The role of Th17 cells: explanation of relationship between periodontitis and COPD?

Inflamm Res. 2022 Sep;71(9):1011-1024. doi: 10.1007/s00011-022-01602-1. Epub 2022 Jul 4.

Abstract

Periodontitis and chronic obstructive pulmonary disease (COPD) are chronic inflammatory diseases with common risk factors, such as long-term smoking, age, and social deprivation. Many observational studies have shown that periodontitis and COPD are correlated. Moreover, they share a common pathophysiological process involving local accumulation of inflammatory cells and cytokines and damage of soft tissues. The T helper 17 (Th17) cells and the related cytokines, interleukin (IL)-17, IL-22, IL-1β, IL-6, IL-23, and transforming growth factor (TGF)-β, play a crucial regulatory role during the pathophysiological process. This paper reviewed the essential roles of Th17 lineage in the occurrence of periodontitis and COPD. The gaps in the study of their common pathological mechanism were also evaluated to explore future research directions. Therefore, this review can provide study direction for the association between periodontitis and COPD and new ideas for the clinical diagnosis and treatment of the two diseases.

Keywords: COPD; Inflammatory cytokines; Periodontitis; Soft tissue destruction; Th17 cells.

Publication types

  • Review

MeSH terms

  • Cytokines / metabolism
  • Humans
  • Interleukin-23
  • Periodontitis*
  • Pulmonary Disease, Chronic Obstructive*
  • T-Lymphocytes, Regulatory
  • Th1 Cells / metabolism
  • Th17 Cells / metabolism
  • Transforming Growth Factor beta / metabolism

Substances

  • Cytokines
  • Interleukin-23
  • Transforming Growth Factor beta