Shi Tao, Wang Jiale, Dong Jiajia, Hu Pingyue, Guo Qiang
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Pathogens. 2023 Aug 30;12(9):1110. doi: 10.3390/pathogens12091110.
The intricate interplay between oral microbiota and the human host extends beyond the confines of the oral cavity, profoundly impacting the general health status. Both periodontal diseases and respiratory diseases show high prevalence worldwide and have a marked influence on the quality of life for the patients. Accumulating studies are establishing a compelling association between periodontal diseases and respiratory diseases. Here, in this review, we specifically focus on the key periodontal pathogenic bacteria and and dissect their roles in the onset and course of respiratory diseases, mainly pneumonia, chronic obstructive pulmonary disease, lung cancer, and asthma. The mechanistic underpinnings and molecular processes on how and contribute to the progression of related respiratory diseases are further summarized and analyzed, including: induction of mucus hypersecretion and chronic airway inflammation; cytotoxic effects to disrupt the morphology and function of respiratory epithelial cells; synergistic pathogenic effects with respiratory pathogens like and . By delving into the complex relationship to periodontal diseases and periodontopathogens, this review helps unearth novel insights into the etiopathogenesis of respiratory diseases and inspires the development of potential therapeutic avenues and preventive strategies.
口腔微生物群与人类宿主之间复杂的相互作用超出了口腔的范围,对整体健康状况产生深远影响。牙周疾病和呼吸道疾病在全球范围内都有很高的发病率,对患者的生活质量有显著影响。越来越多的研究正在证实牙周疾病与呼吸道疾病之间存在令人信服的关联。在此综述中,我们特别关注关键的牙周病原菌,并剖析它们在呼吸道疾病(主要是肺炎、慢性阻塞性肺疾病、肺癌和哮喘)的发病和发展过程中的作用。进一步总结和分析了它们促进相关呼吸道疾病进展的机制基础和分子过程,包括:诱导黏液分泌过多和慢性气道炎症;对呼吸道上皮细胞的形态和功能产生细胞毒性作用;与肺炎链球菌和流感嗜血杆菌等呼吸道病原体产生协同致病作用。通过深入研究牙周疾病与牙周病原菌之间的复杂关系,本综述有助于挖掘呼吸道疾病发病机制的新见解,并激发潜在治疗途径和预防策略的发展。