Abstract
Apoptosis is thought to contribute to the progression of periodontitis. It has been suggested that the apoptosis of epithelial cells may contribute to the loss of epithelial barrier function. Smad2, a downstream signaling molecule of TGF-β receptors (TGF-βRs), is critically involved in apoptosis in several cell types. However, the relationship between smad2 and bacteria-induced apoptosis has not yet been elucidated. It is possible that the regulation of apoptosis induced by periodontopathic bacteria may lead to novel preventive therapies for periodontitis. Therefore, in the present study, we investigated the involvement of smad2 phosphorylation in apoptosis of human gingival epithelial cells induced by Aggregatibacter actinomycetemcomitans (Aa). Aa apparently induced the phosphorylation of smad2 in primary human gingival epithelial cells (HGECs) or the human gingival epithelial cell line, OBA9 cells. In addition, Aa induced phosphorylation of the serine residue of the TGF-β type I receptor (TGF-βRI) in OBA9 cells. SB431542 (a TGF-βRI inhibitor) and siRNA transfection for TGF-βRI, which reduced both TGF-βRI mRNA and protein levels, markedly attenuated the Aa-induced phosphorylation of smad2. Furthermore, the disruption of TGF-βRI signaling cascade by SB431542 and siRNA transfection for TGF-βRI abrogated the activation of cleaved caspase-3 expression and repressed apoptosis in OBA9 cells treated with Aa. Thus, Aa induced apoptosis in gingival epithelial cells by activating the TGF-βRI-smad2-caspase-3 signaling pathway. The results of the present study may suggest that the periodontopathic bacteria, Aa, activates the TGF-βR/smad2 signaling pathway in human gingival epithelial cells and induces apoptosis in epithelial cells, which may lead to new therapeutic strategies that modulate the initiation of periodontitis.
Keywords: epithelial cells, TGF-β type I receptor, cleaved caspase-3, periodontitis, gingival epithelium, periodontopathic bacteria
Introduction
Periodontitis is the most prevalent infectious disease caused by periodontopathic bacteria and is a chronic inflammatory disease. The gingival junctional epithelium, which is located at a strategically important interface between the gingival sulcus and host tissue, recognizes bacterial infections. Microbial adhesion to and invasion of the gingival epithelium are the initial events of periodontitis (Schroeder and Listgarten, 1997; Abuhussein et al., 2013). Apoptosis in epithelial cells triggers the destruction of epithelial barrier function, which plays a crucial role in the onset and progression of periodontitis (Schroeder and Listgarten, 1997; Kato et al., 2000; Dickinson et al., 2011; Abuhussein et al., 2013). Previous studies have reported that many TUNEL-positive cells were detected in the gingival epithelium of patients with periodontitis (Tonetti et al., 1998; Abuhussein et al., 2013). Therefore, the signaling cascade involved in micro-organism-induced apoptosis in gingival epithelial cells needs to be investigated in more detail and may lead to the development of novel preventive therapies for periodontitis.
TGF-β transmits signals by inducing TGF-β type II receptor (TGF-βRII) and TGF-β type I receptor (TGF-βRI) to form a tetrameric receptor complex, which leads to the activation of TGF-βRI. TGF-βRI, in turn, phosphorylates smad2, which translocates to the nucleus to regulate transcription (Derynck and Zhang, 2003). Smad2 is a well-known downstream signaling molecule of TGF-βRs and plays a key role in TGF-β-mediated apoptosis in various cell types (Lee et al., 2002; Wildey et al., 2003; Mithani et al., 2004; Ramjaun et al., 2007; Yang et al., 2009). An increase in the number of apoptotic-positive cells was recently observed in the gingival junctional epithelium in smad2 transgenic mice (Fujita et al., 2012). Therefore, the marked acceleration of TGF-βR/smad2 signaling by microbial pathogens may cause apoptosis and disrupt the epithelial barrier.
