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Augmented Osteoclastogenesis from Committed Osteoclast Precursors by Periodontopathic Bacteria Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis

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(1)

치주염 유발 세균 Aggregatibacter actinomycetemcomitans와 Porphyromonas gingivalis 에 의한 committed osteoclast precursor 분화 증가

박옥진1, 권영각1, 윤철희2, 한승현1*

1서울대학교치의학대학원구강미생물

·

면역학교실

2서울대학교농업생명과학대학농생명공학부동물생명공학전공

Received : August 31, 2016 / Revised : September 20, 2016 / Accepted : September 21, 2016

서 론

치주질환은만성염증성질환으로심할경우치조골을 괴시켜성인치아상실의주된원인이 된다

[11].

유전

,

환경 요인다양한 원인에의해치주질환이진행 되지만

,

치태내병원성세균은치주질환을유발하는핵심요인으로 알려져있다

[4, 20].

치은열구내에존재하는

1,000

여종

세균

Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans

대부분의치주질환환자에게서 정되어강력한치주원인균으로분류되어있다

[14, 15].

그람 음성세균인

P. gingivalis

A. actinomycetemcomitans

각각만성치주염

(Chronic periodontitis)

국소공격성치주

(Localized aggressive periodontitis)

발병과밀접하게

관되어있다

[3, 14].

그람음성세균의핵심병독력인자인

질다당체

(Lipopolysaccharide; LPS)

다양한염증

-

매개물 질을유도하여단핵구

/

대식세포

,

림프구

,

다핵구와같은 역세포를질환부위로몰려오게한다

[7, 12].

이들면역세포 들은강한염증반응을일으키고골형성억제골파괴를

Augmented Osteoclastogenesis from Committed Osteoclast Precursors by Periodontopathic Bacteria Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis

Ok-Jin Park

1

, Yeongkag Kwon

1

, Cheol-Heui Yun

2

, and Seung Hyun Han

1

*

1

Department of Oral Microbiology and Immunology, DRI and BK21 Plus Program, School of Dentistry,

2

Department of Agricultural Biotechnology and Research Institute for Agriculture and Life Sciences, Seoul National University, Seoul 08826, Republic of Korea Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis are gram-negative bacteria frequently found in lesions from patients with periodontitis manifesting alveolar bone loss. Lipopolysac- charides are a major virulence factor of gram-negative bacteria. Bone resorption is known to be regulated by bacteria and their virulence factors. In the present study, we investigated the effects of A. actinomyce- temcomitans and P. gingivalis on bone resorption. Heat-killed A. actinomycetemcomitans (HKAa) and heat- killed P. gingivalis (HKPg) induced bone loss in the femurs of mice after intraperitoneal administration.

HKAa and HKPg augmented the differentiation of committed osteoclast precursors into osteoclasts, while they inhibited the differentiation of bone marrow-derived macrophages into osteoclasts. Concordant with the effects of the heat-killed whole cells, LPS purified from A. actinomycetemcomitans and P. gingivalis also augmented osteoclast differentiation from committed osteoclast precursors but attenuated it from bone marrow-derived macrophages. Taken together, these results suggest that the whole cells and lipopolysac- charides of A. actinomycetemcomitans and P. gingivalis induce the differentiation of committed osteoclast precursors into osteoclasts, potentially contributing to bone resorption in vivo.

Keywords: Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, lipopolysaccharide, osteoclast, bone loss

*Corresponding author

Tel : +82-2-880-2310, Fax: +82-2-743-0311 E-mail: [email protected]

© 2016, The Korean Society for Microbiology and Biotechnology

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기하게된다

[17].

,

치아와잇몸사이의치은열구내병원성 세균의감염은염증반응을유발하고또한과도한흡수를 야기해치조골소실을유도한다

.

항상성

(Bone homeostasis)

흡수를담당하는파골 세포

(Osteoclast)

골형성을담당하는조골세포

(Osteoblast)

활성과분화의적절한균형에의해유지된다

[16].

조혈모

세포에서 기원한 파골세포는 핵심 사이토카인인

M-CSF (Macrophage-colony stimulating factor)

RANKL (Receptor activator of nuclear factor kappa B ligand)

의해분화된 다핵거대세포

(Multinucleated giant cell)

약해진뼈를 괴하는역할을수행함으로써항상성을유지하게한다

[1, 8].

