Detection of Fusobacterium nucleatum in chorionic tissues of high-risk pregnant women

J Clin Periodontol. 2012 May;39(5):417-24. doi: 10.1111/j.1600-051X.2012.01855.x. Epub 2012 Feb 6.

Abstract

Aim: This study was undertaken to investigate the existence of a periodontopathic bacterium, Fusobacterium nucleatum, in chorionic tissues of pregnant women, and the effects of F. nucleatum on human chorion-derived cells.

Materials and methods: Oral and chorionic tissue samples were collected from 24 high-risk pregnant women and 15 normal pregnant women. The presence of F. nucleatum in the samples was detected using polymerase chain reaction. Chorion-derived cells and Toll-like receptor (TLR)-2 or TLR-4 gene-silenced chorion-derived cells were stimulated with F. nucleatum lipopolysaccharide (LPS). Interleukin (IL)-6 and corticotrophin-releasing hormone (CRH) levels in the culture supernatants were measured using ELISA.

Results: F. nucleatum was detected in all oral samples and seven chorionic tissues from the high-risk pregnant women, but was not detected in chorionic tissues from the normal pregnant women. F. nucleatum LPS significantly increased IL-6 and CRH secretion by chorion-derived cells. The F. nucleatum LPS-induced IL-6 and CRH levels were significantly reduced in TLR-2 or TLR-4 gene-silenced chorion-derived cells.

Conclusions: We suggest that F. nucleatum is detected in chorionic tissues of high-risk pregnant women, but not in chorionic tissues of normal pregnant women, and that F. nucleatum induces IL-6 and CRH production via both TLR-2 and TLR-4 in chorion-derived cells.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cell Culture Techniques
  • Chorion / cytology
  • Chorion / microbiology*
  • Corticotropin-Releasing Hormone / analysis
  • Dental Plaque / microbiology
  • Dental Plaque Index
  • Female
  • Fusobacterium nucleatum / isolation & purification*
  • Gene Silencing
  • Gingival Hemorrhage / complications
  • Gingivitis / complications
  • Humans
  • Interleukin-6 / analysis
  • Lipopolysaccharides / pharmacology
  • Mouth Mucosa / microbiology
  • Periodontal Attachment Loss / complications
  • Periodontal Index
  • Periodontal Pocket / complications
  • Periodontitis / complications
  • Pregnancy
  • Pregnancy Complications
  • Pregnancy, High-Risk*
  • Saliva / microbiology
  • Toll-Like Receptor 2 / analysis
  • Toll-Like Receptor 2 / genetics
  • Toll-Like Receptor 4 / analysis
  • Toll-Like Receptor 4 / genetics

Substances

  • IL6 protein, human
  • Interleukin-6
  • Lipopolysaccharides
  • TLR2 protein, human
  • TLR4 protein, human
  • Toll-Like Receptor 2
  • Toll-Like Receptor 4
  • Corticotropin-Releasing Hormone