Aggregatibacter actinomycetemcomitans (Aa), a gram-negative facultative capnophilic anaerobe, can ferment many sugars, including glucose, fructose, and maltose. Previous studies identified numerous virulence factors from Aa that affected the gingival epithelium and triggered the onset of periodontitis, including lipopolysaccharide (LPS), leukotoxin, cytolethal distending toxin (CDT), collagenase, and outer membrane proteins (Wilson and Henderson, 1995; Schreiner et al., 2003; Rogers et al., 2007; Kachlany, 2010; Höglund Åberg et al., 2013). Aa is recognized as the etiological pathogen for aggressive periodontitis and severe adult periodontitis, while being involved in other medical diseases such as thyroid and brain abscess, urinary tract infections, and sub-acute bacterial endocarditis. Furthermore, evidence to suggest that Aa induces apoptosis in gingival epithelial cells is increasing (Li et al., 2011; Kang et al., 2012).
Based on these findings, we hypothesized that Aa may activate TGF-βRs/smad2 signaling to induce apoptosis in gingival junctional epithelial cells. We herein examined the involvement of smad2 signaling in cultured gingival epithelial cells stimulated by Aa.
Materials & Methods
Bacterial Strains and Culture
Aa strain Y4 (ATCC, Manassas, VA, USA) was grown in Todd-Hewitt broth supplemented with 1% yeast extract (TSBY; Difco Laboratories, Detroit, MI, USA) in humidified 5% CO2 atmosphere at 37°C for 2 days. After cultivation, whole cells were fixed with 1% formalin at 4°C for 12 hr, harvested by centrifugation, and washed 3 times in phosphate-buffered saline (PBS, pH 7.4). Some of the washed Aa Y4 was suspended in Humedia-KB2 medium (pH 7.4, Kurabo, Osaka, Japan) containing 10 μg/mL insulin, 5 μg/mL transferrin, 10 μM 2-mercaptoethanol, 10 μM 2-aminoethanol, and 10 nM sodium selenite.
Cells and Cell Culture
Healthy gingival tissues, which had been surgically dissected through the process of third molar extraction and were going to be discarded, were collected with patients’ informed consent. Human gingival epithelial cells (HGECs) were isolated as previously described, with minor modification (Uchida et al., 2005; Fujita et al., 2006, 2010). Briefly, gingival tissues were treated with dispase overnight at 4°C and then divided into the epithelium and connective tissue. The epithelium was treated with 0.025% trypsin and 0.01% EDTA for 15 min, minced, and treated with a trypsin inhibitor. The HGEC suspension was centrifuged at 120 × g for 5 min, and the pellet was suspended in Humedia-KB2 medium containing 10 μg/mL insulin, 5 μg/mL transferrin, 10 μM 2-mercaptoethanol, 10 μM 2-aminoethanol, 10 μM sodium selenite, 50 μg/mL bovine pituitary extract, 100 units/mL penicillin, and 100 μg/mL streptomycin. The cells were seeded in 60-mm plastic tissue culture plates coated with type I collagen, and incubated in 5% CO2/95% air at 37°C. When the cells reached subconfluence, they were harvested and subcultured.
OBA9 cells, a Simian virus-40 (SV40) antigen-immortalized human gingival epithelial cell line, were kindly given by Professor Shinya Murakami (Osaka University) (Kusumoto et al., 2004). OBA9 cells were cultured with Humedia-KB2 medium containing 10 mg/mL insulin, 0.1 mg/mL hEGF, 0.67 mg/mL hydrocortisone hemisuccinate, 50 mg/mL gentamycin, 50 mg/mL amphotericin B, and 2 mL BPE (medium A). Before the addition of Aa Y4, these cells were incubated in medium without growth factor (medium B) for 3 hr. The cells were then pre-treated for 30 min with or without SB431542 (TGF-βRI inhibitor, 10 μM, R&D Systems, Minneapolis, MN, USA) and then treated with Aa Y4 for various periods. Regarding chemical reagents dissolved in dimethylsulfoxide, an appropriate concentration of dimethylsulfoxide was added as a solvent control.
Western Blotting
Proteins were separated by SDS–PAGE and transferred to a nitrocellulose (NC) membrane (Bio-Rad Laboratories, Hercules, CA, USA). After being blocked with 5% nonfat milk in TBST for 1 hr, the membrane was washed and incubated with the primary antibody, rabbit anti-human cleaved caspase-3 antibody, rabbit anti-human phosphorylated smad2 (Ser465/467) antibody, rabbit anti-human TGF-βRI antibody, mouse anti-human β-actin antibody (Cell Signaling Technology, Beverly, MA, USA), and mouse anti-human total smad2/3 antibody (BD Transduction Laboratories, San Jose, CA, USA). The membrane was washed 3 times and incubated with a peroxidase-conjugated donkey anti-rabbit or anti-mouse IgG antibody (R&D Systems) for 1 hr at room temperature. Immunodetection was performed according to the manual supplied with the ECL Prime Western blotting detection reagents (BioRad Laboratories, Hercules, CA, USA).
