4.3 Review

Eye on the Enigmatic Link: Dysbiotic Oral Pathogens in Ocular Diseases; The Flip Side

Journal

INTERNATIONAL REVIEWS OF IMMUNOLOGY
Volume 40, Issue 6, Pages 409-432

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/08830185.2020.1845330

Keywords

Age-related macular degeneration; angiogenesis; chronic inflammation; drusen; immune response; inflammation; oral microbiome; pathogens; periodontitis; retinal degeneration

Categories

Funding

  1. DCG Startup Fund
  2. AU Intra-Mural Grant

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The paradigm shift has led to the consideration of oral health as a fundamental part of overall well-being, with implications of chronic oral inflammation on eye diseases. Mechanisms by which periodontal microbiota may trigger immune dysfunction and promote the development of periodontal disease-associated AMD have been discussed.
Mouth and associated structures were regarded as separate entities from the rest of the body. However, there is a paradigm shift in this conception and oral health is now considered as a fundamental part of overall well-being. In recent years, the subject of oral-foci of infection has attained a resurgence in terms of systemic morbidities while limited observations denote the implication of chronic oral inflammation in the pathogenesis of eye diseases. Hitherto, there is a paucity for mechanistic insights underlying the reported link between periodontal disease (PD) and ocular comorbidities. In light of prevailing scientific evidence, this review article will focus on the understudied theme, that is, the impact of oral dysbiosis in the induction and/or progression of inflammatory eye diseases like diabetic retinopathy, scleritis, uveitis, glaucoma, age-related macular degeneration (AMD). Furthermore, the plausible mechanisms by which periodontal microbiota may trigger immune dysfunction in the Oro-optic-network and promote the development of PD-associated AMD have been discussed.

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