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The non-enzymatic addition of glucose (glycation) to circulatory and tissue proteins is a ubiquitous pathophysiological consequence of hyperglycemia in diabetes. Given the high incidence of periodontitis and diabetes and the emerging link between these conditions, it is of crucial importance to define the basic virulence mechanisms employed by periodontopathogens such as  Porphyromonas gingivalis  in mediating the disease process. The aim of this study was to determine whether glycated proteins are more easily utilized by  P. gingivalis  to stimulate growth and promote the pathogenic potential of this bacterium. We analyzed the properties of three commonly encountered proteins in the periodontal environment that are known to become glycated and that may serve as either protein substrates or easily accessible heme sources. In vitro glycated proteins were characterized using colorimetric assays, mass spectrometry, far- and near-UV circular dichroism and UV–visible spectroscopic analyses and SDS-PAGE. The interaction of glycated hemoglobin, serum albumin and type one collagen with  P. gingivalis  cells or HmuY protein was examined using spectroscopic methods, SDS-PAGE and co-culturing  P. gingivalis  with human keratinocytes. We found that glycation increases the ability of  P. gingivalis  to acquire heme from hemoglobin, mostly due to heme sequestration by the HmuY hemophore-like protein. We also found an increase in biofilm formation on glycated collagen-coated abiotic surfaces. We conclude that glycation might promote the virulence of  P. gingivalis  by making heme more available from hemoglobin and facilitating bacterial biofilm formation, thus increasing  P. gingivalis  pathogenic potential in vivo.

Glycation of Host Proteins Increases Pathogenic Potential of Porphyromonas gingivalis