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Neonicotinoid pesticides disrupt gingival epithelial barrier function
Tsukasa Tamamori1, Keita Tanigaki1, Sasaki Naoko2
1Department of Preventive Dentistry, Graduate School of Dentistry, The Osaka University, Suita-Osaka 565-0871, Japan.
Toxicology Reports
|March 27, 2026
Summary
Neonicotinoid pesticides disrupt the gingival epithelial barrier by causing the coxsackievirus and adenovirus receptor (CXADR) to mislocalize into lysosomes. This disruption increases tissue permeability, potentially contributing to periodontal disease progression.
Area of Science:
- Environmental Science
- Toxicology
- Periodontology
Background:
- Neonicotinoid pesticides are environmentally persistent and detected in human blood.
- Their association with gingival inflammation is known, but the mechanism of periodontal disease involvement is unclear.
- Coxsackievirus and adenovirus receptor (CXADR) is crucial for gingival epithelial barrier function.
Purpose of the Study:
- To investigate the effects of neonicotinoids on CXADR and gingival epithelial barrier function.
- To elucidate the mechanism by which neonicotinoids may contribute to periodontal disease.
Main Methods:
- Salivary samples from 16 volunteers were analyzed for neonicotinoid presence using high-performance liquid chromatography.
- Neonicotinoids were administered to a 3D human gingival epithelial cell model.
- Cell-surface CXADR levels and epithelial permeability to LPS and PGN were assessed.
- The effect of bafilomycin A1 (a lysosomal inhibitor) on CXADR localization was examined.
Main Results:
- Four neonicotinoids (acetamiprid, clothianidin, imidacloprid, thiamethoxam) were detected in volunteer saliva.
- Neonicotinoid exposure led to the loss of cell-surface CXADR.
- This loss was reversible with bafilomycin A1, indicating lysosomal involvement.
- Neonicotinoids increased epithelial permeability to LPS and PGN in a CXADR-dependent manner.
Conclusions:
- Neonicotinoids cause the mislocalization of CXADR into lysosomes, disrupting gingival epithelial barrier function.
- This disruption allows bacterial virulence factors to penetrate subepithelial tissues, suggesting a role in periodontal disease.
- Neonicotinoid exposure poses a risk to periodontal health through barrier disruption.

