国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (5): 586-592.doi: 10.7518/gjkq.2022070

• 综述 • 上一篇    下一篇

辅助性T细胞17及白细胞介素17在牙周炎中的作用及机制的研究进展

周剑鹏(),谢旭东,赵蕾,王骏()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院牙周病科 成都 610041
  • 收稿日期:2021-11-18 修回日期:2022-04-25 出版日期:2022-09-01 发布日期:2022-09-16
  • 通讯作者: 王骏
  • 作者简介:周剑鹏,硕士,Email:jpzhou96@163.com
  • 基金资助:
    国家自然科学基金(82071127);四川省科技计划项目(2019YJ0097)

Research progress on the roles and mechanisms of T-helper 17 cells and interleukin-17 in periodontitis

Zhou Jianpeng(),Xie Xudong,Zhao Lei,Wang Jun.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-11-18 Revised:2022-04-25 Online:2022-09-01 Published:2022-09-16
  • Contact: Jun. Wang
  • Supported by:
    National Natural Science Foundation of China(82071127);Sichuan Province Science and Technology Support Program(2019YJ0097)

摘要:

牙周炎是以菌斑生物膜为始动因子的慢性感染性疾病,牙周支持组织破坏为其主要特征。菌斑生物膜定植引发的宿主免疫反应在牙周炎发生发展中起决定性作用。辅助性T细胞17(Th17)及其主要产生的促炎细胞因子白细胞介素17(IL-17)已被证实在牙周炎中发挥重要作用。牙周炎患者局部病损中Th17细胞浸润和IL-17分泌量增加,并且其增加量和牙周炎严重程度相关。本文旨在对Th17细胞及其分泌的IL-17在牙周炎中的作用及机制的研究进展进行综述。

关键词: 辅助性T细胞17, 细胞因子, 白细胞介素17, 牙周炎, 免疫反应

Abstract:

Periodontitis is a chronic infectious disease characterized by the destruction of periodontal supporting tissues, and plaque biofilms have been identified as the initial factors. Host immune response triggered by the colonization of plaque biofilms plays a critical role in the occurrence and development of periodontitis. T-helper 17 cells (Th17) and their main pro-inflammatory cytokine interleukin-17 (IL-17) are indispensable in periodontitis. Previous studies have de-monstrated increased infiltration of Th17 cell and a high level of IL-17 in periodontal lesions, and the increased levels are related to the severity of periodontitis. This review article aims to summarize progress in research on the roles and mechanisms of Th17 cells and IL-17 in periodontitis.

Key words: T-helper 17 cell, cytokine, interleukin-17, periodontitis, immune response

中图分类号: 

  • R 781.4+2

图 1

Th17细胞和IL-17在牙周组织破坏中的作用"

