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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oral. Health</journal-id>
<journal-title>Frontiers in Oral Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oral. Health</abbrev-journal-title>
<issn pub-type="epub">2673-4842</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/froh.2022.835902</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oral Health</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title><italic>Aggregatibacter actinomycetemcomitans</italic> Outer Membrane Proteins 29 and 29 Paralogue Induce Evasion of Immune Response</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Silva</surname> <given-names>Maike Paulino da</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/632319/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Silva</surname> <given-names>Viviam de Oliveira</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/559475/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Pasetto</surname> <given-names>Silvana</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/591397/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ando-Suguimoto</surname> <given-names>Ellen Sayuri</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1639658/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kawamoto</surname> <given-names>Dione</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1034282/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Mata</surname> <given-names>Gard&#x000EA;nia M&#x000E1;rcia Silva Campos</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1621189/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Murata</surname> <given-names>Ramiro Mendon&#x000E7;a</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/622366/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Mayer</surname> <given-names>Marcia Pinto Alves</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/81485/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Chen</surname> <given-names>Casey</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Departamento de Microbiologia, Instituto de Ci&#x000EA;ncias Biom&#x000E9;dicas, Universidade de S&#x000E3;o Paulo</institution>, <addr-line>S&#x000E3;o Paulo</addr-line>, <country>Brazil</country></aff>
<aff id="aff2"><sup>2</sup><institution>Division of Periodontology, Diagnostic Sciences and Dental Hygiene, Ostrow School of Dentistry of University of Southern California</institution>, <addr-line>Los Angeles, CA</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Centro Universit&#x000E1;rio Atenas- UniAtenas</institution>, <addr-line>Paracatu</addr-line>, <country>Brazil</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Comprehensive Oral Health, Adams School of Dentistry, University of North Carolina</institution>, <addr-line>Chapel Hill, NC</addr-line>, <country>United States</country></aff>
<aff id="aff5"><sup>5</sup><institution>Instituto de Alimenta&#x000E7;&#x000E3;o e Nutri&#x000E7;&#x000E3;o, Centro Multidisciplinar UFRJ-Maca&#x000E9;, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Maca&#x000E9;</addr-line>, <country>Brazil</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of Foundational Sciences, School of Dental Medicine of University of East Carolina University</institution>, <addr-line>Greenville, NC</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Georgios N. Belibasakis, Karolinska Institutet (KI), Sweden</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Anders Johansson, Ume&#x000E5; University, Sweden; Ashu Sharma, University at Buffalo, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Casey Chen <email>ccchen&#x00040;usc.edu</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Oral Infections and Microbes, a section of the journal Frontiers in Oral Health</p></fn></author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>3</volume>
<elocation-id>835902</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>12</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>01</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2022 Silva, Silva, Pasetto, Ando-Suguimoto, Kawamoto, Mata, Murata, Mayer and Chen.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Silva, Silva, Pasetto, Ando-Suguimoto, Kawamoto, Mata, Murata, Mayer and Chen</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>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) and the copyright owner(s) 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.</p></license> </permissions>
<abstract>
<p><italic>Aggregatibacter actinomycetemcomitans</italic> (<italic>Aa</italic>) is abundant within the microbial dysbiotic community of some patients with periodontitis. <italic>Aa</italic> outer membrane protein 29 (OMP29), a member of the OMPA family, mediates the invasion of <italic>Aa</italic> to gingival epithelial cells (GECs). This study evaluated the effect of OMP29 and its paralogue OMP29<sup>par</sup> on the response of GECs to <italic>Aa</italic>. The <italic>omp29</italic> or/and <italic>omp29</italic><sup><italic>par</italic></sup> deletion mutants Aa&#x00394;29, Aa&#x00394;29P, and Aa&#x00394;29&#x00394;29P were constructed, and recombinant <italic>Aa</italic> OMP29<sup>His</sup> was obtained. Microarray analysis and the evaluation of <italic>cxcl-8</italic> gene expression were performed to examine the response of GECs line OBA-09 to <italic>Aa</italic> and its mutants. The expression of <italic>cxcl-8</italic> and its product CXCL-8 was examined in LPS-stimulated OBA-09 cells with <italic>Aa</italic> OMP29<sup>His</sup>. Proteomics analysis showed that the deletion of <italic>omp29</italic> led to overexpression of both OMP29<sup>par</sup> and another membrane protein OMP39, the expression of which was further increased in Aa&#x00394;29&#x00394;29P. OBA-09 cells challenged with Aa&#x00394;29&#x00394;29P exhibited a higher expression of <italic>cxcl-8</italic> in comparison to wildtype <italic>Aa</italic> strain AaD7S or single-deletion mutants Aa&#x00394;29 or Aa&#x00394;29P. LPS-stimulated OBA-09 cells challenged with <italic>Aa</italic> OMP29<sup>His</sup> showed reduced expressions of <italic>cxcl-8</italic> and its product CXCL-8. OBA-09 cells challenged with Aa&#x00394;29&#x00394;29P in comparison to <italic>Aa</italic> strain AaD7S resulted in higher expressions of genes involved in apoptosis and inflammatory response such as <italic>bcl2, birc3, casp3, c3, ep300, fas, fosb, grb2, il-1</italic>&#x003B1;<italic>, il-1</italic>&#x003B2;<italic>, il-6, cxcl-8, nr3c1, prkcq, socs3</italic>, and <italic>tnfrsf1</italic>&#x003B2; and reduced expressions of <italic>cd74, crp, faslg, tlr1</italic>, and <italic>vcam1</italic>. The results suggested a novel strategy of <italic>Aa</italic>, mediated by OMP29 and OMP29<sup>par</sup>, to evade host immune response by inhibiting CXCL-8 expression and modulating the genes involved in apoptosis and inflammatory response in GECs. Pending further confirmation, the strategy might interfere with the recruitment of neutrophils and dampen the host inflammatory response, leading to a more permissive subgingival niche for bacterial growth.</p></abstract>
<kwd-group>
<kwd><italic>Aggregatibacter actinomycetemcomitans</italic></kwd>
<kwd>outer membrane protein 29</kwd>
<kwd>outer membrane protein 29 paralogue</kwd>
<kwd>aggressive periodontitis</kwd>
<kwd>gingival epithelial cells</kwd>
<kwd>inflammatory response</kwd>
<kwd>virulence factors</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="45"/>
<page-count count="11"/>
<word-count count="7186"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p><italic>Aggregatibacter actinomycetemcomitans (Aa</italic>) is associated with a rapidly progressing form of periodontitis in young subjects, previously known as localized aggressive periodontitis [<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B7">7</xref>]. Recent microbiome data confirmed this association and indicated that <italic>Aa</italic> is 50 times more abundant in periodontal pockets of Grade C/molar&#x02013;incisor pattern periodontitis (GC/MIP) patients than in subgingival sites of healthy subjects [<xref ref-type="bibr" rid="B8">8</xref>]. <italic>Aa</italic> can invade non-phagocytic cells, such as gingival epithelial cells, escape from the vacuole, multiply, exit, and spread to adjacent cells [<xref ref-type="bibr" rid="B9">9</xref>]. <italic>Aa</italic> interacts with epithelial cells through adhesins such as OMP100 [<xref ref-type="bibr" rid="B10">10</xref>]. In contrast, invasion is mediated by the outer membrane protein 29 (OMP29) <italic>via</italic> the focal adhesion kinase (FAK) pathway [<xref ref-type="bibr" rid="B11">11</xref>]. Furthermore, OMP29 causes apoptosis of gingival epithelial cells (GECs) [<xref ref-type="bibr" rid="B12">12</xref>]. The OMP29 and its paralogue can inhibit the classical and mannose-binding lectin complement activation by binding to C4-binding protein [<xref ref-type="bibr" rid="B13">13</xref>].</p>
<p>The OMP29 belongs to the OMPA-like family and it is one of the six major OMPs recognized by antibodies in the serum of patients with periodontitis [<xref ref-type="bibr" rid="B14">14</xref>]. Furthermore, immunoglobulin G (IgG) titers against OMP29 and <italic>Aa</italic> serotypes b and c are reduced after successful periodontal treatment in aggressive periodontitis patients [<xref ref-type="bibr" rid="B15">15</xref>].</p>
<p>The GECs are the first barrier faced by the subgingival microbial community and play a key role in defense by detecting pathogen-associated molecular patterns (PAMPs) and triggering the immune response to eliminate the infecting pathogen [<xref ref-type="bibr" rid="B16">16</xref>]. However, pathogenic bacteria manipulate the host response to promote survival by activating or inhibiting different signaling pathways. Several members of the OMPA-like family were shown to contribute to immune evasion of virulent bacteria through the down-regulation of expression of inflammatory mediators such as CXCL-8 [<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>]. Other proteins of the OMPA family, such as OMPA from <italic>Acinetobacter</italic> spp. stimulates the <italic>cxcl-8</italic> expression [<xref ref-type="bibr" rid="B19">19</xref>] and <italic>Aa</italic> OMP29 seems to increase CXCL-8 production by human GECs [<xref ref-type="bibr" rid="B20">20</xref>]. However, little is known about the role of <italic>Aa</italic> OMP29 in host response.</p>
<p>Therefore, we aimed to evaluate the role of OMP29 on the immune response of GECs after interaction with <italic>Aa</italic>. The OMP29 deletion mutants and recombinant OMP29 interacted with GECs and the response was evaluated at gene and protein differential expression levels.</p></sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec>
<title>Strains, Plasmids, Media, and Growth Conditions</title>
<p>The bacteria strains, plasmids, and primers used in this study are described in <xref ref-type="table" rid="T1">Table 1</xref>. The <italic>Aa</italic> D7S-1 wildtype strain [<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>], designated AaD7S, was used to construct the mutants in <italic>omp29</italic> and <italic>omp29</italic> paralogue (<italic>omp29</italic><sup><italic>par</italic></sup>) genes. The <italic>Aa</italic> HK1651 wildtype strain (Genbank Access AY 262734) was used to obtain the OMP29 recombinant protein. <italic>Aa</italic> strains were grown in a humidified 5% CO<sub>2</sub> atmosphere at 37&#x000B0;C (Shel Lab, OR, United States), in modified Trypticase Soy Broth (mTSB) containing 3% trypticase soy broth and 0.6% yeast extract, or on mTSB agar [mTSB with 1.5% agar (Oxoid Ltd, Basingstoke, Hampshire, England)].</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Strains, plasmids, and primers used in this study.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="left"><bold>Description</bold></th>
<th valign="top" align="left"><bold>Source</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">D7S-1 (AaD7S)</td>
<td valign="top" align="left"><italic>Aa</italic> serotype a</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">Aa&#x00394;29</td>
<td valign="top" align="left"><italic>Aa</italic> D7S-1, &#x00394;<italic>omp29</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Aa&#x00394;29P</td>
<td valign="top" align="left"><italic>Aa</italic> D7S-1, &#x00394;<italic>omp29<sup><italic>par</italic></sup></italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Aa&#x00394;29&#x00394;29P</td>
