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炎症小体激活途径及其相关治疗策略

Immunological Pathways Triggered by and : Therapeutic Possibilities?

机构信息

Immunobiology Program, Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, RJ 21941-902, Brazil.

Department of Biomedical Sciences, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, CA 94103, USA.

出版信息

Mediators Inflamm. 2019 Jun 24;2019:7241312. doi: 10.1155/2019/7241312. eCollection 2019.

Abstract

() and () are Gram-negative anaerobic bacteria possessing several virulence factors that make them potential pathogens associated with periodontal disease. Periodontal diseases are chronic inflammatory diseases of the oral cavity, including gingivitis and periodontitis. Periodontitis can lead to tooth loss and is considered one of the most prevalent diseases worldwide. and possess virulence factors that allow them to survive in hostile environments by selectively modulating the host's immune-inflammatory response, thereby creating major challenges to host cell survival. Studies have demonstrated that bacterial infection and the host immune responses are involved in the induction of periodontitis. The NLRP3 inflammasome and its effector molecules (IL-1 and caspase-1) play roles in the development of periodontitis. We and others have reported that the purinergic P2X7 receptor plays a role in the modulation of periodontal disease and intracellular pathogen control. Caspase-4/5 (in humans) and caspase-11 (in mice) are important effectors for combating bacterial pathogens via mediation of cell death and IL-1 release. The exact molecular events of the host's response to these bacteria are not fully understood. Here, we review innate and adaptive immune responses induced by and infections and discuss the possibility of manipulations of the immune response as therapeutic strategies. Given the global burden of periodontitis, it is important to develop therapeutic targets for the prophylaxis of periodontopathogen infections.

摘要

和 是革兰氏阴性厌氧细菌,具有多种毒力因子,使它们成为与牙周病相关的潜在病原体。牙周病是口腔的慢性炎症性疾病,包括牙龈炎和牙周炎。牙周炎可导致牙齿脱落,被认为是全球最普遍的疾病之一。和 具有毒力因子,使它们能够通过选择性调节宿主的免疫炎症反应在恶劣的环境中生存,从而对宿主细胞的存活构成重大挑战。研究表明,细菌感染和宿主免疫反应参与了牙周炎的诱导。NLRP3 炎性体及其效应分子(IL-1 和 caspase-1)在牙周炎的发展中发挥作用。我们和其他人已经报道,嘌呤能 P2X7 受体在牙周病的调节和细胞内病原体控制中发挥作用。半胱天冬酶-4/5(在人类中)和半胱天冬酶-11(在小鼠中)是通过介导细胞死亡和 IL-1 释放来对抗细菌病原体的重要效应物。宿主对这些细菌的反应的确切分子事件尚未完全了解。在这里,我们综述了 和 感染诱导的固有和适应性免疫反应,并讨论了操纵免疫反应作为治疗策略的可能性。鉴于牙周炎的全球负担,开发预防牙周病病原体感染的治疗靶点非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/6612971/d21709687bae/MI2019-7241312.001.jpg

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