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Updated: Jun 2, 2026

Porphyromonas gingivalis as a Model Organism for Assessing Interaction of Anaerobic Bacteria with Host Cells
Published on: December 17, 2015
Porphyromonas gingivalis is associated with protease-activated receptor-2 upregulation in chronic periodontitis
José Américo G Fagundes1, Letícia D Monoo, Vanessa Tubero Euzébio Alves
1Department of Periodontology, University of Taubaté, São Paulo, Brazil.
Background:
We previously reported a higher expression of protease-activated receptor-2 (PAR(2)) together with higher interleukin (IL)-1α, IL-6, IL-8, and tumor necrosis factor-α levels, total proteolytic activity, Porphyromonas gingivalis (Pg) prevalence, and neutrophil-protease 3 messenger RNA (mRNA) expression in patients with chronic periodontitis compared to healthy control patients. The aim of the present study is to expand this observation by considering the site level according to the presence of Pg.
Methods:
Microbiologic and gingival crevicular fluid samples were collected from patients with chronic periodontitis. Pg presence was evaluated by polymerase chain reaction and PAR(2) mRNA expression was evaluated by reverse-transcription polymerase chain reaction. Total proteolytic activity in the crevicular fluid was analyzed by using a specific substrate benzoylarginine nitroanilide, and the proinflammatory mediators IL-1α, IL-6, IL-8, and tumor necrosis factor-α were analyzed by enzyme-linked immunosorbent assay.
Results:
In Pg-positive periodontal sites, the mean probing depth and clinical attachment level, the prevalence of bleeding on probing sites, and crevicular fluid volume were higher (P <0.05) compared to Pg-negative sites. In addition, with the exception of IL-8, all other inflammatory mediators were positively (P <0.05) associated with Pg presence. Pg presence was also positively associated with a higher proteolytic activity (P = 0.0037) and higher PAR(2) mRNA expression (P = 0.0271).
Conclusions:
We conclude that in chronic periodontitis, periodontal pockets presenting Pg show an upregulation of PAR(2) gene expression, and higher proinflammatory profile associated with advanced clinical destruction, therefore suggesting that Pg plays a pivotal role on PAR(2)-mediated periodontal inflammation in humans.
Insights
Porphyromonas gingivalis (Pg) presence in chronic periodontitis sites correlates with increased protease-activated receptor-2 (PAR2) gene expression and elevated inflammatory markers. This suggests Pg drives PAR2-mediated inflammation and periodontal destruction.
Area of Science:
- Periodontology
- Microbiology
- Immunology
Background:
- Chronic periodontitis patients exhibit elevated protease-activated receptor-2 (PAR2) and inflammatory mediators (IL-1α, IL-6, IL-8, TNF-α).
- Increased total proteolytic activity and Porphyromonas gingivalis (Pg) prevalence were noted in periodontitis patients compared to healthy controls.
Purpose of the Study:
- To investigate the relationship between Pg presence at the site level and PAR2 expression in chronic periodontitis.
- To assess the association of Pg with clinical parameters and inflammatory mediators in periodontal pockets.
Main Methods:
- Samples from chronic periodontitis patients analyzed for Pg presence using PCR.
- PAR2 mRNA expression quantified via RT-PCR.
- Gingival crevicular fluid analyzed for proteolytic activity and inflammatory mediators (IL-1α, IL-6, IL-8, TNF-α).
Main Results:
- Pg-positive sites showed significantly higher probing depth, clinical attachment level, and bleeding on probing.
- Proinflammatory mediators (except IL-8) and proteolytic activity were positively associated with Pg presence.
- Pg presence correlated with increased PAR2 mRNA expression.
Conclusions:
- Periodontal pockets with Pg exhibit upregulated PAR2 gene expression.
- Pg presence is linked to a heightened proinflammatory profile and advanced clinical destruction.
- Pg plays a key role in PAR2-mediated periodontal inflammation in humans.
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