<td valign="top" align="left"><italic>Aa</italic> D7S-1, &#x00394;<italic>omp29</italic> &#x00394;<italic>omp29<sup><italic>par</italic></sup></italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">H5P-1</td>
<td valign="top" align="left"><italic>Aa</italic> serotype a</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B23">23</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">HK1651</td>
<td valign="top" align="left"><italic>Aa</italic> seroype b, highly leukotoxic JP2-like clone</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B23">23</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">ANH9381</td>
<td valign="top" align="left"><italic>Aa</italic> serotype b</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B23">23</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">D11S-1</td>
<td valign="top" align="left"><italic>Aa</italic> serotype c</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B23">23</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">D17P-2</td>
<td valign="top" align="left"><italic>Aa</italic> serotype c</td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B23">23</xref>]</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> BL21(DE3)</td>
<td valign="top" align="left">F<sup>&#x02212;</sup><italic>omp</italic>T <italic>hsd</italic>S<sub>B</sub> (<inline-formula><mml:math id="M1"><mml:msubsup><mml:mrow><mml:mtext>r</mml:mtext></mml:mrow><mml:mrow><mml:mtext>B</mml:mtext></mml:mrow><mml:mrow><mml:mo>-</mml:mo></mml:mrow></mml:msubsup></mml:math></inline-formula>, <inline-formula><mml:math id="M2"><mml:msubsup><mml:mrow><mml:mtext>m</mml:mtext></mml:mrow><mml:mrow><mml:mtext>B</mml:mtext></mml:mrow><mml:mrow><mml:mo>-</mml:mo></mml:mrow></mml:msubsup></mml:math></inline-formula>) <italic>ga</italic>l <italic>dcm</italic> (DE3)</td>
<td valign="top" align="left">ThermoFisher, Carlsbad, CA, United States</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> DH5-&#x003B1;</td>
<td valign="top" align="left">F<sup>&#x02212;</sup>&#x003D5;80<italic>lac</italic>Z&#x00394;M15 &#x00394;(<italic>lac</italic>ZYA-<italic>arg</italic>F)U169 <italic>rec</italic>A1 <italic>end</italic>A1 <italic>hsd</italic>R17(rK&#x02013;, mK&#x0002B;) <italic>pho</italic>A <italic>sup</italic>E44 &#x003BB;- <italic>thi</italic>-1 <italic>gyr</italic>A96 <italic>rel</italic>A1</td>
<td valign="top" align="left">ThermoFisher, Carlsbad, CA, United States</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left"><bold>Plasmid</bold></td>
<td valign="top" align="left"><bold>Description</bold></td>
<td valign="top" align="left"><bold>Source</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">plox2-Spe<sup>r</sup></td>
<td valign="top" align="left">pBluescript II KS derivative containing a <italic>spe</italic> cassette flanked by <italic>loxP</italic> sites (ATGgATGCa), Amp<sup>r</sup>, Spec<sup>r</sup></td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B24">24</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">pAT/Cre</td>
<td valign="top" align="left">pPK1 derivative containing the <italic>cre</italic> gene and <italic>tet(O)</italic> genes, Tc<sup>r</sup></td>
<td valign="top" align="left">[<xref ref-type="bibr" rid="B25">25</xref>]</td>
</tr>
<tr>
<td valign="top" align="left">pCR<sup>&#x000AE;</sup>4-TOPO<sup>&#x000AE;</sup></td>
<td valign="top" align="left">cloning vector, Amp<sup>r</sup>, Kn<sup>r</sup></td>
<td valign="top" align="left">Invitrogen, Carlsbad, CA, United States</td>
</tr>
<tr>
<td valign="top" align="left">pTOPOomp29SPS</td>
<td valign="top" align="left">pCR4-TOPO with <italic>omp29</italic> without signal peptide in <italic>BamHI</italic> and <italic>XhoI</italic> sites</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pET28B</td>
<td valign="top" align="left">T7 expression vector, C-terminal 6x histidine tag, Kn<sup>r</sup></td>
<td valign="top" align="left">Merck, Darmstadt, Germany</td>
</tr>
<tr>
<td valign="top" align="left">pET28B/<italic>omp29</italic></td>
<td valign="top" align="left">pET28B with <italic>omp29</italic> without signal peptide in <italic>BamHI</italic> and <italic>XhoI</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left"><bold>Primer</bold></td>
<td valign="top" align="left"><bold>Sequence 5</bold><bold>&#x02032;</bold><bold>&#x02212;3</bold><bold>&#x02032;</bold></td>
<td valign="top" align="left"><bold>Reference</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Omp29ParalUp-F (537 bp)</td>
<td valign="top" align="left">ACAAGCAAAATATAATGAAGCACAGG</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29ParalUp-R (537 bp) <italic>DraIII</italic></td>
<td valign="top" align="left">TT<underline>CACGTGGTG</underline>TCTCCTATATTATTAATTTG</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29ParalDw-F (503 bp) <italic>DraIII</italic></td>
<td valign="top" align="left">TA<underline>CACGTGGTG</underline>TTTAATTGAAGAATAAATAAG</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29ParalDw-R (503 bp)</td>
<td valign="top" align="left">CACCACAAAAGTAGTCTTACAATCC</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29Up-F (528 bp)</td>
<td valign="top" align="left">AAGTGTTGTCGGTACAGAGCATTC</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29Up-R (528 bp) <italic>DraIII</italic></td>
<td valign="top" align="left">TT<underline>CACGTGGTG</underline>GATCCTCTATTAATTAGTC</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29Dw-F (610 bp) <italic>DraIII</italic></td>
<td valign="top" align="left">AA<underline>CACGTGGTGTG</underline>TTAATTGTTAGCAAATAG</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Omp29Dw-R (610 pb)</td>
<td valign="top" align="left">GTTTTAAGCTCACCTTGTTGGTACATTTC</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">T7 Universal</td>
<td valign="top" align="left">TAATACGACTCACTATAGGG</td>
<td valign="top" align="left">Merck, Darmstadt, Germany</td>
</tr>
<tr>
<td valign="top" align="left">T7 Terminator</td>
<td valign="top" align="left">GCTAGTTATTGCTCAGCGG</td>
<td valign="top" align="left">Merck, Darmstadt, Germany</td>
</tr>
<tr>
<td valign="top" align="left">pETOMP29-F (1051 bp) <italic>BamHI</italic></td>
<td valign="top" align="left">TGAAAAG<underline>GGATCC</underline>AATCGCATT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pETOMP29-R (1051 bp) <italic>XhoI</italic></td>
<td valign="top" align="left">AA<underline>CTCGA</underline>GAATTATTTACTACCG</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">CXCL-8 (147 bp)</td>
<td valign="top" align="left">QuantiTect Primer Assay Dr_il8_1_SG</td>
<td valign="top" align="left">(Qiagen Cat &#x00023; QT02108190; Valencia, CA, United States).</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>The underlined sequences correspond to restriction enzymes cleavage sites</italic>.</p>
</table-wrap-foot>
</table-wrap>
<p>The plasmids used in this study were replicated in <italic>Escherichia coli</italic> strains DH5-&#x003B1; and <italic>E. coli</italic> BL21(DE3) (Invitrogen, Carlsbad, CA, United States) were cultured by standard methods [<xref ref-type="bibr" rid="B26">26</xref>].</p>
<p>Spectinomycin (50 &#x003BC;g/ml, Sigma&#x02013;Aldrich, St. Louis, MO, United States), tetracycline (4 &#x003BC;g/ml, Sigma&#x02013;Aldrich), ampicillin (100 &#x003BC;g/ml, Sigma-Aldrich), kanamycin, (50/100 &#x003BC;g/ml, Sigma&#x02013;Aldrich), and chloramphenicol (50 &#x003BC;g/ml, Sigma&#x02013;Aldrich) were added to the media when selection of mutants or transformants were needed.</p>
<p>The growth curve was determined in mTSB with the addition of mineral oil to create a microaerophilic condition in 100-well HoneyComb plates (Bioscreen Automation for Microbiology, NJ, United States). The optical density (OD) at 420-580 nm was monitored in a spectrophotometer (Growth Reader Bioscreen C, Oy Growth CurvesAb Ltd., Bioscreen C Type FP-1100-C, FIN-21280 Raisio, Finland) in 1 h intervals for 16 h at 37&#x000B0;C, under agitation. The growth rate was calculated according to the formula: <inline-formula><mml:math id="M3"><mml:mfrac><mml:mrow><mml:mi>&#x003BC;</mml:mi><mml:mtext>&#x000A0;</mml:mtext><mml:mo>=</mml:mo><mml:mtext>&#x000A0;</mml:mtext><mml:mi>L</mml:mi><mml:mi>n</mml:mi><mml:mfrac><mml:mrow><mml:mi>N</mml:mi></mml:mrow><mml:mrow><mml:mi>N</mml:mi><mml:mn>0</mml:mn></mml:mrow></mml:mfrac></mml:mrow><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfrac></mml:math></inline-formula>, where <italic>N</italic> and <italic>N</italic><sub>0</sub>, respectively, correspond to the initial and final <italic>OD</italic><sub>420&#x02212;580</sub> at the exponential growth phase and <italic>t</italic> is the time-course of the growth curve.</p></sec>
<sec>
<title>DNA Manipulation</title>
<p>Genomic DNA of <italic>Aa</italic> D7S-1 and <italic>Aa</italic> HK1651 was obtained by using QIAamp DNA mini kit (Qiagen, Valencia, CA, United States). Plasmids DNA was obtained by using QIAprep Spin Miniprep kit (Qiagen). <italic>E. coli</italic> DH5-&#x003B1; and BL21(DE3) strains (Invitrogen, Carlsbad, CA, United States) were transformed with pCR 4-TOPO (Invitrogen) and vector pET28B vectors (pET Expression System 28, Novagen), respectively, by electroporation (MicroPulser, BioRad, Hercules, CA, United States). Restriction enzymes, T4 ligase, and Taq DNA polymerase were purchased from New England BioLabs Inc. (Ipswich, MA, United States). PCR was performed with Taq high-fidelity polymerase (Invitrogen), and its products were purified using QIAquick PCR purification and QIAquick gel extraction kits (Qiagen).</p></sec>
<sec>
<title>Obtaining <italic>Aa Omp29</italic> and <italic>Omp29<sup><italic>par</italic></sup></italic> Defective Strains</title>
<p>Deletion mutants in <italic>omp29, omp29</italic><sup><italic>par</italic></sup>, and both genes were obtained by using the loxP/Cre system [<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B26">26</xref>]. Briefly, the spectinomycin cassette loxP-Specr-loxP was obtained by restriction digestion of plox2/Specr vector [<xref ref-type="bibr" rid="B24">24</xref>] with <italic>DraIII</italic>. The <italic>omp29</italic> or <italic>omp29</italic><sup><italic>par</italic></sup> flanking regions were obtained by amplification with primer Omp29Up-F, Omp29Up-R, Omp29Dw-F, Omp29Dw-R, and Omp29ParalUp-F, Omp29ParalUp-R, Omp29ParalDw-F, and Omp29ParalDw-R, respectively, and digested with <italic>DraIII</italic>. This product was then ligated to the loxP-Specr-loxP fragment and transformed into the competent AaD7S strain.</p>
<p>Transformants were selected in TSYE agar with spectinomycin. The allelic replacement of the target gene was confirmed by PCR and sequencing. The removal of loxP-Specr-loxP of strains was done by transformation with pAT/Cre vector [<xref ref-type="bibr" rid="B25">25</xref>], which encodes Cre recombinase.</p>
<p>The <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup> deficient mutants of AaD7S were named Aa&#x00394;29 and Aa&#x00394;29P. The double deletion mutant (referred to as Aa&#x00394;29&#x00394;29P) was constructed by the deletion of <italic>omp29</italic><sup><italic>par</italic></sup> from the Aa&#x00394;29 strain following the procedure described above, with the exception that the spectinomycin resistance cassette in <italic>omp29</italic><sup><italic>par</italic></sup> was not removed.</p>
<p>The success of the mutation strategy was confirmed by PCR and sequencing (data not shown) using the following primers: Omp29Up-R, Omp29Dw-F, Omp29ParalUp-R, and Omp29ParalDw-F, which annealed downstream and upstream of <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup>, respectively.</p></sec>
<sec>
<title><italic>Aa</italic> Recombinant OMP29</title>
<p>The Signal 3.0 Server program was used to predict the sequence that encodes the signal peptide of <italic>omp29</italic>. Based on this prediction, the pET OMP29 F and R primers with <italic>BamHI</italic> and <italic>XhoI</italic> restriction sites were used to amplify <italic>omp29</italic> from <italic>Aa</italic> HK1651 (Genbank accession number AY 262734), constructed previously in pCR4-TOPO vector (designated as pTOPOomp29SPS). After digestion, the <italic>omp29</italic> amplicon (without the signal peptide) was ligated to pET28B vector (pET Expression System 28, Novagen) and the resulting pET28B/<italic>omp29</italic> vector was transformed into <italic>E. coli</italic> BL21 (DE3). The recombinant plasmids were confirmed by T7 Universal and Terminator primer sets for sequencing.</p></sec>
<sec>
<title>Expression and Purification of <italic>Aa</italic> OMP29<sup>His</sup></title>
