Dichotomy of gingipains action as virulence factors: from cleaving substrates with the precision of a surgeon's knife to a meat chopper-like brutal degradation of proteins.

Dichotomy of gingipains action as virulence factors: from cleaving substrates with the precision of a surgeon's knife to a meat chopper-like brutal degradation of proteins.
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DOI:
10.1111/j.1600-0757.2010.00377.x
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发表时间:
2010-10
影响因子:
18.6
通讯作者:
Potempa J
Potempa J
中科院分区:
医学1区
文献类型:
--
作者:
Guo Y;Nguyen KA;Potempa J

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Arguably periodontitis is the most prevalent bacteria-driven chronic inflammatory disease of the humankind. The incidence of periodontal disease has been reported to range from 30% of the population in developed countries (154) to over 70% of the population in developing countries (198) with severe disease inflicting 7% to 15% of human population worldwide (41, 67,154). Periodontitis is a major cause of loss of teeth, and is also implicated in the onset, development and/or progression of systemic diseases such as cardiovascular diseases (68), rheumatoid arthritis (27,207,224) and Alzheimer disease (87-89).The involvement of bacteria in the etiology of periodontitis is unquestionable but the composition of the causative species is still being debated. Presently, over 500 bacterial species have been detected in periodontal plaque (160) but only a handful, including Porphyromonas gingivalis has been implicated as major pathogens of chronic periodontitis (208), the most prevailing form of periodontal disease. This bacterium produces a variety of virulence factors including, bioactive metabolic products, fimbriae, and an array of proteolytic enzymes (107). Among the proteolytic enzymes, cysteine proteases referred to as gingipains are responsible for at least 85% of total proteolytic activity exerted by various strains of P. gingivalis (171) and are considered major contributors to the pathogenic potential of P. gingivalis. Indeed, three lines of evidence, including immunization, analysis of knockout strains, and testing of specific protease inhibitors using murine models of infection or bone loss clearly indicate that gingipains are absolutely essential for bacterial survival/proliferation in vivo and for the pathological outcome of the experimental infection (Table 1).
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