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Infection and Immunity, February 2007, p. 892-898, Vol. 75, No. 2
0019-9567/07/$08.00+0 doi:10.1128/IAI.01604-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Center for Oral Health and Systemic Disease, Department of Periodontics, Endodontics and Dental Hygiene, University of Louisville School of Dentistry, Louisville, Kentucky 40292
Received 4 October 2006/ Returned for modification 2 November 2006/ Accepted 13 November 2006
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Epithelial cells function as a physical barrier and in immune surveillance through their ability to elicit an innate immune response. Human gingival epithelial cells (HGECs) express pattern recognition receptors (PRRs) including Toll-like receptor 1 (TLR1), TLR2, TLR4, and TLR6 and respond to P. gingivalis with proinflammatory cytokines, including interleukin (IL)-6, IL-8, tumor necrosis factor alpha (TNF-
), and granulocyte-macrophage colony-stimulating factor (GM-CSF) (14). Microbe-associated molecular patterns expressed by P. gingivalis such as lipopolysaccharide and FimA are recognizable by PRRs and have been implicated in the initiation and progression of periodontal disease (20). P. gingivalis FimA is detected by PRRs, such as CD14 and TLR2, resulting in activation of monocytes/macrophages (6, 21). It was furthermore reported that FimA upregulates TLR2-dependent IL-8 production in immortalized epithelial cell lines (2). Our group has previously demonstrated a strong requirement for membrane-expressed CD14 in P. gingivalis FimA-induced activation of transfected cell lines (6). Moreover, soluble CD14 could not effectively substitute for membrane CD14 and failed to support FimA-induced cell activation (6). We have thus hypothesized that FimA may be restricted with regard to the cell types it can efficiently activate. Therefore, although monocytes/macrophages may be potently activated by FimA, other cell types, such as epithelial cells, which do not generally express membrane CD14 (3, 27), may be activated relatively weakly by FimA.
This study was designed to determine whether FimA differentially activates TLR2-mediated cytokine responses in human primary monocytes and gingival epithelial cells. Our results indicate that P. gingivalis FimA is essentially inert in inducing proinflammatory cytokines, including IL-6, IL-8, TNF-
, and GM-CSF, in human primary gingival epithelial cells, despite its potent cytokine-inducing capacity in monocytes. Other TLR2 agonists, which do not strictly depend on membrane CD14 for cell activation, could equally well induce cytokine responses in epithelial cells and monocytes. Whole cells of wild-type or nonfimbriated P. gingivalis strains induced comparable and moderate levels of cytokine responses in epithelial cells, thus providing further evidence that FimA does not contribute to P. gingivalis-induced inflammation in gingival epithelial cells. Our view is that the role of FimA in P. gingivalis-epithelial cell interactions is predominantly to promote colonization and/or invasion (for a review, see reference 17) without at the same time provoking a vigorous innate immune response, as shown in the present study. The relative hyporesponsiveness of gingival epithelial cells to FimA may facilitate P. gingivalis persistence in the periodontium.
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Bacteria and FimA. P. gingivalis 33277 and an isogenic FimA-inactivated mutant (strain JI-1; kindly provided by Fuminobu Yoshimura, Aichi Gakuin University, Nagoya, Japan) were grown at 37°C in Trypticase soy broth supplemented with 1 g of yeast extract, 5 mg of hemin, and 1 mg of menadione per liter in an anaerobic atmosphere of 85% N2, 10% H2, and 5% CO2 for 2 days. After cultivation, the bacteria were harvested by centrifugation, washed three times in phosphate-buffered saline, and heat inactivated as previously described (14, 24). FimA was purified from P. gingivalis 33277 as described previously (18).
Cytokine induction assay.
