation de l'artère. Dans un modèle d'anévrisme de lapin, Durand et al (2012) avait montré que le FG pouvait ralentir, voire réparer un anévrisme. Dans notre étude, nous avons mis en place un modèle de coculture FG/AA d'origine humaine.Chez l'homme, la localisation de la pathologie peut être au niveau abdominal (Anévrisme Aortique Abdominale : AAA) ou thoracique (Anévrisme Aortique Thoracique : AAT). Etant donné que leur étiologie sont différentes, nous avons souhaité savoir s'il existait des différences selon les lésions. Cela nous permettrait en effet de mieux appréhender la prise en charge. Nous avons réalisé une étude comparative histo et physiopathologique entre les AAA et AAT. L'une des différences soulevée, est la présence d'un facteur infectieux au niveau des AAA. C'est un élément à prendre en compte pour une thérapie cellulaire et ainsi nous avons mis en culture des FG en présence de LPS, une endotoxine bactérienne.De plus pour approfondir notre travail sur l'utilisation du FG dans la thérapie cellulaire, nous avons initié une étude sur la plasticité de la sous-population souche des FG en étudiant, notamment leur orientation en cellules vasculaires (cellules endothéliales).Résultats/discussionLe FG, grâce à sa secrétion de TIMP-1, contribue à l'inhibition de la MMP-9 anévrismale. La sécrétion de MMP-9 est plus importante dans les lésions avec athérome (AAA) que celles sans athérome (AAT dans notre étude). Ceci est en corrélation avec la dégradation qui est plus importante dans les AAA que dans les AAT. La MMP-9 est une protéine sécrétée entre autre par les cellules inflammatoires. Une inflammation est présente dans les AAA et pas dans les lésions thoraciques. Ceci pourrait expliquer la différence de sécrétion de MMP-9 et donc de dégradation. Concernant l'origine de cette inflammation, nous avons recherché une cause infectieuse. Porphyromonas gingivalis (Pg) qui est une bactérie importante dans le développement de la parodontite (maladie inflammatoire des tissus de soutien de la dent) a été détectée dans les AAA. Une relation pathologique existerait entre la parodontite et l'AAA mais l'étude devrait être plus poussée pour connaître le mécanisme physiopathologique de ce phénomène. Toutefois, en ce qui concerne la thérapie cellulaire, le LPS qui est une endotoxine du Pg, n'affecte pas la capacité du FG à secréter du TIMP-1.En plus de la possibilité du FG à neutraliser la MMP-9 anévrismale, nous avons souhaité savoir si le FG avait des compétences de différentiation en cellule vasculaire. Un début d'exploration de la plasticité cellulaire de la souche multipotente de FG en cellule endothéliale, donnent des résultats préliminaires encourageants.Conclusion. Le FG pourrait être une cellule prometteuse pour une thérapie cellulaire de l'anévrisme aortique mais des explorations plus poussées sont encore nécessaires pour une telle application. / IntroductionGingival fibroblast (GF) is the main cell in gingiva which is constantly facing infectious, thermal and physico-chemical attacks. When a lesion occurs, the repair of gingiva is almost perfect. It is not the case for other tissues as the aortic wall. The aortic aneurysm (AA) is a pathologic expansion of aorta due to a weakening of the wall with an exhaustive secretion of metalloproteinases (MMPs) and particularly of MMP-9. In an aneurysm rabbit model, Durand and al (2012) have showed that GF could slow down or repair the aneurysm. In our study, we have established a co-culture model of human GF and human AA.For human, the location of the aortic disease may be at abdominal level (Abdominal Aortic Aneurysm: AAA) and thoracic level (Thoracic Aortic Aneurysm: TAA). Since the aetiologies are different, we wondered if histo and physiopathologic differences would existe between the both. It is impotant to know that for better supporting the disease. One of the difference between AAA and TAA is the presence of an infectious factor in AAA. This is an element to consider for cell therapy, so we studied the behavior of GF in presence of an endotoxin, the LPS.In addition, to further our work on the use of GF in cell therapy, we have initiated a study of the plasticity of the GF multipotente subpopulation including the differentiation into vascular cells (endothelial cell in particular).Results/DiscussionThanks to its TIMP-1 secretion, GF could contribute to the inhibition of MMP-9 activity in aneurysm. The secretion of MMP-9 in AA with atheroma (AAA) is highter than in TAA (without atheroma in our study). It is correlated to the degradation of AAA which is more important than the degradation of TAA. Inflammatory cells may secrete MMP-9. Inflammation is present in AAA and not in TAA. This, could explain the highter secretion of MMP-9 in abdominal lesion and also the degradation which is more important in AAA than in TAA. As for the origin of this inflammation, we researched an infectious factor. We isolated Porphyromonas gingivalis (Pg) in AAA, which might trigger or aggravate inflammation. This is an important bacterium in the development of periodontitis (inflammatory disease of the tissues supporting the tooth). A pathological relationship may exist between periodontitis and the AAA. The study should be further to know the pathophysiology of AAA related to Pg. But as regards the cell therapy, LPS, which is an endotoxin of Pg would not affect the secretion of TIMP-1 by the GF.In addition to its abilities to inhibate MMP-9 in aneurysm, we wondered if GF would be able to differentiate into vascular cell. An early exploration of GF multipotent subpopulation plasticity reveals a possible opportunity to go further in a the cell therapy.Conclusion.GF might be a promising cell for treating aortic aneurysm but further explorations are still necessary for its application.

