Español    I    English              
Return to Index

Rev Clin Periodoncia Implantol Rehabil Oral. 2009;2:86-90
REVISIÓN BIBLIOGRÁFICA [PDF]

Linfocitos T Reguladores y Periodontitis

Regulatory T Cells and Periodontal Disease

Carré L1, Dutzan N2, Lavandero S3, Gamonal J4

1Cirujano-Dentista, Alumna Magister en Cs. Odontológicas mención Periodontología, Laboratorio de Biología Periodontal, Facultad de Odontología, Universidad de Chile. Chile.
2Cirujano-Dentista, Magister en Cs. Odontológicas mención Periodontología, Profesor asistente Área de Periodoncia, Laboratorio de Biología Periodontal, Departamento de Odontología Conservadora, Facultad de Odontología, Universidad de Chile. Chile.
3Químico Farmacéutico, Doctor en Bioquímica, Profesor Titular, Centro de Estudios Moleculares de la Célula, Facultad de Cs. Químicas y Farmacéuticas, Universidad de Chile. Chile.
4Cirujano-Dentista, Especialista en Periodoncia, Magister y Doctor en Cs. Odontológicas, Director del Departamento de Odontología Conservadora, Facultad de Odontología, Universidad de Chile. Chile.

Resumen

La enfermedad periodontal requiere de un hospedero susceptible para su desarrollo y progresión. Dentro de las características del hospedero se encuentra la respuesta de células T reguladoras, que proveen de tolerancia frente antígenos propios, pero a la vez, participa durante las enfermedades infecciosas y tumorales como mecanismos de evasión de la respuesta inmune efectora. En infecciones virales, parasitarias y bacterianas se ha visto que los linfocitos T reguladores (Tregs) generan la persistencia de la infección en el tiempo y son responsables de muchos de los cambios patológicos de estas. Investigaciones recientes en enfermedad periodontal indican que se encuentran presentes en gran cantidad, pero su rol en la patogénesis de la enfermedad se encuentra en estudio. Esta revisión muestra los resultados de los estudios publicados en el área de periodoncia, que señalan una posible asociación entre los Tregs y la infección periodontal.

Palabras clave: Linfocitos T reguladores, periodontitis, tolerancia.

Abstract

Periodontal disease requires a susceptible host for it´s development and progression. One of the characteristics of the host is the regulatory response that give tolerance against own antigens , but at the same time, is used during infectious and tumoral diseases as a mechanism of evasion of the immune response. In viral, parasitic and bacterial infections regulatory T cells (Tregs) cause persistence of the infection, and they are responsible of many of the pathologic changes. Recent investigations in periodontal disease show that Tregs are present in a great quantity, but it´s role is in current study. This review shows the results of published studies in periodontics that lead to a possible association between Tregs and periodontal infection.

Key words: Regulatory T cells, periodontal disease, tolerance.

El Texto completo solo está disponible en PDF

 

