口腔医学研究 ›› 2020, Vol. 36 ›› Issue (11): 1007-1011.DOI: 10.13701/j.cnki.kqyxyj.2020.11.006

• 牙周病学研究 • 上一篇    下一篇

晚期糖基化终末产物AGEs通过牙周膜成纤维细胞的TLR4途径促进牙周炎症

张询1, 袁彩霞1, 林园园1, 田群丽2*   

  1. 1.杭州口腔医院平海院区国际诊疗中心 浙江 杭州 310000;
    2.杭州口腔医院平海院区儿童口腔科 浙江 杭州 310000
  • 收稿日期:2020-04-10 出版日期:2020-11-28 发布日期:2020-11-27
  • 通讯作者: *田群丽,E-mail:tql0828@126.com
  • 作者简介:张询(1986~ ),女,湖北仙桃人,硕士,主治医师,主要从事儿童口腔医学研究。

Advanced Glycation End Products Increase Inflammation via TLR4 Pathway in Periodontal Ligament Fibroblasts

ZHANG Xun1, YUAN Caixia1, LIN Yuanyuan1, TIAN Qunli2*   

  1. 1. International Diagnosis and Treatment Center of Pinghai Campus, Hangzhou Dental Hospital, Hangzhou 310000, China;
    2. Department of Children's Stomatology, Pinghai Campus, Hangzhou Dental Hospital, Hangzhou 310000, China
  • Received:2020-04-10 Online:2020-11-28 Published:2020-11-27

摘要: 目的:探讨糖尿病的重要病理产物晚期糖基化终末产物(AGEs)对牙周膜成纤维细胞(PDLC)中Toll样受体4(TLR4)介导的相关炎症因子表达的作用,以阐明AGEs对牙周炎可能的影响。方法:分别使用不同剂量的AGEs(0、100、300、500 mg/L)处理牙周膜细胞。通过免疫荧光染色α-actin,以检测AGEs对细胞骨架的可能作用。通过Western blot检测不同剂量的AGEs对PLDCs表达TLR4及下游炎症因子IL-1β和TNF-α的影响,以及AGEs抑制剂E5564对TLR4激活的阻断作用。通过免疫荧光再次验证AGEs通过TLR4对IL-1β和TNF-α的激活作用。结果:AGEs对PDLCs的培养和形态并未有影响,对细胞结构蛋白α-actin的表达未见明显影响。Western blot结果显示,与对照组相比,300和500 mg/L的AGEs处理明显增加了PDLCs的TLR4的表达,且300和500 mg/L剂量之间未发现统计学差异。AGEs引起的TLR4的激活继续导致了下游IL-1β和TNF-α的表达上调,Western blot和免疫荧光均证明,加入TLR4特异性抑制剂E5564可以逆转TLR4通路诱导的IL-1β和TNF-α激活。结论:AGEs并未对成纤维细胞的形态和骨架有明显影响,AGEs可能通过TLR4通路促进牙周成纤维细胞的炎症因子IL-1β和TNF-α的释放,促进牙周炎的发展。

关键词: 糖基化终末产物, 牙周炎, Toll样受体4, 白细胞介素-1β, 肿瘤坏死因子-α

Abstract: Objective: To investigate the effect of advanced glycation end products (AGEs),a product of diabetes,on the expression of Toll-like receptor 4 (TLR4)-mediated inflammation in periodontal ligament cells (PDLC). Methods: Different doses of AGEs (0,100,300,500 mg/L) were used to treat PDLCs. α-Actin was stained by immunofluorescence staining to detect the cytoskeleton. Western blot was used to detect the effect of AGEs on the expression of TLR4 and the downstream factors IL-1β and TNF-α,as well as the blocking effect of AGEs inhibitor E5564 on TLR4 activation. Immunofluorescence confirmed the activation of IL-1β and TNF-αvia TLR4 pathway by AGEs. Results: AGEs had no effect on the culture and morphology of PDLCs, and no significant effect on the expression of cell structural protein α-Actin. 300 mg/L and 500 mg/L AGEs significantly increased the TLR4 expression compared with the control group,and no statistical difference was found between the 300 mg/L and 500 mg/L doses. The activation of TLR4 caused by AGEs continued to lead to the up-regulation of IL-1β and TNF-α. Western blot and immunofluorescence proved that the addition of TLR4-specific inhibitor E5564 could reverse the activation of IL-1β and TNF-α induced by TLR4 pathway. Conclusion: AGEs have no obvious effect on the morphology of fibroblasts. AGEs may promote the release of inflammatory factors IL-1β and TNF-α from periodontal fibroblasts through the TLR4 pathway.

Key words: AGEs, periodontitis, TLR4, IL-1β, TNF-α