The Role of Immune Responses in Periodontal Pathogenesis
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Questions and Answers

Which interleukin is a proinflammatory cytokine that contributes to bone resorption and is an intracellular transcriptional regulator?

  • IL-1R antagonist
  • IL-1𝛽
  • IL-18
  • IL-1𝛼 (correct)
  • Which interleukin has a similar proinflammatory profile to IL-1𝛽 and activates neutrophils and are in high numbers in periodontitis, suggesting an important role in periodontal pathogenesis?

  • IL-1𝛼
  • IL-1𝛽
  • IL-18 (correct)
  • IL-1R antagonist
  • Which cytokine is secreted by activated macrophages and other cells in response to LPS, stimulates the development of osteoclasts and stimulates endothelial cells to express selectin?

  • IL-1𝛼
  • IL-1𝛽
  • TNF𝛼 (correct)
  • IL-6
  • Which cytokine stimulates bone resorption and the development of osteoclasts, and is produced by immune cells and resident cells?

    <p>IL-6</p> Signup and view all the answers

    Which interleukin is a proinflammatory cytokine, upregulates inflammatory responses and is produced by multiple cell types in periodontium

    <p>IL-1𝛽</p> Signup and view all the answers

    Which cytokine inhibits the action of IL-1𝛼 and IL-1𝛽, resulting in anti-inflammatory effects?

    <p>IL-1R antagonist</p> Signup and view all the answers

    Which cytokine upregulates inflammatory responses and is produced by multiple cell types in the periodontium?

    <p>IL-1𝛽</p> Signup and view all the answers

    Which cytokine limits tissue repair by inducing apoptosis in fibroblasts and stimulates endothelial cells to express selectins?

    <p>TNF𝛼</p> Signup and view all the answers

    Which cytokine stimulates endothelial cells to express selectins and activates macrophages to release IL-1𝛽?

    <p>TNF𝛼</p> Signup and view all the answers

    Which cytokine stimulates the proliferation and differentiation of B and T cells, and is secreted in response to IL-1𝛽 and TNF𝛼?

    <p>IL-6</p> Signup and view all the answers

    Which cytokine is a key regulator in humoral and adaptive (Ab-mediated) immunity?

    <p>IL-4</p> Signup and view all the answers

    Which cytokine antagonizes the effects of IL-1𝛽 and LPS?

    <p>IL-1F5</p> Signup and view all the answers

    Which cytokine is a proinflammatory cytokine that increases neutrophil activity and mediates cell and tissue turnover by inducing MMP secretion?

    <p>TNF𝛼</p> Signup and view all the answers

    Which cytokine regulates osteoclast activity by influencing myeloid cell differentiation into osteoclasts?

    <p>Chemokines</p> Signup and view all the answers

    Which cytokine is produced by Treg cells, monocytes, and B cells and has immunosuppressive effects?

    <p>IL-10</p> Signup and view all the answers

    Which cytokine plays a role in repair and tissue regeneration, and promotes the generation and function of Treg cells?

    <p>TGF𝛽</p> Signup and view all the answers

    Which cytokine plays a key role in neutrophil recruitment and migration to the site of bacterial infection, and regulates immune responses, repair, and inflammation?

    <p>Chemokines</p> Signup and view all the answers

    Which cytokine binds to IL-1 receptor and blocks the effects of IL-1?

    <p>IL-1Ra</p> Signup and view all the answers

    Which cytokine stimulates the proliferation and differentiation of B and T cells, and is secreted in response to IL-1𝛽 and TNF𝛼?

    <p>IL-6</p> Signup and view all the answers

    Which enzyme metabolizes prostaglandins to generate prostanoids?

    <p>COX-1 and COX-2</p> Signup and view all the answers

    Which substance is a key inflammatory mediator and is primarily produced by macrophages and fibroblasts?

    <p>PGE2</p> Signup and view all the answers

    Which of the following is a role of PGE2 in periodontitis?

    <p>All of the above</p> Signup and view all the answers

    Which enzyme is upregulated by IL-1𝛽, TNF𝛼, and bacterial LPS leading to an increased production of PGE2 in inflamed tissues?

    <p>COX-2</p> Signup and view all the answers

    Which substance is derived from arachidonic acid and is found in the plasma membrane of most cells?

    <p>Prostaglandins</p> Signup and view all the answers

    Which group of enzymes break down structural proteins of the body?

    <p>Matrix metalloproteinases</p> Signup and view all the answers

    Which enzyme breaks down collagen?

