PMID- 38491721 OWN - NLM STAT- Publisher LR - 20240316 IS - 1544-0591 (Electronic) IS - 0022-0345 (Linking) DP - 2024 Mar 15 TI - AZGP1 Aggravates Macrophage M1 Polarization and Pyroptosis in Periodontitis. PG - 220345241235616 LID - 10.1177/00220345241235616 [doi] AB - Periodontal tissue destruction in periodontitis is a consequence of the host inflammatory response to periodontal pathogens, which could be aggravated in the presence of type 2 diabetes mellitus (T2DM). Accumulating evidence highlights the intricate involvement of macrophage-mediated inflammation in the pathogenesis of periodontitis under both normal and T2DM conditions. However, the underlying mechanism remains elusive. Alpha-2-glycoprotein 1 (AZGP1), a glycoprotein featuring an MHC-I domain, has been implicated in both inflammation and metabolic disorders. In this study, we found that AZGP1 was primarily colocalized with macrophages in periodontitis tissues. AZGP1 was increased in periodontitis compared with controls, which was further elevated when accompanied by T2DM. Adeno-associated virus-mediated overexpression of Azgp1 in the periodontium significantly enhanced periodontal inflammation and alveolar bone loss, accompanied by elevated M1 macrophages and pyroptosis in murine models of periodontitis and T2DM-associated periodontitis, while Azgp1(-/-) mice exhibited opposite effects. In primary bone marrow-derived macrophages stimulated by lipopolysaccharide (LPS) or LPS and palmitic acid (PA), overexpression or knockout of Azgp1 markedly upregulated or suppressed, respectively, the expression of macrophage M1 markers and key components of the NLR Family Pyrin Domain Containing 3 (NLRP3)/caspase-1 signaling. Moreover, conditioned medium from Azgp1-overexpressed macrophages under LPS or LPS+PA stimulation induced higher inflammatory activation and lower osteogenic differentiation in human periodontal ligament stem cells (hPDLSCs). Furthermore, elevated M1 polarization and pyroptosis in macrophages and associated detrimental effects on hPDLSCs induced by Azgp1 overexpression could be rescued by NLRP3 or caspase-1 inhibition. Collectively, our study elucidated that AZGP1 could aggravate periodontitis by promoting macrophage M1 polarization and pyroptosis through the NLRP3/casapse-1 pathway, which was accentuated in T2DM-associated periodontitis. This finding deepens the understanding of AZGP1 in the pathogenesis of periodontitis and suggests AZGP1 as a crucial link mediating the adverse effects of diabetes on periodontal inflammation. FAU - Yang, S AU - Yang S AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. FAU - Yin, Y AU - Yin Y AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. FAU - Sun, Y AU - Sun Y AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. FAU - Ai, D AU - Ai D AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. FAU - Xia, X AU - Xia X AD - Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China. FAU - Xu, X AU - Xu X AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. FAU - Song, J AU - Song J AD - College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. AD - Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. LA - eng PT - Journal Article DEP - 20240315 PL - United States TA - J Dent Res JT - Journal of dental research JID - 0354343 SB - IM OTO - NOTNLM OT - bone loss OT - inflammation OT - innate immunity OT - periodontal diseases OT - regulated cell death OT - type 2 diabetes COIS- Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2024/03/16 21:44 MHDA- 2024/03/16 21:44 CRDT- 2024/03/16 01:12 PHST- 2024/03/16 21:44 [medline] PHST- 2024/03/16 21:44 [pubmed] PHST- 2024/03/16 01:12 [entrez] AID - 10.1177/00220345241235616 [doi] PST - aheadofprint SO - J Dent Res. 2024 Mar 15:220345241235616. doi: 10.1177/00220345241235616.