Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study

Zoledronic acid (ZA), one of the commonly used bisphosphonates, is mainly used for bone-metabolic diseases. Studies proved that ZA has adverse effects on oral soft tissues. As the first line of innate immunity, the gingival epithelium could be infected by periodontal pathogens, which is a key proces...

Full description

Bibliographic Details
Main Authors: Hanyu Sun, Pugeng Li, Qingci Kong, Feilong Deng, Xiaolin Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2023.1104826/full
_version_ 1797858981630181376
author Hanyu Sun
Hanyu Sun
Pugeng Li
Pugeng Li
Qingci Kong
Qingci Kong
Feilong Deng
Feilong Deng
Xiaolin Yu
Xiaolin Yu
author_facet Hanyu Sun
Hanyu Sun
Pugeng Li
Pugeng Li
Qingci Kong
Qingci Kong
Feilong Deng
Feilong Deng
Xiaolin Yu
Xiaolin Yu
author_sort Hanyu Sun
collection DOAJ
description Zoledronic acid (ZA), one of the commonly used bisphosphonates, is mainly used for bone-metabolic diseases. Studies proved that ZA has adverse effects on oral soft tissues. As the first line of innate immunity, the gingival epithelium could be infected by periodontal pathogens, which is a key process of the initiation of periodontal diseases. Yet, how ZA affects the periodontal pathogens infecting the epithelial barrier remains unclear. This study aimed to investigate the influences of ZA on the process of Porphyromonas gingivalis (P. gingivalis) infecting the gingival epithelial barrier via in-vitro and in-vivo experiments. In the in-vitro experiments, under the condition of different concentrations of ZA (0, 1, 10, and 100 μM), P. gingivalis was used to infect human gingival epithelial cells (HGECs). The infections were detected by transmission electron microscope and confocal laser scanning microscope. Besides, the internalization assay was applied to quantify the P. gingivalis, which infected the HGECs, in the different groups. To evaluate the expression levels of pro-inflammatory cytokines, including interleukin (IL)-1β, IL-6, and IL-8, by infected HGECs, real-time quantitative reverse transcription-polymerase chain reactions were applied. In the in-vivo experiments, rats were given ZA solution (ZA group) or saline (control group) by tail intravenous injection for 8 weeks. Subsequently, we put ligatures around the maxillary second molars of all the rats and inoculated P. gingivalis to the gingiva every other day from day 1 to day 13. The rats were sacrificed on days 3, 7, and 14 for micro-CT and histological analyses. The in-vitro results manifested that the quantity of P. gingivalis that had infected HGECs increased with the ZA concentrations. Pro-inflammatory cytokines expression by HGECs were significantly increased by 100 μM ZA. In the in-vivo study, compared to the control group, more P. gingivalis was detected in the superficial layer of gingival epithelium in the ZA group. Besides, ZA significantly increased the expression level of IL-1β on day 14 and IL-6 on days 7 and 14 in gingival tissues. These findings suggest that the oral epithelial tissues of patients who receive high-dose ZA treatment may be more susceptible to periodontal infections, resulting in severe inflammatory conditions.
first_indexed 2024-04-09T21:22:10Z
format Article
id doaj.art-e6bdb8933bde42e08f92bbdb9c174ff5
institution Directory Open Access Journal
issn 2235-2988
language English
last_indexed 2024-04-09T21:22:10Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cellular and Infection Microbiology
spelling doaj.art-e6bdb8933bde42e08f92bbdb9c174ff52023-03-28T05:04:41ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882023-03-011310.3389/fcimb.2023.11048261104826Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro studyHanyu Sun0Hanyu Sun1Pugeng Li2Pugeng Li3Qingci Kong4Qingci Kong5Feilong Deng6Feilong Deng7Xiaolin Yu8Xiaolin Yu9Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, ChinaZoledronic acid (ZA), one of the commonly used bisphosphonates, is mainly used for bone-metabolic diseases. Studies proved that ZA has adverse effects on oral soft tissues. As the first line of innate immunity, the gingival epithelium could be infected by periodontal pathogens, which is a key process of the initiation of periodontal diseases. Yet, how ZA affects the periodontal pathogens infecting the epithelial barrier remains unclear. This study aimed to investigate the influences of ZA on the process of Porphyromonas gingivalis (P. gingivalis) infecting the gingival epithelial barrier via in-vitro and in-vivo experiments. In the in-vitro experiments, under the condition of different concentrations of ZA (0, 1, 10, and 100 μM), P. gingivalis was used to infect human gingival epithelial cells (HGECs). The infections were detected by transmission electron microscope and confocal laser scanning microscope. Besides, the internalization assay was applied to quantify the P. gingivalis, which infected the HGECs, in the different groups. To evaluate the expression levels of pro-inflammatory cytokines, including interleukin (IL)-1β, IL-6, and IL-8, by infected HGECs, real-time quantitative reverse transcription-polymerase chain reactions were applied. In the in-vivo experiments, rats were given ZA solution (ZA group) or saline (control group) by tail intravenous injection for 8 weeks. Subsequently, we put ligatures around the maxillary second molars of all the rats and inoculated P. gingivalis to the gingiva every other day from day 1 to day 13. The rats were sacrificed on days 3, 7, and 14 for micro-CT and histological analyses. The in-vitro results manifested that the quantity of P. gingivalis that had infected HGECs increased with the ZA concentrations. Pro-inflammatory cytokines expression by HGECs were significantly increased by 100 μM ZA. In the in-vivo study, compared to the control group, more P. gingivalis was detected in the superficial layer of gingival epithelium in the ZA group. Besides, ZA significantly increased the expression level of IL-1β on day 14 and IL-6 on days 7 and 14 in gingival tissues. These findings suggest that the oral epithelial tissues of patients who receive high-dose ZA treatment may be more susceptible to periodontal infections, resulting in severe inflammatory conditions.https://www.frontiersin.org/articles/10.3389/fcimb.2023.1104826/fullPorphyromonas gingivaliszoledronic acidbacterial infectiongingival epithelial cellspro-inflammatory cytokines
spellingShingle Hanyu Sun
Hanyu Sun
Pugeng Li
Pugeng Li
Qingci Kong
Qingci Kong
Feilong Deng
Feilong Deng
Xiaolin Yu
Xiaolin Yu
Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
Frontiers in Cellular and Infection Microbiology
Porphyromonas gingivalis
zoledronic acid
bacterial infection
gingival epithelial cells
pro-inflammatory cytokines
title Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
title_full Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
title_fullStr Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
title_full_unstemmed Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
title_short Zoledronic acid affects the process of Porphyromonas gingivalis infecting oral mucosal epithelial barrier: An in-vivo and in-vitro study
title_sort zoledronic acid affects the process of porphyromonas gingivalis infecting oral mucosal epithelial barrier an in vivo and in vitro study
topic Porphyromonas gingivalis
zoledronic acid
bacterial infection
gingival epithelial cells
pro-inflammatory cytokines
url https://www.frontiersin.org/articles/10.3389/fcimb.2023.1104826/full
work_keys_str_mv AT hanyusun zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT hanyusun zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT pugengli zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT pugengli zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT qingcikong zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT qingcikong zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT feilongdeng zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT feilongdeng zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT xiaolinyu zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy
AT xiaolinyu zoledronicacidaffectstheprocessofporphyromonasgingivalisinfectingoralmucosalepithelialbarrieraninvivoandinvitrostudy