Polyphenols from Myrothamnus flabellifolia Welw. inhibit in vitro adhesion of Porphyromonas gingivalis and exert anti-inflammatory cytoprotective effects in KB cells

• Published in: Journal of clinical periodontology 2011-05, Vol.38 (5), p.457-469
• Main Authors: Löhr, Gesine, Beikler, Thomas, Podbielski, Andreas, Standar, Kerstin, Redanz, Sylvio, Hensel, Andreas
• Format: Article
• Language: English
• Subjects: Adhesins, Bacterial - drug effects; Adhesins, Bacterial - metabolism; adhesion; Anti-Inflammatory Agents - pharmacology; Bacterial Adhesion - drug effects; Bacterial Proteins - drug effects; Bacterial Proteins - metabolism; Biological and medical sciences; Bones, joints and connective tissue. Antiinflammatory agents; Cells, Cultured; Cysteine Endopeptidases - drug effects; Cysteine Endopeptidases - metabolism; cytoprotection; Dentistry; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Fimbriae, Bacterial - drug effects; Flavonoids - pharmacology; Gene Expression Profiling; gingipains; Humans; inflammation; Magnoliopsida; Medical sciences; Microbial Sensitivity Tests; Myrothamnus flabellifolia; Non tumoral diseases; Otorhinolaryngology. Stomatology; outer membrane proteins; periodontal disease; Pharmacology. Drug treatments; Phenols - pharmacology; Phorphyromonas gingivalis; Plant Extracts - pharmacology; Polyphenols; Porphyromonas gingivalis - drug effects; Porphyromonas gingivalis - metabolism; proanthocyanidins
• ISSN: 0303-6979; 1600-051X
• DOI: 10.1111/j.1600-051X.2010.01654.x

Löhr G, Beikler T, Podbielski A, Standar K, Redanz S, Hensel A. Polyphenols from Myrothamnus flabellifolia Welw. inhibit in vitro adhesion of Porphyromonas gingivalis and exert anti‐inflammatory cytoprotective effects in KB cells. J Clin Periodontol 2011; 38: 457–469. doi: 10.1111/j.1600‐051X.2010.01654.x. Aim: Identification of anti‐adhesive plant extracts against cell surface binding of Porphyromonas gingivalis and underlying mechanisms; investigation of potential cytoprotective effects of anti‐adhesive extract on KB cells. Materials and Methods: Polyphenol‐enriched extract, fully characterized concerning flavan‐3‐ols and oligomeric proanthocyanidins, from Myrothamnus flabellifolia (MF), traditionally used for periodontitis, was tested for inhibition of P. gingivalis‐mediated adhesion to KB cells by flow cytometry, for influence on gingipain activity (protease assay), haemagglutination and by microarray analysis for effects on bacterial transcriptome. The influence of MF on P. gingivalis‐induced cytokine gene expression was monitored by RT‐PCR and IL‐6 titres by ELISA. Results: MF (100 μg/ml) reduced P. gingivalis adhesion/invasion about 50% by interacting with bacterial OMPs. As shown by RT‐PCR, fimbrillin and Arg‐gingipain encoding genes were up‐regulated by MF. On the protein level, inhibition (70%) of Arg‐gingipain activity was observed, while the corresponding Lys‐gingipain was hardly influenced. MF also inhibited haemagglutination. While exposure to P. gingivalis resulted in an increased expression of inflammation‐related genes in KB cells, pre‐treatment of KB cells with MF evoked cytoprotective effects concerning IL‐1β, IL‐6, IL‐8 and TNF‐α gene expression as well as IL‐6 release rates. Compounds from the plant extract belonging to the class of proanthocyanidins were shown to be responsible for the observed effects and were characterized for their respective structural features. Conclusions: While being cytoprotective, MF exerts anti‐adhesive effects against P. gingivalis. Thus, MF may be useful for the prevention of P. gingivalis‐associated periodontal diseases.