1 Campbell L, Millhouse E, Malcolm J, et al. T cells, teeth and tissue destruction-what do T cells do in periodontal disease[J]. Mol Oral Microbiol, 2016, 31(6): 445-456.
2 Bi CS, Sun LJ, Qu HL, et al. The relationship between T-helper cell polarization and the RANKL/OPG ratio in gingival tissues from chronic periodontitis patients[J]. Clin Exp Dent Res, 2019, 5(4): 377-388.
3 Bunte K, Beikler T. Th17 cells and the IL-23/IL-17 axis in the pathogenesis of periodontitis and immune-mediated inflammatory diseases[J]. Int J Mol Sci, 2019, 20(14): E3394.
4 Tsukasaki M, Komatsu N, Nagashima K, et al. Host defense against oral microbiota by bone-damaging T cells[J]. Nat Commun, 2018, 9(1): 701.
5 Yang JF, Sundrud MS, Skepner J, et al. Targeting Th17 cells in autoimmune diseases[J]. Trends Pharmacol Sci, 2014, 35(10): 493-500.
6 Chang DH, Xing Q, Su Y, et al. The conserved non-coding sequences CNS6 and CNS9 control cytokine-induced rorc transcription during T helper 17 cell differentiation[J]. Immunity, 2020, 53(3): 614e4-626. e4.
7 Tanaka K, Martinez GJ, Yan XW, et al. Regulation of pathogenic T helper 17 cell differentiation by steroid receptor coactivator-3[J]. Cell Rep, 2018, 23(8): 2318-2329.
8 Lee JY, Hall JA, Kroehling L, et al. Serum amyloid A proteins induce pathogenic Th17 cells and promote inflammatory disease[J]. Cell, 2020, 180(1): 79-91.e16.
9 Wu B, Zhang S, Guo ZL, et al. The TGF-β superfamily cytokine Activin-A is induced during autoimmune neuroinflammation and drives pathogenic Th17 cell differentiation[J]. Immunity, 2021, 54(2): 308-323.e6.
10 Chong WP, Mattapallil MJ, Raychaudhuri K, et al. The cytokine IL-17A limits Th17 pathogenicity via a negative feedback loop driven by autocrine induction of IL-24[J]. Immunity, 2020, 53(2): 384-397.e5.
11 Gooderham MJ, Papp KA, Lynde CW. Shifting the focus-the primary role of IL-23 in psoriasis and o-ther inflammatory disorders[J]. J Eur Acad Dermatol Venereol, 2018, 32(7): 1111-1119.
12 Cafferata EA, Terraza-Aguirre C, Barrera R, et al. Interleukin-35 inhibits alveolar bone resorption by modulating the Th17/Treg imbalance during perio-dontitis[J]. J Clin Periodontol, 2020, 47(6): 676-688.
13 Shindo S, Hosokawa Y, Hosokawa I, et al. Interleukin (IL)-35 suppresses IL-6 and IL-8 production in IL-17A-stimulated human periodontal ligament cells[J]. Inflammation, 2019, 42(3): 835-840.
14 Davidson MG, Alonso MN, Yuan R, et al. Th17 cells induce Th1-polarizing monocyte-derived dendritic cells[J]. J Immunol, 2013, 191(3): 1175-1187.
15 Bittner-Eddy PD, Fischer LA, Costalonga M. Transient expression of IL-17A in Foxp3 fate-tracked cells in Porphyromonas gingivalis-mediated oral dysbiosis[J]. Front Immunol, 2020, 11: 677.
16 Giro G, Tebar A, Franco L, et al. Treg and TH17 link to immune response in individuals with peri-implantitis: a preliminary report[J]. Clin Oral Investig, 2021, 25(3): 1291-1297.
17 Paiva IA, Badolato-Corrêa J, Familiar-Macedo D, et al. Th17 cells in viral infections-friend or foe[J]. Cells, 2021, 10(5): 1159.
18 Chen XT, Chen LL, Tan JY, et al. Th17 and Th1 lymphocytes are correlated with chronic periodontitis[J]. Immunol Invest, 2016, 45(3): 243-254.
19 Thorbert-Mros S, Larsson L, Kalm J, et al. Interleukin-17-producing T cells and interleukin-17 mRNA expression in periodontitis and long-standing gingivitis lesions[J]. J Periodontol, 2019, 90(5): 516-521.
20 Suárez LJ, Vargas DE, Rodríguez A, et al. Systemic Th17 response in the presence of periodontal inflammation[J]. J Appl Oral Sci, 2020, 28: e20190490.
21 Huang Z, Pei XY, Graves DT. The interrelationship between diabetes, IL-17 and bone loss[J]. Curr Osteoporos Rep, 2020, 18(1): 23-31.
22 Nikolajczyk BS, Dawson DR 3rd. Origin of Th17 cells in type 2 diabetes-potentiated periodontal di-sease[J]. Adv Exp Med Biol, 2019, 1197: 45-54.
23 Graves DT, Ding ZJ, Yang YM. The impact of diabetes on periodontal diseases[J]. Periodontol 2000, 2020, 82(1): 214-224.
24 Jayakumar Sunandhakumari V, Sadasivan A, Koshi E, et al. Effect of NonSurgical periodontal therapy on plasma levels of IL-17 in chronic periodontitis patients with well controlled type-Ⅱ diabetes mellitus-a clinical study[J]. Dent J (Basel), 2018, 6(2): E19.
25 Paradowska-Gorycka A, Wajda A, Romanowska-Próchnicka K, et al. Th17/treg-related transcriptio-nal factor expression and cytokine profile in patients with rheumatoid arthritis[J]. Front Immunol, 2020, 11: 572858.
