Antimicrobial‐induced oral dysbiosis exacerbates naturally occurring alveolar bone loss

Autor: Caroline Westwater, Matthew D Carson, J. Ignacio Aguirre, Amy J Warner, Joy E Kirkpatrick, Chad M. Novince, Alexander V. Alekseyenko, Alexa Corker, Brooks A Swanson, Jessica D. Hathaway-Schrader
Rok vydání: 2021
Předmět:
Zdroj: FASEB J
ISSN: 1530-6860
0892-6638
Popis: Periodontitis-mediated alveolar bone loss is caused by dysbiotic shifts in the commensal oral microbiota that upregulate proinflammatory osteoimmune responses. Study purpose was to determine whether antimicrobial-induced disruption of the commensal microbiota has deleterious effects on alveolar bone. We administered an antibiotic cocktail, minocycline, or vehicle-control to sex-matched C57BL/6T mice from age 6- to 12-weeks. Antibiotic cocktail and minocycline had catabolic effects on alveolar bone in specific-pathogen-free mice. We then administered minocycline or vehicle-control to male mice reared under specific-pathogen-free and germ-free conditions, and we subjected minocycline-treated specific-pathogen-free mice to chlorhexidine oral antiseptic rinses. Alveolar bone loss was greater in vehicle-treated specific-pathogen-free vs. germ-free mice, demonstrating that the commensal microbiota drives naturally occurring alveolar bone loss. Minocycline- vs. vehicle-treated germ-free mice had similar alveolar bone loss outcomes, implying that antimicrobial-driven alveolar bone loss is microbiota dependent. Minocycline induced phylum-level shifts in the oral bacteriome and exacerbated naturally occurring alveolar bone loss in specific-pathogen-free mice. Chlorhexidine further disrupted the oral bacteriome and worsened alveolar bone loss in minocycline-treated specific-pathogen-free mice, validating that antimicrobial-induced oral dysbiosis has deleterious effects on alveolar bone. Minocycline enhanced osteoclast size and interface with alveolar bone in specific-pathogen-free mice. Neutrophils and plasmacytoid dendritic cells were upregulated in cervical lymph nodes of minocycline-treated specific-pathogen-free mice. Paralleling the upregulated proinflammatory innate immune cells, minocycline therapy increased T(H)1 and T(H)17 cells that have known pro-osteoclastic actions in alveolar bone. This report reveals that antimicrobial perturbation of the commensal microbiota induces a proinflammatory oral dysbiotic state that exacerbates naturally occurring alveolar bone loss.
Databáze: OpenAIRE