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Published in: Current Osteoporosis Reports 1/2020

01-02-2020 | Oral Microbiota | Osteoimmunology (M Nakamura and J Lorenzo, Section Editors)

The Interrelationship Between Diabetes, IL-17 and Bone Loss

Authors: Zhen Huang, Xiyan Pei, Dana T. Graves

Published in: Current Osteoporosis Reports | Issue 1/2020

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Abstract

Purpose of Review

Diabetes has a detrimental effect on bone, increasing the risk of fracture and formation of osteolytic lesions such as those seen in periodontitis. Several diabetic complications are caused by diabetes-enhanced inflammation. This review examines mechanisms by which IL-17 contributes to diabetes-enhanced periodontitis and other effects of IL-17 on bone.

Recent Findings

IL-17 upregulates anti-bacterial defenses, yet its expression is also linked to a destructive host response in the periodontium. Periodontal disease is caused by bacteria that stimulate an inflammatory response. Diabetes-enhanced IL-17 increases gingival inflammation, which alters the composition of the oral microbiota to increase its pathogenicity. In addition, IL-17 can induce osteoclastogenesis by upregulation of TNF and RANKL in a number of cell types, and IL-17 has differential effects on osteoblasts and their progenitors.

Summary

Increased IL-17 production caused by diabetes alters the pathogenicity of the oral microbiota and can promote periodontal bone resorption.
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Metadata
Title
The Interrelationship Between Diabetes, IL-17 and Bone Loss
Authors
Zhen Huang
Xiyan Pei
Dana T. Graves
Publication date
01-02-2020
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 1/2020
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-020-00559-6

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