Recent reports indicate that Porphyromonas gingivalis mediates alveolar bone loss or osteoclast modulation through engagement of Toll-like receptor 2 (TLR2), though the factors responsible for TLR2 engagement have yet to be determined. Lipopolysaccharide (LPS) and lipid A, lipoprotein, fimbriae, and phosphorylated dihydroceramides of P. gingivalis have been reported to activate host cell responses through engagement of TLR2. LPS and lipid A are the most controversial in this regard because conflicting evidence has been reported concerning the capacity of P. gingivalis LPS or lipid A to engage TLR2 versus TLR4. In the present study, we first prepared P. gingivalis LPS by the Tri-Reagent method and evaluated this isolate for contamination with phosphorylated dihydroceramide lipids. Next, the lipid A prepared from this LPS was evaluated for the presence of phosphorylated dihydroceramide lipids. Finally, we characterized the lipid A by the matrix-assisted laser desorption ionization mass spectrometry (MALDI-MS) and electrospray-MS methods in order to quantify recovery of lipid A in lipid extracts from diseased teeth or subgingival plaque samples. Our results demonstrate that both the LPS and lipid A derived from P. gingivalis are contaminated with phosphorylated dihydroceramide lipids. Furthermore, the lipid extracts derived from diseased teeth or subgingival plaque do not contain free lipid A constituents of P. gingivalis but contain substantial amounts of phosphorylated dihydroceramide lipids. Therefore, the free lipid A of P. gingivalis is not present in measurable levels at periodontal disease sites. Our results also suggest that the TLR2 activation of host tissues attributed to LPS and lipid A of P. gingivalis could actually be mediated by phosphorylated dihydroceramides.
Porphyromonas gingivalis, along with many other potential periodontal pathogens, produce virulence factors capable of promoting tissue inflammation, loss of connective tissue attachment, and bone loss. Lipopolysaccharide (LPS) and lipid A are extensively studied microbial virulence factors from the standpoint of periodontal disease pathogenesis (1, 4, 9, 10, 20, 23, 24, 34-36, 38, 40), and both can promote inflammatory reactions and bone loss characteristic of tissue changes observed in chronic periodontitis. However, LPS or lipid A of P. gingivalis has not been demonstrated in diseased periodontal tissues. Instead, we reported that a unique fatty acid constituent of both lipid A and LPS of P. gingivalis, called 3-hydroxy isobranched C 17:0 (3-OH iso C 17: 0), exists in lipid products recovered predominantly from organic solvent extracts of subgingival plaque, periodontally diseased tissues, and diseased teeth, with little recovered in aqueous extracts of these samples (26, 29). Since LPS partitions essentially only into the aqueous phase with this extraction technique (39), we concluded that LPS of P. gingivalis and other related Bacteroidetes bacteria (33), including Prevotella intermedia and Tannerella forsythia, is not present to a signif...