№ 4 (189) 2024 р. С. 56–61

РОЛЬ ІМУННОЇ ЛАНКИ В ПАТОГЕНЕЗІ ЗАПАЛЬНИХ ПРОЦЕСІВ У ПАРОДОНТІ

Тернопільський національний медичний університет імені І. Я. Горбачевського Міністерства охорони здоров’я України, Тернопіль, Україна

DOI 10.32782/2226-2008-2024-4-10

Захворювання пародонта характеризуються великим поширенням серед населення, незворотністю розвитку, прогресуючим перебігом запального процесу та можуть призвести до виникнення хронічної інфекції в організмі. Мета роботи – дослідити сучасні погляди на роль імунної системи та її гуморальної ланки в патогенезі запальних процесів у пародонті. У разі цих запально-деструктивних процесів спостерігається підвищення рівня імуноглобулінів, кількісні та якісні зміни Т- і В-лімфоцитів, посилення синтезу аутоантитіл, що ініціюють і підтримують запалення. Активовані мікроорганізмами моноцити та макрофаги синтезують каскад цитокінів, викликаючи дисбаланс між про- та протизапальним пулом. Імунопатологічні процеси мають вагоме значення у формуванні та прогресуванні запальних захворювань пародонта, їхній перебіг залежить від порушень у специфічній і неспецифічній ланках вродженого та адаптивного імунітету.

Ключові слова: пародонтит, слизова оболонка порожнини рота, цитокіни, імуноглобуліни, пародонт, імунітет, нейтрофіли.

