牙龈卟啉单胞菌及其毒力因子在牙周炎中的作用。
Roles of Porphyromonas gingivalis and its virulence factors in periodontitis.
机构信息
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China; Department of Oral Immunology and Infectious Diseases, University of Louisville School of Dentistry, Louisville, KY, United States.
Department of Endodontics, Ninth People's Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, Pudong, China.
出版信息
Adv Protein Chem Struct Biol. 2020;120:45-84. doi: 10.1016/bs.apcsb.2019.12.001. Epub 2020 Jan 10.
Periodontitis is an infection-driven inflammatory disease, which is characterized by gingival inflammation and bone loss. Periodontitis is associated with various systemic diseases, including cardiovascular, respiratory, musculoskeletal, and reproductive system related abnormalities. Recent theory attributes the pathogenesis of periodontitis to oral microbial dysbiosis, in which Porphyromonas gingivalis acts as a critical agent by disrupting host immune homeostasis. Lipopolysaccharide, proteases, fimbriae, and some other virulence factors are among the strategies exploited by P. gingivalis to promote the bacterial colonization and facilitate the outgrowth of the surrounding microbial community. Virulence factors promote the coaggregation of P. gingivalis with other bacteria and the formation of dental biofilm. These virulence factors also modulate a variety of host immune components and subvert the immune response to evade bacterial clearance or induce an inflammatory environment. In this chapter, our focus is to discuss the virulence factors of periodontal pathogens, especially P. gingivalis, and their roles in regulating immune responses during periodontitis progression.
牙周炎是一种感染性炎症性疾病,其特征为牙龈炎症和骨丧失。牙周炎与各种系统性疾病相关,包括心血管、呼吸、肌肉骨骼和生殖系统相关异常。最近的理论将牙周炎的发病机制归因于口腔微生物失调,其中牙龈卟啉单胞菌通过破坏宿主免疫平衡发挥关键作用。脂多糖、蛋白酶、菌毛和其他一些毒力因子是牙龈卟啉单胞菌用来促进细菌定植和促进周围微生物群落生长的策略之一。毒力因子促进牙龈卟啉单胞菌与其他细菌的共聚和牙菌斑的形成。这些毒力因子还调节多种宿主免疫成分,并颠覆免疫反应以逃避细菌清除或诱导炎症环境。在本章中,我们的重点是讨论牙周病原体,特别是牙龈卟啉单胞菌的毒力因子及其在调节牙周炎进展过程中免疫反应的作用。