<p>The OMP29 was expressed by pET28B/<italic>omp29 E. coli</italic> BL21 (DE3) following the manufacturer&#x00027;s instructions (New England Biolabs, Ipswich, MA, United States). A single colony of pET28B/<italic>omp29 E. coli</italic> BL21 (DE3) was inoculated into LB broth with kanamycin (50 &#x003BC;g/ml) (Sigma&#x02013;Aldrich, St. Louis, MO, United States) and incubated under agitation at 120 rpm for 16 h at 37&#x000B0;C. Cells were transferred to fresh LB broths, and incubated under agitation at 250 rpm at 37&#x000B0;C until O.D. 600 nm &#x02248; 1 was reached. Expression of <italic>Aa</italic> OMP29<sup>His</sup> was induced by adding 1 mM of isopropyl &#x003B2;-D-thiogalactoside (IPTG, Sigma&#x02013;Aldrich, St. Louis, MO, United States) at 37&#x000B0;C and the recombinant protein was observed after 2 h in culture precipitate. Cells were then lysed [<xref ref-type="bibr" rid="B27">27</xref>] and <italic>Aa</italic> OMP29<sup>His</sup> in cells lysate supernatant was purified by affinity chromatography using nickel chelating resin (Ni-NDA, Invitrogen).</p></sec>
<sec>
<title>Serum Anti-<italic>Aa</italic> OMP29<sup>His</sup></title>
<p>Balb/c mice were immunized subcutaneously with 50 &#x003BC;g of purified <italic>Aa</italic> OMP29<sup>His</sup> with adjuvant aluminum hydroxide (1:1) in a volume of 200 &#x003BC;l. Booster injections were performed after 7 days, 3, 4, 6, and 7 weeks of the initial challenge. The titers of anti-<italic>Aa</italic> OMP29<sup>His</sup> antibodies were determined by immunoenzymatic assay (ELISA). Statistical analysis was performed in GraphPad Prism version 6.0 (GraphPad Software). This assay was approved by the Ethics and Research Committee on Animals of the Institute of Biomedical Sciences of the University of S&#x000E3;o Paulo under the protocol number 007/11.</p></sec>
<sec>
<title>Sodium Dodecyl Sulfate&#x02013;Polyacrylamide Gel Electrophoresis</title>
<p>The bacterial outer membrane extracts (OMEs) of AaD7S and its mutants Aa&#x00394;29, Aa&#x00394;29P, and Aa&#x00394;29&#x00394;29P were obtained as previously described [<xref ref-type="bibr" rid="B28">28</xref>], and outer membrane proteins (OMPs) were resolved by standard SDS-PAGE (10% acrylamide) [<xref ref-type="bibr" rid="B29">29</xref>]. Purified <italic>Aa</italic> OMP29<sup>His</sup> was also detected after SDS-PAGE using the Bolt Bis-Tris Plus gel (Life Technologies, Carlsbad, CA, United States) and the Bolt Mini Gel Tank (Life Technologies). The gels were stained with Colloidal blue (Life Technologies). OMP29 protein has the approximate size of 29 kDa, however, appears as a 34 kDa band when denatured [<xref ref-type="bibr" rid="B14">14</xref>].</p></sec>
<sec>
<title>Proteomic Analysis</title>
<p>After SDS-PAGE, the OMPs corresponding bands of AaD7S and its mutants Aa&#x00394;29, Aa&#x00394;29P, and Aa&#x00394;29&#x00394;29P were excised, eluted with 1% acetic acid/H<sub>2</sub>O, and analyzed in the mass spectrometer (LTQ Orbitrap Hybrid Mass Spectrometers), and raw data were processed using Proteome Discoverer software (Thermo Scientific). Twelve samples were analyzed. Individual proteins were identified and ranked by protein scores (calculated using SEQUEST algorithm on Proteome Discoverer), which is the sum of all peptide Xcorr values above the specified score threshold. The score threshold is calculated as follows: 0.8 &#x0002B; peptide charge &#x000D7; peptide relevance factor where peptide relevance factor is a parameter with a default value of 0.4. The peptide spectrum matches were used as a surrogate for the relative amounts of individual proteins in each sample.</p></sec>
<sec>
<title>Immunoblotting</title>
<p>Following electrophoresis, <italic>Aa</italic> OMP29<sup>His</sup> was transferred to a nitrocellulose membrane using an iBlot 2 Dry Blotting System kit (Life Technologies). The membrane was blocked with 5% skimmed milk in TBS-T (20 mM Tris-HCl pH 7.6, 0.8% NaCl and 0.1% Tween 20). Anti-OMP29<sup>His</sup> polyclonal serum obtained in Balb/c mice and serum of aggressive periodontitis patients colonized by <italic>Aa</italic> [<xref ref-type="bibr" rid="B15">15</xref>] were used as primary antibodies at 1:2,000 dilution in separate membranes. Secondary antibodies consisted of goat anti-mice IgG peroxidase conjugated (Amershan Bioscience, Amershan, Little Chalfont, United Kingdom) or goat anti-human IgG peroxidase conjugated (ThermoFisher, Carlsbad, CA, United States) diluted to 1:10,000. <italic>Aa</italic> OMP29<sup>His</sup> bands were detected by using the SuperSignal West Pico Chemiluminescent Substrate (ThermoFisher, Carlsbad, CA, United States).</p></sec>
<sec>
<title>Interaction Assays Between GEC and <italic>Aa</italic> Strains</title>
<p>OBA-09 cells [<xref ref-type="bibr" rid="B30">30</xref>], immortalized GEC lineage, were grown at 37&#x000B0;C in humidified 5% CO<sub>2</sub> atmosphere in collagen type I pre-coated bottles (BD Bioscience, San Jose, CA, United States) containing complete Keratinocyte Serum-Free Medium (KSFM) (ThermoFisher, Carlsbad, CA, United States) supplemented with insulin, epidermal growth factor, and fibroblast growth factor (complete KSFM) according to the manufacturer&#x00027;s recommendation (ThermoFisher, Carlsbad, CA, United States). After confluent growth, OBA-09 cells were scraped, centrifuged at 593 &#x000D7; <italic>g</italic> for 10 min at 4&#x000B0;C, resuspended in complete KSFM, added to wells of plates at 1 &#x000D7; 10<sup>5</sup> cell/ml, and incubated for 16 h.</p>
<p>The interaction assay was performed as previously described [<xref ref-type="bibr" rid="B11">11</xref>]. Log phase cultures of AaD7S and its mutants Aa&#x00394;29, Aa&#x00394;29P, and Aa&#x00394;29&#x00394;29P were adjusted to 1 &#x000D7; 10<sup>8</sup> cell/ml in a complete KSFM and added to OBA-09 cells at a multiplicity of infection of 1:1,000 (OBA-09:bacteria).</p>
<p>After 4 h of interaction, total RNA was isolated using the RNeasy Mini Kit (Qiagen; Valencia, CA, United States) and converted into cDNA using QuantiTect Reverse Transcription Kit (Qiagen).</p>
<p>Quantitative Real-Time Reverse Transcription-Polymerase Chain Reaction (qRT-PCR) analysis was carried out to evaluate <italic>cxcl-8</italic> relative expression. The reaction was performed using the StepOnePlus Real-Time PCR System (Thermo Fisher Scientific, Rockford, United States) using the QuantiTect SYBR Green PCR and QuantiTect Primer Assay Cat &#x00023; QT02108190 (Qiagen; Valencia, CA, United States).</p>
<p>The gene expression of inflammatory response was analyzed by Microarray using the Prime PCR Pathway Plate/Acute Inflammation Response H96 system (Bio-Rad; Hercules, CA, United States), according to the manufacturer&#x00027;s instructions and performed in CFX96 Touch Real-Time PCR Detection Systems (Bio-Rad).</p>
<p>Both Microarray and qRT-PCR data resulted in CT values for each sample. Gene dosages were obtained using the 2<sup>&#x02212;&#x00394;<italic>&#x00394;CT</italic></sup> Livak method [<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>], considering glyceraldehyde-3-phosphate dehydrogenase (<italic>gapdh</italic>) as a reference gene and co-culture OBA-09 cell with AaD7S strain as the control. Statistical analysis was performed in GraphPad Prism version 6.0 (GraphPad Software).</p></sec>
<sec>
<title>Interaction Assays Between GEC and <italic>Aa</italic> OMP29<sup>His</sup></title>
<p>The confluent monolayers of OBA-09 cell, as previously described, were added to 24 well/plates (ThermoFisher, Carlsbad, CA, United States) and challenged with <italic>E. coli</italic> serotype O111:B4 LPS (500 ng/ml; Sigma&#x02013;Aldrich). Then, aliquots of 1 &#x003BC;g/ml and 10 &#x003BC;g/ml of <italic>Aa</italic> OMP29<sup>His</sup> were added to each well. After 4 h of interaction, levels of CXCL-8 in free cell supernatant were established by Bio-Plex Pro Human Chemokine assay kit (Bio-Rad, United States), following the manufacturer&#x00027;s instructions. Those levels were determined by comparison to the standard curve (mean of fluorescence intensity vs. pg/ml), using Bio-Plex software manager 4.0. The results were shown in percentage with CXCL-8 concentration (pg/ml) of the 4 h cultured with OBA-09 being 100% and statistical analysis was performed in GraphPad Prism version 6.0 (GraphPad Software).</p></sec>
<sec>
<title>Sequence Analysis</title>
<p>Multiple sequence alignment was performed with Clustal Omega (<ext-link ext-link-type="uri" xlink:href="https://www.ebi.ac.uk/Tools/msa/clustalo/">https://www.ebi.ac.uk/Tools/msa/clustalo/</ext-link>) using the default setting. The amino acid sequences of <italic>Aa</italic> OMP29 and OMP29<sup>par</sup> of <italic>Aa</italic> strains HK1651, ANH9381, D7S-1, H5P-1, D11S-1, and D17P-2 (<xref ref-type="table" rid="T1">Table 1</xref>) were identified and downloaded from our annotated database at <ext-link ext-link-type="uri" xlink:href="http://expression.washington.edu/genetable/script/gene_table_viewer">http://expression.washington.edu/genetable/script/gene_table_viewer</ext-link> [<xref ref-type="bibr" rid="B23">23</xref>].</p></sec></sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>OMP29 and OMP29<sup>par</sup> Protein Sequence</title>
<p>The sequence alignments of OMP29 and OMP29<sup>par</sup> of representative strains of serotype a, b, and c are provided in <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>. The OMP29 is 346 aa long, and the OMP29<sup>par</sup> is 356 aa long. Each orthologous protein demonstrates 99% amino acid sequence identity among strains. The OMP29 and OMP29par also share approximately 75% amino acid sequence identify.</p></sec>
<sec>
<title>Human and Murine Sera Recognize OMP29 Recombinant</title>
<p>The recombinant protein <italic>Aa</italic> OMP29<sup>His</sup> was obtained, purified, and confirmed by its reaction with mice anti-<italic>Aa</italic> Omp29<sup>His</sup> IgG polyclonal and by human aggressive periodontitis sera in a Western-blot assay (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figure 2</xref>).</p></sec>
<sec>
<title>Alteration on OMP Profile of <italic>Aa</italic> After Knocking out <italic>Omp29</italic> and/or <italic>Omp29<sup><italic>par</italic></sup></italic></title>
<p><italic>Aa</italic> mutants in <italic>omp29, omp29</italic><sup><italic>par</italic></sup> and in both genes were constructed and characterized. All strains presented similar growth rates in mTSB medium (<xref ref-type="supplementary-material" rid="SM3">Supplementary Figure 3</xref>). Analysis of OME revealed differences in the protein profile between the wildtype and the <italic>omp29</italic> and <italic>omp</italic>29<sup><italic>par</italic></sup> deletion mutants (<xref ref-type="fig" rid="F1">Figure 1</xref>). To better assess the profile, the distinct bands were excised from the gel and evaluated by mass spectrophotometry. The identity and the relative amounts of individual proteins differentially expressed were determined (<xref ref-type="supplementary-material" rid="SM4">Supplementary Table 1</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Outer membrane extracts profile of <italic>Aa</italic> D7S-1 strains. <bold>(A)</bold> Outer membrane protein profiles of <italic>Aa</italic> grown until mid-log phase were determined by SDS-PAGE analysis: MWM: Molecular Weight Marker&#x02014;Precision Plus Protein Standard, Bio-Rad, in kDa. Gel slices numbered 1-12 showed the following OMPs: AaD7S, 1-OMP39, 2-OMP29; 3-OMP29<sup>par</sup>; Aa&#x00394;29&#x00394;29P, 4-OMP39, 5-OMP29 absent; 6-OMP29<sup>par</sup> absent; Aa&#x00394;29, 7-OMP39, 8-OMP29 absent; 9-OMP29<sup>par</sup>; Aa&#x00394;29P, 10-OMP39, 11-OMP29; 12-OMP29<sup>par</sup> absent). Photograph of a representative gel of at least two independent assays. <bold>(B)</bold> Proteomic analysis of detected peptides or peptide spectrum matches (PSM) for the 8 major proteins: (Universal stress protein UspE, OMP29, OMP29<sup>par</sup>, CRISP-associated protein (CRISP), <italic>flp</italic> operon protein D (<italic>flp</italic> Op D), type II/IV secretion system secretin RcpA/CpaC (T2/4SS sec RcpA/CpaC), and <italic>flp</italic> operon protein (flp Op C) and OMP39) after combining gel &#x00023;1-3, gel &#x00023;4-6, gel &#x00023;7-9, and gel &#x00023;10-12, to determine whether some proteins were differentially expressed in AaD7S and its mutants Aa&#x00394;29&#x00394;29P, Aa&#x00394;29, and Aa&#x00394;29P, respectively. AaD7S, <italic>Aa</italic> D7S-1 wildtype strain; Aa&#x00394;29, <italic>Aa</italic> D7S-1 <italic>omp29</italic> mutant strain; Aa&#x00394;29P, <italic>Aa</italic> D7S-1 <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain; Aa&#x00394;29&#x00394;29P, <italic>Aa</italic> D7S-1 <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="froh-03-835902-g0001.tif"/>