Immunoprecipitation
Recombinant human TGF-β1 was obtained from R&D Systems. The TGF-βRI protein in the cell lysate was immunoprecipitated with rabbit anti-TGF-βRI polyclonal antibody (Abcam, Cambridge, MA, USA) that was pre-bound to the Crosslink Magnetic IP and Co-IP Kit (Thermo Scientific, Rockford, IL, USA). After being extensively washed with the lysis buffer, proteins captured by anti-TGF-βRI antibody-coated beads were separated by SDS-PAGE and subjected to Western blotting with rabbit anti-phosphoserine antibody (Abcam) or with rabbit anti-TGF-βRI polyclonal antibody (Cell Signaling Technology). After the membrane was reacted with HRP-conjugated donkey anti-rabbit IgG (R&D Systems), immunodetection was performed as described above.
Real-time PCR Assay
First, standard cDNA synthesis was performed with 1 μg of total RNA extract in a total volume of 20 μL (Roche, Tokyo, Japan). Real-time PCR was performed with a Lightcycler system using SYBR green (Roche). The sense and anti-sense primers for human TGF-β type I receptor were as follows: (sense) 5′-TGG TCTTGCCCATCTTCACA-3′ and (antisense) 5′-ATTGCATA GATGTCAGCACG-3′; and GAPDH mRNA (sense), 5′-AACG TGTCAGTGGTGGACCTG-3′ and (anti-sense) 5′-AGTGGGT GTCGCTGTTGAAGT-3′.
Apoptosis Assay
TUNEL staining for apoptotic cells was performed with a Dead-End fluorometric TUNEL system (Promega, Madison, WI, USA). Fluorescence signals were detected with an Olympus FSX100 fluorescence microscope (Olympus, Tokyo, Japan).
Small Interfering RNA (siRNA) Knockdown of the TGF-β Type I Receptor
Validated TGF-βRI siRNA and negative-control siRNA were obtained from Invitrogen (Carlsbad, CA, USA) (identification nos. HSS110697 for TGF-βRI siRNA, HSS106251 for smad2 siRNA, and 12935-300 for negative-control siRNA). OBA9 cells were seeded at a density of 2.0 × 104 cells per well in 6-well plastic culture plates and cultured in medium A for 24 hr at 37°C. In total, 30 nM of TGF-βRI siRNA and negative control siRNA were transfected into the cells with lipofectamine RNAiMAX reagent (Invitrogen), according to the manufacturer’s instructions. Cells treated with or without stimulants were collected after 48 hrs of incubation.
Statistical Analysis
Comparisons between and among groups were analyzed with the Student’s t test.
