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Matrix metalloproteinases (MMPs) in oral diseases
T Sorsa1, L Tjäderhane, T Salo
1Institute of Dentistry, University of Helsinki, Helsinki, Finland. timo.sorsa@helsinki.fi
Abstract:
Matrix metalloproteinases (MMPs) are a group of enzymes that in concert are responsible for the degradation of most extracellular matrix proteins during organogenesis, growth and normal tissue turnover. The expression and activity of MMPs in adult tissues is normally quite low, but increases significantly in various pathological conditions that may lead into unwanted tissue destruction, such as inflammatory diseases, tumour growth and metastasis. MMPs have a marked role also in tissue destructive oral diseases. The role of collagenases, especially MMP-8, in periodontitis and peri-implantitis is the best-known example of the unwanted tissue destruction related to increased presence and activity of MMPs at the site of disease, but evidence has been brought forward to indicate that MMPs may be involved also in other oral diseases, such as dental caries and oral cancer. This brief review describes some of the history, the current status and the future aspects of the work mainly of our research groups looking at the presence and activity of various MMPs in different oral diseases, as well as some of the MMP-related aspects that may facilitate the development of new means of diagnosis and treatment of oral diseases.
Insights
Matrix metalloproteinases (MMPs) are enzymes involved in tissue breakdown. Increased MMP activity is linked to oral diseases like periodontitis, caries, and oral cancer, offering diagnostic and therapeutic targets.
Area of Science:
- Biochemistry
- Oral Pathology
- Enzymology
Background:
- Matrix metalloproteinases (MMPs) are crucial for extracellular matrix degradation during development and tissue turnover.
- Elevated MMP expression and activity are associated with pathological conditions, including inflammatory diseases, tumor growth, and metastasis.
- MMPs play a significant role in tissue-destructive oral diseases.
Purpose of the Study:
- To review the historical and current understanding of MMP presence and activity in various oral diseases.
- To explore the involvement of MMPs in periodontitis, peri-implantitis, dental caries, and oral cancer.
- To discuss MMP-related aspects for developing novel diagnostic and therapeutic strategies for oral diseases.
Main Methods:
- Review of existing literature on MMPs in oral diseases.
- Analysis of research findings on MMP expression and activity in pathological oral conditions.
- Exploration of potential diagnostic and therapeutic applications of MMPs.
Main Results:
- The role of collagenases, particularly MMP-8, in periodontitis and peri-implantitis is well-established.
- Evidence suggests MMP involvement in dental caries and oral cancer.
- MMPs present potential biomarkers and therapeutic targets for oral diseases.
Conclusions:
- MMPs are implicated in the pathogenesis of various destructive oral diseases.
- Understanding MMP roles can lead to improved diagnostics and treatments for oral conditions.
- Targeting MMPs offers promising avenues for future oral disease management.
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