A number of successful pathogens have evolved mechanisms to evade host defense, thus establishing persistent and chronic infections. A hallmark of chronic infection with the oral pathogen, Porphyromonas gingivalis, is the induction of a chronic inflammatory response. Although membrane- bound innate immune receptors, including Toll-like receptors (TLR), play a role in inflammation in response to P. gingivalis, it i unknown how intracellular host defense mechanisms to this pathogen contribute to persistent infection and resulting in chronic inflammation. We have recently reported on a novel strategy by which P. gingivalis modulates the levels of key intracellular proteins involved in cell death and host defense responses. We demonstrate that the lysine-specific bacterial cysteine protease of P. gingivalis (gingipain K - Kgp) induces the proteolysis of receptor interacting protein kinase 1 (RIPK1) and RIPK2. Our preliminary studies reveal functional consequences of P. gingivalis mediated RIPK degradation on intracellular immune signaling responses. These studies support the emerging concept that pathogen-mediated chronic inflammatory disorders result from specific pathogen-mediated evasion strategies resulting in low-grade chronic inflammation. Given the roles of RIPK in TNF-R induced cell activation and sensing of intracellular pathogens, we propose the ability of P. gingivalis to transiently degrade RIPK functions as a mechanism to avoid intracellular innate immune signaling and allows for bacterial persistence within target cells. The following specific Aims will test this hypothesis:
Aim 1. To define the functional consequences of Kgp-mediated RIPK degradation on innate immune signaling and bacterial persistence;
Aim 2. To characterize the ability of RIPK cleaved products to function in inhibition of NF?B activation;
Aim 3. To assess the efficiency of gingipain inhibitos on the inhibition of P. gingivalis-induced chronic inflammation at local sites in a murine model;
and Aim 4. To assess the efficiency of gingipain inhibitors on the inhibition of P. gingivalis-induced chronic inflammation at systemic sites in an ApoE-/- murine model. The ability to specifically block Kgp-mediated modification of cellular kinases represents a novel strategy to target bacterial persistence and innate immune signaling within host cells. Successful undertaking of the proposed studies has the potential to identify and validate novel therapeutic interventions that target pathogen evasion mechanisms associated with chronic infection and the resulting inflammatory sequelae.

Public Health Relevance

The ability to specifically block bacterial-mediated modification of cellular kinases represents a novel strategy to target bacterial persistence and innate immune signaling within host cells. Successful undertaking of the proposed studies has the potential to identify and validate novel therapeutic interventions that target pathogen evasion mechanisms associated with P. gingivalis chronic infection and the resulting inflammatory sequelae.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
5R01DE023501-02
Application #
8658424
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Melillo, Amanda A
Project Start
2013-05-05
Project End
2017-03-31
Budget Start
2014-04-01
Budget End
2015-03-31
Support Year
2
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Boston Medical Center
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02118
Barth, Kenneth; Genco, Caroline Attardo (2016) Microbial Degradation of Cellular Kinases Impairs Innate Immune Signaling and Paracrine TNF? Responses. Sci Rep 6:34656
Barth, Kenneth; Remick, Daniel G; Genco, Caroline A (2013) Disruption of immune regulation by microbial pathogens and resulting chronic inflammation. J Cell Physiol 228:1413-22