Results
To determine whether Aa Y4 was involved in the phosphorylation of smad2 in gingival epithelial cells, we exposed HGECs to Aa Y4 at 106, 107, 108, and 109 cells per well (MOI: 1, 10, 102, 103) for 1 hr. Aa Y4 (MOI: 1, 10, 102, 103) significantly induced the phosphorylation of smad2 in HGECs (Fig. 1A). Based on this result, we used Aa Y4 at 107 cells per well (MOI: 10) in the following experiments. HGECs exposed to Aa Y4 induced the phosphorylation of smad2, peaking at 1 hr and then gradually decreasing (Fig. 1B). We used OBA9 cells in subsequent experiments to examine the relationship between Aa Y4 and the phosphorylation of smad2 in gingival epithelial cells in more detail. OBA9 cells were exposed to Aa Y4 for various periods. Similar to the results obtained with HGECs, Aa Y4 also markedly facilitated the phosphorylation of smad2 in OBA9 cells for 1 hr (Fig. 1C). We then assessed the activation of TGF-βRI in OBA9 cells based on these results, to determine whether the Aa Y4-enhanced phosphorylation of smad2 was mediated through TGF-βRI. In general, in response to the binding of TGF-β1 to TGF-βRs, the interaction between TGF-βRII serine kinase and TGF-βRI elicits the phosphorylation of serines (187, 189, 191) in the GS domain of TGF-βRI, which, in turn, induces smad2 signaling (Derynck and Zhang, 2003). The ability of Aa Y4 to activate TGF-βRs was measured in phosphor-serine immuno-blots of TGF-βRI immunoprecipitated from OBA9 cells and in cells treated with Aa Y4. The incubation of OBA9 cells for 1 hr with Aa Y4 markedly increased the phosphorylation of serine in TGF-βRI approximately 6-fold compared with basal levels (Figs. 2A, 2B). In control experiments, the incubation of OBA9 cells for 1 hr with 10 ng/mL TGF-β1 also increased the phosphorylation of serine in TGF-βRI, approximately 7-fold compared with basal levels (Figs. 2A, 2B). We then performed an inhibitor assay using SB431542 and siRNA transfection for TGF-βRI. As expected, SB431542 inhibited the Aa Y4-enhanced phosphorylation of smad2 in HGECs and OBA9 cells (Figs. 3A, 3B). Therefore, we performed siRNA transfection for TGF-βRI. We first confirmed that siRNA transfection for TGF-βRI decreased the expression of TGF-βRI at both mRNA and protein levels (Figs. 3C, 3D). Knockdown by siRNA for TGF-βRI attenuated the Aa Y4-induced phosphorylation of smad2 in OBA9 cells (Fig. 3E). These results indicated that Aa Y4 enhanced the phosphorylation of smad2 through TGF-βRI in OBA9 cells.
Figure 1.
Aa Y4 facilitated the phosphorylation of smad2 in human gingival epithelial cells (HGECs). (A) HGECs were exposed to Aa Y4 at 106, 107, 108, and 109 cells/well (MOI: 1, 10, 102, and 103) for 1 hr. (B) HGECs were exposed to Aa Y4 at 107 cells/well for various periods. (C) OBA9 cells were exposed to Aa Y4 at 107 cells/well for the indicated periods. Phosphorylated (p) and total (t) smad2 levels were analyzed through Western blotting. Band densities were quantified through densitometric scanning of each band with the National Institutes of Health Image J software. The graph indicates the ratio of phosphor-smad2/total smad2. Values represent the mean ± SD of 3 cultures. *p < .05, **p < .01 values differ significantly (t test).
Figure 2.

Aa Y4 activated the TGF-β type I receptor. (A) Representative Western blotting of Aa Y4- and TGF-β1-stimulated phosphorylation of serine in TGF-βRI and also of total TGF-βRI after the immunoprecipitation (IP) of TGF-βRI. Lane 1, basal; lane 2, Aa Y4; lane 3, 10 ng/mL TGF-β1. (B) Densitometric analysis of the Aa Y4- or TGF-β1-stimulated phosphorylation of serine in TGF-βRI. OBA9 cells were incubated for 1 hr with Aa Y4 or 10 ng/mL TGF-β1 as a control. TGF-βRI was immunoprecipitated from cell lysates and subjected to Western blotting analysis of the phosphorylation of serine. Blots were re-probed for total TGF-βRI levels. Results are expressed as a percentage above basal levels in relative densitometric units normalized to total TGF-βRI levels. Band densities were quantified through densitometric scanning of each band with the National Institutes of Health Image J software. Values represent the mean ± SD of 3 cultures. **p < .01 values differ significantly (t test).
Figure 3.
Aa Y4 induced the phosphorylation of smad2 via the TGF-β type I receptor in OBA9 cells. (A, B) HGECs or OBA9 cells were pre-treated with or without SB431542 (10 μM) for 30 min and were then exposed to Aa Y4 for 1 hr. Phosphorylated (p) and total (t) smad2 levels were analyzed through Western blotting, respectively. (A) HGECs. (B) OBA9 cells. (C, D) OBA9 cells, having been transfected with the negative control (neg) or TGF-βRI siRNA, were cultured for 48 hr in medium B. (C) mRNA levels of TGF-βRI and GAPDH in the cells were analyzed through real-time PCR. (D) Protein levels of TGF-βRI and β-actin were analyzed through Western blotting. (E) OBA9 cells, having been transfected with the negative control or TGF-βRI siRNA, were cultured for 48 hr in medium B and were then exposed to Aa Y4 for 1 hr. Phosphorylated (p) and total (t) smad2 levels were analyzed through Western blotting. Band densities were quantified through the densitometric scanning of each band with National Institutes of Health Image J software. Values represent the mean ± SD of the 3 cultures. **p < .01 values differ significantly (t test). Similar results were obtained from 3 experiments.
