Pexidartinib Inhibits Macrophage Senescence Through Glycolysis in Periodontitis Microenvironment

Jifan Zhan1, Jiabing Kang2, Yan Wei3

  • 1The Stomatology of Guizhou Medical University, Guizhou Medical University, Guiyang, China; Postgraduate Research Institute, Kunming Medical University, Kunming, China.

PubMed
Abstract

Insights

Pexidartinib (PLX3397) reduces periodontal inflammation by targeting senescent macrophages. This drug inhibits colony-stimulating factor-1 receptor (CSF-1R), modulating glycolytic activity to lessen macrophage senescence and improve immune response in periodontitis.

Area of Science:

  • Immunology
  • Oral Biology
  • Cellular Biology

Background:

  • Periodontitis is a chronic inflammatory disease driven by bacterial infection and host immune responses.
  • Macrophage senescence, a state of irreversible cell cycle arrest, contributes to immune dysfunction and periodontitis progression.
  • The interplay between macrophage senescence and cellular metabolism, particularly glycolysis, in the periodontal microenvironment is not fully understood.

Purpose of the Study:

  • To investigate the relationship between macrophage senescence and glycolysis in periodontitis.
  • To evaluate the efficacy of pexidartinib (PLX3397), a colony-stimulating factor-1 receptor (CSF-1R) inhibitor, in mitigating macrophage senescence and periodontal inflammation.

Main Methods:

  • Established an experimental periodontitis mouse model, assessing alveolar bone loss and periodontal tissue damage.
  • Analyzed macrophage senescence markers, glycolysis indicators, and CSF-1R expression in gingival tissues using immunofluorescence, RT-qPCR, and Western blotting.
  • Induced macrophage senescence in vitro using Porphyromonas gingivalis lipopolysaccharide (Pg-LPS) and treated with PLX3397 or glycolysis modulators, assessing senescence via SA-β-Gal staining.

Main Results:

  • Periodontitis in mice and Pg-LPS-treated macrophages exhibited increased senescent macrophages, elevated CSF-1R expression, and heightened glycolytic activity.
  • In vitro modulation of glycolysis directly impacted senescence markers in macrophages.
  • PLX3397 treatment effectively reduced glycolytic activity, thereby ameliorating macrophage senescence.

Conclusions:

  • PLX3397 alleviates periodontal inflammation by inhibiting macrophage senescence through the modulation of glycolytic pathways.
  • Targeting macrophage senescence via CSF-1R inhibition and glycolytic modulation presents a potential therapeutic strategy for periodontitis management.

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