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Updated: Sep 9, 2025

Induction of Periodontitis via a Combination of Ligature and Lipopolysaccharide Injection in a Rat Model
Published on: February 17, 2023
CCL2-Driven Inflammation Links Periodontitis to Anxiety.
Li Liang1, Zhen Liu1, Nan Yang1
1Department of Stomatology, Eighth Medical Center of Chinese PLA General Hospital, Beijing, China.
Periodontitis is linked to anxiety through the inflammatory chemokine CCL2. This study found elevated CCL2 levels in periodontitis patients and mice, contributing to anxiety-like behaviors and inflammation.
Area of Science:
- Neuroscience
- Immunology
- Periodontology
Background:
- Periodontitis is a chronic inflammatory disease affecting the gums and supporting structures of teeth.
- Anxiety disorders are prevalent and significantly impact quality of life.
- Emerging evidence suggests a bidirectional relationship between systemic inflammation and mental health.
Purpose of the Study:
- To investigate the association between periodontitis and anxiety.
- To explore the role of chemokine (C-C motif) ligand 2 (CCL2) in mediating this relationship.
- To elucidate the underlying inflammatory mechanisms linking periodontitis and anxiety.
Main Methods:
- An analytical cross-sectional study comparing anxiety levels (Hamilton Anxiety Rating Scale) and CCL2 levels in periodontitis patients and healthy controls.
- A preclinical in vivo study using a mouse model of ligature-induced periodontitis to assess anxiety-like behaviors, CCL2 levels, monocyte/macrophage infiltration, and blood-brain barrier integrity.
- Analysis of tight junction proteins and assessment of blood-brain barrier permeability.
Main Results:
- Individuals with periodontitis exhibited significantly higher anxiety levels, correlated with elevated CCL2 in blood and periodontal tissues, and increased monocyte counts.
- In the mouse model, periodontitis induced higher CCL2 expression, enhanced monocyte/macrophage infiltration in periodontal tissues and the brain, disrupted periodontal tight junctions and the blood-brain barrier, and increased anxiety-like behaviors.
- Administration of a CCL2-neutralizing antibody ameliorated anxiety-like behaviors, periodontal pathology, and inflammation.
Conclusions:
- Periodontitis is associated with anxiety.
- CCL2-mediated inflammation plays a significant role in the pathogenesis linking periodontitis and anxiety.
- Targeting CCL2 may offer a therapeutic strategy for individuals with both conditions.
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