Referencias bibliográficas

1.
S.S. Socransky,A.D. Haffajee
The bacterial etiology of destructive periodontal disease: current concepts
J periodontol, 63 (1992), pp. 322-331 http://dx.doi.org/10.1902/jop.1992.63.4s.322
2.
S.S. Socransky,A.D. Haffajee,M.A. Cugini,C. Smith,R.L. Kent Jr.
Microbial complexes in subgingival plaque
J Clin Periodontol, 25 (1998), pp. 134-144
3.
T. Nakajima,K. Ueki-Maruyama,T. Oda
Regulatory T-cells Infiltrate Periodontal Disease Tissues
J Dent Res, 84 (2005), pp. 639-643
4.
H. Ito,T. Honda,T. Oda
Gene expresión analysis of the CD4+ Tcell clones derived from gingival tissues of periodontitis patients
Oral Microbiol Immunol, 20 (2005), pp. 382-386 http://dx.doi.org/10.1111/j.1399-302X.2005.00241.x
5.
T. Okui,H. Ito,T. Honda,R. Amanuma,H. Yoshie,K. Yamazaki
Characterization of CD4+ FOXP3+ T-cell clones established from chronic inflammatory lesions
Oral Microbiol Immunol., 23 (2008), pp. 49-54 http://dx.doi.org/10.1111/j.1399-302X.2007.00390.x
6.
C.R. Cardoso,G.P. Garlet,A.P. Moreira
Characterization of CD4+CD25+ natural regulatory T cells in the inflammatory infiltrate of human chronic periodontitis
J Leukoc Biol., 84 (2008), pp. 311-318 http://dx.doi.org/10.1189/jlb.0108014
7.
G. Garlet,W. Martins,B. Ferreira
Patterns of chemokines and chemokine receptors expression in different forms of human periodontal disease
J Periodont Res, 38 (2003), pp. 210-217
8.
Suarez l,A. Ocampo,R. Dueñas,A. Rodriguez
Relative proportions of T-cell subpopulations and cytokines that mediate and regulate the adaptative immune response in patients with immune response in patients with aggressive periodontitis
J Periodontol, 75 (2004), pp. 1209-1210 http://dx.doi.org/10.1902/jop.2004.75.9.1209
9.
G. Atilla,G. Emingil,T. Köse
TGF-β1 gene polymorphisms in periodontal diseases
Clin Biochem, 39 (2006), pp. 929-934 http://dx.doi.org/10.1016/j.clinbiochem.2006.05.013
10.
R. Vernal,J.A. Garcia-Sanz
Th17 and Treg cells, two new lymphocyte subpopulations with a key role in the immune response against infection
Infect Disord Drug Targets., 8 (2008), pp. 207-220
11.
V. Ferreira
Inmunología Clinica
Mediterraneo, (2004)
12.
J. Mjösberg,G. Berg,J. Ernerudh,C. Ekerfelt
CD4+ CD25+ regulatory T cells in human pregnancy: development of a Treg-MLC-ELISPOT suppression assay and indications of paternal specific Tregs
Immunology, 120 (2007), pp. 456-466 http://dx.doi.org/10.1111/j.1365-2567.2006.02529.x
13.
R. Wang,G. Peng,H. Wang
Regulatory T cells and Toll-like receptors in tumor immunity
Seminars in Immunology, 18 (2006), pp. 136-142 http://dx.doi.org/10.1016/j.smim.2006.01.008
14.
A. Escobar,M. López,A. Serrano
Dendritic cell immunizations alone or combined with low doses of interleukin-2 induce specific immune responses in melanoma patients
Clinical and Experimental Immunology, 142 (2005), pp. 555-568 http://dx.doi.org/10.1111/j.1365-2249.2005.02948.x
15.
F. Ghiringhelli,C. Meénard,F. Martin,L. Zitvogel
The role of regulatory T cells in the control of natural killer cells: relevance during tumor progression
Immunological Reviews, 214 (2006), pp. 229-238 http://dx.doi.org/10.1111/j.1600-065X.2006.00445.x
16.
Y. Mizukami,K. Kono,Y. Kawaguchi
CCL17 and CCL22 chemokines within tumor microenviorement are related to accumulation of Foxp3+ regulatory T cells in gastric cancer
Int J Cancer, 122 (2008), pp. 2286-2293 http://dx.doi.org/10.1002/ijc.23392
17.
M. Tan,P. Goedegebuure,B. Belt
Disruption of CCR5-dependent homing of regulatory T cells inhibits tumor growth in a murine model of pancreatic cancer
J Immunol, 182 (2009), pp. 1746-1755
18.
S. Suvas,B. Rouse
Treg control of antimicrobial T cell responses
Current Opinion Immunology, 18 (2006), pp. 344-348
19.
C. Anderson,M. Oukka,V. Kuchro,D. Sacks
CD4+CD25−Foxp3− Th1 cells are the source of IL-10–mediated immune suppression in chronic cutaneous leishmaniasis
JEM, 204 (2007), pp. 285-297
20.
P. McGuirk,K. Mills
Pathogen-specific regulatory T cells provoke a shift in the Th1/Th2 paradigm in immunity to infectious diseases
Trends in immunology, 23 (2002), pp. 450-456
21.
Z. Wang,J. Hong,W. Sun
Role of INFγ in induction of Foxp3 and conversion of CD4+CD25− T cells to CD4+Tregs
