Comprehensive analysis of transcriptome and pathway interactions in periodontitis
DOI:
https://doi.org/10.1590/Keywords:
Periodontitis, Transcriptome, Gene expression and regulatory networks, Bioinformatics, RNA sequencingAbstract
Periodontitis involves complex immune, epithelial, and metabolic disruptions. High-throughput transcriptomic approaches can reveal key regulatory networks underpinning disease progression. Objective To investigate the transcriptomic profile and dysregulated molecular pathways associated with severe periodontitis. Methodology Gingival tissues from patients with severe periodontitis (n=11) and periodontally healthy controls (n=11) were compared using RNA sequencing in this cross-sectional study. Differentially expressed genes (DEGs) were identified and analyzed using Ingenuity Pathway Analysis (IPA). Selected DEGs were validated at the protein level via immunohistochemistry (IHC). Results A total of 909 DEGs were upregulated and 742 were downregulated in periodontitis versus healthy tissues. Highly upregulated genes included MT-RNR1, MTRNR2L12, pseudogenes, long non-coding RNAs, and immunoglobulins. Downregulated genes included ADGRG7, C6orf15, members of enzyme families, keratin family members, loricrin (LOR), and immune modulators, such as CD207 (Langerin) and DEFB4A. IPA predicted the Wnt/β-catenin pathway as the most upregulated and the IL-17 signaling pathway as the most suppressed canonical pathway in periodontitis. The expression of the level of protein of LOR, Wnt10b, JUN, and FOS was confirmed by IHC. Conclusion Dysregulation in key canonical signaling pathways and the altered expression of genes critical to cell chemotaxis, innate immunity, and epithelial barrier integrity seem to play a pivotal role in the pathogenesis of periodontitis.
Downloads
References
- Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1(S1):S173-82. doi: 10.1002/JPER.17-0721
» https://doi.org/10.1002/JPER.17-0721
- Manoil D, Parga A, Bostanci N, Belibasakis GN. Microbial diagnostics in periodontal diseases. Periodontol 2000. 2024;95(1):176-93. doi: 10.1111/prd.12571
» https://doi.org/10.1111/prd.12571
- Hajishengallis G, Korostoff JM. Revisiting the Page & Schroeder model: the good, the bad and the unknowns in the periodontal host response 40 years later. Periodontol 2000. 2017;75(1):116-51. doi: 10.1111/prd.12181
» https://doi.org/10.1111/prd.12181
- Miranda TS, Figueiredo NF, Figueiredo LC, Silva H, Rocha FRG, Duarte PM. Cytokine profiles of healthy and diseased sites in individuals with periodontitis. Arch Oral Biol. 2020;120:104957. doi: 10.1016/j.archoralbio.2020.104957
» https://doi.org/10.1016/j.archoralbio.2020.104957
- Park SJ, Saito-Adachi M, Komiyama Y, Nakai K. Advances, practice, and clinical perspectives in high-throughput sequencing. Oral Dis. 2016;22(5):353-64. doi: 10.1111/odi.12403
» https://doi.org/10.1111/odi.12403
- Lundmark A, Gerasimcik N, Bage T, Jemt A, Mollbrink A, Salmen F, et al. Gene expression profiling of periodontitis-affected gingival tissue by spatial transcriptomics. Sci Rep. 2018;8(1):9370. doi: 10.1038/s41598-018-27627-3
» https://doi.org/10.1038/s41598-018-27627-3
- Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1(S1):S74-84. doi: 10.1002/JPER.17-0719
» https://doi.org/10.1002/JPER.17-0719
- Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1(S1):S237-S248. doi: 10.1002/JPER.17-0733.
