Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China.
Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing, China.
Front Cell Infect Microbiol. 2019 Jul 18;9:262. doi: 10.3389/fcimb.2019.00262. eCollection 2019.
Periodontitis is a common intraoral infection and is inextricably linked to systemic diseases. Recently, the regulation between host immunologic response and periodontal pathogens has become a hotspot to explain the mechanism of periodontitis and related systemic diseases. Since () was proved as critical periodontal pathogen above all, researches focusing on the mechanism of its virulence factors have received extensive attention. Studies have shown that in the development of periodontitis, in addition to the direct release of virulent factors by periodontal pathogens to destroy periodontal tissues, over-low or over-high intrinsic immune and inflammatory response mediated by Toll-like receptors (TLRs) can lead to more lasting destruction of periodontal tissues. It is very necessary to sort out how various cytopathic factors of mediate inflammation and immune responses between the host through TLRs so as to help precisely prevent, diagnose, and treat periodontitis in clinic. This review summarizes the role of three most widely studied pathogenic factors produced by (lipopolysaccharide, gingipains, pili) and their interactions with TLRs at the cellular and molecular level in the progress of periodontitis.
牙周炎是一种常见的口腔内感染,与全身疾病有着千丝万缕的联系。最近,宿主免疫反应与牙周致病菌之间的调节已成为解释牙周炎及相关全身性疾病机制的热点。由于()被证明是最关键的牙周致病菌,因此,针对其毒力因子机制的研究受到了广泛关注。研究表明,在牙周炎的发展过程中,除了牙周致病菌通过直接释放毒力因子破坏牙周组织外,Toll 样受体(TLRs)介导的固有免疫和炎症反应过低或过高,也会导致牙周组织的持续破坏。因此,非常有必要梳理宿主通过 TLRs 中介的各种细胞病变因子与炎症和免疫反应之间的关系,以便在临床上帮助更精确地预防、诊断和治疗牙周炎。本综述总结了(脂多糖、牙龈蛋白酶、菌毛)三种研究最广泛的致病性因子及其在牙周炎进展过程中在细胞和分子水平上与 TLRs 的相互作用。