Porphyromonas gingivalis Infection Induces Amyloid-β Accumulation in Monocytes/Macrophages

Ran Nie1, Zhou Wu2,3, Junjun Ni2

  • 1Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun, China.

Insights

Chronic Porphyromonas gingivalis infection, linked to periodontitis, drives amyloid-beta (Aβ) accumulation in the brain by affecting macrophages. Targeting Cathepsin B (CatB) may prevent Alzheimer

Area of Science:

  • Neuroscience
  • Immunology
  • Microbiology

Background:

  • Alzheimer's disease (AD) is characterized by amyloid-beta (Aβ) accumulation in the brain.
  • Porphyromonas gingivalis (P. gingivalis), associated with periodontitis, is increasingly linked to systemic inflammation and neurological conditions.
  • The role of P. gingivalis infection in peripheral Aβ metabolism and its contribution to brain Aβ deposition remains unclear.

Purpose of the Study:

  • To investigate how chronic systemic P. gingivalis infection influences peripheral Aβ metabolism.
  • To determine if P. gingivalis infection expands Aβ pools in inflammatory tissues, contributing to brain Aβ accumulation.
  • To explore the therapeutic potential of targeting specific pathways involved in this process.

Main Methods:

  • Induction of chronic systemic P. gingivalis infection in middle-aged mice.
  • Analysis of Aβ and inflammatory markers (IL-1β, AβPP770, CatB, Aβ1-42, Aβ3-42) in liver and brain tissues.
  • In vitro studies using RAW264.7 cells to assess the effects of blocking Cathepsin B (CatB) and NF-κB.
  • Macrophage viability and phagocytic assays using Aβ3-42 and Aβ1-42.
  • Examination of Aβ-related markers in gingival tissue macrophages from periodontitis patients.

Main Results:

  • P. gingivalis infection led to increased Aβ accumulation in the brain and co-localization with macrophages in the liver.
  • Increased expression of IL-1β, AβPP770, CatB, Aβ1-42, and Aβ3-42 was observed in infected mouse livers and periodontitis patient gingival tissues.
  • Blocking CatB and NF-κB significantly reduced P. gingivalis-induced inflammatory and Aβ-related gene expression in macrophages.
  • Aβ3-42, more so than Aβ1-42, induced macrophage death and impaired phagocytosis.
  • Monocytes/macrophages appear to serve as a circulating pool for Aβ in periodontitis patients.

Conclusions:

  • Chronic systemic P. gingivalis infection promotes Aβ accumulation in monocytes/macrophages via CatB/NF-κB signaling.
  • This mechanism contributes to the Aβ burden in the brain, potentially linking periodontitis to Alzheimer's disease.
  • Cathepsin B (CatB) emerges as a potential therapeutic target for mitigating periodontitis-related AD initiation and progression.