» https://doi.org/10.1002/JPER.17-0733
- Bolger AM, Lohse M, Usadel B. Trimmomatic: a flexible trimmer for Illumina sequence data. Bioinformatics. 2014;30(15):2114-20. doi: 10.1093/bioinformatics/btu170
» https://doi.org/10.1093/bioinformatics/btu170
- Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics. 2013;29(1):15-21. Doi: 10.1093/bioinformatics/bts635
» https://doi.org/10.1093/bioinformatics/bts635
- Li B, Dewey CN. RSEM: accurate transcript quantification from RNA-Seq data with or without a reference genome. BMC Bioinformatics. 2011;12:323. doi: 10.1186/1471-2105-12-323
» https://doi.org/10.1186/1471-2105-12-323
- Robinson MD, McCarthy DJ, Smyth GK. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics. 2010;26(1):139-40. doi: 10.1093/bioinformatics/btp616
» https://doi.org/10.1093/bioinformatics/btp616
- Gao X, Zhao D, Han J, Zhang Z, Wang Z. Identification of microRNA-mRNA-TF regulatory networks in periodontitis by bioinformatics analysis. BMC Oral Health. 2022;22(1):118. doi: 10.1186/s12903-022-02150-0
» https://doi.org/10.1186/s12903-022-02150-0
- Jeon YS, Shivakumar M, Kim D, Kim CS, Lee JS. Reliability of microarray analysis for studying periodontitis: low consistency in 2 periodontitis cohort data sets from different platforms and an integrative meta-analysis. J Periodontal Implant Sci. 2021;51(1):18-29. doi: 10.5051/jpis.2002120106
» https://doi.org/10.5051/jpis.2002120106
- Lee C, Zeng J, Drew BG, Sallam T, Martin-Montalvo A, Wan J, et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab. 2015;21(3):443-54. doi: 10.1016/j.cmet.2015.02.009
» https://doi.org/10.1016/j.cmet.2015.02.009
- Qin Q, Delrio S, Wan J, Jay Widmer R, Cohen P, Lerman LO, et al. Downregulation of circulating MOTS-c levels in patients with coronary endothelial dysfunction. Int J Cardiol. 2018;254:23-7. doi: 10.1016/j.ijcard.2017.12.001
» https://doi.org/10.1016/j.ijcard.2017.12.001
- Yan Z, Zhu S, Wang H, Wang L, Du T, Ye Z, et al. MOTS-c inhibits Osteolysis in the Mouse Calvaria by affecting osteocyte-osteoclast crosstalk and inhibiting inflammation. Pharmacol Res. 2019;147:104381. doi: 10.1016/j.phrs.2019.104381
» https://doi.org/10.1016/j.phrs.2019.104381
- Cai H, Liu Y, Men H, Zheng Y. Protective mechanism of humanin against oxidative stress in aging-related cardiovascular diseases. Front Endocrinol (Lausanne). 2021;12:683151. doi: 10.3389/fendo.2021.683151
» https://doi.org/10.3389/fendo.2021.683151
- Liu Y, Liu Q, Li Z, Acharya A, Chen D, Chen Z, et al. Long non-coding RNA and mRNA expression profiles in peri-implantitis vs periodontitis. J Periodontal Res. 2020;55(3):342-53. doi: 10.1111/jre.12718
» https://doi.org/10.1111/jre.12718
- Lin Y, Jin L, Tong WM, Leung YY, Gu M, Yang Y. Identification and integrated analysis of differentially expressed long non-coding RNAs associated with periodontitis in humans. J Periodontal Res. 2021;56(4):679-89. doi: 10.1111/jre.12864
» https://doi.org/10.1111/jre.12864
- Presland RB, Jurevic RJ. Making sense of the epithelial barrier: what molecular biology and genetics tell us about the functions of oral mucosal and epidermal tissues. J Dent Educ. 2002;66(4):564-74. doi: 10.1002/j.0022-0337.2002.66.4.tb03536.x
» https://doi.org/10.1002/j.0022-0337.2002.66.4.tb03536.x
- Pritlove-Carson S, Charlesworth S, Morgan PR, Palmer RM. Cytokeratin phenotypes at the dento-gingival junction in relative health and inflammation, in smokers and nonsmokers. Oral Dis. 1997;3(1):19-24. doi: 10.1111/j.1601-0825.1997.tb00004.x
» https://doi.org/10.1111/j.1601-0825.1997.tb00004.x
- Phan TC, Ooi J, Goonewardene MS. A novel molecule, SLURP-1, enhances the survival of periodontal ligament fibroblasts. J Periodontal Res. 2010;45(3):331-6. doi: 10.1111/j.1600-0765.2009.01240.x
» https://doi.org/10.1111/j.1600-0765.2009.01240.x
- Hohl D, Ruf Olano B, de Viragh PA, Huber M, Detrisac CJ, Schnyder UW, et al. Expression patterns of loricrin in various species and tissues. Differentiation. 1993;54(1):25-34. doi: 10.1111/j.1432-0436.1993.tb00656.x
» https://doi.org/10.1111/j.1432-0436.1993.tb00656.x
- Alesci A, Lauriano ER, Aragona M, Capillo G, Pergolizzi S. Marking vertebrates langerhans cells, from fish to mammals. Acta Histochem. 2020;122(7):151622. doi: 10.1016/j.acthis.2020.151622
» https://doi.org/10.1016/j.acthis.2020.151622
- Ishitsuka Y, Roop DR. Loricrin at the boundary between inside and outside. Biomolecules. 2022;12(5):673. doi: 10.3390/biom12050673.
