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口腔中的异常免疫——与类风湿性关节炎有关联?

Aberrant immunity in the oral cavity-a link with rheumatoid arthritis?

作者信息

Malcolm Jennifer, Culshaw Shauna

机构信息

Oral Sciences, University of Glasgow Dental School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.

出版信息

Front Oral Health. 2024 Jun 14;5:1430886. doi: 10.3389/froh.2024.1430886. eCollection 2024.

DOI:10.3389/froh.2024.1430886
PMID:38948089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11211539/
Abstract

There are well established epidemiological links between rheumatoid arthritis and periodontitis. Recent data have started to shed light on the mechanisms that might underlie the relationship between these two complex diseases. Unravelling the roles of distinct pathways involved in these mechanisms has the potential to yield novel preventative and therapeutic strategies for both diseases. Perhaps most intriguingly, this represents an area where understanding the biology in the oral cavity might reveal fundamental advances in understanding immune regulation and the relationships between the host and microbiome. Here we seek to discuss aspects of the adaptive immune response that might link periodontitis and rheumatoid arthritis.

摘要

类风湿性关节炎与牙周炎之间存在着已得到充分证实的流行病学关联。近期的数据已开始揭示这两种复杂疾病之间关系可能潜在的机制。阐明这些机制中不同途径所起的作用,有可能为这两种疾病带来新的预防和治疗策略。或许最引人入胜的是,这代表了一个领域,即了解口腔生物学可能会揭示在理解免疫调节以及宿主与微生物群之间关系方面的根本性进展。在此,我们试图讨论可能将牙周炎和类风湿性关节炎联系起来的适应性免疫反应的各个方面。

相似文献

1
Aberrant immunity in the oral cavity-a link with rheumatoid arthritis?口腔中的异常免疫——与类风湿性关节炎有关联?
Front Oral Health. 2024 Jun 14;5:1430886. doi: 10.3389/froh.2024.1430886. eCollection 2024.
2
Host and bacterial factors linking periodontitis and rheumatoid arthritis.牙周炎和类风湿性关节炎相关的宿主和细菌因素。
Front Immunol. 2022 Aug 25;13:980805. doi: 10.3389/fimmu.2022.980805. eCollection 2022.
3
Antibodies to Porphyromonas gingivalis Indicate Interaction Between Oral Infection, Smoking, and Risk Genes in Rheumatoid Arthritis Etiology.牙龈卟啉单胞菌抗体表明口腔感染、吸烟与类风湿关节炎发病风险基因之间存在相互作用。
Arthritis Rheumatol. 2016 Mar;68(3):604-13. doi: 10.1002/art.39491.
4
The Influence of Porphyromonas Gingivalis Bacterium Causing Periodontal Disease on the Pathogenesis of Rheumatoid Arthritis: Systematic Review of Literature.引起牙周病的牙龈卟啉单胞菌对类风湿关节炎发病机制的影响:文献系统综述
Cureus. 2019 May 28;11(5):e4775. doi: 10.7759/cureus.4775.
5
Periodontal Disease as a Risk Factor for Rheumatoid Arthritis: A Systematic Review.牙周病作为类风湿关节炎的一个风险因素:一项系统综述。
JBI Libr Syst Rev. 2012;10(42 Suppl):1-12. doi: 10.11124/jbisrir-2012-288.
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Porphyromonas gingivalis may play an important role in the pathogenesis of periodontitis-associated rheumatoid arthritis.牙龈卟啉单胞菌可能在牙周炎相关性类风湿关节炎的发病机制中起重要作用。
Med Hypotheses. 2009 Jun;72(6):732-5. doi: 10.1016/j.mehy.2008.12.040. Epub 2009 Feb 25.
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Porphyromonas gingivalis in the tongue biofilm is associated with clinical outcome in rheumatoid arthritis patients.舌黏膜生物膜中的牙龈卟啉单胞菌与类风湿关节炎患者的临床结局相关。
Clin Exp Immunol. 2018 Nov;194(2):244-252. doi: 10.1111/cei.13184. Epub 2018 Sep 19.
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The association between rheumatoid arthritis and periodontitis.类风湿性关节炎与牙周炎之间的关联。
Best Pract Res Clin Rheumatol. 2015 Apr;29(2):189-201. doi: 10.1016/j.berh.2015.03.001. Epub 2015 May 1.
9
[Role of Porphyromonas gingivalis in rheumatoid arthritis and inflammatory spondyloarthropathies].牙龈卟啉单胞菌在类风湿性关节炎和炎性脊柱关节病中的作用
Postepy Hig Med Dosw (Online). 2014 Sep 17;68:1171-9. doi: 10.5604/17322693.1121846.
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Porphyromonas gingivalis survival skills: Immune evasion.牙龈卟啉单胞菌的生存技能:免疫逃避。
J Periodontal Res. 2021 Dec;56(6):1007-1018. doi: 10.1111/jre.12915. Epub 2021 Jul 13.

