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. 2020 May 28;99(9):1021–1029. doi: 10.1177/0022034520924633

Table 2.

Possible Mechanisms of Oral Bacteria in the Gut Pathogenesis.

Pathways in Host Cells
Oral Bacteria: Target Cells Effector Receptor Related Signals Pathologic Functions
Fusobacterium nucleatum
 Epithelial cells Fap2 Gal-GalNAc Tumor binding and enrichment
 Epithelial cells Metalloproteinase collagenase Cellular migration and invasive properties
 Epithelial cells FadA Ecad Wnt/β-catenin Tumor cell proliferation
 NK cells, T cells Fap2 TIGIT Immune evasion
 Epithelial cells LPS TLR4 miR-4802, miR-18a* Chemoresistance (autophagy activation)
 Epithelial cells LPS TLR4 Myd88, miR-21 Tumor cell proliferation
Recruitment of tumor-infiltrating immune cells (MDSC, TAM, regDC)
Fusobacterium varium epithelial cells Adhesion and invasion, IL-8 and TNF-a production
Porphyromonas gingivalis
 Epithelial cells Jak1/Akt/Stat3, PI3K/Akt Cell survival (antiapoptotic)
 Epithelial cells Cyclin D and E, PI3K Cell proliferation
 Epithelial cells Gingipain β-catenin destruction, complex degradation β-catenin Cell proliferation
 Epithelial cells Immune evasion (B7-H1 and B7-DC upregulation)
 Epithelial cells Gingipain PAR NF-kB, ERK1/2, p38 Tumor invasiveness (MMPs expression↑)
 Epithelial cells and others Epithelial disruption, proinflammatory cytokine induction, gut dysbiosis
 Epithelial cells and others Epithelial disruption, immune activation, gut dysbiosis
 Neutrophils TLR1-TLR2 Myd88 Impaired antimicrobial response, Impaired killing activity
 Mø and DC Fimbrial proteins (FimA and Mfa1) CR3 or DC-SIGN MMP and C1q Hijack and direct host immune cells (distant tissue destruction)
Klebsiella pneumoniae, K. aerogenes (K. aeromobilis) epithelial cells TLR IL18 and Myd88 Th1 cell generation
Atopobium parvulum: unknown H2S Mitochondrial dysfunction in host with impaired H2S detoxification
Campylobacter concisus epithelial cells Epithelial disruption
Staphylococcus aureus epithelial cells, T cells Enterotoxins Epithelial disruption, immune activation