Macrophages: A communication network linking Porphyromonas gingivalis infection and associated systemic diseases

Jie Lin1, Dingming Huang1, Hongwei Xu2

  • 1State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Frontiers in Immunology
|August 15, 2022
PubMed

Insights

Porphyromonas gingivalis, a key periodontitis pathogen, interacts with macrophages to drive systemic diseases like Alzheimer's and cancer. Understanding this interaction offers new therapeutic targets for inflammatory and autoimmune conditions.

Area of Science:

  • Microbiology
  • Immunology
  • Pathogenesis of Infectious Diseases

Background:

  • Porphyromonas gingivalis (P. gingivalis) is a Gram-negative anaerobic pathogen linked to periodontitis and systemic diseases.
  • P. gingivalis presence correlates with poor prognosis in rheumatoid arthritis (RA), cardiovascular disease, tumors, and Alzheimer's disease (AD).
  • Macrophages are crucial innate immune cells, but pathogens like P. gingivalis can evade or subvert their responses, promoting disease.

Purpose of the Study:

  • To review recent discoveries on P. gingivalis-macrophage interactions in disease development.
  • To elucidate the mechanisms underlying P. gingivalis's role in periodontitis and systemic conditions.
  • To identify potential therapeutic strategies targeting this interaction.

Main Methods:

  • Literature review of recent research on P. gingivalis and macrophage interactions.
  • Analysis of P. gingivalis's impact on macrophage polarization and inflammasome activation.
  • Examination of immune evasion strategies employed by P. gingivalis.

Main Results:

  • P. gingivalis actively modulates macrophage functions, including polarization and inflammasome activation.
  • The bacterium's ability to evade immune responses contributes to inflammatory, autoimmune, and tumor development.
  • Evidence links P. gingivalis to the pathogenesis of periodontitis, atherosclerosis, RA, AD, and cancers.

Conclusions:

  • The interaction between P. gingivalis and macrophages is central to the initiation and progression of various diseases.
  • Targeting this crosstalk may offer novel therapeutic avenues for periodontitis and associated systemic conditions.
  • Further mechanistic understanding is needed to develop effective treatment strategies.