Primary epithelial cultures and cell lines at the fourth or fifth passage were harvested, seeded at a density of 0.5 x 105 cells/six-well culture plate coated with type I collagen, and maintained in 2 ml of medium. When they reached confluence, the cells were washed two times with fresh medium, and 1 ml of complete medium was added either with or without 5% FBS. The cells were incubated at 37°C under 5% CO2 for 4 h with heat-killed P. gingivalis (multiplicity of infection [MOI], 100:1), FimA (10 µg/ml), Pam3Cys and FSL-1 (both at 1 µg/ml; InvivoGen, San Diego, CA), human recombinant CD14 (0.5 µg/ml; R&D, Minneapolis, MN), and/or lipopolysaccharide binding protein (LBP) (0.05 µg/ml; R&D) suspended in 500 µl of the medium. Cell culture supernatants were then separated by centrifugation and stored at 80°C prior to a cytokine protein assay by use of Luminex 100 technology using a multiplex for four cytokines: IL-6, IL-8, GM-CSF, and TNF-
(Upstate Cell Signaling Solutions, NY). Human monocytes (1.5 x 105/well) were stimulated as described previously (9). Briefly, monocytes were incubated at 37°C under 5% CO2 with heat-killed P. gingivalis (MOI, 100:1), Pam3Cys and FSL-1, (both at 1 µg/ml), and FimA (1 or 10 µg/ml). Culture supernatants were collected at the end of the experiment and stored at 80°C until being assayed for TNF-
, IL-6 (eBioscience, San Diego, CA), and IL-8 (Cell Sciences, Canton, MA) responses using enzyme-linked immunosorbent assay kits. None of the bacterial stimuli affected cell viability as determined by trypan blue exclusion.
Real-time PCR. Total RNA was extracted from cultured cells by using TRIzol (Invitrogen, Carlsbad, CA) and quantified by spectrometry at 260 and 280 nm. Ten micrograms from each RNA extract was used to perform first-strand cDNA synthesis using the High-Capacity cDNA Archive kit (Applied Biosystems, Foster City, CA) in a total volume of 100 µl. Real-time PCR was performed by using 50 ng of cDNA with an ABI 7500 system (Applied Biosystems). TaqMan probes and sense and antisense primers for gene expression of human TLR1, -2, and -6 were purchased from Applied Biosystems along with probes and primers for human GAPDH as an endogenous control. Using a Universal PCR Master Mix (Applied Biosystems), the reactions were carried out according to the manufacturer's protocol.
Flow cytometry. Human gingival epithelial cells and monocytes were washed three times with phosphate-buffered saline, and 1,000,000 cells were stained with 0.5 µg of phycoerythrin-Cy7 conjugated to anti-human CD14, 1 µg of fluorescein isothiocyanate conjugated to anti-human TLR2 or to isotype controls (mouse immunoglobulin (Ig) G1 or IgG2a [eBioscience, San Diego, CA], respectively), in 100 µl total staining buffer for 20 min at 4°C. The cells were analyzed by flow cytometry using a BD FACSCalibur and CellQuest software.
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FIG. 1. TLR2 and CD14 protein expression by human primary monocytes and gingival epithelial cells. HGECs (A) and monocytes (C) were stained with phycoerythrin-conjugated monoclonal anti-human CD14 or its isotype control, mouse IgG1. Isolated HGECs (B) and monocytes (D) were stained with fluorescein isothiocyanate-conjugated monoclonal anti-human TLR2 or its isotype control, IgG2a, for 20 min at 4°C. The stained cells were analyzed by flow cytometry using a BD FACSCalibur and CellQuest software.
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, and GM-CSF cytokines at the protein level compared to medium alone (P < 0.05), in contrast to FimA, which failed to induce cytokine responses (Fig. 2). Additionally, IL-8, TNF-
, and GM-CSF were upregulated in epithelial cells challenged by nonfimbriated P. gingivalis (mutant P. gingivalis) compared to medium alone (Fig. 2). Since CD14 plays an important role in TLR2-dependent cytokine induction by FimA (6), we examined whether the epithelial cells could become responsive to FimA in the presence of serum (FBS) as a source of soluble CD14. Thus, we challenged epithelial cells with P. gingivalis, FimA, or TLR2 agonists in the presence of 5% FBS (Fig. 3). Even though 5% FBS resulted in some background increase in cytokine responses compared to medium alone, the proinflammatory cytokines IL-6, IL-8, GM-CSF, and TNF-
were not significantly upregulated after challenge with FimA for 4 h (Fig. 3). Addition of exogenous human CD14 in purified form with or without LBP did not improve proinflammatory cytokine production by FimA in epithelial cells (Fig. 4). These data indicate that human epithelial cells are hyporesponsive to P. gingivalis FimA even in the presence of soluble CD14, in contrast to other TLR2 agonists or heat-killed P. gingivalis (Fig. 2).
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FIG. 2. Cytokine induction in epithelial cells challenged with P. gingivalis or TLR2 agonists (Pam3Cys or FSL-1). HGECs were treated with heat-killed P. gingivalis (P. g; MOI, 100:1), nonfimbriated P. gingivalis (Mutant P. g; MOI, 100:1), FimA (10 µg/ml), or the TLR2 agonist Pam3Cys (Pam3) or FSL-1 (both at 1 µg/ml) for 4 h. Induction of IL-8 (A), TNF- (B), GM-CSF (C), and IL-6 (D) was determined in culture supernatant by use of Luminex 100 technology (Upstate Cell Signaling Solutions, NY). Data are presented as the means ± standard deviations of triplicate determinations, from one of three independent sets of experiments that yielded similar findings. Statistically significant (P < 0.05) induction of cytokine release is indicated by an asterisk.
