Int J Stomatol ›› 2025, Vol. 52 ›› Issue (1): 117-122.doi: 10.7518/gjkq.2025014

• Reviews • Previous Articles    

Research progress on the correlation between serum amyloid A and periodontitis

Shouzheng Cheng(),Taiwen Li,Lei Zhao()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Periodontology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2024-05-07 Revised:2024-08-19 Online:2025-01-01 Published:2025-01-11
  • Contact: Lei Zhao E-mail:15138970198@163.com;jollyzldoc@163.com
  • Supported by:
    National Natural Science Foundation of China(81970944)

Abstract:

Periodontitis is a chronic inflammatory disease characterized by periodontal tissue inflammation and alveolar bone resorption. Serum amyloid A (SAA) is a kind of acute phase reactive protein. The level of SAA increases rapidly after the body is stimulated by infection, trauma, inflammation, and so on. Recent research has analyzed the gene regulation, protein structure, and biological functions of SAA, revealing that SAA promotes osteoclast differentiation and bone resorption by modulating the release of inflammatory mediators and the function of immune cells. These findings suggest that SAA is closely linked to the occurrence and progression of periodontitis. Therefore, reviews on the classification, structure, function, and roles of SAA in the pathogenesis of periodontitis are crucial to provide new clues to the pathogene-sis, prevention, and treatment of periodontitis.

Key words: periodontitis, serum amyloid protein A, T helper cell 17, Toll-like receptor 2

CLC Number: 

