Background—
Infectious diseases have emerged as potential risk factors for cardiovascular disease (CVD). Epidemiological studies support a connection between periodontal disease, a chronic inflammatory disease of the supporting tissues of the teeth, and CVD.
Methods and Results—
To directly test the connection between periodontal disease and atherosclerosis, apoE
−/−
mice were orally challenged with the periodontal disease pathogen
Porphyromonas gingivalis
or an invasion-impaired
P gingivalis
fimbriae-deficient mutant (FimA−). Both wild-type
P gingivalis
and the FimA− mutant were detected in blood and aortic arch tissue of apoE
−/−
mice by PCR after challenge. ApoE
−/−
mice challenged with wild-type
P gingivalis
presented with increased atherosclerotic plaque and expressed the innate immune response markers Toll-like receptor (TLR)-2 and TLR-4 in aortic tissue. Despite detection of the FimA− mutant in the blood and in aortic arch tissue, apoE
−/−
mice challenged with the FimA− mutant did not present with periodontal disease, upregulation of TLRs, or accelerated atherosclerosis. Furthermore, we demonstrate that immunization to control
P gingivalis
-elicited periodontal disease concomitantly prevents
P gingivalis
-accelerated atherosclerosis.
Conclusions—
We conclude that invasive
P gingivalis
accelerates atherosclerosis.