REFERENCES

  1. Nibali L, Almofareh SA, Bayliss-Chapman J, Zhou Y, Vieira AR, Divaris K. Heritability of periodontitis: A systematic review of evidence from animal studies. Arch Oral Biol. 2020; 109: 104592. doi: 10.1016/j.archoralbio.2019.104592. PMID: 31706108.
  2. Bandrivsky Y, Bandrivska O, Malko N, Posolenyk L, Vydoinyk O, Iskiv M. The effectiveness of the use of polypeptide drugs and their effect on the metabolic parameters of oral fluid in patients with generalized periodontitis in depending on blood type. Pharmacia. 2022; 69: 429–435. doi: 10.3897/pharmacia.69.e82421.
  3. Borysenko AV, Kolenko YuH, Linovitska LV, Nesin OF, Timokhina TO, Pechkovsky KYe. Features of local oral immunity in patients with generalized periodontitis and concomitant systemic diseases. Actual Dentistry. 2019; 5: 34–39. (In Ukrainian). doi: 10.33295/1992-576X-2019-5-34.
  4. Hasiuk P, Kindiy D, Radchuk V, Kindiy V, Demkovych A, Yarkoviy V. Biological compatibility of metal structures of dentures made from multiple melted alloys. Pol Merkur Lekarski. 2022; 50(296): 114–117. Available from: http://repository.edu.ua/handle/123456789/18107. PMID: 35436274.
  5. Hasiuk PA, Vorobets AB, Demkovych AY, et al. Features of occlusal correlations of molars in the dental clinic. Wiad Lek. 2021;74(5): 1130–1133. doi: 10.36740/WLek202105115. PMID: 34090277.
  6. Hasiuk P, Kindiy D, Vorobets A, Kindiy V, Demkovych A, Odzhubeiska O. Analysis of the advisability of using different types of base plastics by studying the needs of the population in removable prosthesis. Wiad Lek. 2022; 75(12): 3055–3059. doi: 10.36740/WLek202212128. PMID: 36723327.
  7. Matvieienko LM. Mineralna shchilnist ta khimichnyi sklad nyzhnoshchelepnykh kistok shchuriv v eksperymentalnykh modeliakh heneralizovanoho parodontytu [Mineral density and chemical composition of the rats’ mandibles in experimental models of generalized periodontitis]. Medicni perspektivi. 2022; 27(2): 16–22. doi: 10.26641/2307-0404.2022.2.260058 (in Ukrainian).
  8. Hodovanyi OV, Chukhray NL, Martovlos AI, Martovlos OI. Dentoalveolar anomalies and modern views on the mechanisms of local stress-modeling effect of orthodontic appliances on the periodontal tissues (a literature review). Zaporozhye Medical Journal. 2023; 25(6): 548–56. Available from: http://zmj.zsmu.edu.ua/article/view/281832.
  9. Navarro BG, Salas EJ, López JL, Sala XP. Is there a relationship between dental and/or periodontal pathology and values of Creactive protein, homocysteine and lipoprotein (a) in patients with cardiovascular disease? A case control study. Journal of Current Medical Research and Opinion. 2020; 3(5): 451–458. doi: 10.15520/jcmro.v3i05.285.
  10. Dankevych-Kharchyshyn IS, Vynogradova OM, Malko NV, et al. Periodontal diseases and atherosclerosis (literature review). Wiad Lek. 2019; 72(3): 462–465. doi: 10.36740/WLek201903127. PMID: 31050999.
  11. Yuan C, Li J. Research progress of periostin and osteoporosis. Front Endocrinol (Lausanne). 2024; 15: 1356297. doi: 10.3389/fendo.2024.1356297. PMID: 38487345.
  12. Savel’eva NM, Sokolova II, German SI, Tomilina TV. Immunological aspects of generalized periodontitis (literature review). Bulletin of Scientific Research. 2018; 2: 110–115. (in Ukrainian). doi: 10.11603/2415-8798.2018.2.9122.
  13. Olekshij PV. The role of immunological reactivity disorders under the conditions of experimental periodontitis formation and immobilization stress. Actual problems of transport medicine. 2021; 3: 106–110. (in Ukrainian). doi: http://dx.doi.org/10.5281/zenodo.5590532.
  14. Shevchuk M, Shkrebnyuk R, Dyryk V, Mrochko O. Study of immune-inflammatory response changes in oral fluid in patients with diseases of periodontal tissues in combination with general somatic pathology. Wiad Lek. 2023; 76(7): 1554–1561. doi: 10.36740/WLek202307107. PMID: 37622497.
  15. Xu XW, Liu X, Shi C, Sun HC. Roles of immune cells and mechanisms of immune responses in periodontitis. Chin J Dent 2021; 24(4): 219–230. doi: 10.3290/j.cjdr.b2440547. PMID: 35029093.
