Review Article

An Overview of Pathogen Recognition Receptors for Innate Immunity in Dental Pulp

Table 2

Summary of recent finding with PRR in dental pulp.

Author/year/journalPRRCell/animalStudy designRelevant findings

Durand et al., 2006, J Immunol [32]TLROdontoblastIn vitroLTA upregulates TLR2 and chemokine expression while downregulating dentin matrix synthesis and mineralization

Jiang et al. 2006
J Endod [33]
TLR4Odontoblast
Dental pulp tissue
In vitroTLR4 expression in normal DP

Mutoh et al., 2007, J Endod [34]TLR2, TLR4Murine pulp tissueIn vivoTLR2, TLR4 expression in DP
TLR2 regulates early stage of pulp inflammation

Marcato et al., 2008, Oral Microbiol Immunol [35]TLR2, TLR4Mouse modelIn vivoTLR2, TLR4 induce NO and ROS production by macrophage stimulated with root canal pathogens

Mutoh et al., 2009, J Endod [36]TLR2, TLR4SCID miceIn vivoTLR2, TLR4 are triggered by dental pathogen in irreversible pulpitis

Horst et al., 2009, J Dent Res [37]TLR2, TLR4OdontoblastIn vitroTGF-β1 inhibits TLR2, TLR4 expression against dental pathogens

Hirao et al., 2009, J Dent Res [16]TLR2, TLR4 and NOD1, NOD2HDPFIn vitroTLR2, TLR4, NOD1, and NOD2 expression in DP
NOD2 is an immunomodulator through TLR2, leading to progressive pulpitis

Lin et al., 2009, J Endod [38]NOD2HDPCIn vitroNOD2 expression in normal DP

Keller et al., 2010, Immunobiology [39]TLR2Odontoblast
HDPF
In vitroLTA upregulates TLR2 in odontoblasts and HDPF

Park et al., 2010, J Dent Res [40]TLR2HDPFIn vitroTLR2 on HDPF with histamine receptor-1 induces pulpal inflammation via Cox-2 activation

Botero et al., 2010, J Dent Res [41]TLR4HDPSC (HDPF)In vitroLPS upregulates VEGF
DPSC express TLR4

Farges et al., 2011, Immunobiology [42]TLR2OdontoblastIn vitroTLR2 engages production of mediators in odontoblasts

Keller et al., 2010, Innate Immun [43]TLR2,
NOD2
HDPC, odontoblastIn vitroUpregulation of TLR2, NOD2 through stimulation via LTA in inflamed DP

Lee et al.,  2011,  J Endod [18]NOD1HDPFIn vitroUpregulation of NOD1 in inflamed DP

Song et al., 2012, J Endod [44]NALP3HDPFIn vitroNALP3 upregulates in dental pulp immune defense

Da Silva et al., 2012, J Endod [45]TLR2TLR2 KO miceIn vivoTLR2 regulates inflammatory response and host’s immune to root canal and periradicular infection

Carrouel et al., 2013, J Endod [46]TLR2OdontoblastIn vitroLBP reduces TLR2-dependant immune responses by LTA in human odontoblast-like cells

Zhang et al., 2013, Int Endod J [47]TLR9OdontoblastIn vitroTLR9 regulates the remodeling of injured DP and hard tissues by inducing MMP-13

He et al., 2013, Int Endod J [5]TLR4HDPSCIn vitroLPS upregulates IL-8 with engagement of TLR4/MyD88/NF-B and MAPK pathways in DP

Keller et al., 2011,   
Innate Immun [43]
NOD2OdontoblastIn vitroLTA augmented NOD2 expression in odontoblasts

Wang et al., 2013, J Endod [48]AIM2Rat model
Rat pulp cell
In vivo
In vitro
AIM2 is only detected in the odontoblast layer and mediates inflammatory response during pulpitis

Cardoso et al., 2014
J Endod [49]
TLR2Inflamed and healthy human dental pulp tissueIn vitroHypomethylation of TLR2 and CD14 gene mediates immune responses against LPS

He et al., 2014
J Endod [50]
TLR4HDPSCIn vitroLPS enhances Wnt5a expression via TLR4/MyD88/NF-B pathways in DP

Feng et al., 2014, Cell Tissue Res [51]TLR4HDPSCIn vitroLPS+ TLR4 complex stimulates inflammation in DP

Liu et al., 2014, J Endod [52]TLR4HDPSCIn vitroLPS activates TLR4
TLR4 regulates the proliferation and migration of DPSC in deep dental caries

Pääkkönen et al., 2014, Int Endod J [53]TLR3, TLR7, TLR8, and TLR9OdontoblastIn vitroTLR3, TLR7, TLR8, and TLR9 mRNA (virus recognition PRR) participate in immune response in DP

Lee et al., 2014,
Clin Oral Invest [54]
TLR2, TLR4, and NALP3HDPCIn vitroTLR and NALP3 activate immune responses during progression of pulpitis

Zhang et al., 2015,
Mol Immunol [55]
NALP3, TLR4HDPFIn vitroNALP3 in HDPFs triggers IL-1 secretion in response to LPS plus ATP
LPS engaged TLR4/MyD88/NF-B pathway to enhance NLRP3

Lee et al., 2014, Clin Oral Invest [54]NALP3HDPFIn vitroNOD2 activates TLR2, TLR4, and NALP3 inflammasome-signaling pathways

Liu et al., 2014, Int Endod J [52]NALP3HDPSCIn vitroNALP3 expressed in periapical lesion

TLR: Toll-like receptor; LTA: lipoteichoic acid; DP: dental pulp; NO: nitric oxide; ROS: reactive oxygen species; SCID: severe combined immunodeficiency mice; TGF-β1: transforming growth factor-1; HDPF: human dental pulp fibroblast; HDP(S)C: human dental pulp (stem) cell; NOD: nucleotide-binding oligomerization domain; Cox: cyclooxygenase; LPS: lipopolysaccharide; VEGF: vascular endothelial growth factor; DPSC: dental pulp stem cell; NALP: NACHT [neuronal apoptosis inhibitory protein (NAIP), CIITA, HET-E, and TP-1]; KO: knockout; LBP: lipopolysaccharide-binding protein; MMP: matrix metalloproteinase; MyD88: myeloid differentiation factor 88; NF-B: nuclear factor kappa B; MAPK: mitogen-activated protein kinase; AIM: absent in melanoma; ATP: adenosine triphosphate.