Multi-omics reveals ferroptosis as a key mechanism in PM2.5-exacerbated periodontitis via gingival fibroblast damage

Yi He1, Lejia Zhang1, Shilin Jia1

  • 1Hospital of Stomatology, Guanghua School of Stomatology, Institute of Stomatological Research, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510080, China.

Environment International
|February 17, 2026
PubMed

Insights

Fine particulate matter (PM2.5) worsens gum disease by causing cell death through ferroptosis in gingival fibroblasts. This research clarifies the cellular damage mechanism linking air pollution to periodontitis progression.

Area of Science:

  • Environmental Health
  • Cell Biology
  • Genomics

Background:

  • Particulate matter (PM2.5) is a major air pollutant linked to various health issues.
  • The precise mechanisms by which PM2.5 affects periodontal tissues, specifically gingival fibroblasts, remain incompletely understood.
  • Understanding these mechanisms is crucial for developing targeted interventions against pollution-exacerbated periodontitis.

Purpose of the Study:

  • To investigate the toxic effects of PM2.5 on gingival fibroblasts.
  • To elucidate the molecular mechanisms underlying PM2.5-induced damage in these cells.
  • To establish a link between PM2.5 exposure and periodontitis progression.

Main Methods:

  • Cytological assays to assess cell viability, adhesion, and migration.
  • Integrated transcriptomic and metabolomic analyses to identify molecular changes.
  • KEGG pathway enrichment analysis to understand biological processes involved.
  • In vitro experiments using ferrostatin-1 (Fer-1) to test ferroptosis inhibition.

Main Results:

  • PM2.5 exposure significantly reduced gingival fibroblast viability, adhesion, and migration.
  • Transcriptomic data revealed alterations in genes related to ferroptosis and chromatin remodeling.
  • Metabolomic data indicated dysregulation in pathways including ferroptosis, glutathione metabolism, and lipid metabolism.
  • PM2.5 induced ferroptosis in gingival fibroblasts, characterized by iron accumulation and lipid peroxidation, which was preventable with Fer-1.

Conclusions:

  • PM2.5 exposure induces significant cellular damage in gingival fibroblasts, contributing to periodontitis.
  • Ferroptosis is identified as a key mechanism driving PM2.5-induced gingival fibroblast death.
  • This study provides a mechanistic understanding of how air pollution (PM2.5) aggravates periodontitis.