Microorganismos da cavidade oral têm sido admitidos como causadores de doenças sistêmicas com reconhecido mecanismo de disseminação via corrente sangüínea. Diferentes fatores, incluindo a presença da doença periodontal, têm influência no risco de bacteremia oral, podendo ocasionar endocardite infecciosa por Streptococcus viridans. Sendo assim, a manutenção da saúde bucal adquire elevado grau de importância em gestantes portadoras de doença valvar reumática, em que o risco de endocardite infecciosa é eminente. A escassez científica fez deste tema o objetivo deste estudo: investigar a condição clínica periodontal de gestantes portadoras de cardiopatia valvar, identificando agentes periodontopatógenos nas amostras coletadas de saliva, sulco/bolsa periodontal, Para tanto, foram estudadas 52 gestantes cardiopatas (GC) e 70 gestantes não-cardiopatas (GNC). A condição periodontal foi avaliada empregando-se profundidade clínica de sondagem (PCS), nível clínico de inserção (NCI), linha esmalte cemento/margem gengival (LEC/MG), índice de sangramento (IS) e índice de placa bacteriana (IP). As seguintes médias foram obtidas para os parâmetros periodontais avaliados: PCS: 1.52 (GC) e 1.45 (GNC); NCI: 1.13 (GC) e 1.02 (GNC); LEC/MG: 0.41 (GC) e 0.40 (GNC); IS: 7.34 (GC) e 6.27 (GNC) e IP: 12.19 (GC) e 13.48 (GNC). Não houve diferença entre os grupos para o NCI (p= 0,612). A presença da Porphyromonas gingivalis na saliva foi maior (p= 0,007) no GNC, porém não houve diferença nas amostras de sulco/bolsa periodontal. / Microorganisms of the oral cavity are known to cause systemic diseases, spread through sanguine current. Different factors, including the presence of periodontal disease, influencing the risk of oral bacteremia could cause infectious endocarditis for Streptococcus viridans. Nevertheless, the maintenance of the oral health is extremely important in pregnant women with rheumatic valvar disease, in which the risk of infectious endocarditis is eminent. The aim of this study was to investigate the clinical periodontal condition of pregnant women with valvar disease and to identify the presence of Porphyromonas gingivalis in saliva and subgingival samples. For these purposes, we studied 52 pregnant with valvar disease (GC) and 70 healthy pregnant women (GNC). The following periodontal parameters were evaluated: probing depth (PCS), clinical attachment level (NCI), gingival margin location (LEC/MG), bleeding on probing (IS) and plaque index (IP). The following mean periodontal parameters were obtained: PCS: 1.52 (GC) e 1.45 (GNC); NCI: 1.13 (GC) e 1.02 (GNC); LEC/MG: 0.41 (GC) e 0.40 (GNC); IS: 7.34 (GC) e 6.27 (GNC) e IP: 12.19 (GC) e 13.48 (GNC). There was no statistical difference for NCI among the groups. There was no difference between periodontal clinical conditions in pregnant women with valvar disease and healthy pregnant women. The presence of the Porphyromonas gingivalis in saliva samples of healthy pregnant women is statistically higher than in pregnant woman with valvar disease; however, there was no difference in periodontal samples

No description available.