26 Li XF, Colamatteo A, Kalafati L, et al. The DEL-1/β3 integrin axis promotes regulatory T cell responses during inflammation resolution[J]. J Clin Invest, 2020, 130(12): 6261-6277.
27 Wang WJ, Wang XC, Lu SH, et al. Metabolic disturbance and Th17/treg imbalance are associated with progression of gingivitis[J]. Front Immunol, 2021, 12: 670178.
28 Su X, Zhang JH, Qin X. CD40 up-regulation on dendritic cells correlates with Th17/Treg imbalance in chronic periodontitis in young population[J]. Innate Immun, 2020, 26(6): 482-489.
29 Zheng Y, Dong C, Yang JL, et al. Exosomal micro-RNA-155-5p from PDLSCs regulated Th17/Treg balance by targeting sirtuin-1 in chronic periodontitis[J]. J Cell Physiol, 2019, 234(11): 20662-20674.
30 Hays A, Duan XY, Zhu JX, et al. Down-regulated Treg cells in exacerbated periodontal disease during pregnancy[J]. Int Immunopharmacol, 2019, 69: 299-306.
31 Wang LY, Wang JY, Jin Y, et al. Oral administration of all-trans retinoic acid suppresses experimental periodontitis by modulating the Th17/Treg imba-lance[J]. J Periodontol, 2014, 85(5): 740-750.
32 Shi T, Jin Y, Miao YB, et al. IL-10 secreting B cells regulate periodontal immune response during perio-dontitis[J]. Odontology, 2020, 108(3): 350-357.
33 Han YK, Jin Y, Miao YB, et al. CD8+ Foxp3+ T cells affect alveolar bone homeostasis via modulating tregs/Th17 during induced periodontitis: an adoptive transfer experiment[J]. Inflammation, 2018, 41(5): 1791-1803.
34 Cafferata EA, Castro-Saavedra S, Fuentes-Barros G, et al. Boldine inhibits the alveolar bone resorption during ligature-induced periodontitis by modulating the Th17/Treg imbalance[J]. J Periodontol, 2021, 92(1): 123-136.
35 Bi CS, Wang J, Qu HL, et al. Calcitriol suppresses lipopolysaccharide-induced alveolar bone damage in rats by regulating T helper cell subset polarization[J]. J Periodontal Res, 2019, 54(6): 612-623.
36 Bi CS, Li X, Qu HL, et al. Calcitriol inhibits osteoclastogenesis in an inflammatory environment by changing the proportion and function of T helper cell subsets (Th2/Th17)[J]. Cell Prolif, 2020, 53(6): e12827.
37 Zhang LP, Gao L, Xu CR, et al. Porphyromonas gingivalis lipopolysaccharide promotes T-helper 17 cell differentiation from human CD4+ naïve T cells via toll-like receptor-2 in vitro [J]. Arch Oral Biol, 2019, 107: 104483.
38 Monasterio G, Castillo F, Ibarra JP, et al. Alveolar bone resorption and Th1/Th17-associated immune response triggered during Aggregatibacter actinomycetemcomitans-induced experimental periodontitis are serotype-dependent[J]. J Periodontol, 2018, 89(10): 1249-1261.
39 Monasterio G, Fernández B, Castillo F, et al. Capsular-defective Porphyromonas gingivalis mutant stra-ins induce less alveolar bone resorption than W50 wild-type strain due to a decreased Th1/Th17 immune response and less osteoclast activity[J]. J Periodontol, 2019, 90(5): 522-534.
40 Moutsopoulos NM, Kling HM, Angelov N, et al. Porphyromonas gingivalis promotes Th17 inducing pathways in chronic periodontitis[J]. J Autoimmun, 2012, 39(4): 294-303.
41 Mahabady S, Tjokro N, Aharonian S, et al. The in vivo T helper type 17 and regulatory T cell immune responses to Aggregatibacter actinomycetemcomitans [J]. Mol Oral Microbiol, 2017, 32(6): 490-499.
42 Cheng WC, Hughes FJ, Taams LS. The presence, function and regulation of IL-17 and Th17 cells in periodontitis[J]. J Clin Periodontol, 2014, 41(6): 541-549.
43 Huang N, Dong H, Luo YQ, et al. Th17 cells in perio-dontitis and its regulation by A20[J]. Front Immunol, 2021, 12: 742925.
44 Uluçkan Ö, Jimenez M, Karbach S, et al. Chronic skin inflammation leads to bone loss by IL-17-me-diated inhibition of Wnt signaling in osteoblasts[J]. Sci Transl Med, 2016, 8(330): 330ra37.
45 Pacios S, Xiao WM, Mattos M, et al. Osteoblast li-neage cells play an essential role in periodontal bone loss through activation of nuclear factor-kappa B[J]. Sci Rep, 2015, 5: 16694.
46 Takahashi S, Fukuda M, Mitani A, et al. Follicular dendritic cell-secreted protein is decreased in experimental periodontitis concurrently with the increase of interleukin-17 expression and the Rankl/Opg mRNA ratio[J]. J Periodontal Res, 2014, 49(3): 390-397.
47 Dutzan N, Kajikawa T, Abusleme L, et al. A dysbio-tic microbiome triggers TH17 cells to mediate oral mucosal immunopathology in mice and humans[J]. Sci Transl Med, 2018, 10(463): eaat0797.
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