RATIONALE: Atherosclerotic cardiovascular diseases are the leading cause of mortality worldwide. Atherosclerotic cardiovascular diseases are considered as chronic inflammation processes. In addition to risk factors associated with the cardiovascular system itself, pathogenic bacteria such as the periodontitis-associated() are also closely correlated with the development of atherosclerosis, but the underlying mechanisms are still elusive. Porphyromonas gingivalis P gingivalis
OBJECTIVE: To elucidate the mechanisms of-accelerated atherosclerosis and explore novel therapeutic strategies of atherosclerotic cardiovascular diseases. P gingivalis
METHODS AND RESULTS: (brain and muscle Arnt-like protein 1) mice,mice,mice, conditional endothelial cellknockout mice (;-Cre mice), and the corresponding jet-legged mouse model were used.accelerates atherosclerosis progression by triggering arterial oxidative stress and inflammatory responses inmice, accompanied by the perturbed circadian clock. Circadian clock disruption boosts-induced atherosclerosis progression. The mechanistic dissection shows thatinfection activates the TLRs-NF-κB signaling axis, which subsequently recruits DNMT-1 to methylate thepromoter and thus suppressestranscription. The downregulation of BMAL1 releases CLOCK, which phosphorylates p65 and further enhances NF-κB signaling, elevating oxidative stress and inflammatory response in human aortic endothelial cells. Besides, the mouse model exhibits that joint administration of metronidazole and melatonin serves as an effective strategy for treating atherosclerotic cardiovascular diseases. Bmal1ApoE Bmal1ApoE Bmal1Bmal1Tek P gingivalis ApoE P gingivalis P gingivalis BMAL1BMAL1 -/--/--/--/-fl/fl -/-
CONCLUSIONS: accelerates atherosclerosis via the NF-κB-BMAL1-NF-κB signaling loop. Melatonin and metronidazole are promising auxiliary medications toward atherosclerotic cardiovascular diseases. P gingivalis