La periodontitis es una enfermedad de etiología infecciosa que presenta como síntomas el sangrado e inflamación de encías, movilidad dentaria, recesiones gingivales, en las que diversas enfermedades sistémicas favorecen su progresión. Uno de estos agentes más importantes es Porphyromonas gingivalis, especie bacteriana anaeróbica estricta, Gram negativo. A su vez, el uso de antibióticos sistémicos está indicado sólo en ciertos tipos de periodontitis, y no siempre el tratamiento es exitoso. Hoy en día, tanto en medicina general como odontológica, se está investigando nuevas alternativas de tratamientos antibacterianos, dado el continuo aumento de la resistencia bacteriana a los antibióticos convencionales y por las reacciones adversas que estos producen en algunos pacientes. El objetivo principal de este trabajo de investigación es determinar la actividad antibacteriana de un extracto alcohólico de Caesalpinia spinosa “tara” sobre cepas de Porphyromonas gingivalis. Este estudio es de tipo experimental, prospectivo, comparativo e in vitro. Se llevó a cabo en el Laboratorio de Microbiología de la Facultad de Odontología de la UNMSM. Para realizar este estudio se utilizó cepas de Porphyromonas gingivalis previamente identificadas por los laboratorios MICROBIOLOGIC, las cuales fueron importadas a través de una Casa Comercial “GENLAB”. El estudio investigó la actividad antibacteriana, del extracto alcohólico de Caesalpinia spinosa “tara” en cinco concentraciones (6,25 mg/ml; 12,5 mg/ml; 25 mg/ml; 50 mg/ml y 75 mg/ml) sobre la cepa ATCC 33277 Porphyromonas gingivalis mediante el test de difusión en Agar, se encontró que el extracto alcohólico de la Caesalpinia spinosa (tara) posee actividad antibacteriana sobre Porphyromonas gingivalis, aunque entre las cinco concentraciones no existe diferencia significativa.

Proteins that bind to both DNA and RNA embody the ability to perform multiple functions by a single gene product. These nucleic acid binding proteins in prokaryotes can play a vital role in many cellular processes, including replication, transcription, gene expression, recombination, and repair, to name a few. Nucleic acid binding proteins have unique functional characteristics that stem from their structural attributes that have evolved in a widely-conserved manner. In Escherichia coli (E. coli), the highly-conserved histone-like protein, HU, which predominates as a heterodimer of HUα and HUβ, has been found to bind to both dsDNA and ssDNA. Likewise, RNA-binding proteins contain various structural motifs, many of which are also conserved amongst many bacterial species like the RNA recognition motif. However, in Porphyromonas gingivalis, a periodontal pathogen, the histone-like, HU proteins and the RNA-binding protein (RBP) are not well characterized compared to their respective structures in E. coli. In our study, we sought to characterize and compare the HU proteins and RBP in order to gain a better understanding of their structure and function in the cell. Our data showed the HU proteins predominate as homo-tetramers and RBP as a monomer. We demonstrated single-stranded DNA binding with all three proteins. We found both P. gingivalis HU subunits bind non-specifically to ssDNA but show preferential binding to poly(dG) content, while binding to poly(dA) the weakest. These results show that HUα, HUβ and RBP are novel ssDNA binding proteins in P. gingivalis, indicating an expanded role and function within the cell.

Manganese and iron homeostasis play an important role in oxidative stress protection in a variety of organisms. However, the transport and role of these metals in the periodontal pathogen Porphyromonas gingivalis were not well understood. Analysis of the genome of P. gingivalis W83 revealed the presence of two genes encoding homologs of ferrous iron transport protein, FeoB1 and FeoB2. The goal of this study was to determine the role of these two putative transporters in metal transport, their contributions to resistance to oxygen radicals and intracellular survival as well as the regulation and genetic organization of these two loci. Isogenic mutant strains deficient in FeoB1 and FeoB2, respectively, were generated and used in this study. The transport ability for manganese and iron was assessed and compared in feoB1, feoB2 mutant and wild type strains using 55Fe2+ and 54Mn2+. We demonstrated that feoB2 encodes a major manganese transporter, while FeoB1 functions as a major ferrous iron transporter. The roles of P. gingivalis FeoB1 and FeoB2 in oxidative stress defense and intracellular survival in host cells were determined using an oxidative stress survival assay and an in vitro infection assay, respectively. The feoB2 mutant exhibited reduced survival after exposure to H2O2 and to atmospheric oxygen and inside the host cells compared to the wild-type strain and its revertant, while the feoB1 mutant survived as well as the wild type strain under oxidative stress and possessed better capability to adhere to and survive in the host cells. Our results demonstrate that FeoB2 is required for protection of the bacterium from oxidative stress and for intracellular survival of P. gingivalis in host cells. However, FeoB1 is dispensable for both processes. Quantitative RT-PCR analysis revealed that expression of feoB2 in P. gingivalis is induced by oxidative stress. However, expression of feoB1 increased 2-fold upon exposure to lower growth temperature. Both observed inductions were specific and not detected under other stress conditions. We have also showed in this study that feoB2 is the second gene transcribed in an operon that is composed of a total of five genes and feoB1 is only co-transcribed with one downstream gene encoding a hypothetical protein. Notably, we also identified tandem repeats with potential to form stable stem-loop RNA secondary structure within the feoB2 and feoB1 transcripts.To our knowledge, this study has demonstrated the first connection among metal homeostasis, oxidative stress resistance and response to host cells in the periodontal pathogen, P. gingivalis.