</fig>
<p>Proteomic analysis indicated that OMP29 and OMP29<sup>par</sup> were simultaneously expressed by the wildtype strain AaD7S, whereas the target proteins were absent in Aa&#x00394;29, Aa&#x00394;29P, and Aa&#x00394;29&#x00394;29P. The deletion of <italic>omp29</italic> led to overexpression of at least 3 times of both OMP29<sup>par</sup> and OMP39. The deletion of OMP29<sup>par</sup> resulted in a 2 times increase in OMP29 levels and 4 times increase in OMP39 levels (<xref ref-type="fig" rid="F1">Figure 1</xref>). Furthermore, the double deletion in strain Aa&#x00394;29&#x00394;29P resulted in the overexpression of OMP39 (11 times increase compared to the AaD7S). The relative expression levels of other proteins also changed in the mutants, although not as pronounced as seen for OMP39. The physiological significance of these changes is unknown but may represent a compensatory mechanism.</p></sec>
<sec>
<title><italic>Aa</italic> OMP29 Represses CXCL-8</title>
<p>CXCL-8 plays a significant role in the pathogenesis of periodontitis. In this study, we aimed to confirm the effect of OMP29 and OMP29<sup>par</sup> on the inhibition of <italic>cxcl-8</italic> transcription. The effect of the 4 h interaction of <italic>Aa</italic> wildtype and its mutants with GECs on <italic>cxcl-8</italic> transcription was evaluated by RT-qPCR. The Aa&#x00394;29&#x00394;29P mutant promoted a significant increase in <italic>cxcl-8</italic> transcripts levels in GECs compared to the wildtype. However, the deletion of <italic>omp29</italic> or <italic>omp29</italic><sup><italic>par</italic></sup> did not result in <italic>cxcl-8</italic> regulation, suggesting functional redundancy of OMP29 and OMP29<sup>par</sup> in the regulation of <italic>cxcl-8</italic> expression (<xref ref-type="fig" rid="F2">Figure 2A</xref>).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Chemokine CXCL-8 expression. <bold>(A)</bold> <italic>cxcl-8</italic> relative transcription. <italic>Aa</italic> wildtype strain (AaD7S) and its mutant strains (Aa&#x00394;29, <italic>Aa</italic> D7S-1 <italic>omp29</italic> mutant strain; Aa&#x00394;29P, <italic>Aa</italic> D7S-1 <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain; Aa&#x00394;29&#x00394;29P, <italic>Aa</italic> D7S-1 <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain) were grown in mTSB until mid-exponential phase and then co-cultured with confluent monolayers of OBA-09 cells for 4 h in complete KSF medium. After the RNA extraction and cDNA synthesis, qRT-PCR was performed and relative mRNA levels of <italic>cxcl-8</italic> were evaluated using <italic>gapdh</italic> as reference. OBA-09 cell was co-cultured with AaD7S as a control (dotted line). &#x0002A;One-way ANOVA followed by Dunnett&#x00027;s post-test (significant, <italic>p</italic> &#x0003C; 0.05). <bold>(B)</bold> CXCL-8 production. OBA-09 cells were grown in KSF medium and challenged with <italic>E. coli</italic> serotype O111:B4 LPS followed by treatment with 1 &#x003BC;g/ml and 10 &#x003BC;g/ml <italic>Aa</italic> OMP29<sup>His</sup> for 4 h. CXCL-8 levels in cell supernatants were evaluated by ELISA, and data were reported as the percentages of CXCL levels in relation to non-inoculated cells (control) (dotted line). LPS, lipopolysaccharide; <italic>Aa</italic> OMP29<sup>His</sup>, OMP29 recombinant protein of <italic>Aa</italic> HK1651. &#x0002A;One-way ANOVA followed by Tukey&#x00027;s post-test (significant, <italic>p</italic> &#x0003C; 0.05).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="froh-03-835902-g0002.tif"/>
</fig>
<p>To determine whether the effect on <italic>cxcl-8</italic> expression was due to the compensatory expression of other proteins such as OMP39 in the mutants, we investigated the interaction between OBA-09 cell and <italic>Aa</italic> OMP29<sup>His</sup> (<xref ref-type="fig" rid="F2">Figure 2B</xref>). <italic>E. coli</italic> LPS was used to trigger CXCL-8 expression in OBA-09 cells [<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>], and cells were challenged with 1 or 10 &#x003BC;g/ml of <italic>Aa</italic> OMP29<sup>His</sup>. After 4 h of interaction, the expression of CXCL-8 was determined at the protein level. The analyses indicated that both concentrations of <italic>Aa</italic> OMP29<sup>His</sup> could inhibit the transcription of <italic>cxcl-8</italic>, resulting in reduced CXCL-8 levels in OBA-9 cells supernatants compared to control cells (<xref ref-type="fig" rid="F2">Figure 2B</xref>).</p></sec>
<sec>
<title><italic>Aa</italic> OMP29 and OMP29<sup>par</sup> Alter the Response of GECs</title>
<p>After observing the effect of OMP29 on CXCL-8 expression, we explored the gene expression profile of host acute inflammatory response to AaD7S and its mutants. The results showed modulatory effects (at least two-fold) of 21 genes (<xref ref-type="table" rid="T2">Table 2</xref>; for gene function, see <xref ref-type="supplementary-material" rid="SM5">Supplementary Table 2</xref>). Sixteen genes had increased <sc>(</sc><italic>bcl2, birc3, casp3, c3, ep300, fas, fosb, grb2, il-1</italic><sc>&#x003B1;</sc><italic>, il-1</italic>&#x003B2;<italic>, il-6, cxcl-8, nr3c1, prkcq, socs3</italic>, and <italic>tnfrsf1</italic>&#x003B2;) and five had genes decreased (<italic>cd74, crp, faslg, tlr1</italic>, and <italic>vcam1</italic><sc>)</sc> expression in OBA-09 cells co-cultured with Aa&#x00394;29&#x00394;29P strain compared to AaD7S. The data suggested a potential role of OMP29 and its paralogue in the host response of GECs. Nevertheless, these findings suggested a possible influence of OMP29 and its paralogue in anti-apoptotic (e.g., <italic>bcl2, birc3, grb2, prkcq</italic>) and pro-apoptotic (e.g., <italic>casp3, c3, ep300, fosb, nr3c1, crp</italic>, and <italic>socs3</italic>) pathways. Furthermore, the interaction with the strain Aa&#x00394;29&#x00394;29P down-regulated transcription of <italic>cd74, faslg, tlr1</italic>, and <italic>vcam1</italic> and up-regulated <italic>fas</italic> and <italic>tnfrsf1</italic>&#x003B2;. The <italic>faslg</italic> and <italic>fas</italic> also participate in pro-apoptotic pathways. Finally, interaction with the strain Aa&#x00394;29&#x00394;29P upregulated transcription of <italic>il-1</italic><sc>&#x003B1;</sc>, <italic>il-1</italic>&#x003B2;, <italic>il-6, cxcl-8</italic>, and <italic>tnfrsf1</italic>&#x003B2;, encoding cytokines and chemokines involved in the inflammatory response. Notably, the effect promoted by the absence of OMP29 or OMP29<sup>par</sup> was not as intense as observed for the double mutant, possibly due to the compensation mechanism induced by their absence (<xref ref-type="table" rid="T2">Table 2</xref>). Alternatively, the effects described above may be due to yet to be characterized pleiotropic effects of the deletion of <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup>.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Inflammatory response of OBA-09 cell after 4 h of interaction with <italic>Aa</italic> strains.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Gene</bold></th>
<th valign="top" align="center" colspan="4" style="border-bottom: thin solid #000000;"><bold>Mean of relative expression (2</bold><sup><bold><bold>&#x02212;<italic><bold>&#x00394;&#x00394;CT</bold></italic></bold></bold></sup> <bold>method) in each interaction assay</bold><xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>OBA-09 &#x0002B; AaD7S (control)</bold></th>
<th valign="top" align="center"><bold>OBA-09 &#x0002B; Aa&#x00394;29</bold></th>
<th valign="top" align="center"><bold>OBA-09 &#x0002B; Aa&#x00394;29P</bold></th>
<th valign="top" align="center"><bold>OBA-09 &#x0002B; Aa&#x00394;29&#x00394;29P</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>bcl2</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">42.91<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">84.45<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">54.82<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>birc3</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">5.04<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">10.13<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">44.02<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>casp3</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">27.16<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">27.67<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">49.18<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>c3</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.84</td>
<td valign="top" align="center">1.01</td>
<td valign="top" align="center">14.62<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>ep300</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">48.95<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">23.92<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">33.59<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>fas</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.39</td>
<td valign="top" align="center">1.46</td>
<td valign="top" align="center">7.16<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>fosb</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">186.11<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">179.77<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">242.20<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>grb2</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">5.25<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">3.68<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">4.58<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>il-1<sc>&#x003B1;</sc></italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.22<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.97</td>
<td valign="top" align="center">6.96<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>il-1&#x003B2;</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.33<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.67</td>
<td valign="top" align="center">14.42<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>il-6</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.86</td>
<td valign="top" align="center">1.36</td>
<td valign="top" align="center">50.56<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>cxcl-8</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.35<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.82</td>
<td valign="top" align="center">11.74<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>nr3c1</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">3.61<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">3.81<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">4.76<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>prkcq</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">2.42<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">2.17<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">13.27<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>socs3</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.56</td>
<td valign="top" align="center">1.87</td>
<td valign="top" align="center">10.41<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>tnfrs1&#x003B2;</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.08</td>
<td valign="top" align="center">0.91</td>
<td valign="top" align="center">11.88<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>cd74</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.43<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.47<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.09<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>crp</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.45<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.62</td>
<td valign="top" align="center">0.00<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>faslg</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.46<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.59</td>
<td valign="top" align="center">0.06<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>trl1</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.39<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">0.57</td>
<td valign="top" align="center">0.06<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>vcam1</italic></td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">0.69</td>
<td valign="top" align="center">0.89</td>
<td valign="top" align="center">0.16<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;&#x0002A;</sup></xref></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1">