» https://doi.org/10.3390/biom12050673
- Jridi I, Cante-Barrett K, Pike-Overzet K, Staal FJT. Inflammation and Wnt signaling: target for immunomodulatory therapy? Front Cell Dev Biol. 2020;8:615131. doi: 10.3389/fcell.2020.615131
» https://doi.org/10.3389/fcell.2020.615131
- Silva-Garcia O, Valdez-Alarcon JJ, Baizabal-Aguirre VM. The Wnt/beta-catenin signaling pathway controls the inflammatory response in infections caused by pathogenic bacteria. Mediators Inflamm. 2014;2014:310183. doi: 10.1155/2014/310183
» https://doi.org/10.1155/2014/310183
- Rogers S, Scholpp S. Vertebrate Wnt5a: at the crossroads of cellular signalling. Semin Cell Dev Biol. 2022;125:3-10. doi: 10.1016/j.semcdb.2021.10.002
» https://doi.org/10.1016/j.semcdb.2021.10.002
- Ning W, Acharya A, Sun Z, Ogbuehi AC, Li C, Hua S, et al. Deep learning reveals key immunosuppression genes and distinct immunotypes in periodontitis. Front Genet. 2021;12:648329. doi: 10.3389/fgene.2021.648329
» https://doi.org/10.3389/fgene.2021.648329
- Zenz R, Eferl R, Scheinecker C, Redlich K, Smolen J, Schonthaler HB, et al. Activator protein 1 (Fos/Jun) functions in inflammatory bone and skin disease. Arthritis Res Ther. 2008;10(1):201. doi: 10.1186/ar2338
» https://doi.org/10.1186/ar2338
- Benderdour M, Tardif G, Pelletier JP, Di Battista JA, Reboul P, Ranger P, et al. Interleukin 17 (IL-17) induces collagenase-3 production in human osteoarthritic chondrocytes via AP-1 dependent activation: differential activation of AP-1 members by IL-17 and IL-1beta. J Rheumatol. 2002;29(6):1262-72.
- Chan CM, Macdonald CD, Litherland GJ, Wilkinson DJ, Skelton A, Europe-Finner GN, et al. Cytokine-induced MMP13 expression in human chondrocytes is dependent on Activating Transcription Factor 3 (ATF3) regulation. J Biol Chem. 2017;292(5):1625-36. doi: 10.1074/jbc.M116.756601
» https://doi.org/10.1074/jbc.M116.756601
- Monin L, Gaffen SL. Interleukin 17 family cytokines: signaling mechanisms, biological activities, and therapeutic implications. Cold Spring Harb Perspect Biol. 2018;10(4):a028522. doi: 10.1101/cshperspect.a028522
» https://doi.org/10.1101/cshperspect.a028522
- Luo Z, Wang H, Chen J, Kang J, Sun Z, Wu Y. Overexpression and potential regulatory role of IL-17F in pathogenesis of chronic periodontitis. Inflammation. 2015;38(3):978-86. doi: 10.1007/s10753-014-0060-6
» https://doi.org/10.1007/s10753-014-0060-6
- Nies JF, Panzer U. IL-17C/IL-17RE: Emergence of a unique axis in T(H)17 biology. Front Immunol. 2020;11:341. doi: 10.3389/fimmu.2020.00341
» https://doi.org/10.3389/fimmu.2020.00341
- Johnston A, Fritz Y, Dawes SM, Diaconu D, Al-Attar PM, Guzman AM, et al. Keratinocyte overexpression of IL-17C promotes psoriasiform skin inflammation. J Immunol. 2013;190(5):2252-62. doi: 10.4049/jimmunol.1201505
» https://doi.org/10.4049/jimmunol.1201505
- Hirota K, Yoshitomi H, Hashimoto M, Maeda S, Teradaira S, Sugimoto N, et al. Preferential recruitment of CCR6-expressing Th17 cells to inflamed joints via CCL20 in rheumatoid arthritis and its animal model. J Exp Med. 2007;204(12):2803-12. doi: 10.1084/jem.20071397
» https://doi.org/10.1084/jem.20071397
- Lee AYS, Korner H. The CCR6-CCL20 axis in humoral immunity and T-B cell immunobiology. Immunobiology. 2019;224(3):449-54. doi: 10.1016/j.imbio.2019.01.005
» https://doi.org/10.1016/j.imbio.2019.01.005
- Ching T, Huang S, Garmire LX. Power analysis and sample size estimation for RNA-Seq differential expression. RNA. 2014;20(11):1684-96. doi: 10.1261/rna.046011.114
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Bruno César de Vasconcelos Gurgel, Nathalia Vilela, Kaio Henrique Soares, Ikramuddin Aukhil, Poliana Mendes Duarte, Luiz Eduardo Rodrigues Juliasse

This work is licensed under a Creative Commons Attribution 4.0 International License.
Todo o conteúdo do periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons do tipo atribuição CC-BY.