하지만

,

파골세포에의한흡수기능이조골세포기능 보다과도하거나

,

파골세포의흡수기능보다조골세포의 기능이과도하여균형이깨지게되면다양한관련질환 발생하게된다

[2].

세균감염은골수염

,

화농성관절염

,

주질환과같은과도한골파괴를수반하는염증성질환을 일으킨다

[20, 22].

세균은지질단백질

, LPS,

리포테이코익산

(Lipoteichoic acid)

등과 같은 세균 병독력인자

(Pathogen- associated molecular pattern; PAMP)

가지고있고이들 숙주의패턴인식수용체들

(Pattern-recognition receptor;

PRR)

의해인지된다

[9].

파골세포와조골세포역시이러

패턴인식수용체들을발현하고있어세균과세균병독력인 자는항상성을조절하게된다

[18, 21].

연구는 치주질환을 일으키는 대표적 구강세균인

P.

gingivalis

A. actinomycetemcomitans

열사멸하여

,

쥐의 복강에투여한대퇴부의해면골을미세단층촬영기

(micro- CT)

촬영

/

분석하고이들이단독으로골소실을유발하는지 확인하였다

.

또한

,

세균에의한골소실과파골세포분화와의 상관관계를 규명하기위하여열사멸한

P. gingivalis

A.

actinomycetemcomitans,

그리고

,

세균들로부터분리한

LPS

의한파골세포분화영향을평가하였다

.

재료 및 방법

재료

Brain heart infusion (BHI)

배지는

BD Biosciences (USA)

에서 구입하였다

. Vitamin K

hemine

Sigma- Aldrich Chemical Inc. (USA)

에서 구매하였다

. Fetal bovine serum (FBS)

α

-MEM

Gibco (USA)

에서

, Trypsin-EDTA

penicillin/streptomycin

Hyclone (USA)

에서 구매하였다

. Recombinant mouse M-CSF

단백질은

R&D Systems (USA)

에서

, recombinant murine RANKL

PeproTech (USA)

에서구매하였다

.

명시하지않은다른모든 재료들은

Sigma-Aldrich Chemical Inc.

에서구매하였다

.

미세단층촬영기

모든동물실험은서울대학교동물실험윤리위원회에서 인을받은진행하였다

.

생체내에서세균이미치는영향 확인하기위하여

6

주령

C57BL/6

수컷쥐의복강에열사 멸된세균또는

PBS

4

간격으로차례투여하였고

,

험시작

7

일째 쥐를 희생시켜 오른쪽 대퇴골을 얻어

4%

paraformaldehyde

고정하였다

.

고정대퇴골을미세단 층촬영기

(Skyscan 1172 scanner, Skyscan, Belgium)

촬영하 였다

.

촬영된그림을기반으로대퇴골의

3

차원영상을얻고

,

분석프로그램

(SkyScan CT analyzer)

으로뼈의용적

,

잔기둥의두께

,

잔기둥의

,

잔기둥간간격을비교 석하였다

.

열사멸 세균 준비

A. actinomycetemcomitans ATCC43718

P. gingivalis ATCC49417

American Type Culture Collection (USA)

에서 구입하였다

. P. gingivalis

BHI

배지에

10

µ

g/ml

vitamin K

5

µ

g/ml

hemine

첨가하여

37

혐기챔버

(Whitley DG250 Workstation; Don Whitley Scientific, UK)

배양하 였고

A. actinomycetemcomitans

BHI

배지에서

37

양기에배양하였다

.

세균이

mid-log

기에도달하였을

1 × 10

10

CFU/ml

조정하여

60

℃에서

1

시간동안열처리하였다

.

열사멸된

A. actinomycetemcomitans (HKAa)

P. gingivalis (HKPg)

사멸여부는

1.5% agar

첨가된

BHI

배지에 균을도말하고

37

℃에서

1

동안배양하였고세균집락이 관찰되지않는것으로확인하였다

(data not shown).

LPS 추출

배양된

P. gingivalis

A. actinomycetemcomitans

11,068 × g

37

조건에서원심분리하여배지를모두

거해주고

, PBS

세척하였다

.

세척된 세균은

LPS

extraction kit (iNtRON Biotechnology, Korea)

사용하여 제조사설명서에따라추출을진행하였다

.

세포배양

6

주령의

C57BL/6

수컷쥐를오리엔트바이오

(Seongnam,

Korea)

에서구매하였고

,

쥐의장골에서골수세포를추출하

였다

.