The Journal of Clinical Investigation, 116 (2006), pp. 2434-2441 http://dx.doi.org/10.1172/JCI25826
22.
L. Zang,Y. Zhao
The regulation of Foxp3 expression in regulatory CD4+CD25+T cells: multiple pathways on the road
J Cell Physiol, 211 (2007), pp. 590-597 http://dx.doi.org/10.1002/jcp.21001
23.
T. Nomura,S. Sakaguchi
Foxp3 and AIRE in thymus-generated Treg cells: a link in selftolerance
Nature Immunology, 8 (2007), pp. 333-334 http://dx.doi.org/10.1038/ni0407-333
24.
S. Zheng,J. Wang,J. Gray
IL2 is essential for TGF-β to convert naive CD4+CD25− cells to regulatory CD25+Foxp3+ T cells and for expansion of these cells
The journal of immunology, 178 (2007), pp. 2018-2020
25.
S. Corintis,C. Albanesi,A. la Sala
Regulatory activity of autocrine IL-10 on dendritic cell functions
J Immunol, 166 (2001), pp. 4312-4318
26.
N. Kundu,A. Fulton
Interleukin-10 inhibits tumor metastasis, downregulates MHC class I, and enhances NK lysis
Cell Immunol, 180 (1997), pp. 55-61 http://dx.doi.org/10.1006/cimm.1997.1176
27.
Y. Yue,R. Dummer,R. Geertsen
Interleukin-10 is a growth factor for human melanoma cells and down-regulates HLA class-I HLA class-II and ICAM-1 molecules.et al
Int. J. Cancer, 71 (1997), pp. 630
28.
R. Zeidler,G. Eissner,P. Meissner
Downregulation of TAP1 in B lymphocytes by cellular and Epstein-Barr virus-encoded interleukin-10
Blood, 90 (1997), pp. 2390-2397
29.
S. Salek-Ardakani,J.R. Arrand,M. Mackett
Epstein-Barr virus encoded interleukin-10 inhibits HLAclass I ICAM-1, and B7 expression on human monocytes: implications for immune evasion by EBVJ, et al
Virology, 304 (2002), pp. 342-351
30.
S. Caspar-Bauguil,B. Puissant,D. Nazzal
Chlamydia pneumoniae induces interleukin- 10 production that down-regulates major histocompatibility complex class I expression
Inf Dis, 182 (2000), pp. 1394-1401
31.
J. Huehn,A. Hamann
Homing to suppress: address codes for Treg migration
Trends Immunol, 26 (2005), pp. 632-636 http://dx.doi.org/10.1016/j.it.2005.10.001
32.
Ahern D, Lloyd CM, Robinson DS. Chemokine responsiveness of CD4+CD25+ regulatory and CD4+CD25- T cells from atopic and nonatopic donors. Allergy 2009 Feb 6 online.
33.
M. Benson,K. Pino-Lagos,M. Rosemblat,R. Noelle
All-trans retinoic acid mediates ehanced Treg cell growth, differentiation y gut homing in the face of high levels of co-stimulation
JEM, 204 (2004), pp. 1765-1770
34.
A. Gürkan,G. Emingil,S. Cinarcik
Gingival crevicular fluid transformin growth factor- β1 in several forms of periodontal disease
Arch Oral Biol, 51 (2006), pp. 906-912 http://dx.doi.org/10.1016/j.archoralbio.2006.04.008
35.
M. Oukka
Interplay between pathogenic Th17 and regulatory T cells
Ann Rheum Dis, 66 (2007), pp. iii87-iii90 http://dx.doi.org/10.1136/ard.2007.078527
36.
A. Ejeil,F. Gaultier,S. Igondjo-Tchen
Are cytokines linked to collagen breakdown during periodontal disease progression?
J Periodontol, 74 (2003), pp. 196-201 http://dx.doi.org/10.1902/jop.2003.74.2.196
37.
R. Vernal,N. Dutzan,A. Chaparro,J. Puente,M. Antonieta Valenzuela,J. Gamonal
Levels of interleukin-17 in gingival crevicular fluid and in supernatants of cellular cultures of gingival tissue from patients with chronic periodontitis
J Clin Periodontol., 32 (2005), pp. 383-389 http://dx.doi.org/10.1111/j.1600-051X.2005.00684.x
38.
T. Honda,Y. Aoki,N. Takahashi
Elevated expression of IL-17 and IL-12 genes in chronic inflammatory periodontal disease
Clinica Chimica Acta, 395 (2008), pp. 137-141
39.
C. Cardoso,G. Garlet,G. Grippa
Evidence of the presence of T helper type 17 cells in chronic lesion of human periodontal disease
Oral Microbiol Immunol, 24 (2009), pp. 1-6 http://dx.doi.org/10.1111/j.1399-302X.2008.00463.x

 

CORRESPONDENCIA AUTOR
Lisette Carré Benzi.
Laboratorio de Biología Periodontal, Facultad de Odontología,
Universidad de Chile.
Olivos 943 – Independencia. Santiago, Chile.
Fono: (56-2) 978 18 33. Fax: (56-2) 978 18 39.
lizzycarre@gmail.com

Trabajo recibido el 10/07/2009.
Aprobado para su publicación el 20/07/2009.

Copyright © 2009.
Sociedad de Periodoncia de Chile, Sociedad de Implantología Oral de Chile y Sociedad de Prótesis y Rehabilitación Oral de Chile.