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FIG. 3. Cytokine induction in the presence of 5% FBS in human gingival epithelial cells. HGECs were challenged by P. gingivalis (P. g; MOI, 100:1), FimA (10 µg/ml), or TLR2 agonists (Pam3 or FSL-1; 1 µg/ml) for 4 h at 37°C in the presence of 5% FBS. Induction of the cytokines TNF- (A), IL-6 (B), and GM-CSF (C) was determined in culture supernatants by use of Luminex 100 technology (Upstate Cell Signaling Solutions, NY). Data are presented as the means ± standard deviations of triplicate determinations. Statistically significant (P < 0.05) induction of cytokine release compared to treatment with medium plus 5% FBS is indicated by an asterisk.
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FIG. 4. Cytokine induction in human gingival epithelial cells in the presence of soluble CD14 and/or LBP. HGECs were challenged with TLR2 agonists (Pam3 or FSL-1; 1 µg/ml) or FimA (10 µg/ml) in the presence of soluble human recombinant CD14 (0.5 µg/ml) and/or LBP (0.05 µg/ml) for 4 h at 37°C. Cell culture supernatants were assayed for IL-8 (A), IL-6 (B), and GM-CSF (C) by use of Luminex 100 technology (Upstate Cell Signaling Solutions, NY). Data are presented as the means ± standard deviations of triplicate determinations. Statistically significant (P < 0.05) induction of cytokine release is indicated by an asterisk.
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expression at the protein level when challenged with purified FimA (Fig. 5). In addition to the 10-µg/ml concentration (also used for epithelial cell activation), a 1-µg/ml concentration of FimA was also proinflammatory (Fig. 5). The highest FimA-induced cytokine responses were comparable to those induced by the TLR2 agonists Pam3Cys and FSL-1 (both used at 1 µg/ml) and were higher than the responses induced by P. gingivalis at an MOI of 100:1 (Fig. 5). Therefore, P. gingivalis FimA is not inherently noninflammatory but may activate or not a particular cell type, depending on its repertoire of expressed PRRs.
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FIG. 5. Cytokine induction in human primary monocytes. Purified human primary monocytes were challenged by TLR2 agonists (Pam3 or FSL-1; 1 µg/ml), FimA (1 or 10 µg/ml) or P. gingivalis (MOI, 100:1) for 16 h at 37°C. Culture supernatants were assayed for IL-8 (A), TNF- (B), and IL-6 (C) responses using enzyme-linked immunosorbent assay kits. Data are presented as the means ± standard deviations of triplicate determinations. Statistically significant (P < 0.05) induction of cytokine release is indicated by an asterisk.
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FIG. 6. P. gingivalis FimA does not influence TLR1, -2, and -6 expression in human gingival epithelial cells. HGECs were challenged with either P. gingivalis (P.g; MOI, 100:1) or FimA (10 µg/ml) for 4 h at 37°C. Real-time PCR was performed with an ABI 7500 system (Applied Biosystems). TaqMan probes and sense and antisense primers for gene expression of human TLR1, -2, and -6 were purchased from Applied Biosystems along with probes and primers for the human endogenous control, GAPDH. Using a Universal PCR Master Mix (Applied Biosystems), the reactions were carried out according to the manufacturer's protocol. The ratio of TLR2 (A), TLR1 (B), and TLR6 (C) mRNAs was normalized to GAPDH mRNA. Data are presented as the means ± standard deviations of triplicate determinations. NS, not statistically significant.