추출한골수세포는

10% FBS, 100 U/ml penicillin

100

µ

g/ml streptomycin

포함된α

-MEM

배지에

2 ng/ml M-CSF

첨가하여

37

℃의

CO

2배양기에서

1

동안 양하였고

,

기질세포를 제외한 부유세포는

20 ng/ml M- CSF

첨가하여서분화배지를 만든

3

동안배양하 파골전구세포

(Bone marrow-derived macrophage;

BMM)

사용하였다

.

그리고

BMM

20 ng/ml M-CSF

(3)

20 ng/ml RANKL

2

동안처리해파골세포로운명이 결정된파골전구세포인

committed osteoclast precursor

사용하였다

.

파골세포 분화 및 tartrate-resistant acid phosphatase

(TRAP) 염색

2 × 10

5

cells/ml

BMM

96-well plate

well

200

µ

l

seeding

하고

, 20 ng/ml M-CSF

20 ng/ml RANKL

가한배지에열사멸된세균또는

LPS

농도별로처리하

2

동안배양하였다

.

그리고

2 × 105 cells/ml

committed osteoclast precursor

96-well plate

well

200

µ

l

seeding

하고

, 20 ng/ml M-CSF

첨가한배지에열사멸된 세균또는

LPS

농도별로처리하여

5

시간또는

8

시간 배양하였다

.

세포는 고정액

(26% citrate, 66% acetone, 8% formaldehyde)

으로고정해주고

TRAP

염색용액

(Sigma- Aldrich Chemical Inc.)

으로염색하였다

.

현미경으로관찰

적자색의

TRAP

양성세포핵이

3

이상인세포를계수

하여통계처리하였다

.

통계처리

모든실험은

3

이상반복수행하였으며결과값은 통계 처리하여평균치와표준편차를계산하여나타내었다

.

실험 간의 유의성은 양측 검증법

(two-tailed t test)

으로

p <

0.05

수준에서유의적차이를검증하였다

.

결과 및 고찰

HKAa

와 HKPg에 의한 골흡수능 검사

치주염은심할경우치조골소실에의한성인치아상실을

으키게된다

[11].

그러므로우리는치주염을일으키는대표

세균인

A. actinomycetemcomitans

P. gingivalis

소실을유발하는지연구해보았다

. 6

주령

C57BL/6

수컷 복강에

HKAa

HKPg

4

간격으로차례투여하 였다

.

실험수행

7

일째에마우스의대퇴부를분리하여

,

미세 단층촬영기로촬영하였다

.

삼차원그림은

HKAa

HKPg

투여된마우스의대퇴부해면골이대조군에비해줄어있음 보여준다

(Fig. 1A). HKAa

HKPg

투여된마우스는 조군에비해뼈의용적비와잔기둥두께가유의적으로 소하였다

.

또한

10

9

CFU/ml

HKPg

투여된마우스의 잔기둥수가감소하고

,

잔기둥간간격이증가하였다

(Fig.

1B).

결과로

HKAa

HKPg

소실을유도함을 있고

,

이는치주질환모델에서

A. actinomycetemcomitans

P. gingivalis

흡수를증가시킨다

[5, 23]

결과와일치 한다

.

치주질환모델이치주원인균에의한치조골소실을 평가하는적절한모델이나

,

최소달의시간이소요되는 만큼일주일만에골소실여부가판단가능한치주원인균

-

강투여마우스모델은이를보완가능할것으로여겨진다

.

론적으로

,

치주원인균인

A. actinomycetemcomitans

P.

gingivalis

골소실을단독으로유발시킬있는만큼

Fig. 1. HKAa and HKPg induced bone resorption in vivo. (A) Mice (n = 3 per group) were intraperitoneally administered with HKAa or HKPg, twice with a 4-day interval. At day 7 after the first administration, micro-CT images of the femurs were obtained by the CT analyzer. (B) BV/TV, Tb.Th, Tb.N, and Tb.Sp of the femurs were analyzed. BV/TV = trabecular bone volume; Tb.N = trabecular number;

Tb.Th = trabecular thickness; Tb.Sp = trabecular separation. *p < 0.05.

(4)

치주질환의치조골소실에의한치아상실발생기전을 받침하는결과라하겠다

.

HKAa

와 HKPg의 파골세포분화능력 평가

생체실험에서

A. actinomycetemcomitans

P. gingivalis

골소실을유발하였기때문에

(Fig. 1),

골소실유발기전을 규명하기위해골흡수를담당하는파골세포의분화에이들 균이어떠한영향을주는지연구하였다

.

