Induction of Endogenous Antimicrobial Peptides to Prevent or Treat Oral Infection and Inflammation.
Morio. Kimberly A KA; Sternowski. Robert H RH; Brogden. Kim A KA
Key Findings
- LL‑37, human neutrophil peptides (HNP) and human beta defensins (HBD) are the main antimicrobial peptides naturally present in oral tissues.
- Their production can be increased by micronutrients (e.g., zinc, vitamin D, vitamin A), macronutrients (amino acids, peptides, certain sugars and fats), thyroid hormones, and exposure to UV, red or near‑infrared light.
- Higher local levels of these peptides are linked to reduced oral infections, lower inflammation and pain, and faster tissue repair.
Practical Outcomes
- For everyday use, consider supplementing with zinc, vitamin D, and vitamin A, and include protein‑rich or peptide‑rich foods to support LL‑37 production. Targeted red/NIR light therapy on specific oral areas can also boost AMP levels for short‑term treatment of infections or inflammation. These strategies offer a drug‑free way to enhance oral health and recovery.
Summary
The paper reviews how the body’s own mouth‑fighting proteins (like LL‑37) can be turned on by things you can eat or apply, such as certain vitamins, minerals, amino‑rich foods, thyroid hormone, and specific light treatments. Boosting these natural antibiotics may help keep the mouth healthy, cut down infection, inflammation, pain, and speed up healing without relying on drugs.
Abstract
Antibiotics are often used to treat oral infections. Unfortunately, excessive antibiotic use can adversely alter oral microbiomes and promote the development of antibiotic-resistant microorganisms, which can be difficult to treat. An alternate approach could be to induce the local transcription and expression of endogenous oral antimicrobial peptides (AMPs). To assess the feasibility and benefits of this approach, we conducted literature searches to identify (i) the AMPs expressed in the oral cavity; (ii) the methods used to induce endogenous AMP expression; and (iii) the roles that expressed AMPs may have in regulating oral inflammation, immunity, healing, and pain. Search results identified human neutrophil peptides (HNP), human beta defensins (HBD), and cathelicidin AMP (<i>CAMP</i>) gene product LL-37 as prominent AMPs expressed by oral cells and tissues. HNP, HBD, and LL-37 expression can be induced by micronutrients (trace elements, elements, and vitamins), nutrients, macronutrients (mono-, di-, and polysaccharides, amino acids, pyropeptides, proteins, and fatty acids), proinflammatory agonists, thyroid hormones, and exposure to ultraviolet (UV) irradiation, red light, or near infrared radiation (NIR). Localized AMP expression can help reduce infection, inflammation, and pain and help oral tissues heal. The use of a specific inducer depends upon the overall objective. Inducing the expression of AMPs through beneficial foods would be suitable for long-term health protection. Additionally, the specialized metabolites or concentrated extracts that are utilized as dosage forms would maintain the oral and intestinal microbiome composition and control oral and intestinal infections. Inducing AMP expression using irradiation methodologies would be applicable to a specific oral treatment area in addition to controlling local infections while regulating inflammatory and healing processes.
Study Information
pubmed
2023
2023-02-09T00:00:00.000Z
10.3390/antibiotics12020361
12
226