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Abstract

Background/purpose: Hyperglycemia contributes to periodontal inflammation through oxidative stress and inflammatory mediator production in gingival fibroblasts. Sesamin, a major lignan from sesame, has antioxidant and anti-inflammatory properties. This study investigated whether sesamin attenuates high glucose (HG)-induced cyclooxygenase-2 (COX-2) expression and prostaglandin E2 (PGE2) production in human gingival fibroblasts (HGFs), and examined the involvement of Toll-like receptor 2 (TLR2)-dependent oxidative signaling.

Materials and methods: HGFs were exposed to HG in the presence or absence of sesamin. Cell viability, reactive oxygen species (ROS) generation, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity, COX-2 expression, and PGE2 production were evaluated. The roles of TLR2, myeloid differentiation primary response 88 (MyD88), phosphoinositide 3-kinase (PI3K), Akt, and hypoxia-inducible factor-1a (HIF-1a) were examined using pathway-targeting approaches.

Results: HG increased TLR2 expression, enhanced NADPH oxidase-dependent ROS generation, and activated PI3K/Akt and HIF-1a signaling in HGFs. These responses were accompanied by increased COX-2 expression and PGE2 production. Sesamin suppressed HG-induced ROS generation, NADPH oxidase activity, PI3K/Akt and HIF-1a activation, COX-2 upregulation, and PGE2 release. Blockade of TLR2, MyD88, ROS generation, PI3K/Akt signaling, or HIF-1a also reduced HG-induced COX-2 expression and PGE2 production, supporting a TLR2/MyD88-dependent oxidative mechanism. Overall, the data indicate that sesamin targets upstream receptor-associated oxidative events rather than only terminal prostaglandin production.

Conclusion: Sesamin attenuates HG-induced inflammatory responses in HGFs by suppressing TLR2/MyD88-mediated ROS generation and downstream PI3K/Akt/HIF-1a signaling. These findings suggest that sesamin may have potential as an adjunctive anti-inflammatory and antioxidant agent for modulating hyperglycemia-associated gingival inflammatory responses under diabetic-like conditions relevant to periodontal disease

Fig. 6.tif (1465 kB)

Publication Date

2026

Received Date

June 08 2026

Accepted Date

June 12 2026

Final Revision Date

June 12 2026

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