Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.

Oral infections, particularly periodontitis, are a well-established risk factor for cardiovascular diseases, although the molecular mechanisms involved remain elusive. The aims of the present study were to investigate the effects of lipopolysaccharide derived from Porphyromonas gingivalis (PG-LPS) o...

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Main Authors: Ichiro Matsuo, Naoya Kawamura, Yoshiki Ohnuki, Kenji Suita, Misao Ishikawa, Takehiro Matsubara, Yasumasa Mototani, Aiko Ito, Yoshio Hayakawa, Megumi Nariyama, Akinaka Morii, Kenichi Kiyomoto, Michinori Tsunoda, Kazuhiro Gomi, Satoshi Okumura
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0258823
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author Ichiro Matsuo
Naoya Kawamura
Yoshiki Ohnuki
Kenji Suita
Misao Ishikawa
Takehiro Matsubara
Yasumasa Mototani
Aiko Ito
Yoshio Hayakawa
Megumi Nariyama
Akinaka Morii
Kenichi Kiyomoto
Michinori Tsunoda
Kazuhiro Gomi
Satoshi Okumura
author_facet Ichiro Matsuo
Naoya Kawamura
Yoshiki Ohnuki
Kenji Suita
Misao Ishikawa
Takehiro Matsubara
Yasumasa Mototani
Aiko Ito
Yoshio Hayakawa
Megumi Nariyama
Akinaka Morii
Kenichi Kiyomoto
Michinori Tsunoda
Kazuhiro Gomi
Satoshi Okumura
author_sort Ichiro Matsuo
collection DOAJ
description Oral infections, particularly periodontitis, are a well-established risk factor for cardiovascular diseases, although the molecular mechanisms involved remain elusive. The aims of the present study were to investigate the effects of lipopolysaccharide derived from Porphyromonas gingivalis (PG-LPS) on cardiac function in mice, and to elucidate the underlying mechanisms. Mice (C57BL/6) were injected with PG-LPS (0.8 mg/kg/day) with or without an inhibitor of Toll-like receptor 4 (TLR4) signaling (TAK-242, 0.8 mg/kg/day) for 4 weeks. Left ventricular ejection function was significantly decreased at 1 week (from 67 ± 0.5 to 58 ± 1.2%) and remained low at 4 weeks (57 ± 1.0%). The number of apoptotic myocytes was increased (approximately 7.4-fold), the area of fibrosis was increased (approximately 3.3-fold) and the number of 8-hydroxydeoxyguanosine-positive myocytes, a sensitive indicator of oxidative DNA damage, was increased (approximately 7.6-fold) at 4 weeks in the heart of PG-LPS treated mice. However, levels of various serum pro-inflammatory cytokines in PG-LPS-treated mice were similar to those in control mice. The impairment of cardiac function in PG-LPS-treated mice appears to involve activation of TLR4-NADPH oxidase (NOX) 4 signaling, leading to abundant production of reactive oxygen species and Ca2+ leakage from sarcoplastic reticulumn induced by calmodulin kinase II (CaMKII)-mediated phosphorylation of phospholamban (at Thr-17) and ryanodine receptor 2 (at Ser-2448). Pharmacological inhibition of TLR4 with TAK-242 attenuated the changes in cardiac function in PG-LPS-treated mice. Our results indicate that TLR4-NOX4 signaling may be a new therapeutic target for treatment of cardiovascular diseases in patients with periodontitis.
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spelling doaj.art-761f6dc86b78412b857cd79defc2c5e82022-12-22T02:31:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e025882310.1371/journal.pone.0258823Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.Ichiro MatsuoNaoya KawamuraYoshiki OhnukiKenji SuitaMisao IshikawaTakehiro MatsubaraYasumasa MototaniAiko ItoYoshio HayakawaMegumi NariyamaAkinaka MoriiKenichi KiyomotoMichinori TsunodaKazuhiro GomiSatoshi OkumuraOral infections, particularly periodontitis, are a well-established risk factor for cardiovascular diseases, although the molecular mechanisms involved remain elusive. The aims of the present study were to investigate the effects of lipopolysaccharide derived from Porphyromonas gingivalis (PG-LPS) on cardiac function in mice, and to elucidate the underlying mechanisms. Mice (C57BL/6) were injected with PG-LPS (0.8 mg/kg/day) with or without an inhibitor of Toll-like receptor 4 (TLR4) signaling (TAK-242, 0.8 mg/kg/day) for 4 weeks. Left ventricular ejection function was significantly decreased at 1 week (from 67 ± 0.5 to 58 ± 1.2%) and remained low at 4 weeks (57 ± 1.0%). The number of apoptotic myocytes was increased (approximately 7.4-fold), the area of fibrosis was increased (approximately 3.3-fold) and the number of 8-hydroxydeoxyguanosine-positive myocytes, a sensitive indicator of oxidative DNA damage, was increased (approximately 7.6-fold) at 4 weeks in the heart of PG-LPS treated mice. However, levels of various serum pro-inflammatory cytokines in PG-LPS-treated mice were similar to those in control mice. The impairment of cardiac function in PG-LPS-treated mice appears to involve activation of TLR4-NADPH oxidase (NOX) 4 signaling, leading to abundant production of reactive oxygen species and Ca2+ leakage from sarcoplastic reticulumn induced by calmodulin kinase II (CaMKII)-mediated phosphorylation of phospholamban (at Thr-17) and ryanodine receptor 2 (at Ser-2448). Pharmacological inhibition of TLR4 with TAK-242 attenuated the changes in cardiac function in PG-LPS-treated mice. Our results indicate that TLR4-NOX4 signaling may be a new therapeutic target for treatment of cardiovascular diseases in patients with periodontitis.https://doi.org/10.1371/journal.pone.0258823
spellingShingle Ichiro Matsuo
Naoya Kawamura
Yoshiki Ohnuki
Kenji Suita
Misao Ishikawa
Takehiro Matsubara
Yasumasa Mototani
Aiko Ito
Yoshio Hayakawa
Megumi Nariyama
Akinaka Morii
Kenichi Kiyomoto
Michinori Tsunoda
Kazuhiro Gomi
Satoshi Okumura
Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
PLoS ONE
title Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
title_full Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
title_fullStr Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
title_full_unstemmed Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
title_short Role of TLR4 signaling on Porphyromonas gingivalis LPS-induced cardiac dysfunction in mice.
title_sort role of tlr4 signaling on porphyromonas gingivalis lps induced cardiac dysfunction in mice
url https://doi.org/10.1371/journal.pone.0258823
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