Aa Y4 has been shown to induce apoptosis in human gingival epithelial cells (Li et al., 2011; Kang et al., 2012). To test this premise, we exposed OBA9 cells to Aa Y4 for various periods. Aa Y4 increased the protein level of cleaved caspase-3 in a time-dependent manner, and a maximal effect was observed at 6 hr (Fig. 4A). Furthermore, as shown in Fig. 4 (D, E), TUNEL staining showed that Aa Y4 increased the number of apoptotic-positive cells. The pre-treatment with SB431542 and TGF-βRI knockdown by TGF-βRI siRNA decreased the protein levels of cleaved caspase-3 (Figs. 4B, 4C). Consistent with these results, as shown in Fig. 4 (D, E), TUNEL staining showed that TGF-βRI knockdown by TGF-βRI siRNA transfection significantly abrogated the Aa Y4-induced increase in the number of apoptotic-positive cells. Next, to address the relationship between smad2 and Aa Y4-induced apoptosis in OBA9 cells, we performed siRNA transfection for smad2. As shown in Fig. 4F, we confirmed that siRNA transfection for smad2 decreased the expression of smad2 at the protein levels. Knockdown by siRNA for smad2 apparently attenuated the Aa Y4-induced activation of cleaved caspase-3 in OBA9 cells (Fig. 4G). In agreement with this result, TUNEL staining showed that smad2 knockdown by siRNA transfection significantly decreased the Aa Y4-increased number of apoptotic-positive cells (Fig. 4H). Taken together, these results demonstrated that Aa Y4 induced apoptosis by activating the TGF-βR/smad2 signaling pathway in OBA9 cells.
Figure 4.
Aa Y4 induced apoptosis though the smad2/ TGF-β type I receptor in OBA9 cells. (A) OBA9 cells were exposed to Aa Y4 for the indicated times. Cleaved caspase-3 levels and β-actin were analyzed through Western blotting. (B) OBA9 cells were pre-treated with or without SB431542 (10 μM) for 30 min and were then exposed to Aa Y4 for 12 hrs. (C) OBA9 cells, having been transfected with the negative control or TGF-βRI siRNA, were cultured for 48 hr in medium B and were then exposed to Aa Y4 for 12 hr. Cleaved caspase-3 levels and β-actin were analyzed through Western blotting. (D, E) OBA9 cells, having been transfected with the negative control or TGF-βRI siRNA, were cultured for 48 hr in medium B and were then exposed to Aa Y4 for 24 hr. TUNEL-positive apoptotic cells (red) are shown under each set of conditions, and the graph shows the percentage of TUNEL-positive cells. (F, G) OBA9 cells, having been transfected with the negative control or smad2 siRNA, were cultured for 48 hr in medium B and were then exposed to Aa Y4 for 12 hr. (F) Total smad2 and β-actin were analyzed through Western blotting. (G) Cleaved caspase-3 levels and β-actin were analyzed through Western blotting. (H) OBA9 cells, having been transfected with the negative control or TGF-βRI siRNA, were cultured for 48 hr in medium B and were then exposed to Aa Y4 for 24 hr. The graph shows the percentage of TUNEL-positive cells. Band densities were quantified through the densitometric scanning of each band with the National Institutes of Health Image J software. Similar results were obtained from 3 experiments.
Discussion
In the present study, we demonstrated, for the first time, that the phosphorylation of smad2 was facilitated through TGF-βRI by the periodontopathic bacteria, Aa Y4. We examined the relationship between smad2 and Escherichia coli (E.coli) and Aa strain IDH781 in OBA9 cells. Interestingly, E.coli and Aa IDH781 also enhanced the phosphorylation of smad2 in OBA9 cells (Appendix Fig., A, B). This result may provide a novel insight into the molecular mechanisms underlying bacterial infection. TGF-βR/smad2 signaling may be associated with many species of bacteria such as Helicobacter pylori, Shigella, and E.coli, in addition to periodontopathic bacteria in the intestinal or gastric epithelium, and may also be positively involved in intestinal or gastric inflammation. Bacterial stimulation in smad2 signaling should be examined in more detail in future studies.
