Porphyromonas gingivalis, a key periodontal pathogen, is capable of invading a variety of cells, including oral keratinocytes, by exploiting host cell receptors, including alpha-5 beta-1 (␣51) integrin. Previous studies have shown that P. gingivalis accelerates the cell cycle and prevents apoptosis of host cells, but it is not known whether the cell cycle phases influence bacterium-cell interactions. The cell cycle distribution of oral keratinocytes was characterized by flow cytometry and BrdU (5-bromo-2-deoxyuridine) staining following synchronization of cultures by serum starvation. The effect of cell cycle phases on P. gingivalis invasion was measured by using antibiotic protection assays and flow cytometry, and these results were correlated with gene and surface expression levels of ␣5 integrin and urokinase plasminogen activator receptor (uPAR). There was a positive correlation (R ؍ 0.98) between the number of cells in S phase and P. gingivalis invasion, the organism was more highly associated with cells in S phase than with cells in G 2 and G 1 phases, and S-phase cells contained 10 times more bacteria than did cells that were not in S phase. Our findings also show that ␣5 integrin, but not uPAR, was positively correlated with cells in S phase, which is consistent with previous reports indicating that P. gingivalis invasion of cells is mediated by ␣5 integrin. This study shows for the first time that P. gingivalis preferentially associates with and invades cells in the S phase of the cell cycle. The mechanism of targeting stable dividing cells may have implications for the treatment of periodontal diseases and may partly explain the persistence of this organism at subgingival sites.
Porphyromonas gingivalis, a Gram-negative anaerobic bacillus, is one of the major putative periodontal pathogens associated with the initiation and progression of chronic periodontal diseases (1). P. gingivalis has the ability to invade a variety of host cells, including oral keratinocytes (2), through numerous surface-associated virulence factors such as fimbriae (3), hemagglutinins (4), and gingipain proteases (5). The invasion strategy provides a considerable value for bacterium survival, as it could protect periodontal pathogens from host defense mechanisms and assist in their persistence within a site of infection, leading to continuous periodontal inflammation. P. gingivalis has the ability to invade gingival epithelial cells, reside in the cell cytoplasm, remain viable, replicate, and then spread to neighboring epithelial cells (6). However, not all epithelial cells in a population are invaded equally, suggesting that there may be differences between cells in their susceptibility to P. gingivalis invasion, but the reason for this is unclear.Host-bacterium interactions play a dynamic role for the establishment of bacteria within the site of infection. The cohabitation of bacteria with host cells is mediated by several host cell receptors, which facilitate bacterium attachment to host cells and resultant invasion (7). ␣...