Aging, inflammation, immunity and periodontal disease
The increased prevalence and severity of periodontal disease have long been associated with aging, such that this oral condition affects the majority of the adult population over 50 years of age. Although the immune system is a critical component for maintaining health, aging can be characterized by...
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Published in: | Periodontology 2000 Vol. 72; no. 1; pp. 54 - 75 |
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Main Authors: | , , , , , , , , , |
Format: | Journal Article |
Language: | English |
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Blackwell Publishing Ltd
01-10-2016
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Abstract | The increased prevalence and severity of periodontal disease have long been associated with aging, such that this oral condition affects the majority of the adult population over 50 years of age. Although the immune system is a critical component for maintaining health, aging can be characterized by quantitative and qualitative modifications of the immune system. This process, termed ‘immunosenescence’, is a progressive modification of the immune system that leads to greater susceptibility to infections, neoplasia and autoimmunity, presumably reflecting the prolonged antigenic stimulation and/or stress responses that occur across the lifespan. Interestingly, the global reduction in the host capability to respond effectively to these challenges is coupled with a progressive increase in the general proinflammatory status, termed ‘inflammaging’. Consistent with the definition of immunosenescence, it has been suggested that the cumulative effect of prolonged exposure of the periodontium to microbial challenge is, at least in part, a contributor to the effects of aging on these tissues. Thus, it has also been hypothesized that alterations in the function of resident immune and nonimmune cells of the periodontium contribute to the expression of inflammaging in periodontal disease. Although the majority of aging research has focused on the adaptive immune response, it is becoming increasingly clear that the innate immune compartment is also highly affected by aging. Thus, the phenomenon of immunosenescence and inflammaging, expressed as age‐associated changes within the periodontium, needs to be more fully understood in this era of precision and personalized medicine and dentistry. |
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AbstractList | The increased prevalence and severity of periodontal disease have long been associated with aging, such that this oral condition affects the majority of the adult population over 50 years of age. Although the immune system is a critical component for maintaining health, aging can be characterized by quantitative and qualitative modifications of the immune system. This process, termed ‘immunosenescence’, is a progressive modification of the immune system that leads to greater susceptibility to infections, neoplasia and autoimmunity, presumably reflecting the prolonged antigenic stimulation and/or stress responses that occur across the lifespan. Interestingly, the global reduction in the host capability to respond effectively to these challenges is coupled with a progressive increase in the general proinflammatory status, termed ‘inflammaging’. Consistent with the definition of immunosenescence, it has been suggested that the cumulative effect of prolonged exposure of the periodontium to microbial challenge is, at least in part, a contributor to the effects of aging on these tissues. Thus, it has also been hypothesized that alterations in the function of resident immune and nonimmune cells of the periodontium contribute to the expression of inflammaging in periodontal disease. Although the majority of aging research has focused on the adaptive immune response, it is becoming increasingly clear that the innate immune compartment is also highly affected by aging. Thus, the phenomenon of immunosenescence and inflammaging, expressed as age‐associated changes within the periodontium, needs to be more fully understood in this era of precision and personalized medicine and dentistry. |
Author | Gonzalez, Octavio A. Pandruvada, Subramanya Morford, Lorri A. Huja, Sarandeep S. Graves, Christina L. Hartsfield Jr, James K. Ebersole, Jeffrey L. Huja, Pinar Emecen Wallet, Shannon M. Dawson III, Dolph |
Author_xml | – sequence: 1 givenname: Jeffrey L. surname: Ebersole fullname: Ebersole, Jeffrey L. – sequence: 2 givenname: Christina L. surname: Graves fullname: Graves, Christina L. – sequence: 3 givenname: Octavio A. surname: Gonzalez fullname: Gonzalez, Octavio A. – sequence: 4 givenname: Dolph surname: Dawson III fullname: Dawson III, Dolph – sequence: 5 givenname: Lorri A. surname: Morford fullname: Morford, Lorri A. – sequence: 6 givenname: Pinar Emecen surname: Huja fullname: Huja, Pinar Emecen – sequence: 7 givenname: James K. surname: Hartsfield Jr fullname: Hartsfield Jr, James K. – sequence: 8 givenname: Sarandeep S. surname: Huja fullname: Huja, Sarandeep S. – sequence: 9 givenname: Subramanya surname: Pandruvada fullname: Pandruvada, Subramanya – sequence: 10 givenname: Shannon M. surname: Wallet fullname: Wallet, Shannon M. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27501491$$D View this record in MEDLINE/PubMed |
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ParticipantIDs | proquest_miscellaneous_1810557452 crossref_primary_10_1111_prd_12135 pubmed_primary_27501491 wiley_primary_10_1111_prd_12135_PRD12135 istex_primary_ark_67375_WNG_S59GCFTR_W |
PublicationCentury | 2000 |
PublicationDate | October 2016 |
PublicationDateYYYYMMDD | 2016-10-01 |
PublicationDate_xml | – month: 10 year: 2016 text: October 2016 |
PublicationDecade | 2010 |
PublicationPlace | Denmark |
PublicationPlace_xml | – name: Denmark |
PublicationTitle | Periodontology 2000 |
PublicationTitleAlternate | Periodontol 2000 |
PublicationYear | 2016 |
Publisher | Blackwell Publishing Ltd |
Publisher_xml | – name: Blackwell Publishing Ltd |
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Snippet | The increased prevalence and severity of periodontal disease have long been associated with aging, such that this oral condition affects the majority of the... |
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SubjectTerms | Adaptive Immunity - immunology Aging - immunology Aging - physiology Autoimmune Diseases - complications Autoimmune Diseases - immunology Autoimmunity - immunology Cytokines - genetics Cytokines - immunology Dentistry Disease Susceptibility - immunology Epigenomics Humans Immune System Immunity, Innate - genetics Immunity, Innate - immunology Immunosenescence - physiology Inflammation - immunology Neoplasms - complications Neoplasms - immunology Periodontal Diseases - immunology Periodontium - immunology Periodontium - microbiology Polymorphism, Genetic |
Title | Aging, inflammation, immunity and periodontal disease |
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