  • R781.4

TrendMD: 
1 Pihlstrom BL, Michalowicz BS, Johnson NW. Perio-dontal diseases[J]. Lancet, 2005, 366(9499): 1809-1820.
2 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 39-44.
Wang X. Report of the fourth national oral health epidemiological survey[M]. Beijing: People’s Medical Publishing House, 2018: 39-44.
3 Roh JS, Sohn DH. Damage-associated molecular patterns in inflammatory diseases[J]. Immune Netw, 2018, 18(4): e27.
4 Zhu XZ, Huang HY, Zhao L. PAMPs and DAMPs as the bridge between periodontitis and atherosclerosis: the potential therapeutic targets[J]. Front Cell Dev Biol, 2022, 10: 856118.
5 Sack GH Jr. Serum amyloid A-a review[J]. Mol Med, 2018, 24(1): 46.
6 Urieli-Shoval S, Cohen P, Eisenberg S, et al. Widespread expression of serum amyloid A in histologically normal human tissues. Predominant localization to the epithelium[J]. J Histochem Cytochem, 1998, 46(12): 1377-1384.
7 De Buck M, Gouwy M, Wang JM, et al. The cytokine-serum amyloid A-chemokine network[J]. Cytokine Growth Factor Rev, 2016, 30: 55-69.
8 Sun L, Ye RD. Serum amyloid A1: structure, function and gene polymorphism[J]. Gene, 2016, 583(1): 48-57.
9 Ye RD, Sun L. Emerging functions of serum amyloid A in inflammation[J]. J Leukoc Biol, 2015, 98(6): 923-929.
10 Lu JH, Yu YD, Zhu I, et al. Structural mechanism of serum amyloid A-mediated inflammatory amyloidosis[J]. Proc Natl Acad Sci U S A, 2014, 111(14): 5189-5194.
11 Chen RR, Chen Q, Zheng JQ, et al. Serum amyloid protein A in inflammatory bowel disease: from bench to bedside[J]. Cell Death Discov, 2023, 9(1): 154.
12 Derebe MG, Zlatkov CM, Gattu S, et al. Serum amy-loid A is a retinol binding protein that transports retinol during bacterial infection[J]. Elife, 2014, 3: e03206.
13 Frame NM, Jayaraman S, Gantz DL, et al. Serum amyloid A self-assembles with phospholipids to form stable protein-rich nanoparticles with a distinct structure: a hypothetical function of SAA as a “molecular mop” in immune response[J]. J Struct Biol, 2017, 200(3): 293-302.
14 Kisilevsky R, Manley PN. Acute-phase serum amyloid A: perspectives on its physiological and pathological roles[J]. Amyloid, 2012, 19(1): 5-14.
15 van der Westhuyzen DR, Cai L, de Beer MC, et al. Serum amyloid A promotes cholesterol efflux media-ted by scavenger receptor B-I[J]. J Biol Chem, 2005, 280(43): 35890-35895.
16 Digre A, Nan J, Frank M, et al. Heparin interactions with apoA1 and SAA in inflammation-associated HDL[J]. Biochem Biophys Res Commun, 2016, 474(2): 309-314.
17 Gaiser AK, Bauer S, Ruez S, et al. Serum amyloid A1 induces classically activated macrophages: a role for enhanced fibril formation[J]. Front Immunol, 2021, 12: 691155.
18 Anthony D, McQualter JL, Bishara M, et al. SAA drives proinflammatory heterotypic macrophage differentiation in the lung via CSF-1R-dependent signaling[J]. FASEB J, 2014, 28(9): 3867-3877.
19 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.
20 Hu ZH, Bang YJ, Ruhn KA, et al. Molecular basis for retinol binding by serum amyloid A during infection[J]. Proc Natl Acad Sci U S A, 2019, 116(38): 19077-19082.
21 Abouelasrar Salama S, Lavie M, De Buck M, et al. Cytokines and serum amyloid A in the pathogenesis of hepatitis C virus infection[J]. Cytokine Growth Factor Rev, 2019, 50: 29-42.
22 De Buck M, Gouwy M, Wang JM, et al. Structure and expression of different serum amyloid A (SAA) variants and their concentration-dependent functions during host insults[J]. Curr Med Chem, 2016, 23(17): 1725-1755.
23 Webb NR. High-density lipoproteins and serum amy-loid A (SAA)[J]. Curr Atheroscler Rep, 2021, 23(2): 7.
24 Graziani F, Cei S, Tonetti M, et al. Systemic inflammation following non-surgical and surgical perio-dontal therapy[J]. J Clin Periodontol, 2010, 37(9): 848-854.
25 Lu XM, Li P, Li J, et al. Clinical diagnostic value of IL-14, 1L-16 and SAA in periodontitis[J]. Clin Oral Investig, 2023, 27(11): 6627-6635.
26 Ardila CM, Guzmán IC. Comparison of serum amyloid A protein and C-reactive protein levels as inflammatory markers in periodontitis[J]. J Periodontal Implant Sci, 2015, 45(1): 14-22.
27 Türer ÇC, Ballı U, Güven B. Fetuin-A, serum amyloid A and tumor necrosis factor alpha levels in perio-dontal health and disease[J]. Oral Dis, 2017, 23(3): 379-386.
28 Song LT, Lai W, Li JS, et al. The interaction between serum amyloid A and Toll-like receptor 2 pathway regulates inflammatory cytokine secretion in human gingival fibroblasts[J]. J Periodontol, 2020, 91(1): 129-137.
29 Williams DW, Greenwell-Wild T, Brenchley L, et al. Human oral mucosa cell atlas reveals a stromal-neutrophil axis regulating tissue immunity[J]. Cell, 2021, 184(15): 4090-4104.e15.
30 Qian SJ, Huang QR, Chen RY, et al. Single-cell RNA sequencing identifies new inflammation-promoting cell subsets in Asian patients with chronic periodontitis[J]. Front Immunol, 2021, 12: 711337.
