Farm Yan Rou, Chuah Bing Huan, Law Jia Xian, Leong Xin Fang, Razali Masfueh, Ng Sook Luan
Department of Craniofacial Diagnostics and Biosciences, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Department of Tissue Engineering and Regenerative Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
Int J Mol Sci. 2025 Mar 26;26(7):3031. doi: 10.3390/ijms26073031.
The therapeutic potential of extracellular vesicles (EVs) in reducing oral inflammation is thoroughly examined in this review, with an emphasis on gingivitis, periodontitis, and oral mucositis. It explains the complex relationship between microbial dysbiosis and host immune responses in the aetiology of oral inflammation. Pathophysiological mechanisms of periodontitis are examined, emphasising the roles played by periodontal pathogens and inflammatory mediators in the disease's chronic course and systemic effects. Preclinical research is providing new evidence that EVs originating from various cellular sources control immune cell dynamics towards a pro-healing phenotype, promote tissue regeneration, and have immunomodulatory qualities. EV-based therapies appear to be a promising new therapeutic technique with potential benefits over traditional methods for the treatment of oral inflammatory illnesses by specifically altering inflammatory signalling pathways. This review highlights the potential of EVs to improve patient outcomes in oral health and emphasises the need for additional clinical research to clarify the therapeutic efficacy and underlying mechanisms of EVs in periodontal therapy.
本综述全面探讨了细胞外囊泡(EVs)在减轻口腔炎症方面的治疗潜力,重点关注牙龈炎、牙周炎和口腔黏膜炎。它解释了口腔炎症病因中微生物群落失调与宿主免疫反应之间的复杂关系。研究了牙周炎的病理生理机制,强调了牙周病原体和炎症介质在该疾病慢性病程及全身影响中所起的作用。临床前研究提供了新证据,表明源自各种细胞来源的EVs可控制免疫细胞动态向促愈合表型转变,促进组织再生,并具有免疫调节特性。基于EVs的疗法似乎是一种有前景的新治疗技术,通过特异性改变炎症信号通路,相较于传统方法在治疗口腔炎性疾病方面具有潜在优势。本综述强调了EVs改善口腔健康患者预后的潜力,并强调需要更多临床研究来阐明EVs在牙周治疗中的治疗效果及潜在机制。