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Dutzan, N.

Publications and source records attributed to Dutzan, N..

3 recordsLinked to original sources

A decrease in specific health-associated commensals is linked to progressive periodontal tissue destruction independent of dysbiotic community profiles

Periodontitis is a chronic inflammatory disease associated with dysbiotic microbial communities that leads to destruction of the tooth-supporting tissues. The transition from host-microbial periodontal homeostasis to disease remains poorly understood. The murine ligature-induced periodontitis model was employed to characterize the temporal dynamics of the subgingival microbiome and host tissue features. Ligatures were placed in C57BL/6N mice, and collected on days 0, 1, 3, 5, and 7 post-induction. Bacterial load, alveolar bone loss, immune cells (CD45), cells with osteoclastogenic potential (TRAP) and collagen destruction were analyzed. Additionally, the V4 region of the 16S rRNA gene was sequenced for ecological analyses, including co-occurrence networks and functional prediction. Spatial distribution of the most abundant species was visualized using CLASI-FISH microscopy. Finally, association models were performed to link bacterial abundances with time and tissue parameters. The most substantial microbial shift occurred on day 1, and a dysbiotic community was established by day 3. CD45 cell infiltration increased as early as day 1, preceding the rise in TRAP cells on day 3 and the onset of tissue destruction on day 5. By day 7, predicted bacterial functions included protein export, lipid and galactose metabolism. Health-associated taxa were identified, and their abundance correlated positively with collagen integrity and negatively with immune cell infiltration and bacterial load, highlighting their role in homeostasis. These findings provide a high-resolution temporal map of microbiome-host interactions during experimental periodontitis establishment and identify specific microbial and cellular windows for potential therapeutic intervention.

microbiology↗

Single-cell atlas of human oral mucosa reveals a stromal-neutrophil axis regulating tissue immunity in health and inflammatory disease

The oral mucosa remains an understudied barrier tissue rich in exposure to antigens, commensals and pathogens. Moreover, it is the tissue where one of the most prevalent human microbe-triggered inflammatory diseases, periodontitis, occurs. To understand this complex environment at the cellular level, we assemble herein a human single-cell transcriptome atlas of oral mucosal tissues in health and periodontitis. Our work reveals transcriptional diversity of stromal and immune cell populations, predicts intercellular communication and uncovers an altered immune responsiveness of stromal cells participating in tissue homeostasis and disease at the gingival mucosa. In health, we define unique populations of CXCL1,2,8-expressing epithelial cells and fibroblasts mediating immune homeostasis primarily through the recruitment of neutrophils. In disease, we further observe stromal, particularly fibroblast hyper-responsiveness linked to recruitment of leukocytes and neutrophil populations. Ultimately, a stromal-neutrophil axis emerges as a key regulator of mucosal immunity. Pursuant to these findings, most Mendelian forms of periodontitis were shown to be linked to genetic mutations in neutrophil and select fibroblast-expressed genes. Moreover, we document previously unappreciated expression of known pattern- and damage-recognition receptors on stromal cell populations in the setting of periodontitis, suggesting avenues for triggering stromal responses. This comprehensive atlas offers an important reference for in-depth understanding of oral mucosal homeostasis and inflammation and reveals unique stromal-immune interactions implicated in tissue immunity.

systems biology↗

Fibrin is a critical regulator of neutrophil effector function at mucosal barrier sites

Tissue-specific cues are critical for homeostasis at mucosal barriers. Here, we document that the clotting factor fibrin is a critical regulator of neutrophil function at mucosal barriers. We demonstrate that fibrin engages neutrophils through the M{beta}2 integrin receptor and activates effector functions, including the production of reactive oxygen species and NET formation. These immune-protective neutrophil functions become tissue damaging in the context of impaired plasmin-mediated fibrinolysis. Indeed, the accumulation of fibrin due to Mendelian genetic defects in plasmin leads to severe oral mucosal immunopathology in mice and humans. Concordantly, genetic polymorphisms in the human PLG gene, encoding plasminogen, are associated with common forms of the oral mucosal disease periodontitis. Our work uncovers fibrin as a critical regulator of neutrophil effector function within the mucosal tissue microenvironment and suggests fibrin-neutrophil engagement as a pathogenic instigator and therapeutic target in common mucosal disease.

immunology↗