Porphyromonas gingivalis secreted factors drive epithelial-mesenchymal transition (EMT) through gingipains and an

Michal Kazelnik1, Rana Masri1, Michal Caspi1

  • 1Department of Clinical Microbiology and Immunology, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Gut Microbes
|March 24, 2026
PubMed

Insights

Porphyromonas gingivalis secreted factors promote colorectal cancer (CRC) progression by altering key signaling pathways. Bacterial proteases and hydrogen sulfide (H₂S) drive epithelial-mesenchymal transition (EMT), increasing cancer cell motility.

Area of Science:

  • Microbiology
  • Oncology
  • Molecular Biology

Background:

  • Gut microbiota dysbiosis is linked to various pathologies, including cancer.
  • Porphyromonas gingivalis (P. gingivalis), an oral bacterium, is associated with colorectal cancer (CRC) development.
  • The precise mechanisms of P. gingivalis in CRC pathogenesis are not fully understood.

Purpose of the Study:

  • To investigate how P. gingivalis secreted factors influence CRC progression.
  • To elucidate the roles of specific bacterial components in modulating host cell signaling pathways relevant to cancer.

Main Methods:

  • Utilized specific inhibitors and P. gingivalis mutant strains.
  • Analyzed the modulation of Wnt/β-catenin and Hippo-YAP signaling pathways.
  • Assessed the expression of epithelial-mesenchymal transition (EMT) markers.

Main Results:

  • P. gingivalis secreted factors promote CRC neoplasia by modulating Wnt/β-catenin and Hippo-YAP pathways.
  • Cysteine proteases (Kgp, RgpA) and hydrogen sulfide (H₂S) from P. gingivalis induce EMT markers.
  • These factors increase cancer cell detachment and motility, contributing to CRC progression.

Conclusions:

  • Bacterial secreted factors, including proteases and H₂S, play a significant role in driving CRC progression.
  • A novel link exists between microbial virulence factors and host cell transformation.
  • Targeting these bacterial elements could offer new therapeutic strategies for CRC.

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