<label>&#x0002A;</label>
<p><italic>Microarray analysis using Prime PCR Pathway Plate/Acute Inflammation Response H96 system (Bio-Rad; Hercules, CA, United States). The gapdh was used as a reference gene and OBA-09 cell was co-cultured with AaD7S as a control. The experiment was done once with triplicate. AaD7S: Aa D7S-1 wildtype strain; Aa&#x00394;29, Aa D7S-1 omp29 mutant strain; Aa&#x00394;29P, Aa D7S-1 omp29<sup>par</sup> mutant strain; Aa&#x00394;29&#x00394;29P, Aa D7S-1 omp29 and omp29<sup>par</sup> mutant strain</italic>.</p> </fn>
<fn id="TN2">
<label>&#x0002A;&#x0002A;</label>
<p><italic>At least two increasing or decreasing fold changes in relative transcription in GECs were challenged with the wildtype strain</italic>.</p></fn>
</table-wrap-foot>
</table-wrap></sec></sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>To improve our understanding of the mechanisms involved in periodontitis associated with <italic>Aa</italic>, we aimed to evaluate the effect of <italic>Aa</italic> OMP29 on the interaction with gingival epithelial cells. Outer membrane protein 29 and the other five outer membrane proteins of <italic>Aa</italic> (OMP100, OMP64, OMP39, OMP16, and OMP18) were recognized by antibodies in the serum of patients with periodontitis of high rate of progression in young subjects [<xref ref-type="bibr" rid="B9">9</xref>]. OMP29 is an OMPA-like protein and its paralogous OMP29<sup>par</sup> was identified in our study and a in recently published article [<xref ref-type="bibr" rid="B13">13</xref>].</p>
<p>We have noticed increased and compensatory expressions of other OMPs associated with the deletion of <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup>. For example, the deletion of <italic>omp29</italic> led to an over-expression of OMP29<sup>par</sup>, and the deletion of <italic>omp29</italic> or <italic>omp29</italic><sup><italic>par</italic></sup> led to an over-expression of OMP39. We have also noted the changes in the transcription profiles of GECs challenged with the defective mutants.</p>
<p>The more robust alterations in mRNA levels were observed for the double mutant than when GECs were challenged with the single mutant. This is likely due to the functional redundancy and compensatory expression of OMP29 or OMP29<sup>par</sup> in the corresponding single-deletion mutants, which may exert similar effects to GECs as the wildtype AaD7S.</p>
<p>The study examined the role of OMP29 in the expression of <italic>cxcl-8</italic> in GECs. We focused on CXCL-8 since this chemokine is associated with inflammatory tissue destruction in periodontitis and periodontal tissue homeostasis. The expression of <italic>cxcl-8</italic> was higher in OBA-09 cells challenged with Aa&#x00394;29&#x00394;29P than with the wildtype AaD7S. To rule out the effects associated with the compensatory expressions of other proteins such as OMP39, we tested the recombinant <italic>Aa</italic> OMP29<sup>His</sup> and demonstrated its ability to suppress <italic>cxcl-8</italic> transcription and CXCL-8 production in LPS-stimulated OBA-9 cells. The results suggested that OMP29 and OMP29<sup>par</sup> were involved in the inhibition of <italic>cxcl-8</italic>. Our results were in disagreement with another study showing the induction of CXCL-8 by OMP29 in gingival epithelial cells [<xref ref-type="bibr" rid="B20">20</xref>]. Previous studies extracted OMP29 directly from <italic>Aa</italic> outer membrane, which may contain contaminants that affect the outcomes of the experiments [<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B35">35</xref>].</p>
<p>Previous data reported that <italic>Aa</italic> OMP29 promotes apoptosis in GECs <italic>via</italic> TGF-&#x003B2;R/smad2 pathway by binding fibronectin (Fn) to ease Fn/integrin&#x003B2;1/FAK signaling-dependent TGF-&#x003B2; release from the extracellular matrix [<xref ref-type="bibr" rid="B12">12</xref>]. The primary mechanism of defense of the host cell against intracellular bacteria is the induction of apoptosis. However, obligate intracellular pathogens such as <italic>Chlamydia</italic> [<xref ref-type="bibr" rid="B36">36</xref>] may have anti-apoptotic mechanisms to promote their survival in the intracellular environment. This study showed that the expression of several genes involved in apoptotic pathways was altered in OBA-09 cells when co-cultured with the double mutant strain Aa&#x00394;29&#x00394;29P, suggesting that OMP29 or OMP29<sup>par</sup> may regulate apoptosis of GECs, influencing the intracellular survival of <italic>Aa</italic>. However, both pro-apoptotic genes (<italic>casp3, c3, ep300, fosb, nr3c1, crp</italic>, and <italic>socs3</italic>) and anti-apoptotic (<italic>bcl2, birc3, grb2</italic>, and <italic>prkcq</italic>) were affected and the net effect to apoptosis is not apparent. The interaction with the Aa&#x00394;29&#x00394;29P strain down-regulated transcription of cellular receptors and adhesion, highlighting the <italic>faslg</italic> and <italic>fas</italic> which also participate in pro-apoptotic pathways. Finally, Aa&#x00394;29&#x00394;29P upregulated the transcription of <italic>il-1a, il-1</italic>&#x003B2;<italic>, il-6, cxcl-8</italic>, and <italic>tnfrsf1</italic>&#x003B2;, encoding cytokines and chemokines involved in the inflammatory response. The data suggested a potential role of OMP29 and its paralogue to the host response of GECs. Alternatively, the effect may be due to changes in virulence expression of <italic>Aa</italic> after the deletion of <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup>. Further investigation is needed to understand the influence of OMP29 and OMP29<sup>par</sup> on the host response of GECs to <italic>Aa</italic>. This study did not address the net impact of OMP29 and OMP29<sup>par</sup> on GECs. We will explore the role and the mechanisms of these proteins in the apoptosis of GECs in future studies.</p>
<p>The study is limited by its <italic>in vitro</italic> assessment of the virulence determinants of the serotype a AaD7S. The innate immune response of epithelial cells may differ when challenged with other <italic>Aa</italic> serotypes with different virulence potentials [<xref ref-type="bibr" rid="B37">37</xref>&#x02013;<xref ref-type="bibr" rid="B39">39</xref>]. In addition, we evaluated only the response of epithelial cells monolayers to the bacterial challenges and not the response of the oral mucosa with multiple immune cells. Moreover, given the plethora of microorganisms at the oral epithelium, the overall responses are triggered by the whole community and not by a single species [<xref ref-type="bibr" rid="B40">40</xref>].</p>
<p><italic>Aa</italic> is known to exhibit strain-to-strain variation in virulence. The results of this study did not exclude the possibility that different <italic>Aa</italic> strains may exhibit distinct effects on GECs. However, the effects of OMP29 and OMP29<sup>par</sup> in different <italic>Aa</italic> strains on GECs are likely similar. First, OMP29 and OMP29<sup>par</sup> are highly conserved among genetically distanced <italic>Aa</italic> strains (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). Second, the recombinant OMP29 in our study was derived from a serotype b strain HK1651, and exhibited similar inhibitory properties demonstrated in serotype a strain AaD7S that expressed this protein. Finally, a preliminary analysis of the upstream regions of <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup> did not reveal any apparent structural variations that may lead to differential gene expression (data not shown). Additional studies are needed to resolve this question.</p>
<p>It is worth noting the clinical implication of the inhibition of CXCL-8 by OMP29 of <italic>Aa</italic>. CXCL-8 is a potent chemoattractant for polymorphonuclear cells into the infected tissue [<xref ref-type="bibr" rid="B41">41</xref>]. A balanced proportion of neutrophils in the periodontal tissues is essential for homeostasis, and both too high or too low numbers of neutrophils contribute to periodontitis [<xref ref-type="bibr" rid="B40">40</xref>]. Thus, the inhibitory activity in GECs response by OMP29 may break this balance, decreasing the numbers of neutrophils at the infected sites, allowing a more permissive niche for bacteria replication. This transient inhibition could delay the recruitment of neutrophils, and therefore facilitate the initial colonization of this pathogen and other microorganisms [<xref ref-type="bibr" rid="B42">42</xref>]. Other pathogens such as <italic>Porphyromonas gingivalis</italic> inhibit the production of CXCL-8 in periodontal tissues by secreting a serine phosphatase (SerB) [<xref ref-type="bibr" rid="B43">43</xref>]. OMP29 may be an additional tool of <italic>Aa</italic> to alter the microenvironment of subgingival biofilm, allowing bacterial survival and tissue destruction. Also, OMP29 may act in synergy with <italic>Aa</italic> secretin HofQ, which uptakes CXCL-8 [<xref ref-type="bibr" rid="B44">44</xref>], limiting CXCL-8 availability in periodontal tissues. These data are in accordance with a study in humans that reported that <italic>Aa</italic>-negative gingival crevicular fluid (GCF) contained higher concentrations of CXCL-8 than sites harboring <italic>Aa</italic> [<xref ref-type="bibr" rid="B45">45</xref>].</p>
<p>In conclusion, our study suggested that OMP29 and its paralogue of <italic>Aa</italic> may suppress the expression of CXCL-8, modulate the host responses in epithelial cells, and permit initial colonization of <italic>Aa</italic>.</p></sec>
<sec sec-type="data-availability" id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s10">Supplementary Files</xref>, further inquiries can be directed to the corresponding author/s.</p></sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Ethics and Research Committee on Animals of the Institute of Biomedical Sciences of the University of S&#x000E3;o Paulo.</p></sec>
<sec id="s7">
<title>Author Contributions</title>
<p>CC: supervision, investigation, conceptualization and design of the study, formal analysis, writing original draft, and review and editing. MM: supervision, investigation, conceptualization and design of the study, writing review, and editing. RM: design of the study and writing original draft. GM: formal/statistical analysis, writing original draft, and review and editing. DK and VS: investigation, formal analysis, and writing original draft. EA-S: investigation, formal analysis and writing original draft, and review and editing. SP: investigation and writing original draft. MS: investigation, formal analysis, design of the study, writing original draft, and review and editing. All authors contributed to manuscript revision, read, and approved the submitted version.</p></sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>This study was supported by FAPESP (Grants 2011/18683-1, 2012/05911-9, and 2015/18273-9), CAPES PNPD (Grant 88887.466596/2019-00), and NIH (Grant R01 DE012212).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p></sec>
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<ack><p>The OBA-9 cells used in this study were kindly given by Dr. Shinya Murakami (Osaka University, Japan).</p>
</ack>
<sec sec-type="supplementary-material" id="s10">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/froh.2022.835902/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/froh.2022.835902/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.TIFF" id="SM1" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p>Multiple Sequence Aligment of OMP29 and OMP29<sup>par</sup> among <italic>Aa</italic> strains of different serotypes. The multiple sequence alignments of OMP29 <bold>(A)</bold> and OMP29<sup>par</sup> <bold>(B)</bold> of representative <italic>Aa</italic> strains of serotype a, b and c (HK1651, ANH9381, D7S-1, H5P-1, D11S-1, and D17P-2) was performed with Clustal Omega using the default setting. Each protein demonstrates 99% amino acid sequence identify among strains. These two homologous proteins also share approximately 75% amino acid sequence identify.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.TIFF" id="SM2" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 2</label>
