Periodontal diseases are prevalent worldwide.
Lipoteichoic acid (LTA), a major component of gram-positive bacteria, may play a key role in periodontally inflammatory diseases.
Carbon monoxide (CO) is a critical messenger in many biological processes. It can elicit various
biological properties, especially anti-inflammatory effects. As the straight administration of CO remains difficult, CO-releasing molecules (CO-RMs) are emerging as promising alternatives. To explore the pharmacological actions and signaling pathways of CO battling LTA-induced periodontal
inflammation, this study investigated the cytoprotective effects of
CORM-2 against the adhesion of THP-1 monocytes to human gingival fibroblasts (HGFs) and the underlying molecular mechanism. After exposing HGFs to LTA with or without
CORM-2 pretreatment, monocyte adhesion was determined.
VCAM-1 and
ICAM-1 expression in HGFs was measured by real-time PCR. To identify the signaling pathways of CO involved in the cytoprotective effects of
CORM-2, HGFs underwent pharmacological or genetical interventions before LTA incubation. The expression and/or activity of possible regulatory molecules were determined. The release of pro-inflammatory
cytokines, including IL-1β,
IL-6, and TNF-α, were measured using ELISA. The results showed that LTA increased
cytokine production and upregulated
VCAM-1 and
ICAM-1 expression in HGFs, promoting monocyte adhesion. These events were dependent on TLR2/MyD88/
TRAF6- and PI3K/Akt/
NADPH oxidase/ROS-regulated NF-κB activation.
CORM-2 inhibited LTA-induced inflammatory cascades in HGFs, in which CO seemed to be the hitman. To conclude, CO released from
CORM-2 can prevent the LTA-stimulated HGFs from increasing
VCAM-1 and
ICAM-1 expression and promoting monocyte adhesion by inhibiting TLR2/MyD88/
TRAF6 association and PI3K/Akt/
NADPH oxidase/ROS signaling, both converge on the canonical NF-κB activation.