本文引用的文献

1
Periodontitis and rheumatoid arthritis-Global efforts to untangle two complex diseases.牙周炎与类风湿关节炎——解开两种复杂疾病的全球努力。
Periodontol 2000. 2024 Feb 27. doi: 10.1111/prd.12530.
2
Citrullination modulates antigen processing and presentation by revealing cryptic epitopes in rheumatoid arthritis.瓜氨酸化通过在类风湿关节炎中揭示隐匿表位来调节抗原处理和呈递。
Nat Commun. 2023 Feb 24;14(1):1061. doi: 10.1038/s41467-023-36620-y.
3
Oral mucosal breaks trigger anti-citrullinated bacterial and human protein antibody responses in rheumatoid arthritis.口腔黏膜破损可引发类风湿关节炎患者抗瓜氨酸化细菌和人体蛋白抗体应答。
Sci Transl Med. 2023 Feb 22;15(684):eabq8476. doi: 10.1126/scitranslmed.abq8476.
4
C-terminal citrullinated peptide alters antigen-specific APC:T cell interactions leading to breach of immune tolerance.C 端瓜氨酸化肽改变抗原特异性抗原呈递细胞:T 细胞相互作用,导致免疫耐受的破坏。
J Autoimmun. 2023 Feb;135:102994. doi: 10.1016/j.jaut.2023.102994. Epub 2023 Jan 25.
5
The pathogenesis of rheumatoid arthritis.类风湿关节炎的发病机制。
Immunity. 2022 Dec 13;55(12):2255-2270. doi: 10.1016/j.immuni.2022.11.009.
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The broad spectrum of pathogenic autoreactivity.致病自身反应的广谱性。
Nat Rev Immunol. 2023 Feb;23(2):69-70. doi: 10.1038/s41577-022-00812-2.
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PDIA3 epitope-driven immune autoreactivity contributes to hepatic damage in type 2 diabetes.PDIA3 表位驱动的免疫自身反应导致 2 型糖尿病肝损伤。
Sci Immunol. 2022 Aug 12;7(74):eabl3795. doi: 10.1126/sciimmunol.abl3795. Epub 2022 Aug 19.
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From risk to chronicity: evolution of autoreactive B cell and antibody responses in rheumatoid arthritis.从风险到慢性:类风湿关节炎中自身反应性 B 细胞和抗体反应的演变。
Nat Rev Rheumatol. 2022 Jul;18(7):371-383. doi: 10.1038/s41584-022-00786-4. Epub 2022 May 23.
9
Antibodies to a Citrullinated Epitope Are Increased in Early Rheumatoid Arthritis, and Can Be Produced by Gingival Tissue B Cells: Implications for a Bacterial Origin in RA Etiology.抗瓜氨酸化表位抗体在早期类风湿关节炎中增加,并可由牙龈组织 B 细胞产生:对 RA 病因中细菌起源的影响。
Front Immunol. 2022 Apr 20;13:804822. doi: 10.3389/fimmu.2022.804822. eCollection 2022.
10
Determining in which pre-arthritis stage HLA-shared epitope alleles and smoking exert their effect on the development of rheumatoid arthritis.确定 HLA 共享表位等位基因和吸烟在哪个关节炎前期阶段对类风湿关节炎的发展产生影响。
Ann Rheum Dis. 2022 Jan;81(1):48-55. doi: 10.1136/annrheumdis-2021-220546. Epub 2021 Jul 20.