State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, No. 14, Sec. 3, Renminnan Road, Chengdu, Sichuan 610041, China.
Department of Stomatology, Zhoushan Hospital, Wenzhou Medical University, No. 739, Dingshen Road, Lincheng Street, Zhoushan 316021, Zhejiang, China.
Life Sci. 2019 Jun 15;227:129-136. doi: 10.1016/j.lfs.2019.04.029. Epub 2019 Apr 16.
Oral epithelial barrier consists of closely controlled structure of the stratified squamous epithelium, which is the gateway to human bodies and encounters a huge burden of microbial, airborne and dietary antigens, as well as masticatory damage. Once this barrier is destroyed, it will trigger bone loss, tissue damage and microbial dysbiosis and lead to diseases, such as periodontitis, oral mucosal diseases and oral cancer. Recently, increasing evidences showed that different factors including microorganism, saliva, proteins and immune components have been considered to play a critical role in the disruption of oral epithelial barrier. Herein, we discussed mechanisms governing the maintenance of oral epithelial barrier. Besides, the role of oral epithelial barrier failure in oral carcinogenesis will also be talked about.
口腔上皮屏障由紧密控制的复层鳞状上皮组成,是人体的门户,会遇到微生物、空气传播和饮食抗原以及咀嚼损伤的巨大负担。一旦这个屏障被破坏,就会引发骨质流失、组织损伤和微生物失调,导致牙周病、口腔黏膜病和口腔癌等疾病。最近,越来越多的证据表明,包括微生物、唾液、蛋白质和免疫成分在内的不同因素被认为在破坏口腔上皮屏障中起着关键作用。本文讨论了维持口腔上皮屏障的机制。此外,还将讨论口腔上皮屏障功能障碍在口腔癌发生中的作用。