쥐의장골에서 수를분리하고

, M-CSF

3

일동안처리하여만든

BMM

BMM

M-CSF

RANKL

2

일간처리하여파골세포로 분화가 운명지어진 파골전구세포

(committed osteoclast precursor)

만들어실험에사용하였다

. HKAa

HKPg

20 ng/ml

RANKL

함께

BMM

처리하자

, HKAa

HKPg

처리군은

TRAP-

양성다핵세포수가현저히감소하

였다

(Fig. 2A, B).

이는

HKAa

HKPg

RANKL-

매개 골세포분화를감소시킴을나타낸다

.

그러나

, HKAa

HKPg

committed osteoclast precursor

처리하자

, HKPg

HKAa

처리군은

TRAP-

양성다핵세포수가대조군에비해

유의적으로 증가하였다

(Fig. 2C, D).

결과는

HKPg

HKAa

파골세포분화를유도할있음을나타낸다

.

이러

결과는

P. gingivalis

RANKL-

매개파골세포분화를

소시키고

, RANKL

처리된파골전구세포의분화를

가시킨다는 보고와 일치한다

[19]. P. gingivalis

A.

actinomycetemcomitans

골소실을유도하였기때문에

,

골세포분화는증가되어져야 하는 것이타당하다

.

하지만

, committed osteoclast precursor

와는달리

RANKL

만난 적이없는

BMM

세균을만나면파골세포로분화되지 았고

,

이는세균의공통적현상으로보인다

.

이유는대식 세포와파골전구세포의기원이동일하기때문이다

[16].

파골 전구세포가세균을만나게되면파골세포로분화되기보다 대식세포로머물게하여염증반응을심하게한다

[6, 13].

그러나

, BMM

RANKL

의해비가역적으로운명이 결정된

committed osteoclast precursor

세균에의해파골 세포분화가촉진된다

[6, 23].

,

치주염병소의

BMM

균에의해파골세포로분화되지않고

,

대식세포로서남아 증반응을증가시켜골소실을더욱가속화있는환경 만들고

committed osteoclast precursor

파골세포분화 증가시킴으로써골소실을증가시키게만드는것으로 겨진다

.

AaLPS

와 PgLPS의 파골세포 분화 유도 능력 평가

LPS

그람음성세균이가지고있는세포외막지질다당

Fig. 2. HKAa and HKPg attenuated osteoclast differentiation from BMMs, but induced differentiation of committed osteoclast precursors into osteoclasts. BMMs were treated with 20 ng/ml M-CSF and 20 ng/ml RANKL in the presence of HKAa at MOI of 0.5, 5, or 50 (A) and HKPg at MOI of 0.5, 5, or 50 (B) for 24 h. Committed osteoclast precursors were treated with 20 ng/ml M-CSF in the pres- ence of HKAa at MOI of 0.5, 5, or 50 (C) and HKPg at MOI of 0.5, 5, or 50 (D) for 8 h. The cells were fixed and subjected to TRAP staining.

TRAP-positive multinucleated cells (MNCs) with three or more nuclei were enumerated through microscopic analysis. *p < 0.05.

(5)

체로서다양한염증

-

매개물질을유도하는핵심병독력인자 알려져있다

[7, 10].

그러므로우리는

HKAa

HKPg

의한파골세포분화의영향은

A. actinomycetemcomitans

P. gingivalis

LPS

의한효과일것이라고가설을 웠다

.

이를 위해 세균에서

LPS

분리하여

BMM

committed osteoclast precursor

파골세포분화에어떠한 영향을주는지실험하였다

.

예측한것처럼

, AaLPS

PgLPS

처리된

BMM

TRAP-

양성다핵세포의수가농도의존적

으로감소하고

(Fig. 3A, B), AaLPS

PgLPS

committed osteoclast precursor

TRAP-

양성다핵세포수를증가시킴 관찰하였다

(Fig. 3C, D).

결과는

HKAa

HKPg

일하게

, AaLPS

PgLPS

RANKL-

매개파골세포분화를 감소시키고

committed osteoclast precursor

파골세포분 화를 유도함을 보여준다

.

우리의 결과는

Escherichia coli

O55:B5 LPS

BMM

파골세포분화를 감소시키고

,

committed osteoclast precursor

파골세포분화를증가시 킨다는연구결과와일치한다

[24].

결과적으로그람음성세균 의해조절되는파골세포분화능력은

LPS

때문에나타나 것이라 여겨진다

.

