Coronary disease & ACS

Oral Pathobionts Aggravate Myocardial Infarction Through Mobilization of B2 Cells

CirculationPublished Mechanistic study

Authors' conclusion

Oral pathobionts and proinflammatory B2 cells significantly exacerbate MI, supporting the oral-heart axis as a novel pathogenic pathway.

Study context

Population
Mice with ligature-induced periodontitis (PD) and myocardial infarction (MI); patients with MI with or without PD
Comparison
PD vs no PD in MI
Outcome
Effect of PD on MI severity and the bacterial and immune mechanisms involved
Methodological detailsmouse model, gnotobiotic mice, knockout mouse strains, patient cohort
  • Mouse model
  • Gnotobiotic mice
  • Knockout mouse strains
  • Patient cohort

Main finding

As reported in the abstract

  • Ligature-induced PD and subgingival plaques of patients with PD exacerbated MI in mice by oral pathobionts
  • Prevotella intermedia, Fusobacterium nucleatum, Selenomonas sputigena, Porphyromonas gingivalis and Bacteroides plebeius expanded in the oral cavity and ectopically accumulated in infarcted hearts through impairment of epithelial and endothelial cell barriers
  • Oral pathobionts mobilized B cells, particularly B2 cells producing interleukin-6 and tumor necrosis factor-α, to aggravate MI
  • Oral pathobiont-promoted B cells egress from cervical lymph nodes by a sphingosine-1-phosphate–sphingosine-1-phosphate receptor axis and infiltrate infarcted hearts by a C-X-C motif chemokine ligand 13–C-X-C motif chemokine receptor 5 axis

Original publication

Oral Pathobionts Aggravate Myocardial Infarction Through Mobilization of B2 Cells. Circulation. Published 27 August 2025. doi:10.1161/circulationaha.125.074837

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