  16. Вaida ML, Solvar ZL. Characteristics of individual components of the humoral and cellular links of immunity in the blood of guinea pigs with experimental periodontitis. Odes’kij medičnij žurnal. 2023; 4: 18–21. (in Ukrainian). doi: 10.32782/2226-2008-2023-4-3.
  17. Gürsoy M, Rautava J, Pussinen P, et al. Salivary IgA and IgG antibody responses against periodontitis-associated bacteria in Crohn’s disease. Int J Mol Sci. 2023; 24(3): 2385. doi: 10.3390/ijms24032385. PMID: 36768711.
  18. Yarov YuYu, Silenko YuI, Yeroshenko GA, Shevchenko KV, Grygorenko AS. Dynamics of local immunological indicators accompanied by different types of reactivity of the organism. World of Medicine and Biology. 2023; 3(85): 191–194. doi: 10.26724/2079-8334-2023-3-85-191-194.
  19. Demkovych A, Rubas L, Luchynskyi V, Luchynska Y, Stoikevych H, Machogan V. Changes of ultrastructural organization in periodontal complex components in experimental periodontitis and its correction with quercetin. Pharmacia 2022; 69: 563–569. doi: 10.3897/pharmacia.69.e82128.
  20. Palwankar P, Jain S, Pandey R, Mahesh S. IgA levels among type 2 diabetic and non-diabetic patients with periodontitis: A prospective clinical study. Eur J Dent. 2023; 17(3): 823–827. doi: 10.1055/s-0042-1755616. PMID: 36167319.
  21. Merchant AT, Vidanapathirana N, Yi F, et al. Association between groups of immunoglobulin G antibodies against periodontal microorganisms and diabetes-related mortality. J Periodontol. 2022; 93(7): 1083–1092. doi: 10.1002/JPER.21-0608. PMID: 35139234.
  22. Kobayashi T, Ito S, Murasawa A, Ishikawa H, Tabeta K. Porphyromonas gingivalis as a predictor of clinical response to 1-year treatment with biological disease-modifying antirheumatic drugs in rheumatoid arthritis patients: A retrospective cohort study. Mod Rheumatol. 2023; 33(5): 918–927. doi: 10.1093/mr/roac093. PMID: 35962564.
  23. Neupane SP, Virtej A, Myhren LE, Bull VH. Biomarkers common for inflammatory periodontal disease and depression: A systematic review. Brain Behav Immun Health. 2022; 21: 100450. doi: 10.1016/j.bbih.2022.100450. PMID: 35330865.
  24. Вaida ML, Solvar ZL. Kharakterystyka okremykh komponentiv humoralnoi ta klitynnoi lanok imunitetu u krovi murchakivza eksperymentalnoho parodontytu [Characteristics of individual components of the humoral and cellular links of immunity in the blood of guinea pigs with experimental periodontitis]. Odesa Medical Journal. 2023; 4(185): 18–20. doi: 0.32782/2226-2008-2023-4-3 (in Ukrainian).
  25. de Souza BC, Matte BF, Lopes AL, Teixeira BC, Lamers ML. Periodontal disease impairs muscle recovery by modulating the recruitment of leukocytes. Inflammation. 2020; 43(1): 382–391. doi: 10.1007/s10753-019-01128-5. PMID: 31760525.
  26. Zhu J, Fan J, Xia Y, et al. Potential therapeutic targets of macrophages in inhibiting immune damage and fibrotic processes in musculoskeletal diseases. Front Immunol. 2023; 14: 1219487. doi: 10.3389/fimmu.2023.1219487. PMID: 37545490.
  27. Jiang Q, Zhao Y, Shui Y, et al. Interactions between neutrophils and periodontal pathogens in Late-Onset periodontitis. Front Cell Infect Microbiol. 2021; 11: 627328. doi: 10.3389/fcimb.2021.627328. PMID: 33777839.
  28. Viglianisi G, Tartaglia GM, Santonocito S, et al. The emerging role of salivary oxidative stress biomarkers as prognostic markers of periodontitis: New insights for a personalized approach in dentistry. J Pers Med. 2023; 13(2): 166. doi: 10.3390/jpm13020166. PMID: 36836401.
  29. Pyndus VB, Makarenko OA, Pyndus TO, Anisimov MV, Tarasenko IY. Eksperymentalna otsinka biokhimichnykh markeriv slyzovoi obolonky porozhnyny rota shchuriv na tli modeliuvannia perekysnoho parodontytu ta likuvalno-profilaktychnykh zakhodiv [Experimental evaluation of biochemical markers of rat oral mucosa against the background of modeling peroxide periodontitis and treatment-prevention measures]. Odesa Medical Journal. 2024; 1(186): 9–12. doi: 10.32782/2226-2008-2024-1-1 (in Ukrainian).