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, IL-1ß, and GM-CSF (14, 23). Our current findings suggest that FimA does not significantly contribute to the P. gingivalis-induced proinflammatory response in epithelial cells. The lack of epithelial cell responsiveness to FimA was established using purified protein, and moreover, the ability of P. gingivalis to induce modest cytokine responses in epithelial cells was not tightly correlated with its fimbriation status, in contrast to the case with monocytes/macrophages (5, 6). The observation that FimA is essentially noninflammatory in gingival epithelial cells may represent a bacterial strategy for utilizing an adhesin for colonization and/or invasion without the necessary contact of FimA and epithelial cells resulting in a robust innate response, which could eliminate the invading pathogen. An alternative consideration is that the lack of response to FimA is a tactic employed by the host to prevent continual activation and thus chronic inflammation, although our working hypothesis is that reduced perturbation of epithelial cells is a bacterial strategy to enhance colonization. We have confirmed that the cytokine induction in human gingival epithelial cells challenged by the FimA-deficient mutant of P. gingivalis was upregulated except for IL-6. IL-6 is not as strictly dependent on NF-
B as the other three cytokines examined, since the IL-6 gene in epithelial cells contains cyclic AMP-responsive elements that are important for its transcriptional regulation (15). Thus, it is possible that although FimA itself did not induce substantial IL-6 levels (the apparent increase compared to basal levels is not statistically significant), it helped P. gingivalis (the wild type but not of course the FimA-deficient mutant) to come into closer contact with GECs by virtue of its adhesin function. Under these conditions, the interaction of another surface molecule with the GECs may have been enhanced, resulting in activation of a cyclic AMP-dependent pathway for inducing an IL-6 response. The ability of P. gingivalis FimA to activate monocytes/macrophages is strongly dependent on the presence of CD14 and TLR2 (6, 9). Mouse macrophages deficient in either CD14 or TLR2 fail to respond to FimA (4, 6). We have previously shown that the human colonic epithelial cell line SW620 does not respond to P. gingivalis FimA even when TLR2 is cotransfected with TLR1 or TLR6 as signaling partners (6). These transfectants fail to respond to FimA even in the presence of serum, which is a source of soluble CD14 (6). We have now shown that the same concept applies to a more physiologically relevant epithelial cell type, namely primary gingival epithelial cells. Indeed, even the addition of purified soluble CD14, with or without LBP, was not sufficient for supporting FimA-induced gingival epithelial cell activation. The TLR2-transfected SW620 cells became highly responsive to P. gingivalis FimA only upon cotransfection with CD14, indicating a strong requirement for membrane-expressed CD14 in TLR2-dependent cell activation by FimA. In stark contrast, the presence of membrane CD14 was not essential for the abilities of Pam3Cys and MALP-2 (FSL-1) to activate TLR2/1- and TLR2/6-dependent cell activation, respectively, in transfected SW620 cells (6). The failure of FimA to activate an inflammatory response in HGECs would be expected to dramatically affect the proinflammatory potential of P. gingivalis, without this, however, resulting in complete abrogation of the host response (being activated by other bacterial surface molecules) as shown by our findings.
The inability of FimA to utilize soluble CD14 for epithelial cell activation stands in sharp contrast to the ability of lipopolysaccharide to readily activate CD14-negative cells in the presence of soluble CD14 (6, 28). In this regard, FimA behaves similarly to peptidoglycan, which fails to activate CD14-negative cells even in the presence of soluble CD14, although the same ligand becomes proinflammatory when interacting with CD14-expressing cells (12). The biochemical basis for the inability of FimA to utilize soluble CD14 for TLR2 activation is currently uncertain. However, membrane CD14-mediated TLR2 activation by FimA requires formation of FimA-CD14-TLR2 complexes in lipid rafts, as suggested by fluorescence resonance energy transfer studies (6, 7). A plausible explanation, therefore, is that the binding of FimA to soluble CD14 blocks the ability of either CD14 or FimA itself to efficiently interact with TLR2. In this respect, it has been argued that the critical regions of CD14 for ligand binding may differ between the soluble and membrane forms of this receptor (12, 28). It was previously shown that an immortalized gingival epithelial cell line that expresses TLR2 responds to P. gingivalis FimA with IL-8 induction in the presence of soluble CD14 and LBP (2). These findings appear to be in conflict with our present findings. It is possible, however, that certain immortalized cell lines may behave differently than primary cells, although the precise mechanism involved is uncertain.
Our results further show that the lack of FimA stimulatory effect on gingival epithelial cells cannot be attributed to downregulation of TLR2 or its signaling partners (TLR1 and TLR6). In conclusion, CD14-nonexpressing human primary gingival epithelial cells are relatively hyporesponsive to P. gingivalis FimA, in contrast to human primary monocytes. On the other hand, other TLR2 agonists without a strict requirement for membrane CD14 (Pam3Cys and FSL-1) are proinflammatory in both cell types. It appears possible that P. gingivalis may come in close association with gingival epithelial cells through contact with its FimA without activating a robust FimA-mediated innate defense response, as would be expected to occur in monocytes/macrophages.
Published ahead of print on 21 November 2006. ![]()
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