The interaction between innate immunity and oral microbiota in oral diseases

Expert Rev Clin Immunol. 2023 Apr;19(4):405-415. doi: 10.1080/1744666X.2023.2182291. Epub 2023 Feb 28.

Abstract

Introduction: Innate immunity serves as the frontline to combat invading pathogens. Oral microbiota is the total collection of microorganisms colonized within the oral cavity. By recognizing the resident microorganisms through pattern recognition receptors, innate immunity is capable of interacting with oral microbiota and maintaining homeostasis. Dysregulation of interaction may lead to the pathogenesis of several oral diseases. Decoding the crosstalk between oral microbiota and innate immunity may be contributory to developing novel therapies for preventing and treating oral diseases.

Areas covered: This article reviewed pattern recognition receptors in the recognition of oral microbiota, the reciprocal interaction between innate immunity and oral microbiota, and discussed how the dysregulation of this relationship leads to the pathogenesis and development of oral diseases.

Expert opinion: Many studies have been conducted to illustrate the relationship between oral microbiota and innate immunity and its role in the occurrence of different oral diseases. The impact and mechanisms of innate immune cells on oral microbiota and the mechanisms of dysbiotic microbiota in altering innate immunity are still needed to be investigated. Altering the oral microbiota might be a possible solution for treating and preventing oral diseases.

Keywords: Apical periodontitis; dendritic cell; innate immunity; macrophage; neutrophil; oral cancer; oral microbiota; periodontitis; pulpitis.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Immunity, Innate*
  • Microbiota*
  • Mouth
  • Receptors, Pattern Recognition

Substances

  • Receptors, Pattern Recognition