추가적으로 세균과

LPS

의한

committed osteoclast precursor

파골세포분화결과가 체외실험결과와일치함을확인할있었다

.

이는생체외

골소실을예측하기위해

committed osteoclast precursor

활용한분화연구진행이적절하다는것을말해준다

.

요 약

치주질환은만성염증성질환으로치조골소실을일으켜 성인치아상실을유발하는요인하나이다

.

그람음성세균인

Aggregatibacter actinomycetemcomitans

Porphyromonas gingivalis

치주질환환자의병소에서쉽게동정된다

.

지질 다당체

(Lipopolysaccharide; LPS)

그람음성세균의핵심 독력인자로알려져있다

.

이러한세균과

LPS

파골세포에 의한골소실을조절하는요인하나이다

.

그러므로 구에서는동물모델을활용하여

A. actinomycetemcomitans

P. gingivalis

의한골소실여부를확인하고

,

기전규명 위하여

A. actinomycetemcomitans, P. gingivalis, A.

actinomycetemcomitans

P. gingivalis

에서분리한

LPS

의한 파골세포분화 영향을 연구하였다

.

열사멸한

A.

actinomycetemcomitans (HKAa)

열사멸한

P. gingivalis

(HKPg)

복강으로투여된쥐의대퇴골은대조군에비해

소된골량을보여주었다

.

이러한골소실의증가가파골세포 분화때문인지확인하기위해파골세포분화를연구한결과

, Fig. 3. AaLPS and PgLPS attenuated osteoclast differentiation from BMMs, but induced differentiation of committed osteoclast precursors into osteoclasts. BMMs were treated with 20 ng/ml M-CSF and 20 ng/ml RANKL in the presence of 10, 100, or 1000 pg/

ml AaLPS (A) and 10, 100, or 1000 pg/ml PgLPS (B) for 48 h. Committed osteoclast precursors were treated with 20 ng/ml M-CSF in the

presence of 10, 100, or 1000 pg/ml AaLPS (C) and 10, 100, or 1000 pg/ml PgLPS (D) for 5 h. The cells were fixed and subjected to TRAP

staining. TRAP-positive multinucleated cells (MNCs) with three or more nuclei were enumerated through microscopic analysis. *p < 0.05.

(6)

bone marrow-derived macrophage (BMM)

RANKL-

매개 파골세포분화를 감소시켰으나

, committed osteoclast precursor

파골세포분화를유도함을확인하였다

.

세균에 파골세포분화결과와동일하게

A. actinomycetemcomitans

P. gingivalis

에서분리한

LPS

역시

RANKL-

매개파골세 포분화는감소시키고

, committed osteoclast precursor

골세포분화를 유도하였다

.

결과적으로 치주원인균인

A.

actinomycetemcomitans

P. gingivalis

committed osteoclast precursor

파골세포분화를증가시키는데

,

균들의

LPS

핵심역할을수행하는것으로판단되며이를 통해흡수를유발함을있었다

.

Acknowledgments

This work was supported by grants from the National Research Foundation of Korea, which is funded by the Korean government (NRF-2015R1A2A1A15055453, NRF-2015M2A2A6A01044894, and NRF-2015R1D1A1A09056592) and the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare (HI14C0469), Republic of Korea.

References

1. Arai F, Miyamoto T, Ohneda O, Inada T, Sudo T, Brasel K, et al.

1999. Commitment and differentiation of osteoclast precursor cells by the sequential expression of c-Fms and receptor acti- vator of nuclear factor kappaB (RANK) receptors. J. Exp. Med.

190: 1741-1754.

2. Feng X, McDonald JM. 2011. Disorders of bone remodeling.

Annu. Rev. Pathol. 6: 121-145.

3. Flemmig TF. 1999. Periodontitis. Ann. Periodontol. 4: 32-38.

4. Irfan UM, Dawson DV, Bissada NF. 2001. Epidemiology of peri- odontal disease: a review and clinical perspectives. J. Int. Acad Periodontol. 3: 14-21.

5. Kang J, de Brito Bezerra B, Pacios S, Andriankaja O, Li Y, Tsiagbe V, et al. 2012. Aggregatibacter actinomycetemcomitans infection enhances apoptosis in vivo through a caspase-3-dependent mechanism in experimental periodontitis. Infect. Immun. 80:

2247-2256.

