Introduction
Periodontitis is a chronic infectious disease of periodontal tissue, mainly affected by microorganisms in dental plaque [
1]. The main characteristics of periodontitis are gum inflammation, periodontal pocket formation and alveolar bone resorption, leading to tooth loosening or loss [
2,
3]. Nowadays, periodontitis is a widespread oral disease, and the incidence rate is increasing year by year worldwide [
4,
5]. Increasing evidence shows that periodontitis is closely related to systemic diseases, including diabetes, hypertension, and cardiovascular diseases [
6‐
8]. Therefore, it is important to clarify the potential pathogenesis of periodontitis to improve its treatment effects.
Periodontal ligament (PDL) tissue has the ability to stimulate periodontal regeneration, and periodontal ligament cells (PDLCs) are indispensable in the regeneration of periodontal tissue [
9]. Numerous studies show that non-coding RNAs participate in the proliferation and differentiation of PDLCs in vitro, thus involving in the pathogenesis of periodontitis [
10,
11]. Circular RNAs (circRNAs) are a class of non-coding RNAs, and its deregulation is closely associated with the progression of human diseases [
12]. RNA-sequencing technology provided a growing number of circRNAs that were differently expressed in gingival tissues from periodontitis patients and healthy individuals [
13]. According to the data, we found that circ_0099630 was highly upregulated in periodontitis patients [
13]. Circ_0099630 was rarely investigated in any disorders in previous studies, and the functions of circ_0099630 were largely unknown. It was of great significance to explore the role of circ_0099630 in periodontitis to further understand the pathogenesis of periodontitis.
Toll-like receptor 4 (TLR4) is widely known as an important regulator of inflammatory responses and participates in various human inflammatory diseases [
14,
15]. TLR4 was reported to be upregulated in chronic periodontitis [
16,
17], and the downregulation of TLR4 contributed to the inhibition of inflammation in periodontitis [
18]. Nonetheless, the mechanism of TLR4 in this disorder was not fully understood.
Accumulating studies indicate that circRNAs serve as microRNA (miRNA) sponges to be implicated in posttranscriptional regulation [
19], which provides a new action mode of circRNAs. By targeting miRNAs, circRNAs can relieve the inhibition of miRNA on downstream target genes. Though bioinformatics analysis, both circ_0099630 and TLR4 3’ untranslated region (3’-UTR) harbored response elements with miR-409-3p. Therefore, we speculated that circ_0099630 might regulate TLR4 via sponging miR-409-3p and thus regulate multiple biological processes. However, the interactions between circ_0099630 and TLR4 were not addressed in previous studies.
In this study, we constructed inflammatory cell models of periodontitis by treating human periodontal ligament cells (HPDLCs) with lipopolysaccharide (LPS). We investigated the function of circ_0099630 and TLR4 on proliferation, apoptosis and inflammation of LPS-treated HPDLCs. Besides, we screened miR-409-3p and proposed the circ_0099630/miR-409-3p/TLR4 network to illustrate the functional mechanism of circ_0099630 in LPS-mediated HPDLC injuries, aiming to provide additional opinion for periodontitis treatment.
Materials and methods
Periodontal tissue collection
A total of 20 periodontitis patients and 20 normal controls (teeth for orthodontic) recruited at First Hospital Affiliated to Lanzhou University. After the root surface was washed with PBS, the middle 1/3 of the periodontal ligament tissues in the root was scraped and stored at -80 °C. Patients with other oral, systemic diseases and antibiotic intake within 1 month were excluded from this study. The clinicopathologic characteristics of periodontitis patients and normal controls are listed in Table
1. Written informed consent was obtained from each subject. This project was approved by the Ethics Committee of First Hospital Affiliated to Lanzhou University [Approval number: 202,111,045].
Table 1
The clinicopathologic characteristics of periodontitis patients and normal controls
Age (years) | | |
< 65 | 11 | 10 |
≥ 65 | 9 | 10 |
Sex | | |
Male | 8 | 11 |
Female | 12 | 9 |
Order of severity | | |
Slight + medium | 13 | |
Server | 7 | |
Grade of periodontitis | | |
Level 0 + 1 | 13 | |
Level 2 | 7 | |
Cell model construction
Healthy periodontal ligament tissues were collected from subjects underwent orthodontic treatment. HPDLCs were isolated from periodontal ligament tissues at the one third of the root of molars through the enzyme digestion. HPDLCs were cultured in DMEM (GIBCO, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS; GIBCO) in a 37℃ incubator containing 5% CO2. HPDLCs at 3 to 6 passages were used in this study.