31 Popescu DM, Gheorghe DN, Turcu-Stiolica A, et al. Evaluation of pentraxin 3 and serum amyloid A in the gingival crevicular fluid of patients with perio-dontal disease and obesity[J]. J Clin Med, 2023, 12(10): 3523.
32 Temelli B, Ay ZY, Savaş HB, et al. Circulation le-vels of acute phase proteins pentraxin 3 and serum amyloid A in atherosclerosis have correlations with periodontal inflamed surface area[J]. J Appl Oral Sci, 2018, 26: e20170322.
33 Parvaneh M, Witting PK, Ku J, et al. Periodontitis induces endothelial dysfunction in mice[J]. Sci Rep, 2021, 11(1): 14993.
34 Yang JF, Sundrud MS, Skepner J, et al. Targeting Th17 cells in autoimmune diseases[J]. Trends Pharmacol Sci, 2014, 35(10): 493-500.
35 Choi M, Park S, Yi JK, et al. Overexpression of hepatic serum amyloid A1 in mice increases IL-17-producing innate immune cells and decreases bone density[J]. J Biol Chem, 2021, 296: 100595.
36 Sun L, Zhou HB, Zhu ZY, et al. Ex vivo and in vitro effect of serum amyloid a in the induction of macrophage M2 markers and efferocytosis of apoptotic neutrophils[J]. J Immunol, 2015, 194(10): 4891-4900.
37 Gouwy M, De Buck M, Pörtner N, et al. Serum amy-loid A chemoattracts immature dendritic cells and indirectly provokes monocyte chemotaxis by induction of cooperating CC and CXC chemokines[J]. Eur J Immunol, 2015, 45(1): 101-112.
38 De Buck M, Gouwy M, Berghmans N, et al. COOH-terminal SAA1 peptides fail to induce chemokines but synergize with CXCL8 and CCL3 to recruit leukocytes via FPR2[J]. Blood, 2018, 131(4): 439-449.
39 Hinrichs BH, Matthews JD, Siuda D, et al. Serum amyloid A1 is an epithelial prorestitutive factor[J]. Am J Pathol, 2018, 188(4): 937-949.
40 Bozinovski S, Uddin M, Vlahos R, et al. Serum amy-loid A opposes lipoxin A₄ to mediate glucocorticoid refractory lung inflammation in chronic obstructive pulmonary disease[J]. Proc Natl Acad Sci U S A, 2012, 109(3): 935-940.
41 Smole U, Gour N, Phelan J, et al. Serum amyloid A is a soluble pattern recognition receptor that drives type 2 immunity[J]. Nat Immunol, 2020, 21(7): 756-765.
42 Yu N, Zhang S, Lu J, et al. Serum amyloid A, an acute phase protein, stimulates proliferative and proinflammatory responses of keratinocytes[J]. Cell Prolif, 2017, 50(3): e12320.
[1] Liangjun Zhong. Application of digital technology in the treatment of advanced periodontitis [J]. Int J Stomatol, 2025, 52(1): 1-10.
[2] Mengjie Chen,Wenhua Xu,Qingqing Liu,Yudan Kang,Rong Liu,Lilei Zhu. Correlation analysis between the systemic immune-inflammatory index and graded diagnosis in patients with perio-dontitis [J]. Int J Stomatol, 2024, 51(6): 706-712.
[3] Rui Chen,Zhen Fan,Chunbo Hao. Research progress of absent in melanoma 2 inflammasome in periodontitis and diabetes [J]. Int J Stomatol, 2024, 51(6): 763-771.
[4] Hongchen Mao,Zheng Wang,Deqin Yang. Advances in the role of outer membrane vesicles of Porphyromonas gingivalis in oral diseases and its mechanism [J]. Int J Stomatol, 2024, 51(5): 608-615.
[5] Meiyao Qi,Xingying Qi,Xinyi Zhou,Zhen Tan,Quan Yuan. Therapeutic effect of cannabidiol combined with minocycline on periodontitis [J]. Int J Stomatol, 2024, 51(4): 392-400.
[6] Mengjie Chen, Xiaole Liu, Lilei Zhu. The effect of supportive periodontal therapy on blood cell indicators in patients with periodontitis: a retrospective study [J]. Int J Stomatol, 2024, 51(4): 401-405.
[7] Yu Ma, Yu Zuo, Jianhua Liu. Meta-analysis of the efficacy of antimicrobial photodynamic therapy and systemic antimicrobial drug as an adjunct treatment for periodontitis [J]. Int J Stomatol, 2024, 51(4): 406-415.
[8] Shili Liu, Lei Zhao. Progress of research on the correlation between periodontitis and heart failure [J]. Int J Stomatol, 2024, 51(4): 425-432.
[9] Zaimu Yang,Pei Cao,Zhenhua Liu,Qingxian Luan. Correlation study of plasma cell-free extra-mitochondrial mitochondria DNA and periodontitis clinical parameters [J]. Int J Stomatol, 2024, 51(3): 288-295.
[10] Yuhong Ma,Lei Zhao. Process and progress in the clinical research of minimally invasive non-operative periodontal therapy technology [J]. Int J Stomatol, 2024, 51(2): 227-232.
[11] Fu Yu, He Wei, Huang Lan. Ferroptosis and its implication in oral diseases [J]. Int J Stomatol, 2024, 51(1): 36-44.
[12] Luo Xiaojie,Wang Dexu,Chen Xiaotao. Relationship between periodontitis and ferroptosis based on bioinformatics analysis [J]. Int J Stomatol, 2023, 50(6): 661-668.
[13] Huang Yuanhong,Peng Xian,Zhou Xuedong.. Progress in research into the effect of Rhizoma Drynariae on the treatment of bone-related diseases in the oral cavity [J]. Int J Stomatol, 2023, 50(6): 679-685.
[14] Hu Jia,Wang Xiuqing,Lu Guoying,Huang Xiaojing.. Regenerative endodontic procedures for permanent tooth with immature apices in adult patients [J]. Int J Stomatol, 2023, 50(6): 686-695.
[15] Gong Meiling,Cheng Xingqun,Wu Hongkun.. Research progress on the correlation between Parkinson’s disease and periodontitis [J]. Int J Stomatol, 2023, 50(5): 587-593.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!