Renu Kaviyarasi, Gopalakrishnan Abilash Valsala, Madhyastha Harishkumar
Centre of Molecular Medicine and Diagnostics (COMManD), Department of Biochemistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, 600077, India.
Department of Biomedical Sciences, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
Odontology. 2024 Dec 2. doi: 10.1007/s10266-024-01032-x.
An inflammatory disorder known as periodontitis impacts 10%-15% of adults. The pathogenesis of periodontal disease and system illnesses such as liver disease is similar in that it is marked by a chronically dysregulated inflammatory reaction. Injuries caused by inflammation and oxidative stress, such as hepatotoxicity caused by drugs, often affect the liver. Nearly every disease has oxidative damage and inflammation as its primary components. Inflammation and direct activation of HSCs are mediated by reactive oxygen species (ROS). Major biological components, such as DNA, proteins, and lipids, are damaged by oxidative damage. ROS are crucial in activating the signalling channels of NF-κB and NLRP3. Oxidative damage occurs via ROS and NO and it triggers inflammatory reactions via IL-12, IL-1β, IL-6, MIP-1α, IL-10, TNF-α, MCP-5, INF-γ, IL-8, nitric oxide and prostaglandin E2 within the tissues, leading to tissue damage. Because oxidative damage is a major factor in chronic inflammatory conditions including gum disease and liver damage, recent epidemiological investigations have demonstrated a link among the two. This review has concentrated on the ways whereby periodontopathic microbes exacerbate liver illness and persistent inflammation through elevated oxidative damage.
一种名为牙周炎的炎症性疾病影响着10%-15%的成年人。牙周病与诸如肝病等全身性疾病的发病机制相似,其特征均为慢性失调的炎症反应。炎症和氧化应激造成的损伤,如药物引起的肝毒性,常常影响肝脏。几乎每种疾病都以氧化损伤和炎症为主要成分。炎症和肝星状细胞(HSCs)的直接激活由活性氧(ROS)介导。主要生物成分,如DNA、蛋白质和脂质,会受到氧化损伤。ROS在激活核因子κB(NF-κB)和NLRP3信号通道方面至关重要。氧化损伤通过ROS和一氧化氮(NO)发生,并通过组织内的白细胞介素-12(IL-12)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、巨噬细胞炎性蛋白-1α(MIP-1α)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)、单核细胞趋化蛋白-5(MCP-5)、干扰素-γ(INF-γ)、白细胞介素-8(IL-8)、一氧化氮和前列腺素E2引发炎症反应,导致组织损伤。由于氧化损伤是包括牙龈疾病和肝损伤在内的慢性炎症性疾病的主要因素,最近的流行病学调查已证明两者之间存在关联。本综述着重探讨牙周病原微生物如何通过增加氧化损伤来加重肝脏疾病和持续炎症。