Porphyromonas gingivalis Induced Fragmentation of Type IV Collagen Through Macrophage-Activated MMP-9: (In Vitro Study of Collagenolytic Mechanism in Pathogenesis of Atherosclerotic Plaque Rupture)

Siti Nurul Mubarokah, I Dewa Agung Susilawati, Sumarno Sumarno, I Ketut Gedhe Muliartha, Djanggan Sargowo

Abstract


BACKGROUND: Periodontitis is caused mostly by Porphyromonas gingivalis (P.gingivalis) and it is related to acute coronary syndrome. P.gingivalis  readily invades blood circulation and potentially induces collagenolytic activity of inflammatory cells that results in collagen vascular degradation leading to atherosclerotic plague rupture (APR). APR is responsible for the occurence of fatal cardiovascular events such as acute myocardial infraction (AMI).

AIMS: To show that P.gingivalis potentially induces fragmentation of the type IV vascular collagen due to macrophage-activated MMP-9.

MATERIAL AND METHODS: The ability of P.gingivalis to induce the type IV collagen fragmentation, shown by digesting type IV collagen with the supernatant of monocyte-derived macrophage activated by exposure to P.gingivalis suspension for 18 hours, 37oC, 5%CO2. The type IV collagen fragments were analyzed by SDS-PAGE and confirmed by Western-blotting. Antibody of type IV collagen produced and confirmed by dot-blotting prior to its being used as primary antibody of Western-blotting. The existence of MMP-9 was detected by Dot-blot and Western-blot technique, while the MMP-9 activity was assessed by SDS-PAGE and zymograms.

RESULTS: Our data showed that P.gingivalis induced macrophage to produce MMP-9 as one of collagenolytic components, and interaction with P.gingivalis proteases enhanced the proteolytic activity and resulted in degradation of type IV collagen with molecular weight of 88 kDa into two smaller fragments with molecular weight of 80 kDa and 60 kDa. 

CONCLUSION: P.gingivalis induced macrophage to activate its MMP-9 that led to fragmentation of vascular type IV collagen in the pathogenesis of atherosclerotic plaque rupture. 

KEYWORDS: P.gingivalis, macrophage, type IV collagen fragmentation, atherosclerotic plaque rupture, AMI

Full Text:

PDF

References


Slots J, Ting M. Actinobacillus actinomycetemcomitans and porphyromonas gingivalis in human periodontal disease: occurrence and treatment. Periodontol. 2000; 20: 82-121, CrossRef.

Kadowaki T, Nakayama K, Okamoto K, Abe N, Baba A, Shi Y, et al. Porphyromonas gingivalis proteinases as virulence determinants in progression of periodontal diseases. J Biochem. 2000; 128: 153-9, CrossRef.

Travis J, Pike R, Imamura T, Potempa J. Porphyromonas gingivalis proteinases as virulence factors in the development of periodontitis. J Periodontal Res. 1997; 32: 120-5, CrossRef.

Andrian E, Grenier D, Rouabhia M. In vitro models of tissue penetration and destruction by porphyromonas gingivalis. Infection and Immunity. 2004; 72: 4689-98, CrossRef.

DeCarlo AA, Windsor LJ, Bodden MK, Harber GJ, Birkedal-Hansen B, Birkedal-Hansen H. Activation and novel processing of matrix metalloproteinases by a thiol-proteinase from the oral anaerobe porphyromonas gingivalis. J Dent Res. 1997; 76: 1260-70, CrossRef.

Mattila KJ, Nieminen MS, Valtonen VV, Rasi VP, Kesaniemi YA, Syrjala SL, et al. Association between dental health and acute myocardial infarction. BMJ. 1989; 298: 779-81, CrossRef.

Paunio K, Impivaara O, Tiekso J, Mäki J. Missing teeth and ischaemic heart disease in men aged 45-64 years. Eur Heart J. 1993; 14 (Suppl K): 54-6, PMID.

Beck J, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Periodontal disease and cardiovascular disease. J Periodontol. 1996 ;67: 1123-37, CrossRef.

Grau AJ, Buggle F, Ziegler C, Schwarz W, Meuser J, Tasman AJ, et al. Association between acute cerebrovascular ischemia and chronic and recurrent infection. Stroke. 1997; 28: 1724-9, CrossRef.

Li L, Messas E, Batista EL Jr, Levine RA, Amar S. Porphyromonas gingivalis infection accelerates the progression of atherosclerosis in a heterozygous apolipoprotein E-deficient murine model. Circulation. 2002; 105: 861-7, CrossRef.

Fiehn NE, Larsen T, Christiansen N, Holmstrup P, Schroeder TV. Identification of periodontal pathogens in atherosclerotic vessels. Journal of Periodontology. 2005; 76: 731-6, CrossRef.

Lee RT, Libby P. The unstable atheroma. Arterioscler Thromb Vasc Biol. 1997; 17: 1859-67, CrossRef.

Laemmli UK. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970; 227:680-5, CrossRef.

Libby P. Current concepts of the pathogenesis of the acute coronary syndromes. Circulation. 2001; 104: 365-72, CrossRef.

Libby P, Aikawa M. Stabilization of atherosclerotic plaques: New mechanisms and clinical targets. Nat Med. 2002; 8: 1257-62, CrossRef.

Falk E, Shah PK, Fuster V. Coronary Plaque disruption. Circulation. 1995; 92: 657-71, CrossRef.

Zhou J, Chew M, Ravn HB, Falk E. Plaque pathology and coronary thrombosis in the pathogenesis of acute coronary syndromes. Scand J Clin Lab Invest. 1999; l59: 3-11, CrossRef.

Riso EM, Athikoski AM, Umnova M, Kaasik P, Alev K, Takala T, et al. Partial prevention of muscle atrophy in excessive level of glucocorticoids by exercise: effect on contractile proteins and extracellular matrix. The Baltic Journal of Laboratory Animal Science. 2003; 13: 5-12, article.

Murwani S. Peran Adhesin pada outer membrane protein chlamydia pneumonia dalam degradasi kolagen tipe-IV melalui aktivasi makrofag dan peningkatan MMP-9 [dissertation]. Yogyakarta: Universitas Gadjah Mada: 2008.

Susilawati IDA. Induksi Porhyromonas gingivalis terhadap aktivitas kolagenolisis netrofil pada kolagen tipe IV (Studi in vitro mekanisme kolagenolisis plak atherosklerotik) [dissertation]. Malang; Universitas Brawijaya: 2008.

Ortega N, Werb Z. New functional roles for non-collagenous domains of basement membrane collagens. Journal of Cell Science. 2002; 115: 4201-14, CrossRef.

Pfister BJ. Extreme stretch growth of integrated axons. J Neurosci. 2004; 24: 7978-83, CrossRef.




DOI: https://doi.org/10.18585/inabj.v1i3.105

Copyright (c) 2009 The Prodia Education and Research Institute

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 

Indexed by:

                  

                     

          

 

 

The Prodia Education and Research Institute