<caption><p>SDS-PAGE, ELISA and Immunoblot of <italic>Aa</italic> OMP29<sup>His</sup>. <bold>(A)</bold> 10% polyacrylamide gel of SDS-PAGE with aliquot of <italic>Aa</italic> OMP29<sup>His</sup> (OMP29 recombinant protein of <italic>A. actinomycetemcomitans</italic> HK1651). <italic>E. coli</italic> BL21 (DE3) transformed with pET28B/<italic>omp29</italic> vector was cultured by standard methods for 2 h with 1 mM IPTG for the purpose of protein expression induction. MWM: Molecular Weight Marker - Precision Plus Protein Standard, Bio-Rad, in kDa. The arrow indicates a band corresponding to <italic>Aa</italic> OMP29<sup>His</sup> heated with approximately 38.44 kDa (predicted by the website <ext-link ext-link-type="uri" xlink:href="http://www.bioinformatics.org">www.bioinformatics.org</ext-link>). <bold>(B)</bold> ELISA Optical Density (O.D.) 490nm data at 63 days after primary immunization and booster injections at 7 days, 3, 4, 6 and 7 weeks, using different serum dilutions (1:500, 1:1,000, 1:2,000 and 1:5,000) from immunized mice against <italic>Aa</italic> OMP29<sup>His</sup> and non-immunized controls. <sup>&#x0002A;</sup>Two-way ANOVA followed by post-test of Tukey, p &#x0003C; 0.0001. <bold>(C)</bold> 10% polyacrylamide gel of SDS-PAGE with aliquot of <italic>Aa</italic> OMP29<sup>His</sup>. <bold>(D)</bold> <italic>Western Blot:</italic> (D<sub>1</sub>) Detection of OMP29<sup>His</sup> using mice polyclonal anti-<italic>Aa</italic> OMP29<sup>His</sup> serum. (D<sub>2</sub>) Detection of <italic>Aa</italic> OMP29<sup>His</sup> using serum from aggressive periodontitis patient.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.TIFF" id="SM3" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 3</label>
<caption><p>Growth curve of <italic>A. actinomycetemcomitans</italic> strains. Bacteria grown overnight were diluted in mTSB medium and grown for 16h to obtain the growth curve and the outer membrane extracts. Growth curve: cell density at O.D.<sub>420&#x02212;580</sub> were determined hourly. Each point represents the mean values of two independent cultures. AaD7S: <italic>A. actinomycetemcomitans</italic> D7S-1 wild-type strain; Aa&#x00394;29: <italic>A. actinomycetemcomitans</italic> D7S-1 <italic>omp29</italic> mutant strain; Aa&#x00394;29P: <italic>A. actinomycetemcomitans</italic> D7S-1 <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain; Aa&#x00394;29&#x00394;29P: <italic>A. actinomycetemcomitans</italic> D7S-1 <italic>omp29</italic> and <italic>omp29</italic><sup><italic>par</italic></sup> mutant strain; mTSB: media not inoculated was used as a control. The growth rates for each strain in the exponential phase were 1.2 h<sup>&#x02212;1</sup>, 1.04 h<sup>&#x02212;1</sup>, 1.03 h<sup>&#x02212;1</sup>, 1.02 h<sup>&#x02212;1</sup> and 0.92 h<sup>&#x02212;1</sup> for AaD7S, Aa&#x00394;29, Aa&#x00394;29P and Aa&#x00394;29&#x00394;29P, respectively.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Table_1.pdf" id="SM4" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 1</label>
<caption><p>Identification and the amounts of number of peptide spectrum matches (PSM) of proteins with high scoring peptides from gel slices number 1&#x02013;12, according to <xref ref-type="fig" rid="F1">Figure 1A</xref>.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Table_2.pdf" id="SM5" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 2</label>
<caption><p>Function of the statistically relevant genes analyzed by the microarray assay.</p></caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Slots</surname> <given-names>J</given-names></name> <name><surname>Listgarten</surname> <given-names>MA</given-names></name></person-group>. <article-title>Bacteroides gingivalis, Bacteroides intermedius and <italic>Actinobacillus actinomycetemcomitans</italic> in human periodontal diseases</article-title>. <source>J Clin Periodontol.</source> (<year>1988</year>) <volume>15</volume>:<fpage>85</fpage>&#x02013;<lpage>93</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-051X.1988.tb00999.x</pub-id><pub-id pub-id-type="pmid">3279073</pub-id></citation></ref>
<ref id="B2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fine</surname> <given-names>DH</given-names></name> <name><surname>Patil</surname> <given-names>AG</given-names></name> <name><surname>Loos</surname> <given-names>BG</given-names></name></person-group>. <article-title>Classification and diagnosis of aggressive periodontitis</article-title>. <source>J Clin Periodontol.</source> (<year>2018</year>) <volume>45</volume>:<fpage>S95</fpage>&#x02013;<lpage>S111</lpage>. <pub-id pub-id-type="doi">10.1111/jcpe.12942</pub-id><pub-id pub-id-type="pmid">29926487</pub-id></citation></ref>
<ref id="B3">
<label>3.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Timmerman</surname> <given-names>MF</given-names></name> <name><surname>Van der Weijden</surname> <given-names>GA</given-names></name> <name><surname>Abbas</surname> <given-names>F</given-names></name> <name><surname>Arief</surname> <given-names>EM</given-names></name> <name><surname>Armand</surname> <given-names>S</given-names></name> <name><surname>Winkel</surname> <given-names>EG</given-names></name> <etal/></person-group>. <article-title>Untreated periodontal disease in Indonesian adolescents. longitudinal clinical data and prospective clinical and microbiological risk assessment</article-title>. <source>J Clin Periodontol.</source> (<year>2000</year>) <volume>27</volume>:<fpage>932</fpage>&#x02013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1034/j.1600-051x.2000.027012932.x</pub-id><pub-id pub-id-type="pmid">11140561</pub-id></citation></ref>
<ref id="B4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Van der Velden</surname> <given-names>U</given-names></name> <name><surname>Abbas</surname> <given-names>F</given-names></name> <name><surname>Armand</surname> <given-names>S</given-names></name> <name><surname>Loos</surname> <given-names>BG</given-names></name> <name><surname>Timmerman</surname> <given-names>MF</given-names></name> <name><surname>Van der Weijden</surname> <given-names>GA</given-names></name> <etal/></person-group>. <article-title>Java project on periodontal diseases. the natural development of periodontitis: risk factors, risk predictors and risk determinants</article-title>. <source>J Clin Periodontol.</source> (<year>2006</year>) <volume>33</volume>:<fpage>540</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-051X.2006.00953.x</pub-id><pub-id pub-id-type="pmid">16899096</pub-id></citation></ref>
<ref id="B5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fine</surname> <given-names>DH</given-names></name> <name><surname>Markowitz</surname> <given-names>K</given-names></name> <name><surname>Furgang</surname> <given-names>D</given-names></name> <name><surname>Fairlie</surname> <given-names>K</given-names></name> <name><surname>Ferrandiz</surname> <given-names>J</given-names></name> <name><surname>Nasri</surname> <given-names>C</given-names></name> <etal/></person-group>. <article-title><italic>Aggregatibacter actinomycetemcomitans</italic> and its relationship to initiation of localized aggressive periodontitis: longitudinal cohort study of initially healthy adolescents</article-title>. <source>J Clin Microbiol.</source> (<year>2007</year>) <volume>45</volume>:<fpage>3859</fpage>&#x02013;<lpage>69</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.00653-07</pub-id><pub-id pub-id-type="pmid">17942658</pub-id></citation></ref>
<ref id="B6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haubek</surname> <given-names>D</given-names></name> <name><surname>Ennibi</surname> <given-names>OK</given-names></name> <name><surname>Poulsen</surname> <given-names>K</given-names></name> <name><surname>Vaeth</surname> <given-names>M</given-names></name> <name><surname>Poulsen</surname> <given-names>S</given-names></name> <name><surname>Kilian</surname> <given-names>M</given-names></name></person-group>. <article-title>Risk of aggressive periodontitis in adolescent carriers of the JP2 clone of <italic>Aggregatibacter</italic> (Actinobacillus) <italic>actinomycetemcomitans</italic> in Morocco: a prospective longitudinal cohort study</article-title>. <source>Lancet.</source> (<year>2008</year>) <volume>371</volume>:<fpage>237</fpage>&#x02013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(08)60135-X</pub-id><pub-id pub-id-type="pmid">18207019</pub-id></citation></ref>
<ref id="B7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoglund Aberg</surname> <given-names>C</given-names></name> <name><surname>Kwamin</surname> <given-names>F</given-names></name> <name><surname>Claesson</surname> <given-names>R</given-names></name> <name><surname>Dahlen</surname> <given-names>G</given-names></name> <name><surname>Johansson</surname> <given-names>A</given-names></name> <name><surname>Haubek</surname> <given-names>D</given-names></name></person-group>. <article-title>Progression of attachment loss is strongly associated with presence of the JP2 genotype of <italic>Aggregatibacter actinomycetemcomitans</italic>: a prospective cohort study of a young adolescent population</article-title>. <source>J Clin Periodontol.</source> (<year>2014</year>) <volume>41</volume>:<fpage>232</fpage>&#x02013;<lpage>41</lpage>. <pub-id pub-id-type="doi">10.1111/jcpe.12209</pub-id><pub-id pub-id-type="pmid">24304011</pub-id></citation></ref>
<ref id="B8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Amado</surname> <given-names>P</given-names></name> <name><surname>Kawamoto</surname> <given-names>D</given-names></name> <name><surname>Albuquerque-Souza</surname> <given-names>E</given-names></name> <name><surname>Franco</surname> <given-names>DC</given-names></name> <name><surname>Saraiva</surname> <given-names>L</given-names></name> <name><surname>Casarin</surname> <given-names>R.</given-names></name> <etal/></person-group>. <article-title>Oral and fecal microbiome in molar-incisor pattern periodontitis</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2020</year>) <volume>10</volume>:<fpage>583761</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2020.583761</pub-id><pub-id pub-id-type="pmid">33117737</pub-id></citation></ref>
<ref id="B9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Meyer</surname> <given-names>DH</given-names></name> <name><surname>Mintz</surname> <given-names>KP</given-names></name> <name><surname>Fives-Taylor</surname> <given-names>PM</given-names></name></person-group>. <article-title>Models of invasion of enteric and periodontal pathogens into epithelial cells: a comparative analysis</article-title>. <source>Crit Ver Oral Biol Med.</source> (<year>1997</year>) <volume>8</volume>:<fpage>389</fpage>&#x02013;<lpage>409</lpage>. <pub-id pub-id-type="doi">10.1177/10454411970080040301</pub-id><pub-id pub-id-type="pmid">9391752</pub-id></citation></ref>
<ref id="B10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Asakawa</surname> <given-names>R</given-names></name> <name><surname>Komatsuzawa</surname> <given-names>H</given-names></name> <name><surname>Kawai</surname> <given-names>T</given-names></name> <name><surname>Yamada</surname> <given-names>S</given-names></name> <name><surname>Goncalves</surname> <given-names>RB</given-names></name> <name><surname>Izumi</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Outer membrane protein 100, a versatile virulence factor of <italic>Actinobacillus actinomycetemcomitans</italic></article-title>. <source>Mol Microbiol</source>. (<year>2003</year>) <volume>50</volume>:<fpage>1125</fpage>&#x02013;<lpage>39</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2958.2003.03748.x</pub-id><pub-id pub-id-type="pmid">14622404</pub-id></citation></ref>
<ref id="B11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kajiya</surname> <given-names>M</given-names></name> <name><surname>Komatsuzawa</surname> <given-names>H</given-names></name> <name><surname>Papantonakis</surname> <given-names>A</given-names></name> <name><surname>Seki</surname> <given-names>M</given-names></name> <name><surname>Makihira</surname> <given-names>S</given-names></name> <name><surname>Ouhara</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title><italic>Aggregatibacter actinomycetemcomitans</italic> Omp29 is associated with bacterial entry to gingival epithelial cells by F-actin rearrangement</article-title>. <source>PloS ONE.</source> (<year>2011</year>) <volume>6</volume>:<fpage>e18287</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0018287</pub-id><pub-id pub-id-type="pmid">21559515</pub-id></citation></ref>
