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Systemic Factors Affecting Human Beta-Defensins in Oral Cavity
Nur Atalay1, Nur Balci2, Mervi Gürsoy1,3
1Department of Periodontology, Institute of Dentistry, University of Turku, Lemminkäisenkatu 2, 20520 Turku, Finland.
Systemic factors like hyperglycemia and aging significantly impact oral human beta-defensin (hBD) expression, influencing the mouth's antimicrobial defenses against microbial challenges.
Area of Science:
- Oral immunology
- Host defense peptides
Background:
- Human beta-defensins (hBDs) are crucial antimicrobial and inflammatory peptides in the oral cavity.
- Oral hBDs are primarily produced by epithelial keratinocytes, with contributions from fibroblasts, monocytes, and macrophages.
- Oral immune cells constantly interact with microbial patterns, and their response is modulated by various factors.
Purpose of the Study:
- To review the influence of systemic factors on the expression of oral human beta-defensins.
- To explore how conditions like hyperglycemia, pregnancy, vitamin use, and aging affect oral antimicrobial responses.
Main Methods:
- This study is a narrative review.
- It synthesizes evidence from recent research on systemic factor modulation of oral hBDs.
Main Results:
- Systemic factors, including chronic diseases, hyperglycemia, pregnancy, long-term vitamin use, and aging, can alter oral cellular antimicrobial responses.
- These systemic influences play a significant role in modulating the expression and function of oral hBDs.
Conclusions:
- Systemic health status critically affects the oral cavity's innate immune defenses.
- Understanding these systemic impacts is vital for managing oral health and infections.
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