Wang Zi, Saxena Anish, Yan Wenbo, Uriarte Silvia M, Siqueira Rafael, Li Xin
Department of Plastic Surgery, Maxillofacial & Oral Health, University of Virginia School of Medicine, Charlottesville, VA, USA.
Molecular Pathobiology Department, New York University College of Dentistry, New York, NY, USA.
Int J Oral Sci. 2025 Jan 16;17(1):10. doi: 10.1038/s41368-024-00332-w.
The increasing aging population and aging-associated diseases have become a global issue for decades. People over 65 show an increased prevalence and greater severity of periodontitis, which poses threats to overall health. Studies have demonstrated a significant association between aging and the dysfunction of neutrophils, critical cells in the early stages of periodontitis, and their crosstalk with macrophages and T and B lymphocytes to establish the periodontal lesion. Neutrophils differentiate and mature in the bone marrow before entering the circulation; during an infection, they are recruited to infected tissues guided by the signal from chemokines and cytokines to eliminate invading pathogens. Neutrophils are crucial in maintaining a balanced response between host and microbes to prevent periodontal diseases in periodontal tissues. The impacts of aging on neutrophils' chemotaxis, anti-microbial function, cell activation, and lifespan result in impaired neutrophil functions and excessive neutrophil activation, which could influence periodontitis course. We summarize the roles of neutrophils in periodontal diseases and the aging-related impacts on neutrophil functional responses. We also explore the underlying mechanisms that can contribute to periodontitis manifestation in aging. This review could help us better understand the pathogenesis of periodontitis, which could offer novel therapeutic targets for periodontitis.
几十年来,人口老龄化加剧以及与衰老相关的疾病已成为一个全球性问题。65岁以上的人群中,牙周炎的患病率更高且病情更严重,这对整体健康构成了威胁。研究表明,衰老与中性粒细胞功能障碍之间存在显著关联,中性粒细胞是牙周炎早期的关键细胞,它们与巨噬细胞以及T和B淋巴细胞相互作用,从而形成牙周病变。中性粒细胞在骨髓中分化成熟后进入血液循环;在感染期间,它们在趋化因子和细胞因子信号的引导下被招募到感染组织,以清除入侵的病原体。中性粒细胞对于维持宿主与微生物之间的平衡反应至关重要,可预防牙周组织发生牙周疾病。衰老对中性粒细胞的趋化性、抗菌功能、细胞活化及寿命产生影响,导致中性粒细胞功能受损和过度活化,进而可能影响牙周炎的病程。我们总结了中性粒细胞在牙周疾病中的作用以及衰老对中性粒细胞功能反应的影响。我们还探讨了可能导致衰老过程中牙周炎表现的潜在机制。这篇综述有助于我们更好地理解牙周炎的发病机制,为牙周炎提供新的治疗靶点。