Exosomal microRNA-155-5p from PDLSCs regulated Th17/Treg balance by targeting sirtuin-1 in chronic periodontitis
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Updated: Jan 25, 2026

Isolation and Profiling of MicroRNA-containing Exosomes from Human Bile
Published on: June 13, 2016
Ya Zheng1,2, Chen Dong2, Junling Yang2
1Department of Stomatology, Affiliated Hospital of Nantong University, Nantong, China.
Abstract:
The mechanism of local inflammation and systemic injury in chronic periodontitis is complicated, in which and exosomes play an important role. In our study, we found that T helper cell 17 (Th17)/regulatory T cell (Treg) balance is destabilized in the peripheral blood of patients with periodontitis, with upregulated Th17 or downregulated Treg, respectively. Porphyromonas gingivalis lipopolysaccharide (LPS) was used to simulate the inflammatory microenvironment of chronic periodontitis. The exosomes were extracted from periodontal ligament stem cells (PDLSCs) in LPS-induced periodontitis environment, which inversely effected on CD4+ T cells under normal and inflammatory conditions. Furthermore, compared with exosomes from normal PDLSCs, lower expression of microRNA-155-5p (miR-155-5p) and higher expression of Sirtuin-1 (SIRT1) were observed in exosomes from LPS-stimulated PDLSCs. Exosomes from PDLSCs alleviated inflammatory microenvironment through Th17/Treg/miR-155-5p/SIRT1 regulatory network. This study aimed to find the "switching" factors that affected the further deterioration of periodontitis to maximally control the multiple downstream damage signal factors to further understand periodontitis and find new targets for its treatment.
Insights
Periodontal ligament stem cell exosomes modulate T cell balance in periodontitis. These exosomes, influenced by Porphyromonas gingivalis lipopolysaccharide, offer potential therapeutic targets for chronic periodontitis by regulating the Th17/Treg/miR-155-5p/SIRT1 network.
Area of Science:
- Immunology
- Periodontology
- Stem Cell Biology
Background:
- Chronic periodontitis involves complex inflammation and systemic injury.
- T helper 17 (Th17)/regulatory T cell (Treg) balance is disrupted in periodontitis patients.
- Exosomes play a significant role in the pathogenesis of periodontitis.
Purpose of the Study:
- To investigate the role of exosomes derived from periodontal ligament stem cells (PDLSCs) in modulating the immune microenvironment of periodontitis.
- To identify key molecular regulators within these exosomes involved in periodontitis pathogenesis.
- To explore potential therapeutic targets for chronic periodontitis.
Main Methods:
- Simulated periodontitis inflammatory microenvironment using Porphyromonas gingivalis lipopolysaccharide (LPS).
- Isolated exosomes from PDLSCs under normal and LPS-induced inflammatory conditions.
- Analyzed the effects of exosomes on CD4+ T cells and quantified microRNA-155-5p (miR-155-5p) and Sirtuin-1 (SIRT1) expression.
Main Results:
- Exosomes from LPS-stimulated PDLSCs altered CD4+ T cell responses.
- Exosomes from inflamed PDLSCs showed lower miR-155-5p and higher SIRT1 expression compared to normal PDLSCs.
- A regulatory network involving Th17/Treg/miR-155-5p/SIRT1 was identified, through which PDLSC exosomes alleviated the inflammatory microenvironment.
Conclusions:
- PDLSC-derived exosomes can modulate the Th17/Treg balance in periodontitis.
- The miR-155-5p/SIRT1 axis within exosomes is a critical factor in this modulation.
- These findings suggest PDLSC exosomes and their cargo represent promising therapeutic targets for chronic periodontitis.
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