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. 2020 May 27;99(10):1131–1139. doi: 10.1177/0022034520926126

Table.

Examples of Inflammatory Mediators of Microbial-Induced Disease.

Marker Bacteria Function Reference
Immune activation: exacerbates disease
IL-1β Aggregatibacter actinomycetemcomitans Inflammasome cytokine activation. Leukotoxin-induced macrophage cell death. Kelk et al. (2011)
IL-18 A. actinomycetemcomitans Inflammasome cytokine activation. Leukotoxin-induced macrophage cell death. Kelk et al. (2011)
Th17 A. actinomycetemcomitans Proinflammatory; immune evasion; promoted Th17 activation and induced atherosclerotic lesions Jia et al. (2015)
IL-6 Fusobacterium nucleatum FadA adhesin/invasin of F. nucleatum is a key virulence factor; implicated in oral infections, adverse pregnancy outcomes, gastrointestinal disorders, etc. Han (2015)
IL-8 F. nucleatum FadA adhesin/invasin of F. nucleatum is a key virulence factor; implicated in oral infections, adverse pregnancy outcomes, gastrointestinal disorders, etc. Han (2015)
TNF-α F. nucleatum FadA adhesin/invasin of F. nucleatum is a key virulence factor; implicated in oral infections, adverse pregnancy outcomes, gastrointestinal disorders, etc. Han (2015)
Th1 Klebsiella pneumoniae, K. aeromobilis Proinflammatory; oral Klebsiella promoted Th1 proliferation and gut inflammation and disrupted tissue homeostasis (murine) Atarashi et al. (2017)
IL-1β Porphyromonas gingivalis Proinflammatory; P. gingivalis enhanced expression/secretion; correlated with periodontitis; periodontitis treatment decreased IL-1β levels Hamedi et al. (2009); Gilowski et al. (2014)
IL-17 P. gingivalis Proinflammatory; produced in response to P. gingivalis; increased Th17 cells in mesenteric lymph nodes; aggravated articular injury in arthritis, arthritic bone destruction de Aquino et al. (2014); Sato et al. (2017)
IL-18 P. gingivalis Proinflammatory; P. gingivalis upregulated; stimulated MMP-8 production; leads to inflammatory bone loss Johnson and Serio (2005); Hamedi et al. (2009)
IL-23 P. gingivalis Proinflammatory; secreted by myeloid antigen-presenting cells in response to P. gingivalis; promoted Th17 pathogenicity, suppressed anti-inflammatory IL-10; associated with periodontal tissue damage McGeachy et al. (2007); Himani et al. (2014)
IL-33 P. gingivalis Proinflammatory; drove differentiation/polarization of myeloid and lymphoid cells; may induce alveolar bone destruction via RANKL Malcolm et al. (2015); Tada et al. (2016); Tada et al. (2017)
IL-17 Prevotella nigrescens Proinflammatory; produced in response to P. nigrescens; increased Th17 cells in mesenteric lymph nodes; aggravated articular injury in arthritis, arthritic bone destruction de Aquino et al. (2014)
IFN-γ Streptococcus mutans S. mutans induced in the liver to exacerbate colitis/digestive disease Kojima et al. (2012)
MMP-9 S. mutans Induced MMP-9 expression to exacerbate cerebral hemorrhage in stroke Nakano et al. (2011)
Immune protective: promotes health
MMP-3 Lactobacillus casei Decreased neutrophil elastase and MMP-3 activities in GCF Staab et al. (2009)
MPO L. casei Gingival inflammation was lower in the group consuming the probiotic product, as measured by MPO activity after a 4-d period of experimental gingivitis. Staab et al. (2009)
scFV Lactobacillus paracasei Synthetic expression of functional scFV antibody binding to the surface of P. gingivalis; decreased P. gingivalis-related phenotypes Marcotte et al. (2006)
IL-12 P. gingivalis Anti-inflammatory; role in bacterial clearance; secreted by mononuclear phagocytes/dendritic cells; promoted IFN-γ production/Th1 differentiation; inhibited osteoclastogenesis/bone resorption Horwood et al. (2001); Johnson and Serio (2005)
IL-37 P. gingivalis Anti-inflammatory; Treg secretion suppressed NK cell function; can suppress osteoclast formation; downregulated in GCF of chronic periodontitis. Offenbacher et al. (2018); Sarhan et al. (2018)
IFN-γ P. gingivalis Protective against P. gingivalis induced osteoclastogenesis / bone resorption. Horwood et al. (2001)

Table sorted by immune function (exacerbating or ameliorating disease) and biological factor (marker).

GCF, gingival crevicular fluid; IFN, interferon; IL, interleukin; MMP, matrix metalloproteinase; NK, natural killer; scFV, single-chain variable fragment; Th, T helper.