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Gene & Protein in Disease





                                        REVIEW ARTICLE
                                        Exosomes: A bridge of periodontitis and

                                        systemic diseases



                                        Jing Xu 1,2† , Xin Chang 1,2† , Huixin Zhang , Mengying Si , Huiying Su ,
                                                                         1,2
                                                                                                   1,2
                                                                                       1,2
                                        Lilan Cao , Yingying Li , and Yuankun Zhai 1,2,4 *
                                                1,2
                                                            3
                                        1 Department of Oral Biology, School of Stomatology, Henan University, Kaifeng, Henan, 475000,
                                        China
                                        2 Kaifeng Key Laboratory of Periodontal Tissue Engineering, Kaifeng, Henan, 475000, China
                                        3 Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province),
                                        Zhengzhou, Henan, 450000, China
                                        4 Henan International Joint Laboratory for Nuclear Protein Regulation, Kaifeng, Henan, 475000,
                                        China



                                        Abstract

                                        Periodontitis, a common oral disease, is featured with complex etiology, progressive
                                        and prognosis varies according to the severity of periodontitis. Exosomes belong
                                        a kind of cystic vesicles with biological activity, which widely exist in human body
                                        fluids. Exosomes play an irreparable role in signal transmission and material
                                        exchange between cells, maintaining cell functions, and regulating body immunity
                                        and homeostasis. Exosomes are closely related to periodontitis, and recent study of
                                        exosomes has provided new directions and ideas for the diagnosis and treatment of
                                        periodontitis. Similarly, as extracellular vesicles, exosomes play a bridging role between
                                        periodontitis and some systemic diseases. In this process, exosomes participate in and
            † These authors contribute equally to
            this work.                  regulate the process of systemic diseases by carrying nucleic acids, proteins, lipids, etc.,
                                        and exhibit different bioactive effects according to the different substances carried
            *Corresponding author:      in exosomes. In this paper, we summarize the latest research progress of exosomes,
            Yuankun Zhai
            (zhaiyuankun@henu.edu.cn)   especially in the periodontitis and some systemic diseases, and review the potential
                                        value of exosomes in periodontitis diagnosis and treatments.
            Citation: Xu J, Chang X, Zhang  H,
            et al., 2022, Exosomes: A bridge of
            periodontitis and systemic diseases.
            Gene Protein Dis, 1(2):99.   Keywords: Periodontitis; Exosomes; Periodontal regeneration; Osteoporosis; Kidney
            https://doi.org/10.36922/gpd.v1i2.99   disease
            Received: May 17, 2022
            Accepted: July 12, 2022
            Published Online: August 4, 2022
            Copyright: © 2022 Author(s).   1. Introduction
            This is an Open Access article   Periodontitis  is  an  infectious  disease  that  occurs  in  the  supporting  tissues  of  teeth
            distributed under the terms of the
            Creative Commons Attribution   and can result in pathological loss of periodontal ligament and absorption of alveolar
            License, permitting distribution,   bone [1,2] . The occurrence and development of periodontitis are quite complex, and the
            and reproduction in any medium,   pathogenic mechanisms vary from patient to patient. The pathogenesis of periodontitis
            provided the original work is
            properly cited.             is now mainly recognized as deregulated inflammatory interactions between periodontal
                                        pathogens and host immune system, involving both innate and adaptive responses,
            Publisher’s Note: AccScience
            Publishing remains neutral with   which lead to a chronic inflammation in periodontal tissues [3,4] .
            regard to jurisdictional claims in
            published maps and institutional   In recent years, the connections between periodontal diseases and systemic
            affiliations.               conditions have been explored, revealing that periodontal diseases can influence the


            Volume 1 Issue 2 (2022)                         1                       https://doi.org/10.36922/gpd.v1i2.99
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