Clarithromycin suppresses the periodontal bacteria-accelerated abdominal aortic aneurysms in mice

N Aoyama1, J-I Suzuki, M Ogawa

  • 1Section of Periodontology, Department of Hard Tissue Engineering, Graduate School of Medicine and Dentistry, Tokyo Medical and Dental University, Yushima, Bunkyo-ku, Tokyo, Japan.

Abstract

Insights

Clarithromycin (CAM) treatment significantly reduced abdominal aortic aneurysm size in mice infected with periodontal bacteria. This suggests CAM may help regulate matrix metalloproteinases (MMPs) and suppress aneurysm progression.

Area of Science:

  • Cardiovascular Research
  • Microbiology
  • Pharmacology

Background:

  • Abdominal aortic aneurysms (AAAs) are linked to circulatory diseases.
  • Periodontopathic bacteria, like Porphyromonas gingivalis, are implicated in cardiovascular issues.
  • The impact of clarithromycin (CAM) on AAA, particularly when accelerated by bacteria, is largely unknown.

Purpose of the Study:

  • To investigate the therapeutic effect of clarithromycin (CAM) on abdominal aortic aneurysms (AAAs) accelerated by periodontopathic bacteria.
  • To determine if CAM can mitigate the progression of AAAs induced by Porphyromonas gingivalis infection in a mouse model.

Main Methods:

  • Abdominal aortic aneurysms were induced in mice using peri-aortic CaCl(2) application.
  • Mice were inoculated weekly with live Porphyromonas gingivalis.
  • Treatment groups received daily oral clarithromycin (CAM), while control groups did not.

Main Results:

  • CAM-treated mice exhibited a significant reduction in aortic diameter compared to controls.
  • Histological analysis revealed decreased elastic degradation in the aortas of CAM-treated mice.
  • Plasma concentrations of matrix metalloproteinase-2 (MMP-2) were significantly lower in mice treated with CAM.

Conclusions:

  • Clarithromycin (CAM) administration shows promise in suppressing periodontal bacteria-accelerated abdominal aortic aneurysms.
  • The mechanism of action appears to involve the regulation of matrix metalloproteinases (MMPs).
  • These findings highlight CAM as a potential therapeutic agent for bacterial-influenced AAA progression.