Abstract
This study examines the effects of various localized, nondissemination challenges of Porphyromonas gingivalis on inflammatory mediator production and pregnancy outcome in the golden hamster. Live or heat-killed (HK) organisms were inoculated into a previously implanted subcutaneous tissue chamber on the 8th day of gestation to determine the effects on fetal weight, viability, and resorption. In one group of animals, HK organisms were inoculated prior to mating to determine the effects of previous exposure on day-8 gestational challenges. Chamber contents were assayed at 1 and 5 days after challenge for prostaglandin E2 (PGE2) and tumor necrosis factor alpha (TNF-alpha). All P. gingivalis challenges caused a significant increase in chamber PGE2 and TNF-alpha at P < 0.01 in the following order of potency: HK < Live < HK+Live. For example, following the HK+Live challenge, PGE2 levels increased from 4.7 pg/ml at baseline to 362 pg/ml at day 5 and TNF-alpha increased from 26.4 pg/ml to 724 pg/ml at day 5. The same order of potency of the various challenges was maintained with regard to the toxic effects of P. gingivalis on pregnancy outcome. For the HK+Live challenge, fetal weight was decreased 24%; embryolethality increased to 26.5% and the percent fetal resorption increased to 10.6% compared with control animal levels. There was a statistically significant association between increasing levels of both PGE2 and TNF-alpha and fetal growth retardation and embryolethality at P < 0.001. These data suggest that infections with gram-negative periodontal pathogens can elicit adverse pregnancy outcomes and that the levels of PGE2 and TNF-alpha produced as a result of challenge are associated with the severity of fetal effect.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beutler B., Cerami A. The biology of cachectin/TNF--a primary mediator of the host response. Annu Rev Immunol. 1989;7:625–655. doi: 10.1146/annurev.iy.07.040189.003205. [DOI] [PubMed] [Google Scholar]
- Chaouat G., Menu E., Clark D. A., Dy M., Minkowski M., Wegmann T. G. Control of fetal survival in CBA x DBA/2 mice by lymphokine therapy. J Reprod Fertil. 1990 Jul;89(2):447–458. doi: 10.1530/jrf.0.0890447. [DOI] [PubMed] [Google Scholar]
- Cort N., Kindahl H. Endotoxin-induced abortion in early pregnant gilts and its prevention by flunixin meglumine. Acta Vet Scand. 1990;31(3):347–358. doi: 10.1186/BF03547547. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dzink J. L., Socransky S. S., Haffajee A. D. The predominant cultivable microbiota of active and inactive lesions of destructive periodontal diseases. J Clin Periodontol. 1988 May;15(5):316–323. doi: 10.1111/j.1600-051x.1988.tb01590.x. [DOI] [PubMed] [Google Scholar]
- Ferm V. H. The use of the golden hamster in experimental teratology. Lab Anim Care. 1967 Oct;17(5):452–462. [PubMed] [Google Scholar]
- GIBBONS R. J., MACDONALD J. B. Hemin and vitamin K compounds as required factors for the cultivation of certain strains of Bacteroides melaninogenicus. J Bacteriol. 1960 Aug;80:164–170. doi: 10.1128/jb.80.2.164-170.1960. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Genco C. A., Cutler C. W., Kapczynski D., Maloney K., Arnold R. R. A novel mouse model to study the virulence of and host response to Porphyromonas (Bacteroides) gingivalis. Infect Immun. 1991 Apr;59(4):1255–1263. doi: 10.1128/iai.59.4.1255-1263.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Genco C. A., Kapczynski D. R., Cutler C. W., Arko R. J., Arnold R. R. Influence of immunization on Porphyromonas gingivalis colonization and invasion in the mouse chamber model. Infect Immun. 1992 Apr;60(4):1447–1454. doi: 10.1128/iai.60.4.1447-1454.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gibbs R. S., Romero R., Hillier S. L., Eschenbach D. A., Sweet R. L. A review of premature birth and subclinical infection. Am J Obstet Gynecol. 1992 May;166(5):1515–1528. doi: 10.1016/0002-9378(92)91628-n. [DOI] [PubMed] [Google Scholar]
- Heyborne K. D., Witkin S. S., McGregor J. A. Tumor necrosis factor-alpha in midtrimester amniotic fluid is associated with impaired intrauterine fetal growth. Am J Obstet Gynecol. 1992 Oct;167(4 Pt 1):920–925. doi: 10.1016/s0002-9378(12)80012-3. [DOI] [PubMed] [Google Scholar]
- Liebgott B., Wiley M. J. Prenatal hamster development following maternal administration of PGE2 at midterm. Prostaglandins Leukot Med. 1985 Mar;17(3):309–318. doi: 10.1016/0262-1746(85)90120-9. [DOI] [PubMed] [Google Scholar]
- Lindemann R. A., Economou J. S. Actinobacillus actinomycetemcomitans and Bacteroides gingivalis activate human peripheral monocytes to produce interleukin-1 and tumor necrosis factor. J Periodontol. 1988 Nov;59(11):728–730. doi: 10.1902/jop.1988.59.11.728. [DOI] [PubMed] [Google Scholar]
- Offenbacher S., Odle B. M., Van Dyke T. E. The use of crevicular fluid prostaglandin E2 levels as a predictor of periodontal attachment loss. J Periodontal Res. 1986 Mar;21(2):101–112. doi: 10.1111/j.1600-0765.1986.tb01443.x. [DOI] [PubMed] [Google Scholar]
- Romero R., Wu Y. K., Mazor M., Hobbins J. C., Mitchell M. D. Amniotic fluid prostaglandin E2 in preterm labor. Prostaglandins Leukot Essent Fatty Acids. 1988 Dec;34(3):141–145. doi: 10.1016/0952-3278(88)90137-8. [DOI] [PubMed] [Google Scholar]
- Slots J. Bacterial specificity in adult periodontitis. A summary of recent work. J Clin Periodontol. 1986 Nov;13(10):912–917. doi: 10.1111/j.1600-051x.1986.tb01426.x. [DOI] [PubMed] [Google Scholar]
- Wegmann T. G., Lin H., Guilbert L., Mosmann T. R. Bidirectional cytokine interactions in the maternal-fetal relationship: is successful pregnancy a TH2 phenomenon? Immunol Today. 1993 Jul;14(7):353–356. doi: 10.1016/0167-5699(93)90235-D. [DOI] [PubMed] [Google Scholar]