The most important result of the present study was that smad2 was phosphorylated via TGF-β RI by Aa stimulation. Aa may activate TGF-βR/smad2 signaling in OBA9 cells in 3 ways. The first is an Aa-derived TGF-β mimicry molecule. However, it is unlikely that Aa binds directly to TGF-βRs because of their molecular and protein structures. The second is gingival epithelial cell-derived TGF-β. A previous study demonstrated that TGF-β1 produced by gastric epithelial cells in response to bacterial infection acted in an autocrine or paracrine manner (Beswick et al., 2011); therefore, TGF-β may be secreted or released from gingival epithelial cells treated with Aa and bind to TGF-βRs to induce the phosphorylation of smad2. The last is Aa-dependent TGF-βRI transactivation. Accumulating evidence indicates that there is extensive crosstalk between integrins and TGF-βR signaling. For example, previous studies reportedthat α3β1 and TGF-βR mediated the phosphorylation of smad2 (KK Kim et al., 2009; Y Kim et al., 2009). Conversely, other studies described an interplay between bacteria and integrin (Blix et al., 1999; Ouhara et al., 2006; Dileepan et al., 2007). Taken together, these findings suggest that smad2 may bephosphorylated by an Aa-integrin-TGFβ-RI transactivation pathway in gingival epithelial cells. This mechanism needs to be elucidated in more detail.
The turnover of the gastrointestinal epithelium is rapid and requires an appropriate balance between the proliferation of progenitor cells and the loss of mature cells. Activation of the TGF-βR/smad2 cascade is crucially involved in the physiological apoptosis in superficial gastric epithelial cells, which suggests that TGF-β/smad2 signaling may play an important role in the maintenance of homeostasis in the gingival epithelium (Ohgushi et al., 2005). In periodontal tissue, the turnover of the gingival junctional epithelium is also rapid, and the superficial mature cells of the junctional gingival epithelium are thought to be regulated by physiological apoptosis. These findings suggest that the excessive acceleration of TGF-βR/smad2 signaling by microbial pathogens may disrupt the homeostasis of turnover in the gingival epithelium, thereby initiating the onset of periodontitis.
Many microbial pathogens activate the production of pro-inflammatorycytokines and apoptosis-related factors through the toll-like receptor (TLR) pathway. Most studies conducted thus far have indicated a relationship between Aa-caused apoptosis and TLRs in gingival epithelial cells (Kato et al., 2013; Park et al., 2014; Shenker et al., 2014). Therefore, the Aa-induced phosphorylation of smad2 may occur through a TLR-dependent or -independent pathway.
In this study, it is still unclear which virulence factor from Aa induced apoptosis via TGF-βRI-smad2-caspase-3 signaling. CDT from Aa is known to induce apoptosis of gingival epithelial cells (Alaoui-El-Azher et al., 2010). However, the other virulence factors may be involved in Aa Y4-induced phosphorylation of smad2, because the formalin killed-Aa Y4 used in this study does not release CDT. The further study for virulence factors from Aa on phosphorylation of smad2 should be necessary.
In summary, the present study provided a novel insight into the bacterial infection system and introduced novel molecular targets in the search for a therapeutic chemical compound that can protect OBA9 cells from bacteria-induced apoptosis. These results may lead to the development of novel preventive or therapeutic interventions against periodontitis. Future studies are warranted to investigate this in more detail. If bacteria do play a role in TGF-βR/smad2 signaling in various cells, the results of the present study may lead to the mechanisms involved in infectious diseases being elucidated.
Supplementary Material
Acknowledgments
We thank Professor Shinya Murakami (Osaka University) for providing OBA9 cells.
Footnotes
A supplemental appendix to this article is published electronically only at http://jdr.sagepub.com/supplemental.
This study was supported by a Grant-in-Aid for Scientific Research (C) (No. 24593123) from the Japan Society for the Promotion of Science, Japan.
The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.
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