PMID- 27070823 OWN - NLM STAT- MEDLINE DCOM- 20170512 LR - 20200204 IS - 1525-2191 (Electronic) IS - 0002-9440 (Print) IS - 0002-9440 (Linking) VI - 186 IP - 6 DP - 2016 Jun TI - Nuclear Factor Erythroid 2-Related Factor 2 Down-Regulation in Oral Neutrophils Is Associated with Periodontal Oxidative Damage and Severe Chronic Periodontitis. PG - 1417-26 LID - S0002-9440(16)30004-9 [pii] LID - 10.1016/j.ajpath.2016.01.013 [doi] AB - The balance between reactive oxygen species and antioxidants plays an important role in periodontal health. We previously demonstrated that high reactive oxygen species production by oral polymorphonuclear neutrophils (oPMNs) in chronic periodontitis (CP) refractory to conventional therapy is associated with severe destruction of periodontium. Herein, we show that inhibition of antioxidant production through down-regulation of nuclear factor erythroid 2-related factor 2 (Nrf2) pathway in oPMN, despite enhanced recruitment in the oral cavity, is associated with severe CP. Twenty-four genes in the Nrf2-mediated oxidative stress response pathway were down-regulated in PMNs of diseased patients. Downstream of Nrf2, levels of oPMN superoxide dismutase 1 and catalase were decreased in severe CP, despite increased recruitment. Nrf2(-/-) mice had more severe loss of periodontium in response to periodontitis-inducing subgingival ligatures compared with wild-types. Levels of 8-hydroxy-deoxyguanosine were increased in periodontal lesions of Nrf2(-/-) mice, indicating high oxidative damage. We report, for the first time, Nrf2 pathway down-regulation in oPMNs of patients with severe CP. PMNs of CP patients may be primed for low antioxidant response in the context of high recruitment in the oral cavity, resulting in increased oxidative tissue damage. CI - Copyright (c) 2016 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. FAU - Sima, Corneliu AU - Sima C AD - Department of Applied Oral Sciences, The Forsyth Institute, Cambridge, Massachusetts; Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts. Electronic address: csima@forsyth.org. FAU - Aboodi, Guy M AU - Aboodi GM AD - Department of Periodontology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. FAU - Lakschevitz, Flavia S AU - Lakschevitz FS AD - Department of Periodontology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. FAU - Sun, Chunxiang AU - Sun C AD - Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. FAU - Goldberg, Michael B AU - Goldberg MB AD - Department of Periodontology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. FAU - Glogauer, Michael AU - Glogauer M AD - Department of Periodontology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. LA - eng GR - K99 DE024575/DE/NIDCR NIH HHS/United States GR - R00 DE024575/DE/NIDCR NIH HHS/United States GR - TBO-122068/CIHR/Canada PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160409 PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Nfe2l2 protein, mouse) SB - IM MH - Adult MH - Aged MH - Animals MH - Blotting, Western MH - Chronic Periodontitis/*metabolism/*pathology MH - Down-Regulation MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Mice MH - Mice, Knockout MH - Middle Aged MH - NF-E2-Related Factor 2/deficiency/*metabolism MH - Neutrophils/*metabolism MH - Oligonucleotide Array Sequence Analysis MH - Oxidative Stress/*physiology MH - Real-Time Polymerase Chain Reaction PMC - PMC4901128 EDAT- 2016/04/14 06:00 MHDA- 2017/05/13 06:00 PMCR- 2017/06/01 CRDT- 2016/04/13 06:00 PHST- 2015/10/21 00:00 [received] PHST- 2016/01/11 00:00 [revised] PHST- 2016/01/19 00:00 [accepted] PHST- 2016/04/13 06:00 [entrez] PHST- 2016/04/14 06:00 [pubmed] PHST- 2017/05/13 06:00 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - S0002-9440(16)30004-9 [pii] AID - 10.1016/j.ajpath.2016.01.013 [doi] PST - ppublish SO - Am J Pathol. 2016 Jun;186(6):1417-26. doi: 10.1016/j.ajpath.2016.01.013. Epub 2016 Apr 9.