News and Research
Immune System
Disease-fighters In Our Mouths Provide Clues To Enhancing
The Immune System
2-17-2004
Studies of natural antibiotics in our mouths may lead to
new treatments for oral infections, as well as ways to boost
the infection-fighting powers of mouthwashes, denture coatings,
and wound dressings, according to a presentation at the
annual meeting of the American Association for the Advancement
of Science (AAAS). These compounds, called beta-defensins,
are key components of our innate immune system.
"Innate
immunity describes the defenses that we're are born with;
they're coded in our genes. In contrast, we develop the
antibodies of our acquired immune system over time as we're
exposed to bacteria and viruses," said Dr. Beverly
Dale, professor in the University of Washington Department
of Oral Biology, School of Dentistry, and scientific director
of the UW Comprehensive Center for Oral Health Research.
"It's when our innate defenses fail that the acquired
immune system picks up the slack."
The
innate immune system has some remarkable characteristics,
including the ability to distinguish between harmless and
harmful bacteria. For example, disease-causing and harmless,
or commensal, bacteria trigger the activation of beta-defensins
through different chemical signaling pathways. The role
of commensal bacteria may be to alert the immune system
to the possible presence of invading bacteria, according
to Dale.
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The mouth is "a perfect place to study the innate
immune system because it's such an incredibly complex and challenging
ecological system," Dale said. "Our mouth is full of moist
surfaces, perfect for bacteria to adhere to; we feed these bacteria
at regular intervals with nutritious foods and snacks." As a
result, and despite efforts to brush them away, we have millions of
bacteria in our mouths, according to Dale. "Yet most of us remain
healthy--without infections--most of the time."
Dale and colleagues from the Comprehensive Center
for Oral Health Research, Dr. Richard Darveau of the departments of
Periodontics and Oral Biology, and Dr. Edward Clark of the Department
of Microbiology, School of Medicine, will join Dr. David Relman of
Stanford University's departments of Microbiology & Immunology,
and Medicine for a 12:30 p.m. session Monday, Feb. 16, on "Innate
Immunity and Oral Health" at the AAAS's annual meeting in Seattle.
Knowledge of the ways harmful and harmless bacteria
interact with our immune systems has been limited by the fact that
many kinds of bacteria won't grow in a laboratory. Relman has developed
high-throughput methods to better analyze oral microbial communities
and will discuss his results in the session "Microbial Diversity
and Oral Health."
The microorganisms in our mouths are most obvious
when they collect on our teeth as plaque, a tough sticky mixture that
can contain over 300 species of bacteria. Most of these bacteria are
harmless commensals, but a minority, such as the bacteria Porphyromonas
gingivalis, can cause periodontal or gum disease. Darveau's session
will include an overview of innate immunity and how is it affected
by the presence of disease-causing bacteria, such as P. gingivalis.
Special receptors on sentinel cells may help them
detect invading pathogens. Clark's session will discuss how these
sentinels activate both the innate and acquired immune systems.
In her session on beta-defensins, Dale will discuss
the ways that these natural antibiotics are activated and could be
used to treat or prevent infection. Some institutions are already
testing the use of simple antimicrobial peptides similar to beta-defensins
to prevent oral mucositis, an infection that is a side effect of some
chemotherapy treatments. Other possible uses for beta-defensins, or
natural compounds that stimulate their production, may include mouthwashes,
denture coatings, wound dressings, and coatings for catheters and
other medical equipment.
"The innate immune system is a very subtle system
that keeps us healthy most of the time," Dale said. A better
understanding how the system works can help us understand how to enhance
it, she said: "If our cells can tell the difference between different
types of bacteria, what else are they doing that may protect our bodies
from infection?"
The work of Dale, Darveau, and Clark was funded by
the National Institute of Dental and Craniofacial Research (NIDCR).
This story has been adapted from a news release issued
by University Of Washington, www.washington.edu.
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