Document Detail


Destructive and protective roles of cytokines in periodontitis: a re-appraisal from host defense and tissue destruction viewpoints.
MedLine Citation:
PMID:  20739705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Periodontal diseases (PD) are chronic infectious inflammatory diseases characterized by the destruction of tooth-supporting structures, being the presence of periodontopathogens required, but not sufficient, for disease development. As a general rule, host inflammatory mediators have been associated with tissue destruction, while anti-inflammatory mediators counteract and attenuate disease progression. With the discovery of several T-cell subsets bearing distinct immunoregulatory properties, this pro- vs. anti-inflammatory scenario became more complex, and a series of studies has hypothesized protective or destructive roles for Th1, Th2, Th17, and Treg subpopulations of polarized lymphocytes. Interestingly, the "protective vs. destructive" archetype is usually considered in a framework related to tissue destruction and disease progression. However, it is important to remember that periodontal diseases are infectious inflammatory conditions, and recent studies have demonstrated that cytokines (TNF-α and IFN-γ) considered harmful in the context of tissue destruction play important roles in the control of periodontal infection. Therefore, in this review, the state-of-the-art knowledge concerning the protective and destructive roles of host inflammatory immune response will be critically evaluated and discussed from the tissue destruction and control-of-infection viewpoints.
Authors:
G P Garlet
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-08-25
Journal Detail:
Title:  Journal of dental research     Volume:  89     ISSN:  1544-0591     ISO Abbreviation:  J. Dent. Res.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0354343     Medline TA:  J Dent Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1349-63     Citation Subset:  D; IM    
Affiliation:
OSTEOimmunology Laboratory, Department of Biological Sciences, School of Dentistry of Bauru, São Paulo University, FOB/USP, Al. Octávio Pinheiro Brisola, 9-75 CEP 17012-901, Bauru, SP, Brazil. garletgp@usp.br
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MeSH Terms
Descriptor/Qualifier:
Adaptive Immunity / immunology
Cytokines / immunology*
Disease Progression
Humans
Immunity, Innate / immunology
Inflammation Mediators / immunology
Interferon-gamma / immunology
Periodontitis / immunology*,  microbiology
T-Lymphocytes, Helper-Inducer / immunology
T-Lymphocytes, Regulatory / immunology
Tumor Necrosis Factor-alpha / immunology
Chemical
Reg. No./Substance:
0/Cytokines; 0/Inflammation Mediators; 0/Tumor Necrosis Factor-alpha; 82115-62-6/Interferon-gamma

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