Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus

Type 2 diabetes mellitus (T2DM)-associated periodontitis is a common disease with high prevalence, associated with persistent infection and complicated manifestations. Calcitriol (1 alpha, 25-dihydroxyvitamin D3, 1,25D) is the active form of vitamin D that plays a protective role in immune regulatio...

Full description

Bibliographic Details
Main Authors: Yanan Wang, Maoting Huang, Wanlin Xu, Fulong Li, Chunliang Ma, Xiaolin Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1051374/full
_version_ 1797956372621426688
author Yanan Wang
Maoting Huang
Wanlin Xu
Fulong Li
Chunliang Ma
Xiaolin Tang
author_facet Yanan Wang
Maoting Huang
Wanlin Xu
Fulong Li
Chunliang Ma
Xiaolin Tang
author_sort Yanan Wang
collection DOAJ
description Type 2 diabetes mellitus (T2DM)-associated periodontitis is a common disease with high prevalence, associated with persistent infection and complicated manifestations. Calcitriol (1 alpha, 25-dihydroxyvitamin D3, 1,25D) is the active form of vitamin D that plays a protective role in immune regulation, bone metabolism, and inflammatory response. In this study, we constructed a T2DM model in rats by combining a high-fat diet with low-dose streptozotocin. The periodontitis model in rats was developed by ligation and Porphyromonas gingivalis (ATCC 33277) inoculation. Rats were randomly divided into five groups: non-diabetic blank, diabetic blank, diabetes with calcitriol treatment, diabetes with 3-methyladenine (3-MA) treatment, or diabetes with calcitriol and 3-MA treatment. The diabetic rats exhibited an intense inflammatory response and decreased autophagy compared with the non-diabetic rats. Intraperitoneal injection of calcitriol and autophagy inhibitor (3-MA) allowed us to explore the effect of calcitriol on inflammation in the gingival epithelium and the role of autophagy in this process. Treatment with calcitriol resulted in the decreased expression of NFκB-p65, p62/SQSTM1 and inflammatory response and increased expression of LC3-II/LC3-I. Application of 3-MA significantly suppressed autophagy, which was apparently retrieved by calcitriol. Antibacterial peptide (LL-37) is the only antimicrobial peptide in the cathelicidin family that is found in the human body, and it exhibits a broad spectrum of antibacterial activity and regulates the immune system. In the present study, our findings indicated that calcitriol-enhanced autophagy may attenuated periodontitis and the decrease of LL-37 was rescued by calcitriol treatment in the gingival epithelial cells of T2DM rats. Our study provides evidence for the application of calcitriol as an adjunctive treatment for T2DM-associated periodontitis.
first_indexed 2024-04-10T23:47:59Z
format Article
id doaj.art-55053e028c18471e81675d7a920669b8
institution Directory Open Access Journal
issn 1664-2392
language English
last_indexed 2024-04-10T23:47:59Z
publishDate 2023-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Endocrinology
spelling doaj.art-55053e028c18471e81675d7a920669b82023-01-10T22:01:36ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.10513741051374Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitusYanan WangMaoting HuangWanlin XuFulong LiChunliang MaXiaolin TangType 2 diabetes mellitus (T2DM)-associated periodontitis is a common disease with high prevalence, associated with persistent infection and complicated manifestations. Calcitriol (1 alpha, 25-dihydroxyvitamin D3, 1,25D) is the active form of vitamin D that plays a protective role in immune regulation, bone metabolism, and inflammatory response. In this study, we constructed a T2DM model in rats by combining a high-fat diet with low-dose streptozotocin. The periodontitis model in rats was developed by ligation and Porphyromonas gingivalis (ATCC 33277) inoculation. Rats were randomly divided into five groups: non-diabetic blank, diabetic blank, diabetes with calcitriol treatment, diabetes with 3-methyladenine (3-MA) treatment, or diabetes with calcitriol and 3-MA treatment. The diabetic rats exhibited an intense inflammatory response and decreased autophagy compared with the non-diabetic rats. Intraperitoneal injection of calcitriol and autophagy inhibitor (3-MA) allowed us to explore the effect of calcitriol on inflammation in the gingival epithelium and the role of autophagy in this process. Treatment with calcitriol resulted in the decreased expression of NFκB-p65, p62/SQSTM1 and inflammatory response and increased expression of LC3-II/LC3-I. Application of 3-MA significantly suppressed autophagy, which was apparently retrieved by calcitriol. Antibacterial peptide (LL-37) is the only antimicrobial peptide in the cathelicidin family that is found in the human body, and it exhibits a broad spectrum of antibacterial activity and regulates the immune system. In the present study, our findings indicated that calcitriol-enhanced autophagy may attenuated periodontitis and the decrease of LL-37 was rescued by calcitriol treatment in the gingival epithelial cells of T2DM rats. Our study provides evidence for the application of calcitriol as an adjunctive treatment for T2DM-associated periodontitis.https://www.frontiersin.org/articles/10.3389/fendo.2022.1051374/fulltype 2 diabetes mellitusPorphyromonas gingivaliscalcitriolLL-37autophagyrats model
spellingShingle Yanan Wang
Maoting Huang
Wanlin Xu
Fulong Li
Chunliang Ma
Xiaolin Tang
Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
Frontiers in Endocrinology
type 2 diabetes mellitus
Porphyromonas gingivalis
calcitriol
LL-37
autophagy
rats model
title Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
title_full Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
title_fullStr Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
title_full_unstemmed Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
title_short Calcitriol-enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
title_sort calcitriol enhanced autophagy in gingival epithelium attenuates periodontal inflammation in rats with type 2 diabetes mellitus
topic type 2 diabetes mellitus
Porphyromonas gingivalis
calcitriol
LL-37
autophagy
rats model
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1051374/full
work_keys_str_mv AT yananwang calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus
AT maotinghuang calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus
AT wanlinxu calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus
AT fulongli calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus
AT chunliangma calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus
AT xiaolintang calcitriolenhancedautophagyingingivalepitheliumattenuatesperiodontalinflammationinratswithtype2diabetesmellitus