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ORIGINAL RESEARCH article

Front. Cell. Infect. Microbiol.

Sec. Oral Microbes and Host

This article is part of the Research TopicImpact of oral and gut microbiome on health and diseasesView all 34 articles

Periodontitis-associated metabolite isoleucine impairs intestinal barrier function and exacerbates intestinal inflammatory response by NF-κB signaling

Provisionally accepted
Xiaoxue  WangXiaoxue Wang1Yilin  LuoYilin Luo1Jie  RenJie Ren1Hezhen  XieHezhen Xie1Marco  Aoqi RauschMarco Aoqi Rausch2Xiaohui  Rausch-FanXiaohui Rausch-Fan2Fei  HuFei Hu3Xueyang  ZhangXueyang Zhang1*
  • 1The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde, Foshan), Foshan, China
  • 2Center for Clinical Research, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria
  • 3Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China

The final, formatted version of the article will be published soon.

Objective: Periodontitis-associated metabolite isoleucine (Ile) plays an important role in periodontitis aggravating colitis. However, how Ile exacerbates colitis is largely unknown. Methods: C57BL/6J mice were used to establish experimental periodontitis and colitis model. Histological alterations of periodontium and colon were observed by HE staining. The gut barrier function was evaluated by intestinal permeability using FITC-dextran. The expression of tight junctions (ZO-1 and occludin) was detected by immunohistochemical staining or immunofluorescence. NF-κB signaling pathway was detected using qRT-PCR and Western blot. Results: Experimental periodontitis and periodontitis-associated metabolite Ile increased the intestinal permeability, down-regulated the expression of tight junctions (ZO-1 and occludin), and enhanced NF-κB signaling pathway of intestinal epithelial cells in DSS-induced colitis mice. Ile down-regulated the expression of tight junctions (ZO-1 and occludin) and enhanced NF-κB signaling pathway in intestinal organoids or IEC-6 cells under inflammatory condition. IKK-16 (a selective inhibitor of IKKβ that prevents NF-κB activation) rescued excessive inflammatory responses induced by Ile in IEC-6 cells with LPS treatment. In addition, IKK-16 relieved the impairment of intestinal barrier function and inflammatory response induced by Ile in DSS-induced colitis mice. Conclusion: Our study unraveled that periodontitis contributed to intestinal barrier function damage and inflammation of intestinal epithelial cells by potentiating NF-κB signaling in the context of colitis and that this was associated with periodontitis-associated metabolite Ile.

Keywords: Periodontitis, Colitis, Isoleucine, intestinal barrier function, Intestinal inflammatory response, NF-κB signaling

Received: 12 Aug 2025; Accepted: 13 Nov 2025.

Copyright: © 2025 Wang, Luo, Ren, Xie, Rausch, Rausch-Fan, Hu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xueyang Zhang, zxy123@smu.edu.cn

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