Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities

Background: Periodontitis is recognized as one of the most prevalent oral dysbiotic inflammatory diseases, ultimately leading to the irreversible destruction of periodontal tissues. Macrophages play a pivotal role in the development and progression of periodontitis, and the feasibility of...

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Main Authors: Zihan Zhang, Yi Liu, Tian Yu, Zhen Liu
Format: Article
Language:English
Published: Karger Publishers 2025-01-01
Series:Journal of Innate Immunity
Online Access:https://karger.com/article/doi/10.1159/000542531
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author Zihan Zhang
Yi Liu
Tian Yu
Zhen Liu
author_facet Zihan Zhang
Yi Liu
Tian Yu
Zhen Liu
author_sort Zihan Zhang
collection DOAJ
description Background: Periodontitis is recognized as one of the most prevalent oral dysbiotic inflammatory diseases, ultimately leading to the irreversible destruction of periodontal tissues. Macrophages play a pivotal role in the development and progression of periodontitis, and the feasibility of targeting them therapeutically has been established. Since metabolic switching significantly contributes to macrophage regulation, conducting an in-depth review of macrophage metabolism in periodontitis may serve as the foundation for developing innovative treatments. Summary: This paper has been carefully reviewed to provide a comprehensive overview of the roles played by macrophages in periodontitis and associated comorbidities. Initially, detailed presentations on the metabolic reprogramming of macrophages, including glucose, lipid, and amino acid metabolism, were provided. Subsequently, dominating macrophage phenotype and metabolism under lipopolysaccharide (LPS) stimulation or during periodontitis were presented with emphasize on critical molecules involved. Furthermore, in recognition of the close association between periodontitis and several comorbidities, the interaction among macrophage metabolism, periodontitis, and related metabolic diseases, was thoroughly discussed. Key Messages: Through the examination of current research on macrophage metabolic reprogramming induced by periodontitis, this review provides potential immunometabolic therapeutic targets for the future and raises many important, yet unstudied, subjects for follow-up. Background: Periodontitis is recognized as one of the most prevalent oral dysbiotic inflammatory diseases, ultimately leading to the irreversible destruction of periodontal tissues. Macrophages play a pivotal role in the development and progression of periodontitis, and the feasibility of targeting them therapeutically has been established. Since metabolic switching significantly contributes to macrophage regulation, conducting an in-depth review of macrophage metabolism in periodontitis may serve as the foundation for developing innovative treatments. Summary: This paper has been carefully reviewed to provide a comprehensive overview of the roles played by macrophages in periodontitis and associated comorbidities. Initially, detailed presentations on the metabolic reprogramming of macrophages, including glucose, lipid, and amino acid metabolism, were provided. Subsequently, dominating macrophage phenotype and metabolism under lipopolysaccharide (LPS) stimulation or during periodontitis were presented with emphasize on critical molecules involved. Furthermore, in recognition of the close association between periodontitis and several comorbidities, the interaction among macrophage metabolism, periodontitis, and related metabolic diseases, was thoroughly discussed. Key Messages: Through the examination of current research on macrophage metabolic reprogramming induced by periodontitis, this review provides potential immunometabolic therapeutic targets for the future and raises many important, yet unstudied, subjects for follow-up.
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spelling doaj-art-9c33df7c4bd64cc4b320a5c802cbff772025-08-20T02:31:55ZengKarger PublishersJournal of Innate Immunity1662-81282025-01-0117121122510.1159/000542531Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated ComorbiditiesZihan ZhangYi LiuTian YuZhen Liu Background: Periodontitis is recognized as one of the most prevalent oral dysbiotic inflammatory diseases, ultimately leading to the irreversible destruction of periodontal tissues. Macrophages play a pivotal role in the development and progression of periodontitis, and the feasibility of targeting them therapeutically has been established. Since metabolic switching significantly contributes to macrophage regulation, conducting an in-depth review of macrophage metabolism in periodontitis may serve as the foundation for developing innovative treatments. Summary: This paper has been carefully reviewed to provide a comprehensive overview of the roles played by macrophages in periodontitis and associated comorbidities. Initially, detailed presentations on the metabolic reprogramming of macrophages, including glucose, lipid, and amino acid metabolism, were provided. Subsequently, dominating macrophage phenotype and metabolism under lipopolysaccharide (LPS) stimulation or during periodontitis were presented with emphasize on critical molecules involved. Furthermore, in recognition of the close association between periodontitis and several comorbidities, the interaction among macrophage metabolism, periodontitis, and related metabolic diseases, was thoroughly discussed. Key Messages: Through the examination of current research on macrophage metabolic reprogramming induced by periodontitis, this review provides potential immunometabolic therapeutic targets for the future and raises many important, yet unstudied, subjects for follow-up. Background: Periodontitis is recognized as one of the most prevalent oral dysbiotic inflammatory diseases, ultimately leading to the irreversible destruction of periodontal tissues. Macrophages play a pivotal role in the development and progression of periodontitis, and the feasibility of targeting them therapeutically has been established. Since metabolic switching significantly contributes to macrophage regulation, conducting an in-depth review of macrophage metabolism in periodontitis may serve as the foundation for developing innovative treatments. Summary: This paper has been carefully reviewed to provide a comprehensive overview of the roles played by macrophages in periodontitis and associated comorbidities. Initially, detailed presentations on the metabolic reprogramming of macrophages, including glucose, lipid, and amino acid metabolism, were provided. Subsequently, dominating macrophage phenotype and metabolism under lipopolysaccharide (LPS) stimulation or during periodontitis were presented with emphasize on critical molecules involved. Furthermore, in recognition of the close association between periodontitis and several comorbidities, the interaction among macrophage metabolism, periodontitis, and related metabolic diseases, was thoroughly discussed. Key Messages: Through the examination of current research on macrophage metabolic reprogramming induced by periodontitis, this review provides potential immunometabolic therapeutic targets for the future and raises many important, yet unstudied, subjects for follow-up. https://karger.com/article/doi/10.1159/000542531
spellingShingle Zihan Zhang
Yi Liu
Tian Yu
Zhen Liu
Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
Journal of Innate Immunity
title Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
title_full Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
title_fullStr Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
title_full_unstemmed Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
title_short Unraveling the Complex Nexus of Macrophage Metabolism, Periodontitis, and Associated Comorbidities
title_sort unraveling the complex nexus of macrophage metabolism periodontitis and associated comorbidities
url https://karger.com/article/doi/10.1159/000542531
work_keys_str_mv AT zihanzhang unravelingthecomplexnexusofmacrophagemetabolismperiodontitisandassociatedcomorbidities
AT yiliu unravelingthecomplexnexusofmacrophagemetabolismperiodontitisandassociatedcomorbidities
AT tianyu unravelingthecomplexnexusofmacrophagemetabolismperiodontitisandassociatedcomorbidities
AT zhenliu unravelingthecomplexnexusofmacrophagemetabolismperiodontitisandassociatedcomorbidities