Global TLR2 and 4 deficiency in mice impacts bone resorption, inflammatory markers and atherosclerosis to

S S Chukkapalli1, I M Velsko1, M F Rivera-Kweh1

  • 1Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA.

Insights

Toll-like receptors (TLR2 and TLR4) are crucial for periodontal disease (PD) and atherosclerosis. Their deficiency reduced PD but did not prevent bacterial spread or atherosclerosis, highlighting complex disease interactions.

Area of Science:

  • Immunology
  • Oral Biology
  • Cardiovascular Research

Background:

  • Toll-like receptors (TLRs), specifically TLR2 and TLR4, mediate innate immune responses to pathogens.
  • Inflammation in periodontal disease (PD) and atherosclerosis is linked to TLR2 and TLR4 signaling.
  • The precise role of TLRs in oral pathogen recognition and their contribution to atherosclerosis remains unclear.

Purpose of the Study:

  • To investigate the roles of TLR2 and TLR4 in polymicrobial infection-induced PD and atherosclerosis.
  • To evaluate the impact of TLR deficiency on host immune responses and disease progression.

Main Methods:

  • Utilized TLR2 knockout (TLR2-/-) and TLR4 knockout (TLR4-/-) mice infected with key periodontal pathogens.
  • Assessed PD markers, bacterial dissemination, atherosclerosis progression, serum risk factors, and splenic T-cell cytokine profiles.
  • Measured heat-shock protein expression.

Main Results:

  • TLR deficiency significantly reduced alveolar bone resorption and intrabony defects, indicating a key role in PD.
  • Periodontal bacteria disseminated to the heart and aorta, but atherosclerosis progression in the aortic arch was not increased.
  • Polymicrobial infection did not alter key serum risk factors for atherosclerosis.
  • TLR2 deficiency modulated specific T helper type 2 and T helper type 17 splenic T-cell cytokine responses.
  • Increased heat-shock protein (Hsp 70) expression was observed in both TLR2-/- and TLR4-/- mice.

Conclusions:

  • TLR2 and TLR4 play critical roles in the pathogenesis of periodontal disease.
  • While TLRs are involved in PD, their deficiency does not prevent bacterial dissemination or atherosclerosis progression.
  • These findings support an intricate association between periodontal disease and atherosclerosis, mediated by TLR signaling pathways.