Inflammatory cell models of periodontitis were established by treating HPDLCs with P. gingivalis LPS (1 µg/mL; Sigma-Aldrich, St. Louis, MO, USA). After time intervals of 24 h, HPDLCs were collected for the following experiments.
Quantitative real-time PCR (qPCR)
RNA samples were isolated using TRIzol reagent (Takara, Dalian, China). For cDNA synthesis, the PrimeScript™ 1st Strand cDNA Synthesis Kit (Takara) or Mir-X miRNA First-Strand Synthesis Kit (Clontech, Mountain View, CA, USA) was used according to the protocols. Subsequently, qPCR was performed using the TB Green Fast qPCR Mix (Takara) or Mir-X miRNA TB Green Kit (Clontech) according to the protocols. We used the 2−ΔΔCt method to calculate relative expression with GAPDH or U6 as an internal reference. The sequences of primers were:
circ_0099630, F: 5’-TCGGCCAAAGGAAGAATGAC-3’ and R: 5’-TTGATGAAAATGACCCATGACG-3’; miR-409-3p, F: 5’-GAATGTTGCTCGGTGAACCCCT-3’ and R: 5’-GAACATGTCTGCGTATCTC-3’; TLR4, F: 5’-AGACCTGTCCCTGAACCCTAT-3’ and R: 5’-CGATGGACTTCTAAACCAGCCA-3’; GAPDH, F: 5’-TCGGAGTCAACGGATTTGGT-3’ and R: 5’-TTCCCGTTCTCAGCCTTGAC-3’; U6, F: 5’-GCTTCGGCAGCACATATACTAAAAT-3’ and R: 5’-CGCTTCACGAATTTGCGTGTCAT-3’;
Western blot
The procedures of western blot were accordance with the previous description [
20]. Briefly, protein was extracted by RUPA buffer and quantified by BCA Kit (Beyotime, Shanghai, China). Then, 30 µg protein was separated by SDS-PAGE gel and transferred onto PVDF membranes. Membrane was blocked by non-fat milk and incubated with primary antibodies. After washing with TBST for 3 times, membrane was treated with secondary antibody. Protein signals were detected using ECL reagent (Beyotime). The primary antibodies were purchased from Abcam (Cambridge, MA, USA), including anti-TLR4 (ab13556), anti-cleaved-caspase 3 (ab2302), anti-Bcl-2 (ab692), anti-CyclinD1 (ab16663), anti-p-TAK1 (ab109404), anti-p-IκBα (ab133462), anti-p65 (ab16502) and anti-GAPDH (ab9485). The secondary antibodies were also purchased from Abcam, including goat anti-rabbit IgG (ab205718) and goat anti-mouse IgG (ab205719).
Cell transfection
Circ_0099630-specific small interference RNA (si-circ_0099630), TLR4 overexpression fusion vector (TLR4) and their negative control (si-NC and vector) were synthesized by Genepharma (Shanghai, China). MiR-409-3p-specific mimic (miR-409-3p), inhibitor (anti-miR-409-3p) and matched negative controls (miR-NC and anti-NC) were all obtained from Ribobio (Guangzhou, China). These oligonucleotides or vectors were transfected into cells using Lipofectamine 3000 reagent (Invitrogen, Carlsbad, CA, USA).
CCK-8 assay
After transfection, LPS-treated HPDLCs were seeded into 96-well plates and then cultured for 24 h, 48 or 72 h. At different time points, cells in each well were treated with 10 µL CCK-8 reagent (Sigma-Aldrich) for another 2 h. Cell viability was then detected using an iMARK microplate reader (Bio-Rad, Hercules, CA, USA) at 450 nm.
EdU assay
To assess cell proliferation, EdU assay was performed using the Cell-Light EdU Apollo567 in Vitro Kit (Ribobio). After transfection, cells were treated with EdU reagent for 2 h and then fixed in PBS containing 4% paraformaldehyde for 15 min. Cells were next stained with dyeing solution for 30 min and counterstained with DAPI buffer. The positive-staining cells were observed and counted under a fluorescence microscope (Olympus, Tokyo, Japan).