<ref id="B12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yoshimoto</surname> <given-names>T</given-names></name> <name><surname>Fujita</surname> <given-names>T</given-names></name> <name><surname>Kajiya</surname> <given-names>M</given-names></name> <name><surname>Ouhara</surname> <given-names>K</given-names></name> <name><surname>Matsuda</surname> <given-names>S</given-names></name> <name><surname>Komatsuzawa</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title><italic>Aggregatibacter actinomycetemcomitans</italic> outer membrane protein 29 (Omp29) induces TGF-&#x003B2;-regulated apoptosis signal in human gingival epithelial cells via fibronectin/integrin&#x003B2;1/FAK cascade</article-title>. <source>Cell. Microbiol.</source> (<year>2016</year>) <volume>18</volume>:<fpage>1723</fpage>&#x02013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1111/cmi.12607</pub-id><pub-id pub-id-type="pmid">27121139</pub-id></citation></ref>
<ref id="B13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lindholm</surname> <given-names>M</given-names></name> <name><surname>Min Aung</surname> <given-names>K</given-names></name> <name><surname>Nyunt Wai</surname> <given-names>S</given-names></name> <name><surname>Oscarsson</surname> <given-names>J</given-names></name></person-group>. <article-title>Role of OmpA1 and OmpA2 in <italic>Aggregatibacter actinomycetemcomitans</italic> and <italic>Aggregatibacter aphrophilus</italic> serum resistance</article-title>. <source>J Oral Microbiol.</source> (<year>2018</year>) <volume>11</volume>:<fpage>1536192</fpage>. <pub-id pub-id-type="doi">10.1080/20002297.2018.1536192</pub-id><pub-id pub-id-type="pmid">30598730</pub-id></citation></ref>
<ref id="B14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komatsuzawa</surname> <given-names>H</given-names></name> <name><surname>Asakawa</surname> <given-names>R</given-names></name> <name><surname>Kawai</surname> <given-names>T</given-names></name> <name><surname>Ochiai</surname> <given-names>K</given-names></name> <name><surname>Fujiwara</surname> <given-names>T</given-names></name> <name><surname>Taubman</surname> <given-names>MA</given-names></name> <etal/></person-group>. <article-title>Identification of six major outer membrane proteins from <italic>Actinobacillus actinomycetemcomitans</italic></article-title>. <source>Gene</source>. (<year>2002</year>) <volume>288</volume>:<fpage>195</fpage>&#x02013;<lpage>201</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-1119(02)00500-0</pub-id><pub-id pub-id-type="pmid">12034509</pub-id></citation></ref>
<ref id="B15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rebeis</surname> <given-names>ES</given-names></name> <name><surname>Albuquerque-Souza</surname> <given-names>E</given-names></name> <name><surname>Paulino da Silva</surname> <given-names>M</given-names></name> <name><surname>Giudicissi</surname> <given-names>M</given-names></name> <name><surname>Mayer</surname> <given-names>M</given-names></name> <name><surname>Saraiva</surname> <given-names>L</given-names></name></person-group>. <article-title>Effect of periodontal treatment on <italic>Aggregatibacter actinomycetemcomitans</italic> colonization and serum IgG levels against <italic>A</italic>. actinomycetemcomitans serotypes and Omp29 of aggressive periodontitis patients</article-title>. <source>Oral Dis.</source> (<year>2019</year>) <volume>25</volume>:<fpage>569</fpage>&#x02013;<lpage>79</lpage>. <pub-id pub-id-type="doi">10.1111/odi.13010</pub-id><pub-id pub-id-type="pmid">30506613</pub-id></citation></ref>
<ref id="B16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Groeger</surname> <given-names>S</given-names></name> <name><surname>Meyle</surname> <given-names>J</given-names></name></person-group>. <article-title>Oral mucosal epithelial cells</article-title>. <source>Front Immunol.</source> (<year>2019</year>) <volume>10</volume>:<fpage>208</fpage>. <pub-id pub-id-type="doi">10.3389/fimmu.2019.00208</pub-id><pub-id pub-id-type="pmid">30837987</pub-id></citation></ref>
<ref id="B17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>March</surname> <given-names>C</given-names></name> <name><surname>Moranta</surname> <given-names>D</given-names></name> <name><surname>Regueiro</surname> <given-names>V</given-names></name> <name><surname>Llobet</surname> <given-names>E</given-names></name> <name><surname>Tom&#x000E1;s</surname> <given-names>A</given-names></name> <name><surname>Garmendia</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title><italic>Klebsiella pneumoniae</italic> outer membrane protein A is required to prevent the activation of airway epithelial cells</article-title>. <source>J Biol Chem.</source> (<year>2011</year>) <volume>286</volume>:<fpage>9956</fpage>&#x02013;<lpage>9967</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M110.181008</pub-id><pub-id pub-id-type="pmid">21278256</pub-id></citation></ref>
<ref id="B18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Selvaraj</surname> <given-names>SK</given-names></name> <name><surname>Prasadarao</surname> <given-names>NV</given-names></name></person-group>. <article-title><italic>Escherichia coli</italic> K1 inhibits proinflammatory cytokine induction in monocytes by preventing NF-kappaB activation</article-title>. <source>J Leukoc Biol.</source> (<year>2005</year>) <volume>78</volume>:<fpage>544</fpage>&#x02013;<lpage>54</lpage>. <pub-id pub-id-type="doi">10.1189/jlb.0904516</pub-id><pub-id pub-id-type="pmid">15894582</pub-id></citation></ref>
<ref id="B19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ofori-Darko</surname> <given-names>E</given-names></name> <name><surname>Zavros</surname> <given-names>Y</given-names></name> <name><surname>Rieder</surname> <given-names>G</given-names></name> <name><surname>Tarl&#x000E9;</surname> <given-names>SA</given-names></name> <name><surname>Van Antwerp</surname> <given-names>M</given-names></name> <name><surname>Merchant</surname> <given-names>JL</given-names></name></person-group>. <article-title>An OmpA-like protein from Acinetobacter spp. stimulates gastrin and interleukin-8 promoters</article-title>. <source>Infect Immun.</source> (<year>2000</year>) <volume>68</volume>:<fpage>3657</fpage>&#x02013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1128/IAI.68.6.3657-3666.2000</pub-id><pub-id pub-id-type="pmid">10816525</pub-id></citation></ref>
<ref id="B20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kishimoto</surname> <given-names>A</given-names></name> <name><surname>Fujita</surname> <given-names>T</given-names></name> <name><surname>Shiba</surname> <given-names>H</given-names></name> <name><surname>Komatsuzawa</surname> <given-names>H</given-names></name> <name><surname>Takeda</surname> <given-names>K</given-names></name> <name><surname>Kajiya</surname> <given-names>M</given-names></name> <etal/></person-group>. <article-title>Irsogladine maleate abolishes the increase in interleukin-8 levels caused by outer membrane protein 29 from <italic>Aggregatibacter (Actinobacillus) actinomycetemcomitans</italic> through the ERK pathway in human gingival epithelial cells</article-title>. <source>J Periodontal Res.</source> (<year>2008</year>) <volume>43</volume>:<fpage>508</fpage>&#x02013;<lpage>13</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-0765.2007.01059.x</pub-id><pub-id pub-id-type="pmid">18565136</pub-id></citation></ref>
<ref id="B21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Goodman</surname> <given-names>SD</given-names></name> <name><surname>Redfield</surname> <given-names>RJ</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name></person-group>. <article-title>Natural transformation and DNA uptake signal sequences in <italic>Actinobacillus actinomycetemcomitans</italic></article-title>. <source>J Bacteriol</source>. (<year>2002</year>) <volume>184</volume>:<fpage>3442</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1128/JB.184.13.3442-3449.2002</pub-id><pub-id pub-id-type="pmid">12057937</pub-id></citation></ref>
<ref id="B22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>C</given-names></name> <name><surname>Kittichotirat</surname> <given-names>W</given-names></name> <name><surname>Chen</surname> <given-names>W</given-names></name> <name><surname>Downey</surname> <given-names>JS</given-names></name> <name><surname>Si</surname> <given-names>Y</given-names></name> <name><surname>Bumgarner</surname> <given-names>R</given-names></name></person-group>. <article-title>Genome sequence of naturally competent <italic>Aggregatibacter actinomycetemcomitans</italic> serotype a strain D7S-1</article-title>. <source>J Bacteriol.</source> (<year>2010</year>) <volume>192</volume>:<fpage>2643</fpage>&#x02013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.1128/JB.00157-10</pub-id><pub-id pub-id-type="pmid">20348265</pub-id></citation></ref>
<ref id="B23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kittichotirat</surname> <given-names>W</given-names></name> <name><surname>Bumgarner</surname> <given-names>RE</given-names></name> <name><surname>Asikainen</surname> <given-names>S</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name></person-group>. <article-title>Identification of the pangenome and its components in 14 distinct <italic>aggregatibacter actinomycetemcomitans</italic> strains by comparative genomic analysis</article-title>. <source>PloS ONE.</source> (<year>2011</year>) <volume>6</volume>:<fpage>e22420</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0022420</pub-id><pub-id pub-id-type="pmid">21811606</pub-id></citation></ref>
<ref id="B24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname> <given-names>YA</given-names></name> <name><surname>Jee</surname> <given-names>J</given-names></name> <name><surname>Hsu</surname> <given-names>G</given-names></name> <name><surname>Huang</surname> <given-names>Y</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name> <name><surname>Lin</surname> <given-names>CP</given-names></name></person-group>. <article-title>A markerless protocol for genetic analysis of <italic>Aggregatibacter actinomycetemcomitans</italic></article-title>. <source>J Formos Med Assoc</source>. (<year>2014</year>) <volume>113</volume>:<fpage>114</fpage>&#x02013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.1016/j.jfma.2012.05.005</pub-id><pub-id pub-id-type="pmid">24530245</pub-id></citation></ref>
<ref id="B25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fujise</surname> <given-names>O</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Chen</surname> <given-names>W</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name></person-group>. <article-title>Adherence of <italic>Aggregatibacter actinomycetemcomitans</italic> via serotype-specific polysaccharide antigens in lipopolysaccharides</article-title>. <source>Oral Microbiol Immunol.</source> (<year>2008</year>) <volume>23</volume>:<fpage>226</fpage>&#x02013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1111/j.1399-302X.2007.00416.x</pub-id><pub-id pub-id-type="pmid">18402609</pub-id></citation></ref>
<ref id="B26">
<label>26.</label>
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Sambrook</surname> <given-names>J</given-names></name> <name><surname>Fritsch</surname> <given-names>EF</given-names></name> <name><surname>Maniatis</surname> <given-names>T</given-names></name></person-group>. <source>Molecular cloning: a laboratory manual. 2. ed</source>. <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Cold Spring Harbor Laboratory Press</publisher-name> (<year>1989</year>).</citation>
</ref>
<ref id="B27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ando</surname> <given-names>ES</given-names></name> <name><surname>De-Gennaro</surname> <given-names>LA</given-names></name> <name><surname>Faveri</surname> <given-names>M</given-names></name> <name><surname>Feres</surname> <given-names>M</given-names></name> <name><surname>DiRienzo</surname> <given-names>JM</given-names></name> <name><surname>Mayer</surname> <given-names>MP</given-names></name></person-group>. <article-title>Immune response to cytolethal distending toxin of <italic>Aggregatibacter actinomycetemcomitans</italic> in periodontitis patients</article-title>. <source>J Periodontal Res.</source> (<year>2010</year>) <volume>45</volume>:<fpage>471</fpage>&#x02013;<lpage>80</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-0765.2009.01260.x</pub-id><pub-id pub-id-type="pmid">20337882</pub-id></citation></ref>
<ref id="B28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mintz</surname> <given-names>KP</given-names></name></person-group>. <article-title>Identification of an extracellular matrix protein adhesin, EmaA, which mediates the adhesion of <italic>Actinobacillus actinomycetemcomitans</italic> to collagen</article-title>. <source>Microbiology (Reading).</source> (<year>2004</year>) <volume>150</volume>:<fpage>2677</fpage>&#x02013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.1099/mic.0.27110-0</pub-id><pub-id pub-id-type="pmid">15289564</pub-id></citation></ref>