  30. Demkovych A, Kalashnikov D, Hasiuk P, Zubchenko S, Vorobets A. The influence of microbiota on the development and course of inflammatory diseases of periodontal tissues. Front Oral Health. 2023; 4: 1237448. doi: 10.3389/froh.2023.1237448. PMID: 37609105.
  31. Reheda MS, Olekshij PV. Effect of thiocetam on altered markers of non-specific resistance under the conditions of the experimental periodontitis and immobilization stress formation. Actual problems of transport medicine. 2022; 4: 67–70. (in Ukrainian). doi: http://dx.doi.org/10.5281/zenodo.7495354.
  32. Taiete T, Monteiro MF, Casati MZ, et al. Local IL-10 level as a predictive factor in generalized aggressive periodontitis treatment response. Scand J Immunol. 2019; 90(6): e12816. doi: 10.1111/sji.12816. PMID: 31448837.
  33. Jacho D, Babaniamansour P, Osorio R, et al. Deciphering the cell-specific effect of osteoblast-macrophage crosstalk in periodontitis. Tissue Eng Part A. 2023; 29(21–22): 579–593. doi: 10.1089/ten.TEA.2023.0104. PMID: 37639358.
  34. Pan W, Wang Q, Chen Q. The cytokine network involved in the host immune response to periodontitis. Int J Oral Sci. 2019; 11(3): 30. doi: 10.1038/s41368-019-0064-z. PMID: 31685798.
  35. Hasan F, Ikram R, Simjee SU, Iftakhar K, Asadullah K, Usman M. The effects of aspirin gel and mouthwash on levels of salivary biomarkers PGE2, TNF-α and nitric oxide in patients with periodontal diseases. Pak J Pharm Sci. 2019; 32(5): 2019–2023. PMID: 31813866.
  36. Adamiv SS, Dienga AE, Verbytska TH, et al. Influence of allelic variants of pro-inflammatory IL1b, IL17, TNF and anti-inflammatory IL10 cytokine genes on the severity of gingivitis in children undergoing orthodontic treatment. World of Medicine and Biology. 2023; 1(83): 11–14. doi: 10.26724/2079-8334-2023-1-83-11-14.
  37. Pyrillou K, Burzynski LC, Clarke MCH. Alternative pathways of IL-1 activation, and its role in health and disease. Front 2020; 11: 613170. doi: 10.3389/fimmu.2020.613170. PMID: 33391283.
  38. Mohammadipour HS, Forouzanfar F, Forouzanfar A. The role of type 2 fibroblast growth factor in periodontal therapy. Curr Drug Targets. 2021; 22(3): 310–317. doi: 10.2174/1389450121999201105152639. PMID: 33153420.
  39. Basic A, Serino G, Leonhardt Å, Dahlén G. H2S mediates increased interleukin (IL)-1β and IL-18 production in leukocytes from patients with periodontitis. J Oral Microbiol. 2019; 11(1): 1617015. doi: 10.1080/20002297.2019.1617015. PMID: 31164964.
  40. Bastian D, Wu Y, Betts BC, Yu XZ. The IL-12 Cytokine and receptor family in graft-vs.-host disease. Front Immunol. 2019; 10: 988. doi: 10.3389/fimmu.2019.00988. PMID: 31139181.
  41. Kang S, Tanaka T, Narazaki M, Kishimoto T. Targeting Interleukin-6 signaling in clinic. 2019; 50(4): 1007–1023. doi: 10.1016/j.immuni.2019.03.026. PMID: 30995492.
  42. Aref Nezhad R, Motedayyen H, Roghani-Shahraki H. Do cytokines associate periodontitis with metabolic disorders? An overview of current documents. Endocr Metab Immune Disord Drug Targets. 2022; 22(7): 778–786. doi: 10.2174/1871530 322666220119112026. PMID: 35043774.
  43. Plemmenos G, Evangeliou E, Polizogopoulos N, Chalazias A, Deligianni M, Piperi C. Central regulatory role of cytokines in periodontitis and targeting options. Curr Med Chem. 2021; 28(15): 3032–3058. doi: 10.2174/0929867327666200824112 732. PMID: 32838709.
  44. Mashchenko IS, Gudaryan OO, Kucherenko TO. Clinical, immunological and metabolic features of accelerated and quickly progressing options of generalized periodontitis. Actual Dentistry. 2020; 4: 26–32. (in Ukrainian). doi: 10.33295/1992-576X-2020-4-26.
  45. Demkovych A. Endogenous intoxication in development of experimental periodontitis of bacterial-immune genesis. Folia 2023; 65(1): 149–154. doi: 10.3897/folmed.65.e71970. PMID: 36855987.
  46. Batra P, Das S, Patel P. Comparative evaluation of gingival crevicular fluid (GCF) levels of Interleukin-34 levels in periodontally healthy and in patients with chronic and aggressive periodontitis – A cross-sectional study. Saudi Dent J. 2019; 31(3): 316–321. doi: 10.1016/j.sdentj.2019.03.010. PMID: 31337934.