Periodontal disease is one of the most common human diseases. Bacteria trigger the onset and progression of the disease and among them Porphyromonas gingivalis has been demonstrated to be a major etiologic agent. Although the interaction of the bacterium with the host is of major importance for the understanding of the disease mechanisms, both the host as well as the pathogen components involved in the interaction remain poorly understood. One of the bacterial components capable of eliciting a host response is unmethylated CpG DNA motifs found in bacteria. Thus, the first aim was to determine the response of oral epithelial cell line, HN4, to challenge with genomic DNA derived from P. gingivalis. Microarray analysis revealed that at a level of 2-fold or more, 95 genes were regulated after 6 hrs, and 33 genes were regulated after 24 hrs post infection with P. gingivalis DNA when compared to unchallenged HN4 cells. Furthermore, since the Toll-like receptor 9 (TLR9) was demonstrated to be critical in generating the innate immune response to both bacterial and viral unmethylated CpG DNA in immune cells as well as some epithelial cell lines, investigation of the expression and localization of this receptor in HN4 cells was examined. In addition, changes in TLR9 expression and localization in response to HN4 cells challenged with P. gingivalis DNA was also investigated. Our flow cytometry results indicated that the receptor is present intracellularly but interestingly, is also detected on the cell surface. Last, shRNA technology was employed to down-regulate TLR9 expression in HN4 cells. This would provide a useful tool for future studies examining the role of TLR9 in mediating the host response to genomic DNA derived from P. gingivalis and other periodontopathogens.

Periodontal disease affects a majority of the US population. Porphyromonas gingivalis is the major etiological agent for development and progression of the disease. P. gingivalis is a hemin-dependent, obligate anaerobe that is found predominantly in periodontal pockets in infected patients. So for, little is known regarding the mechanisms which allow P. gingivalis to survive and sustain itself in the oral cavity. To better understand the adaptive mechanisms of the bacterium to the varying conditions in the oral cavity, regulatory mechanisms must be characterized. Sigma factors (σ) are responsible for initiating transcription by guiding RNA polymerase binding to specific DNA promoter sites. There are several sigma factors present in P. gingivalis, yet their roles have to be identified. Previous unpublished data indicate that a gene coding for an extracytoplasmic function sigma factor (ECF), SigH, is differentially regulated by exposure to molecular oxygen. Different assays were conducted to assess any variation in survival and/or growth between wild-type and SigH deficient strains of P. gingivalis. The ability to grow and survive in the presence of oxidative stress was compared between the mutant deficient in SigH and that of the parental strain. In addition, transcriptional profiles of the two strains were compared. Our assays indicate that growth was slower in the presence of oxygen in the Sigh-deficient mutant with an average difference of 27% compared to the wild-type. Transcriptional profiling showed down-regulation of genes encoding key enzymes associated with oxidative stress protection and oxidative metabolism in the absence of SigH, indicating that the sigma factor is a positive regulator of transcription required for survival of the bacterium in the presence of oxygen. If oxygen sensitivity can be established for this ECF-σ factor, it will aid in better understanding of P. gingivalis’ ability to survive in the oral cavity despite the presence of oxygen.

Porphyromonas gingivalis, a gram-negative anaerobic bacterium, is implicated as a major etiological agent in the initiation and progression of severe forms of periodontal disease. It has been reported that gingivitis and periodontal disease affect roughly 50.3% and 35% of the adult population, respectively. Therefore, approximately over 85% of the adult population may suffer from some form of gingival disease. Porphyromonas gingivalis, an established periodontopathogen, requires hemin for growth. Although multiple hemin uptake systems appear to be present in this organism, their specific role in hemin uptake and virulence remains unknown. Pigmentation is thought to result from the accumulation of iron protoporphyrin IX (FePPIX) derived from erythrocyte hemoglobin. It has been observed that mutations abolishing activity of the Lys-X specific cysteine protease, Kgp, resulted in loss of black pigmentation of P. gingivalis W83; they were less virulent than their wild-type counterparts. Thus, we have observed that Kgp degradation of fibrinogen deregulates the clotting cascade, thereby minimizing the availability of free erythrocytes. Additionally, Kgp binds erythrocytes and degrades them, releasing hemoglobin. The interference with mechanisms involved in the accumulation of black pigmentation may be significant in controlling the pathogenic potential of P. gingivalis. These results suggest that Lys-gingipain protease is a principal protein involved in acquisition of hemin from hemoglobin as well as a major factor in transport, by affecting the accumulation of FePPIX on the bacterial cell surface. Microarray analysis indicates a change in the expression of key enzymes and proteins required for hemin uptake, iron storage, electron transport and oxidative stress. Therefore, interference with mechanisms involved in accumulation of black pigmentation may be significant in controlling the pathogenic potential of P. gingivalis.