Flow cytometry assay
For cell apoptosis analysis, cells were detected by the Annexin V-FITC Apoptosis Detection Kit (Beyotime) in line with the protocol. In brief, a total of 5 × 104 cells were suspended into 195 µL Annexin V-FITC binding buffer, followed by treatment with 5 µL Annexin V-FITC and 10 µL propidium iodide (PI). The apoptotic cells were detected by a flow cytometer (Beckman Coulter, Miami, FL, USA).
For cell cycle analysis, cells were detected using the Cell Cycle Analysis Kit (Beyotime) according to the protocol. In brief, cells were collected and washed with PBS. Then, cells were fixed in 70% ethanol overnight and stained with PI staining buffer (containing RNase A). The content of DNA was checked using a flow cytometer (Beckman Coulter).
ELISA
To monitor the releases of pro-inflammatory factors, including TNF-α, IL-1β and IL-6, ELISA was carried out using TNF-α Human ELISA Kit (Invitrogen), IL-1β Human ELISA Kit (Invitrogen) and IL-6 Human ELISA Kit (Invitrogen). All procedures were accordance with the manufacturer’s instructions.
The potential miRNAs interacted with circ_0099630 were predicted by circinteractome (
https://circinteractome.nia.nih.gov/). The potential miRNAs interacted with TLR4-3’UR were predicted by starbase (
http://starbase.sysu.edu.cn/). Circinteractome prediction methods are as follows: Open the website:
https://circinteractome.nia.nih.gov/?tdsourcetag=s_pcqq_aiomsg, select “miRNA Target Sites”, input “circRNA ID: hsa_circ_0099630”, click “miRNA Target Search”. Starbase database prediction method are as below: Open the website:
https://rnasysu.com/encori/index.php, select “microRNAs-Target”, click “microRNAs-mRNA”, select “Genome: the human”, select “Target Gene: TLR4”. Then, the miRNAs predicted by circinteractome and starbase database were compared, and Venn diagram analysis was performed to analyze the miRNAs that could directly combine with circ_0099630 and TLR4, respectively.
Dual-luciferase reporter assay
The mutant sequences of circ_0099630 and TLR4-3’UTR were designed, and the wild-type (WT) and mutant-type (MUT) reporter plasmids of circ_0099630 and TLR4-3’UTR were constructed by yanzaibio Co., Ltd. (Shanghai, China), shortly naming as circ_0099630-WT, circ_0099630-MUT, TLR4-3’UTR-WT and TLR4-3’UTR-MUT. These reporter plasmids were separately transfected with miR-409-3p or miR-NC into HPDLCs. After time interval of 48 h, luciferase activity was checked using the Dual-Luciferase Reporter Assay System (Promega, Madison, WI, USA).
RIP assay
RIP assay was performed using the Imprint RNA Immunoprecipitation Kit (Sigma-Aldrich). HPDLCs were lysed, and cell lysates were incubated with Protein A magnetic beads conjugated with human Ago2 antibody (anti-Ago2; Sigma-Aldrich) or control mouse IgG antibody (anti-IgG; Sigma-Aldrich). RNA samples bound to beads were eluted and isolated for qPCR analysis.
Pull-down assay
Biotin-labeled miR-409-3p probe (Bio-miR-409-3p) and negative control probe (Bio-NC) were provided by Ribobio. Pull-down assay was implemented using Pierce™ Magnetic RNA-Protein Pull-Down Kit (Thermo Fisher Scientific, Waltham, MA, USA) according to the protocol. RNA compounds pulled down by Bio-miR-409-3p were eluted and isolated for qPCR analysis.
Statistical analysis
All assays were repeated for three times to collect statistical data. The data were processed using GraphPad Prism 7 (GraphPad Software Inc., San Diego, CA, USA) and shown as the mean ± standard deviation (SD). Statistical difference in groups was compared using Student’s t-test (2 groups) and ANOVA followed by Tukey’s post-hoc test (multiple groups). Statistical significance was defined when P-value less than 0.05.
Discussion
The present study explored the role and mechanism of circ_0099630 in periodontitis. We mainly discovered that the expression of circ_0099630 and TLR4 was elevated in periodontitis patients and LPS-treated HPDLCs. Knockdown of circ_0099630 or TLR4 partially restored LPS-induced HPDLCs proliferation inhibition, apoptosis and inflammation. In addition, we for the first time proposed the circ_0099630/miR-409-3p/TLR4 network to illustrate the new mechanism of circ_0099630 in periodontitis.