6. Kim J, Yang J, Park OJ, Kang SS, Kim WS, Kurokawa K, et al. 2013.

Lipoproteins are an important bacterial component responsi- ble for bone destruction through the induction of osteoclast differentiation and activation. J. Bone. Miner. Res. 28: 2381-2391.

7. Kopydlowski KM, Salkowski CA, Cody MJ, van Rooijen N, Major J, Hamilton TA, Vogel SN. 1999. Regulation of macrophage chemokine expression by lipopolysaccharide in vitro and in vivo. J. Immunol. 163: 1537-1544.

8. McArdle A, Marecic O, Tevlin R, Walmsley GG, Chan CK, Longa- ker MT, et al. 2015. The role and regulation of osteoclasts in normal bone homeostasis and in response to injury. Plast.

Reconstr. Surg. 135: 808-816.

9. Mogensen TH. 2009. Pathogen recognition and inflammatory signaling in innate immune defenses. Clin. Microbiol. Rev. 22:

240-273.

10. Munford RS. 2008. Sensing gram-negative bacterial lipopoly- saccharides: a human disease determinant? Infect. Immun. 76:

454-465.

11. Papapanou PN. 1996. Periodontal diseases: epidemiology.

Ann. Periodontol. 1: 1-36.

12. Park OJ, Cho MK, Yun CH, Han SH. 2015. Lipopolysaccharide of Aggregatibacter actinomycetemcomitans induces the expres- sion of chemokines MCP-1, MIP-1alpha, and IP-10 via similar but distinct signaling pathways in murine macrophages.

Immunobiology 220: 1067-1074.

13. Park OJ, Yang J, Kim J, Yun CH, Han SH. 2015. Enterococcus fae- calis attenuates the differentiation of macrophages into osteo- clasts. J. Endod. 41: 658-662.

14. Park OJ, Yi H, Jeon JH, Kang SS, Koo KT, Kum KY, et al. 2015.

Pyrosequencing analysis of subgingival microbiota in distinct periodontal conditions. J. Dent. Res. 94: 921-927.

15. Ready D, D'Aiuto F, Spratt DA, Suvan J, Tonetti MS, Wilson M.

2008. Disease severity associated with presence in subgingival plaque of Porphyromonas gingivalis, Aggregatibacter actinomy- cetemcomitans, and Tannerella forsythia, singly or in combina- tion, as detected by nested multiplex PCR. J. Clin. Microbiol. 46:

3380-3383.

16. Rodan GA. 1998. Bone homeostasis. Proc. Natl. Acad. Sci. USA 95: 13361-13362.

17. Rogers JE, Li F, Coatney DD, Rossa C, Bronson P, Krieder JM, et al. 2007. Actinobacillus actinomycetemcomitans lipopolysac- charide-mediated experimental bone loss model for aggres- sive periodontitis. J. Periodontol. 78: 550-558.

18. Takami M, Kim N, Rho J, Choi Y. 2002. Stimulation by toll-like receptors inhibits osteoclast differentiation. J. Immunol. 169:

1516-1523.

19. Trouillet-Assant S, Gallet M, Nauroy P, Rasigade JP, Flammier S, Parroche P, et al. 2015. Dual impact of live Staphylococcus aureus on the osteoclast lineage, leading to increased bone resorption. J. Infect. Dis. 211: 571-581.

20. Van Dyke TE, Sheilesh D. 2005. Risk factors for periodontitis. J.

Int. Acad. Periodontol. 7: 3-7.

21. Varoga D, Wruck CJ, Tohidnezhad M, Brandenburg L, Paulsen F, Mentlein R, et al. 2009. Osteoblasts participate in the innate immunity of the bone by producing human beta defensin-3.

Histochem. Cell Biol. 131: 207-218.

22. Wright JA, Nair SP. 2010. Interaction of staphylococci with bone. Int. J. Med. Microbiol. 300: 193-204.

23. Zhang W, Ju J, Rigney T, Tribble G. 2014. Porphyromonas gingi- valis infection increases osteoclastic bone resorption and osteoblastic bone formation in a periodontitis mouse model.

BMC Oral. Health. 14: 89.

24. Zou W, Bar-Shavit Z. 2002. Dual modulation of osteoclast differ-

entiation by lipopolysaccharide. J. Bone. Miner. Res. 17: 1211-1218.

수치

Fig. 1. HKAa and HKPg induced bone resorption in vivo. (A) Mice (n = 3 per group) were intraperitoneally administered with HKAa or HKPg, twice with a 4-day interval

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