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Updated: Sep 20, 2025

Stimulation of Vascular Endothelial Cells Using Neutrophil Extracellular Traps in the Presence of Low-Density Lipoprotein
Published on: August 12, 2025
Neutrophil extracellular traps induced by Porphyromonas gingivalis lipopolysaccharide modulate inflammatory responses
Jia-Lu Chen1, Yue Tong1, Qin Zhu1
1Department of Periodontology, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China,; Jiangsu Province Key Laboratory of Oral Diseases, Nanjing, China,; Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing, China.
Objective:
The aim of this study was to explore the effects and underlying mechanisms of Porphyromonas gingivalis (P. gingivalis) lipopolysaccharide (LPS) on the formation of neutrophil extracellular traps (NETs).
Design:
NETs induced by 1 μg/ml P. gingivalis LPS were observed by a fluorescence microscope and quantified by a microplate reader. Quantities of extra- and intracellular P. gingivalis in neutrophils were determined to assay the bactericidal efficiency of NETs. Intracellular Ca2+ levels in neutrophils were explored by flow cytometry. Expressions of phospho-tumor progression locus 2 (p-TPL2), phospho-mitogen-activated protein kinase kinase1/2 (p-MEK1/2), phospho-extracellular signal-regulated kinase1/2 (p-ERK1/2), ORAI1, ORAI2 and peptidylarginine deiminase 4 (PAD4) were detected by Western blot. In addition, neutrophil elastase activities in NETs incubated with macrophages were assayed to evaluate their clearance.
Results:
P. gingivalis LPS contributed to the formation of NETs and the increased levels of extracellular DNA (p < 0.05), which enhanced bactericidal activity of neutrophils (p < 0.05). Levels of intracellular Ca2+, p-TPL2, p-MEK1/2, p-ERK1/2, ORAI1, ORAI2 and PAD4 were increased in P. gingivalis LPS-treated neutrophils compared with control group (p < 0.05). In addition, inhibition of intracellular Ca2+ by two Ca2+ chelators, and PAD4 knockdown resulted in decreased levels of extracellular DNA (p < 0.05). After co-culture of NETs with macrophages, neutrophil elastase activities were decreased (p < 0.05).
Conclusion:
P. gingivalis LPS induced the formation of NETs via a Ca2+-TPL2-MEK-ERK-PAD4 signaling pathway, which contribute to the elimination of P. gingivalis.
Insights
Porphyromonas gingivalis lipopolysaccharide (LPS) triggers neutrophil extracellular traps (NETs) formation, enhancing bacterial killing. This process involves a specific signaling pathway crucial for eliminating P. gingivalis.
Area of Science:
- Immunology
- Microbiology
- Cell Biology
Background:
- Neutrophil extracellular traps (NETs) are crucial in host defense against bacterial pathogens.
- Porphyromonas gingivalis (P. gingivalis) is a key bacterium implicated in periodontal disease.
- The role of P. gingivalis lipopolysaccharide (LPS) in NET formation requires further elucidation.
Purpose of the Study:
- To investigate the impact of P. gingivalis LPS on NET formation.
- To elucidate the underlying molecular mechanisms involved in LPS-induced NETosis.
Main Methods:
- NET formation was induced by P. gingivalis LPS and visualized using fluorescence microscopy.
- Bactericidal activity of NETs against P. gingivalis was assessed.
- Intracellular calcium (Ca2+) levels, signaling pathway components (p-TPL2, p-MEK1/2, p-ERK1/2), ion channels (ORAI1, ORAI2), and PAD4 expression were analyzed via flow cytometry and Western blot.
- Neutrophil elastase activity in NETs was measured after co-culture with macrophages.
Main Results:
- P. gingivalis LPS significantly induced NET formation and increased extracellular DNA release, enhancing neutrophil bactericidal activity.
- Treatment with P. gingivalis LPS elevated intracellular Ca2+ levels and upregulated key signaling molecules including p-TPL2, p-MEK1/2, p-ERK1/2, ORAI1, ORAI2, and PAD4.
- Inhibition of Ca2+ or knockdown of PAD4 reduced extracellular DNA release, confirming their roles in NET formation.
- NETs demonstrated clearance capacity, indicated by decreased neutrophil elastase activity after co-culture with macrophages.
Conclusions:
- P. gingivalis LPS induces NET formation through a signaling cascade involving Ca2+, TPL2, MEK, ERK, and PAD4.
- This LPS-induced NETosis mechanism contributes to the elimination of P. gingivalis bacteria.
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