The role of Toll-like receptors in periodontitis

Oral Dis. 2017 Mar;23(2):168-180. doi: 10.1111/odi.12468. Epub 2016 Mar 28.

Abstract

Periodontitis is a common infectious disease. Recent studies have indicated that the progression of periodontitis may be regulated by interactions between host immunity and periodontopathic bacteria. Although periodontopathic bacteria can destroy periodontal tissue, a dysfunctional host immune response triggered by the bacteria can lead to more severe and persistent destruction. Toll-like receptors (TLRs), a type of pattern recognition receptor (PRR) that recognizes pathogens, have been implicated in host innate immune responses to periodontopathic bacteria and in the activation of adaptive immunity. TLR-targeted drugs may hold promise to treat periodontal disease. This review summarizes recent studies on the role of TLRs in periodontitis and discusses areas needing further research. We believe TLRs may be an effective biomarker for the prevention, diagnosis, and treatment of periodontitis in the near future.

Keywords: TLRs-mediated pathways; Toll-like receptors; periodontitis; periodontopathic bacteria.

Publication types

  • Review

MeSH terms

  • Alveolar Bone Loss / etiology*
  • Animals
  • Biomarkers / metabolism
  • Bone Resorption
  • Cardiovascular Diseases / complications
  • Chronic Periodontitis / complications*
  • Chronic Periodontitis / diagnosis
  • Chronic Periodontitis / drug therapy
  • Chronic Periodontitis / metabolism*
  • Humans
  • Interleukins / metabolism
  • Ligands
  • Molecular Targeted Therapy
  • Pathogen-Associated Molecular Pattern Molecules / metabolism*
  • Saliva / metabolism
  • Signal Transduction
  • Toll-Like Receptors / metabolism*
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Biomarkers
  • Interleukins
  • Ligands
  • Pathogen-Associated Molecular Pattern Molecules
  • Toll-Like Receptors
  • Tumor Necrosis Factor-alpha