Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review

Periodontitis is the sixth most common chronic inflammatory disease, destroying the tissues supporting the teeth. There are three distinct stages in periodontitis: infection, inflammation, and tissue destruction, where each stage has its own characteristics and hence its line of treatment. Illuminat...

Full description

Bibliographic Details
Main Authors: Khadiga M. Sadek, Sara El Moshy, Israa Ahmed Radwan, Dina Rady, Marwa M. S. Abbass, Aiah A. El-Rashidy, Christof E. Dörfer, Karim M. Fawzy El-Sayed
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/5/4599
_version_ 1797615189405728768
author Khadiga M. Sadek
Sara El Moshy
Israa Ahmed Radwan
Dina Rady
Marwa M. S. Abbass
Aiah A. El-Rashidy
Christof E. Dörfer
Karim M. Fawzy El-Sayed
author_facet Khadiga M. Sadek
Sara El Moshy
Israa Ahmed Radwan
Dina Rady
Marwa M. S. Abbass
Aiah A. El-Rashidy
Christof E. Dörfer
Karim M. Fawzy El-Sayed
author_sort Khadiga M. Sadek
collection DOAJ
description Periodontitis is the sixth most common chronic inflammatory disease, destroying the tissues supporting the teeth. There are three distinct stages in periodontitis: infection, inflammation, and tissue destruction, where each stage has its own characteristics and hence its line of treatment. Illuminating the underlying mechanisms of alveolar bone loss is vital in the treatment of periodontitis to allow for subsequent reconstruction of the periodontium. Bone cells, including osteoclasts, osteoblasts, and bone marrow stromal cells, classically were thought to control bone destruction in periodontitis. Lately, osteocytes were found to assist in inflammation-related bone remodeling besides being able to initiate physiological bone remodeling. Furthermore, mesenchymal stem cells (MSCs) either transplanted or homed exhibit highly immunosuppressive properties, such as preventing monocytes/hematopoietic precursor differentiation and downregulating excessive release of inflammatory cytokines. In the early stages of bone regeneration, an acute inflammatory response is critical for the recruitment of MSCs, controlling their migration, and their differentiation. Later during bone remodeling, the interaction and balance between proinflammatory and anti-inflammatory cytokines could regulate MSC properties, resulting in either bone formation or bone resorption. This narrative review elaborates on the important interactions between inflammatory stimuli during periodontal diseases, bone cells, MSCs, and subsequent bone regeneration or bone resorption. Understanding these concepts will open up new possibilities for promoting bone regeneration and hindering bone loss caused by periodontal diseases.
first_indexed 2024-03-11T07:22:51Z
format Article
id doaj.art-afa39f807a7e4fcb84f7b18471c38e59
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T07:22:51Z
publishDate 2023-02-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-afa39f807a7e4fcb84f7b18471c38e592023-11-17T07:50:44ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-02-01245459910.3390/ijms24054599Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise ReviewKhadiga M. Sadek0Sara El Moshy1Israa Ahmed Radwan2Dina Rady3Marwa M. S. Abbass4Aiah A. El-Rashidy5Christof E. Dörfer6Karim M. Fawzy El-Sayed7Biomaterials Department, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptStem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptStem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptStem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptStem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptBiomaterials Department, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptClinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian Albrechts University, 24118 Kiel, GermanyStem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 12613, EgyptPeriodontitis is the sixth most common chronic inflammatory disease, destroying the tissues supporting the teeth. There are three distinct stages in periodontitis: infection, inflammation, and tissue destruction, where each stage has its own characteristics and hence its line of treatment. Illuminating the underlying mechanisms of alveolar bone loss is vital in the treatment of periodontitis to allow for subsequent reconstruction of the periodontium. Bone cells, including osteoclasts, osteoblasts, and bone marrow stromal cells, classically were thought to control bone destruction in periodontitis. Lately, osteocytes were found to assist in inflammation-related bone remodeling besides being able to initiate physiological bone remodeling. Furthermore, mesenchymal stem cells (MSCs) either transplanted or homed exhibit highly immunosuppressive properties, such as preventing monocytes/hematopoietic precursor differentiation and downregulating excessive release of inflammatory cytokines. In the early stages of bone regeneration, an acute inflammatory response is critical for the recruitment of MSCs, controlling their migration, and their differentiation. Later during bone remodeling, the interaction and balance between proinflammatory and anti-inflammatory cytokines could regulate MSC properties, resulting in either bone formation or bone resorption. This narrative review elaborates on the important interactions between inflammatory stimuli during periodontal diseases, bone cells, MSCs, and subsequent bone regeneration or bone resorption. Understanding these concepts will open up new possibilities for promoting bone regeneration and hindering bone loss caused by periodontal diseases.https://www.mdpi.com/1422-0067/24/5/4599inflammationosteocytesmesenchymal stem cellbone regenerationbone resorption
spellingShingle Khadiga M. Sadek
Sara El Moshy
Israa Ahmed Radwan
Dina Rady
Marwa M. S. Abbass
Aiah A. El-Rashidy
Christof E. Dörfer
Karim M. Fawzy El-Sayed
Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
International Journal of Molecular Sciences
inflammation
osteocytes
mesenchymal stem cell
bone regeneration
bone resorption
title Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
title_full Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
title_fullStr Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
title_full_unstemmed Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
title_short Molecular Basis beyond Interrelated Bone Resorption/Regeneration in Periodontal Diseases: A Concise Review
title_sort molecular basis beyond interrelated bone resorption regeneration in periodontal diseases a concise review
topic inflammation
osteocytes
mesenchymal stem cell
bone regeneration
bone resorption
url https://www.mdpi.com/1422-0067/24/5/4599
work_keys_str_mv AT khadigamsadek molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT saraelmoshy molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT israaahmedradwan molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT dinarady molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT marwamsabbass molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT aiahaelrashidy molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT christofedorfer molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview
AT karimmfawzyelsayed molecularbasisbeyondinterrelatedboneresorptionregenerationinperiodontaldiseasesaconcisereview