PMID- 26241961 OWN - NLM STAT- MEDLINE DCOM- 20160510 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 8 DP - 2015 TI - Increased Eotaxin and MCP-1 Levels in Serum from Individuals with Periodontitis and in Human Gingival Fibroblasts Exposed to Pro-Inflammatory Cytokines. PG - e0134608 LID - 10.1371/journal.pone.0134608 [doi] LID - e0134608 AB - Periodontitis is a chronic inflammatory disease of tooth supporting tissues resulting in periodontal tissue destruction, which may ultimately lead to tooth loss. The disease is characterized by continuous leukocyte infiltration, likely mediated by local chemokine production but the pathogenic mechanisms are not fully elucidated. There are no reliable serologic biomarkers for the diagnosis of periodontitis, which is today based solely on the degree of local tissue destruction, and there is no available biological treatment tool. Prompted by the increasing interest in periodontitis and systemic inflammatory mediators we mapped serum cytokine and chemokine levels from periodontitis subjects and healthy controls. We used multivariate partial least squares (PLS) modeling and identified monocyte chemoattractant protein-1 (MCP-1) and eotaxin as clearly associated with periodontitis along with C-reactive protein (CRP), years of smoking and age, whereas the number of remaining teeth was associated with being healthy. Moreover, body mass index correlated significantly with serum MCP-1 and CRP, but not with eotaxin. We detected higher MCP-1 protein levels in inflamed gingival connective tissue compared to healthy but the eotaxin levels were undetectable. Primary human gingival fibroblasts displayed strongly increased expression of MCP-1 and eotaxin mRNA and protein when challenged with tumor necrosis factor-alpha (TNF-alpha and interleukin-1beta (IL-1beta), key mediators of periodontal inflammation. We also demonstrated that the upregulated chemokine expression was dependent on the NF-kappaBeta pathway. In summary, we identify higher levels of CRP, eotaxin and MCP-1 in serum of periodontitis patients. This, together with our finding that both CRP and MCP-1 correlates with BMI points towards an increased systemic inflammatory load in patients with periodontitis and high BMI. Targeting eotaxin and MCP-1 in periodontitis may result in reduced leukocyte infiltration and inflammation in periodontitis and maybe prevent tooth loss. FAU - Bostrom, Elisabeth A AU - Bostrom EA AD - Karolinska Institutet, Division of Periodontology, Department of Dental Medicine, Stockholm, Sweden. FAU - Kindstedt, Elin AU - Kindstedt E AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. FAU - Sulniute, Rima AU - Sulniute R AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. FAU - Palmqvist, Py AU - Palmqvist P AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. FAU - Majster, Mirjam AU - Majster M AD - Karolinska Institutet, Division of Periodontology, Department of Dental Medicine, Stockholm, Sweden. FAU - Holm, Cecilia Koskinen AU - Holm CK AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. FAU - Zwicker, Stephanie AU - Zwicker S AD - Karolinska Institutet, Division of Periodontology, Department of Dental Medicine, Stockholm, Sweden. FAU - Clark, Reuben AU - Clark R AD - Karolinska Institutet, Division of Periodontology, Department of Dental Medicine, Stockholm, Sweden. FAU - Onell, Sebastian AU - Onell S AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. FAU - Johansson, Ingegerd AU - Johansson I AD - Umea University, Department of Cariology, Umea, Sweden. FAU - Lerner, Ulf H AU - Lerner UH AD - Umea University, Department of Molecular Periodontology, Umea, Sweden; University of Gothenburg, Sahlgrenska Academy, Centre for Bone and Arthritis Research, Gothenburg, Sweden. FAU - Lundberg, Pernilla AU - Lundberg P AD - Umea University, Department of Molecular Periodontology, Umea, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150804 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL11) RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Age Factors MH - Body Mass Index MH - C-Reactive Protein MH - Chemokine CCL11/blood/*metabolism MH - Chemokine CCL2/blood/*metabolism MH - Cytokines/*pharmacology MH - Female MH - Fibroblasts/drug effects/*metabolism/pathology MH - Gingiva/drug effects/*metabolism/pathology MH - Humans MH - Inflammation/metabolism/pathology MH - Male MH - Middle Aged MH - Periodontitis/*blood/pathology MH - Periodontium/drug effects/metabolism/pathology MH - Smoking PMC - PMC4524692 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/08/05 06:00 MHDA- 2016/05/11 06:00 PMCR- 2015/08/04 CRDT- 2015/08/05 06:00 PHST- 2015/04/17 00:00 [received] PHST- 2015/07/11 00:00 [accepted] PHST- 2015/08/05 06:00 [entrez] PHST- 2015/08/05 06:00 [pubmed] PHST- 2016/05/11 06:00 [medline] PHST- 2015/08/04 00:00 [pmc-release] AID - PONE-D-15-16677 [pii] AID - 10.1371/journal.pone.0134608 [doi] PST - epublish SO - PLoS One. 2015 Aug 4;10(8):e0134608. doi: 10.1371/journal.pone.0134608. eCollection 2015.