Gingipain of Porphyromonas gingivalis manipulates M1 macrophage polarization through C5a pathway

Yubo Hou1, Haiyan Yu1, Xinchan Liu2

  • 1Department of Periodontics, School of Stomatology, Jilin University, Changchun, Jilin, China.

Insights

Gingipains from Porphyromonas gingivalis manipulate M1 macrophage polarization, promoting infection. This occurs via the complement component 5a (C5a) pathway, influencing cytokine expression and macrophage surface markers.

Area of Science:

  • Immunology
  • Microbiology
  • Periodontal disease

Background:

  • Porphyromonas gingivalis (Pg) is a key pathogen in periodontitis.
  • Gingipains, virulence factors secreted by Pg, are implicated in host immune modulation.
  • Macrophage polarization, particularly M1 phenotype, is crucial in inflammatory responses.

Purpose of the Study:

  • To investigate the effect of gingipains on M1 macrophage polarization.
  • To determine if these effects are mediated through the complement component 5a (C5a) pathway.
  • To analyze changes in cytokine expression and surface markers associated with M1 polarization.

Main Methods:

  • Mouse RAW264.7 macrophages were treated with gingipain extracts, Escherichia coli lipopolysaccharides (Ec-LPS), or Pg-LPS.
  • The C5a receptor antagonist PMX-53 was used to block the C5a pathway.
  • Gene and protein expression of key cytokines (IL-12, IL-23, iNOS, IL-10, TNF-α, IL-1β, IL-6) were measured via qRT-PCR and ELISA.
  • M1 (CD86) and M2 (CD206) surface markers were assessed by flow cytometry.

Main Results:

  • Gingipain extracts alone upregulated pro-inflammatory cytokines (IL-12, IL-23, iNOS, TNF-α, IL-1β, IL-6) and M1 markers.
  • In combination with Ec-LPS or Pg-LPS, gingipain modulated cytokine expression, often enhancing Pg-LPS-induced M1 polarization.
  • Blocking the C5a pathway with PMX-53 reversed some of the gingipain-induced pro-inflammatory cytokine increases, suggesting C5a pathway involvement.
  • Changes in CD86-positive M1 macrophages correlated with observed cytokine expression patterns.

Conclusions:

  • Gingipains act as critical regulators, promoting M1 macrophage polarization to favor P. gingivalis infection.
  • The C5a pathway is a key mechanism through which gingipains exert their influence on macrophage polarization.
  • Targeting gingipains or the C5a pathway may offer therapeutic strategies for periodontitis.