HPDLCs are responsible for tooth support, collagen production and tissue regeneration [
21]. LPS is the major component of the cell wall of gram-negative bacteria. Periodontitis bacteria, especially LPS, is widely shown to induce HPDLCs to secrete pro-inflammatory factors, thus playing a key role in the progression of periodontitis [
22,
23]. In our study, we constructed cell models of periodontitis by treating HPDLCs with LPS. At present, circ_0099630 was only reported to be upregulated in periodontitis tissues through the data of circRNA expression profiles [
13]. To verify this result, we checked the expression of circ_0099630 in clinical periodontal tissues and found that circ_0099630 was also highly expressed in periodontitis patients. Besides, circ_0099630 knockdown alleviated LPS-induced proliferation inhibition, apoptosis and inflammatory responses of HPDLCs, suggesting that circ_0099630 might promote periodontitis progression.
Toll-like receptors (TLRs) are involved in the immune response by recognizing patterns presented by bacteria and other pathogens [
24]. TLR4 has been shown to be closely implicated in inflammatory responses that caused gingivitis and periodontitis [
25]. TLR4 was upregulated in LPS-treated HPDLCs, and tripartite motif-containing 52 (TRIM52) knockdown alleviated LPS-induced inflammatory responses by inhibiting TLR4 [
26]. The expression of TLR4 was also elevated in the experimental periodontitis rat, and Baicalin played anti-inflammatory effects in periodontitis rat by depleting the expression of TLR4 [
27]. Consistent with these studies, we showed that TLR4 was upregulated in periodontitis patients and LPS-treated HPDLCs. TLR4 knockdown attenuated LPS-induced HPDLC proliferative inhibition, apoptosis and inflammatory responses. Interestingly, we found that TLR4 overexpression could reversed the effects of circ_0099630 knockdown and recovered LPS-induced injuries in HPDLCs, confirming that TLR4 might be a potential target for periodontitis treatment.
To realize the interactions between circ_0099630 and TLR4, we screened potential miRNAs that harbored binding sites with both circ_0099630 and TLR4 3’-UTR. As a result, the target relationship between miR-409-3p and circ_0099630 or TLR4 was confirmed by dual-luciferase reporter assay, RIP assay and pull-down assay. MiR-409-3p has been reported to play crucial roles in various human diseases and cancers [
28,
29]. However, the role of miR-409-3p in periodontitis is still unknown. Our study discovered that miR-409-3p restoration relieved LPS-induced proliferation inhibition, apoptosis and inflammation in HPDLCs, while TLR4 overexpression abolished these effects, suggesting that miR-409-3p alleviated LPS-induced injuries in HPDLCs by sequestering TLR4. Moreover, TLR4 expression was notably decreased in HPDLCs with circ_0099630 knockdown, while additional miR-409-3p deficiency recovered TLR4 expression. We summarized that circ_0099630 positively regulated TLR4 expression by serving as miR-409-3p sponge.
By reviewing the previous studies, we found that the NF-κB signaling pathway was one of the downstream pathways of TLR4 [
30]. It was reported that TLR4 activated the NF-κB signaling pathway to induce the release of pro-inflammatory factors [
31], and Resveratrol played protective effects against experimental periodontitis in mice via inhibiting the phosphorylation of NF-κB signaling molecules, including p65, p38MAPK, and STAT3 [
32]. Similarly, TRIM52 knockdown inhibited the release of pro-inflammatory factors by suppressing TLR4 expression and the phosphorylation of downstream NF-κB signaling molecules, including TAK1, IKK-α/β, IκBα and p65 [
26]. In our study, we found that the phosphorylation of TAK1, IκBα and p65 was activated in LPS-treated HPDLCs, while circ_0099630 knockdown weakened the phosphorylation of these molecules. The data hinted that circ_0099630 knockdown inhibited the activity of the NF-κB signaling pathway through the miR-409-3p/TLR4 axis, thus alleviating LPS-induced injuries in HPDLCs.
Collectively, circ_0099630 and TLR4 were highly expressed in periodontitis patients and LPS-treated HPDLCs. Circ_0099630 knockdown alleviated LPS-induced dysfunctions and injuries of HPDLCs through miR-409-3p-mediated TLR4 inhibition. Besides, circ_0099630 knockdown might regulate the inhibition of the NF-κB signaling pathway via the miR-409-3p/TLR4 axis, which needed further verification. Our study provided a new insights into the understanding of periodontitis development.
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