    <p>Collagenase</p> Signup and view all the answers

    Which cell types primarily produce MMPs in healthy tissues which produce MMP-1 responsible in tissue maintenance?

    <p>Fibroblasts</p> Signup and view all the answers

    Which key MMPs are produced by neutrophils in periodontitis?

    <p>MMP-8 and MMP-9</p> Signup and view all the answers

    Which proteinase inhibitors inhibit MMPs?

    <p>𝛼1-antitrypsin and 𝛼2-macroglobulin</p> Signup and view all the answers

    Which substances are tetracyclines?

    <p>Doxycycline</p> Signup and view all the answers

    Where are 𝛼1-antitrypsin and 𝛼2-macroglobulin present and what produces them?

    <p>present in serum produced by liver</p> Signup and view all the answers

    Which proteinase inhibitors are involved in inhibiting MMPs in periodontitis?

    <p>𝛼1-antitrypsin and 𝛼2-macroglobulin</p> Signup and view all the answers

    Which cell types produce tissue inhibitors of MMPs (TIMPs) in periodontitis?

    <p>Multiple cell types</p> Signup and view all the answers

    Which individuals are more susceptible to periodontitis due to a hyperinflammatory phenotype?

    <p>Hyper-responders</p> Signup and view all the answers

    What happens to tissue in hyper-responders when exposed to a similar bacterial challenge?

    <p>Tissue breakdown occurs</p> Signup and view all the answers

    What happens to periodontitis development in hypo-responders when exposed to a similar bacterial challenge?

    <p>Periodontitis does not develop</p> Signup and view all the answers

    Study Notes

    Interleukins and Cytokines

    • IL-6 is a proinflammatory cytokine that contributes to bone resorption and is an intracellular transcriptional regulator.
    • IL-1𝛽 has a similar proinflammatory profile to IL-1𝛽, activates neutrophils, and is present in high numbers in periodontitis, suggesting an important role in periodontal pathogenesis.
    • IL-1𝛼 and IL-1𝛽 stimulate the development of osteoclasts and endothelial cells to express selectin, and are produced by immune cells and resident cells.
    • IL-1ra inhibits the action of IL-1𝛼 and IL-1𝛽, resulting in anti-inflammatory effects.
    • IL-12 upregulates inflammatory responses and is produced by multiple cell types in the periodontium.
    • TNF-𝛼 limits tissue repair by inducing apoptosis in fibroblasts and stimulates endothelial cells to express selectins.
    • IL-12 stimulates endothelial cells to express selectins and activates macrophages to release IL-1𝛽.
    • IL-2 stimulates the proliferation and differentiation of B and T cells, and is secreted in response to IL-1𝛽 and TNF-𝛼.
    • IL-10 is a key regulator in humoral and adaptive (Ab-mediated) immunity, antagonizes the effects of IL-1𝛽 and LPS, and is produced by Treg cells, monocytes, and B cells with immunosuppressive effects.
    • IL-10 plays a role in repair and tissue regeneration, and promotes the generation and function of Treg cells.

    Enzymes and Inhibitors

    • Cyclooxygenase (COX) metabolizes prostaglandins to generate prostanoids.
    • PGE2 is a key inflammatory mediator, primarily produced by macrophages and fibroblasts, and plays a role in periodontitis.
    • Phospholipase A2 (PLA2) is upregulated by IL-1𝛽, TNF-𝛼, and bacterial LPS, leading to an increased production of PGE2 in inflamed tissues.
    • Matrix metalloproteinases (MMPs) break down structural proteins of the body, including collagen.
    • Fibroblasts and keratinocytes primarily produce MMPs in healthy tissues, producing MMP-1 responsible for tissue maintenance.
    • Neutrophils produce MMP-8 and MMP-9 in periodontitis.
    • Tissue inhibitors of MMPs (TIMPs) and 𝛼2-macroglobulin inhibit MMPs.

    Periodontitis

    • Individuals with a hyperinflammatory phenotype are more susceptible to periodontitis.
    • In hyper-responders, tissue exposed to a similar bacterial challenge exhibits increased inflammation and periodontitis development.
    • In hypo-responders, periodontitis development is reduced when exposed to a similar bacterial challenge.
    • Tetracyclines, such as doxycycline, are used to inhibit MMPs and treat periodontitis.

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    Description

    Test your knowledge on the interleukin-1 family and their role in inflammation and bone resorption. Identify key characteristics of IL-1α, IL-1β, IL-18, and IL-1R and their significance in periodontal health and disease.

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