<ref id="B29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laemmli</surname> <given-names>UK</given-names></name></person-group>. <article-title>Cleavage of structural proteins during the assembly of the head of bacteriophage T4</article-title>. <source>Nature.</source> (<year>1970</year>) <volume>227</volume>:<fpage>680</fpage>&#x02013;<lpage>5</lpage>. <pub-id pub-id-type="doi">10.1038/227680a0</pub-id><pub-id pub-id-type="pmid">5432063</pub-id></citation></ref>
<ref id="B30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kusumoto</surname> <given-names>Y</given-names></name> <name><surname>Hirano</surname> <given-names>H</given-names></name> <name><surname>Saitoh</surname> <given-names>K</given-names></name> <name><surname>Yamada</surname> <given-names>S</given-names></name> <name><surname>Takedachi</surname> <given-names>M</given-names></name> <name><surname>Nozaki</surname> <given-names>T</given-names></name> <etal/></person-group>. <article-title>Human gingival epithelial cells produce chemotactic factors interleukin-8 and monocyte chemoattractant protein-1 after stimulation with <italic>Porphyromonas gingivalis</italic> via toll-like receptor 2</article-title>. <source>J Periodontol.</source> (<year>2004</year>) <volume>75</volume>:<fpage>370</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1902/jop.2004.75.3.370</pub-id><pub-id pub-id-type="pmid">15088874</pub-id></citation></ref>
<ref id="B31">
<label>31.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname> <given-names>KJ</given-names></name> <name><surname>Schmittgen</surname> <given-names>TD</given-names></name></person-group>. <article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta C(T)) Method</article-title>. <source>Methods.</source> (<year>2001</year>) <volume>25</volume>:<fpage>402</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></citation></ref>
<ref id="B32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schmittgen</surname> <given-names>TD</given-names></name> <name><surname>Livak</surname> <given-names>KJ</given-names></name></person-group>. <article-title>Analyzing real-time PCR data by the comparative C(T) method</article-title>. <source>Nat Protoc.</source> (<year>2008</year>) <volume>3</volume>:<fpage>1101</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1038/nprot.2008.73</pub-id><pub-id pub-id-type="pmid">18546601</pub-id></citation></ref>
<ref id="B33">
<label>33.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Takahashi</surname> <given-names>N</given-names></name> <name><surname>Kobayashi</surname> <given-names>M</given-names></name> <name><surname>Takaki</surname> <given-names>T</given-names></name> <name><surname>Takano</surname> <given-names>K</given-names></name> <name><surname>Miyata</surname> <given-names>M</given-names></name> <name><surname>Okamatsu</surname> <given-names>Y.</given-names></name> <etal/></person-group>. <article-title><italic>Actinobacillus actinomycetemcomitans</italic> lipopolysaccharide stimulates collagen phagocytosis by human gingival fibroblasts</article-title>. <source>Oral Microbiol Immunol.</source> (<year>2008</year>) <volume>23</volume>:<fpage>259</fpage>&#x02013;<lpage>64</lpage>. <pub-id pub-id-type="doi">10.1111/j.1399-302X.2007.00414.x</pub-id><pub-id pub-id-type="pmid">18402614</pub-id></citation></ref>
<ref id="B34">
<label>34.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname> <given-names>C</given-names></name> <name><surname>Tan</surname> <given-names>CK</given-names></name> <name><surname>Xiaoping</surname> <given-names>H</given-names></name> <name><surname>Junqiang</surname> <given-names>J</given-names></name></person-group>. <article-title>Acanthoic acid inhibits LPS-induced inflammatory response in human gingival fibroblasts</article-title>. <source>Inflammation.</source> (<year>2015</year>) <volume>38</volume>:<fpage>896</fpage>&#x02013;<lpage>901</lpage>. <pub-id pub-id-type="doi">10.1007/s10753-014-0051-7</pub-id><pub-id pub-id-type="pmid">25373915</pub-id></citation></ref>
<ref id="B35">
<label>35.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wilson</surname> <given-names>ME</given-names></name></person-group>. <article-title>IgG antibody response of localized juvenile periodontitis patients to the 29 kilodalton outer membrane protein of <italic>Actinobacillus actinomycetemcomitans</italic></article-title>. <source>J Periodontol</source>. (<year>1991</year>) <volume>62</volume>:<fpage>211</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1902/jop.1991.62.3.211</pub-id><pub-id pub-id-type="pmid">2027074</pub-id></citation></ref>
<ref id="B36">
<label>36.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Messinger</surname> <given-names>JE</given-names></name> <name><surname>Nelton</surname> <given-names>E</given-names></name> <name><surname>Feeney</surname> <given-names>C</given-names></name> <name><surname>Gondek</surname> <given-names>DC</given-names></name></person-group>. <article-title>Chlamydia infection across host species boundaries promotes distinct sets of transcribed anti-apoptotic factors</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2015</year>) <volume>5</volume>:<fpage>96</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2015.00096</pub-id><pub-id pub-id-type="pmid">26779446</pub-id></citation></ref>
<ref id="B37">
<label>37.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Asikainen</surname> <given-names>S</given-names></name> <name><surname>Lai</surname> <given-names>CH</given-names></name> <name><surname>Alaluusua</surname> <given-names>S</given-names></name> <name><surname>Slots</surname> <given-names>J</given-names></name></person-group>. <article-title>Distribution of <italic>Actinobacillus actinomycetemcomitans</italic> serotypes in periodontal health and disease</article-title>. <source>Oral Microbiol Immunol.</source> (<year>1991</year>) <volume>6</volume>:<fpage>115</fpage>&#x02013;<lpage>118</lpage>. <pub-id pub-id-type="doi">10.1111/j.1399-302X.1991.tb00462.x</pub-id><pub-id pub-id-type="pmid">1945486</pub-id></citation></ref>
<ref id="B38">
<label>38.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kawamoto</surname> <given-names>D</given-names></name> <name><surname>Ando</surname> <given-names>ES</given-names></name> <name><surname>Longo</surname> <given-names>PL</given-names></name> <name><surname>Nunes</surname> <given-names>AC</given-names></name> <name><surname>Wikstr&#x000F6;m</surname> <given-names>M</given-names></name> <name><surname>Mayer</surname> <given-names>MP</given-names></name></person-group>. <article-title>Genetic diversity and toxic activity of <italic>Aggregatibacter actinomycetemcomitans</italic> isolates</article-title>. <source>Oral Microbiol Immunol.</source> (<year>2009</year>) <volume>24</volume>:<fpage>493</fpage>&#x02013;<lpage>501</lpage>. <pub-id pub-id-type="doi">10.1111/j.1399-302X.2009.00547.x</pub-id><pub-id pub-id-type="pmid">19832802</pub-id></citation></ref>
<ref id="B39">
<label>39.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dogan</surname> <given-names>B</given-names></name> <name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>&#x000C7;iftlikli</surname> <given-names>SY</given-names></name> <name><surname>Huang</surname> <given-names>J</given-names></name> <name><surname>Kadir</surname> <given-names>T</given-names></name> <name><surname>Alniak</surname> <given-names>AK</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name></person-group>. <article-title>Occurrence and serotype distribution of <italic>Aggregatibacter actinomycetemcomitans</italic> in subjects without periodontitis in Turkey</article-title>. <source>Arch Oral Biol.</source> (<year>2016</year>) <volume>61</volume>:<fpage>125</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1016/j.archoralbio.2015.10.023</pub-id><pub-id pub-id-type="pmid">26556547</pub-id></citation></ref>
<ref id="B40">
<label>40.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moutsopoulos</surname> <given-names>NM</given-names></name> <name><surname>Konkel</surname> <given-names>JE</given-names></name></person-group>. <article-title>Tissue-specific immunity at the oral mucosal barrier</article-title>. <source>Trends Immunol.</source> (<year>2018</year>) <volume>39</volume>:<fpage>276</fpage>&#x02013;<lpage>87</lpage>. <pub-id pub-id-type="doi">10.1016/j.it.2017.08.005</pub-id><pub-id pub-id-type="pmid">28923364</pub-id></citation></ref>
<ref id="B41">
<label>41.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoffmann</surname> <given-names>E</given-names></name> <name><surname>Dittrich-Breiholz</surname> <given-names>O</given-names></name> <name><surname>Holtmann</surname> <given-names>H</given-names></name> <name><surname>Kracht</surname> <given-names>M</given-names></name></person-group>. <article-title>Multiple control of interleukin-8 gene expression</article-title>. <source>J Leukoc Biol.</source> (<year>2002</year>) <volume>72</volume>:<fpage>847</fpage>&#x02013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1189/jlb.72.5.847</pub-id><pub-id pub-id-type="pmid">12429706</pub-id></citation></ref>
<ref id="B42">
<label>42.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hajishengallis</surname> <given-names>G</given-names></name> <name><surname>Liang</surname> <given-names>S</given-names></name> <name><surname>Payne</surname> <given-names>MA</given-names></name> <name><surname>Hashim</surname> <given-names>A</given-names></name> <name><surname>Jotwani</surname> <given-names>R</given-names></name> <name><surname>Eskan</surname> <given-names>MA</given-names></name> <etal/></person-group>. <article-title>Low-abundance biofilm species orchestrates inflammatory periodontal disease through the commensal microbiota and complement</article-title>. <source>Cell Host Microbe.</source> (<year>2011</year>) <volume>10</volume>:<fpage>497</fpage>&#x02013;<lpage>506</lpage>. <pub-id pub-id-type="doi">10.1016/j.chom.2011.10.006</pub-id><pub-id pub-id-type="pmid">22036469</pub-id></citation></ref>
<ref id="B43">
<label>43.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Darveau</surname> <given-names>RP</given-names></name></person-group>. <article-title>Periodontitis: a polymicrobial disruption of host homeostasis</article-title>. <source>Nat Ver Microbiol.</source> (<year>2010</year>) <volume>8</volume>:<fpage>481</fpage>&#x02013;<lpage>90</lpage>. <pub-id pub-id-type="doi">10.1038/nrmicro2337</pub-id><pub-id pub-id-type="pmid">20514045</pub-id></citation></ref>
<ref id="B44">
<label>44.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ahlstrand</surname> <given-names>T</given-names></name> <name><surname>Torittu</surname> <given-names>A</given-names></name> <name><surname>Elovaara</surname> <given-names>H</given-names></name> <name><surname>V&#x000E4;limaa</surname> <given-names>H</given-names></name> <name><surname>P&#x000F6;ll&#x000E4;nen</surname> <given-names>MT</given-names></name> <name><surname>Kasvandik</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Interactions between the <italic>Aggregatibacter actinomycetemcomitans</italic> secretin HofQ and host cytokines indicate a link between natural competence and interleukin-8 uptake</article-title>. <source>Virulence.</source> (<year>2018</year>) <volume>9</volume>:<fpage>1205</fpage>&#x02013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.1080/21505594.2018.1499378</pub-id><pub-id pub-id-type="pmid">30088437</pub-id></citation></ref>
<ref id="B45">
<label>45.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gon&#x000E7;alves</surname> <given-names>PF</given-names></name> <name><surname>Klepac-Ceraj</surname> <given-names>V</given-names></name> <name><surname>Huang</surname> <given-names>H</given-names></name> <name><surname>Paster</surname> <given-names>BJ</given-names></name> <name><surname>Aukhil</surname> <given-names>I</given-names></name> <name><surname>Wallet</surname> <given-names>SM</given-names></name> <etal/></person-group>. <article-title>Correlation of <italic>Aggregatibacter actinomycetemcomitans</italic> detection with clinical/immunoinflammatory profile of localized aggressive periodontitis using a 16S rRNA microarray method: a cross-sectional study</article-title>. <source>PloS ONE.</source> (<year>2013</year>) <volume>8</volume>:<fpage>e85066</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0085066</pub-id><pub-id pub-id-type="pmid">24376864</pub-id></citation></ref>
</ref-list> 
</back>
</article>