The oral cavity isn't just for smiling. It, in fact, has so many mechanisms that help protect you against disease. You have a lot to consider when it comes to oral immunology. Among these, you have your saliva, mucosa, gingival sulcus, tonsils, and your TASTE BUDS. ...
People usually associate taste buds with, well, taste. But there's really much more to this structure than just taste perception. A bit about the taste buds first before we go on to its role in oral immunology....
The "top side" of the 👅 has three major taste buds named after their shape when seen under the 🔬: fungiform (mushroom-shaped), foliate (leaf-shaped), and circumvallate (dome-shaped ). Pic shows fungiform papillae uky.edu/~brmacp/oralhi…
These papillae are scattered in different locations on the tongue. Circumvallate papillae are at the back near the tonsils, foliate papillae are on the sides of the tongue, and fungiform ones are at the tip...biologyboom.com/wp-content/upl…
Among all the papillae, the fungiform papillae are the ones that contain taste buds. Circumvallate papillae contain around 100 taste buds, while the foliate papillae have none....
One special kind of immune tissue found in special body structures is called MALTs (Mucosa Associated Lymphoid Tissue). These are seen in organs with mucosa with many seen in the gut. In the gut, these MALTS have special cells called Microfold cells (M cells) which take in...
Pathogens so they can be delivered to other immune cells like dendritic cells and macrophage so they can be processed and "presented" to your more famous cells --the T-cells and B-cells.
The papillae on your tongue are also surrounded by the immune cells mentioned above...
In a study performed in mice, it was shown that taste cells meant to process sweet tastes (type 2 cells) can also elicit an immune response similar to M cells which, in turn, can activate the other immune cells to fight pathogens. journals.plos.org/plosbiology/ar…
In this study, mice with and without a protein called Spib were observed. Mice with Spib were able to activate signals similar to those of M cells in the gut which could then activate other immune cells. These were particularly seen in the sweet taste cells and not...
In other taste cells.
A protein known as RANKL is known to stimulate M cells in the gut.
Adding RANKL to mice with Spib further stimulated M cells signals.
Also noted in the study were mice with Spib showing an increased liking to sweet tastes...
In addition to your sweet taste buds being part of mucosal immunity, some other things to consider is how you lose your sense of taste whenever you get sick. This is due to interactions between pathogenic proteins and proteins on your 👅 surface...
Which lead to an inflammatory response. (Yes, it's most probably the same thing that happens in #Covid. That's how much your tongue can protect you from pathogens.)
Take note too that RANKL is a protein that is known to induce an inflammatory response...
In gum diseases like periodontitis.
(Sounds familiar?)
Extreme responses during disease can also lead to oral dysbiosis... hindawi.com/journals/bmri/…
That can lead to oral diseases like thrush and even a condition called "black tongue". (Again, sounds familiar?)
Oral dysbiosis can also lead to autoimmunity.... frontiersin.org/articles/10.33…
So putting all these things together, what "new thing" has caused extreme inflammatory reactions that has led to loss of taste and oral dysbiosis?
Btw,autoimmunity has also been greatly attributed to this "new thing". ABC? H/T @DavidJoffe64 sciencedirect.com/science/articl…
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So you're worried about your pearly whites and your smile? Let's dig a bit deeper. About your 🦷. 🧵...
The teeth are divided into 2 parts: the crown (above gum line) and the root (below gum line). The tooth tissue that you see when you see is the enamel. It's mostly made of inorganic stuff and is one of the hardest tissues in the body. (Fun fact).
Underneath the enamel...
is another layer of tooth tissue called the dentin. It is what makes up the bulk of the teeth.
Below the gum line is/are the root/s. It's also made of dentin and is covered by cementum. (No enamel down there).
What keeps your teeth "alive" (dentists say "vital") is the pulp...
There's a concerning study about #Covid and kids that just came out. But before that, something to further explain immunity in the mouth....
The tonsils are always mentioned whenever there's an infection in the oral cavity or the upper respiratory tract.
The tonsils, when not inflamed, are usually seen at the sides of that hanging thingy that you see called the "uvula". There's one on the right and one on the left...
The palatine tonsils are special since they are made up of lymphoid tissue and are part of a specialized type of immune tissues known as the MALTs (Mucosa Associated Lymphoid Tissue). Uhhh...nope. Not that. 👇...
Felt like tweeting about the oral microbiome, which actually is an added feature in the immune system of the mouth/oral cavity. 🧵 When people talk about the oral cavity, they often put focus on teeth and that perfect smile. The mouth is more than that though, as shown here 👇...
When people talk about the oral cavity, focus is easily put on teeth and cavities. What they fail to see though is that the mouth has "special features" that help protect us from other diseases. We have salivary enzymes, immunoglobulins, mucosa-associated lymphoid tissues...
and the perfect balance of microbes--bacteria, fungi, and viruses-- that when disturbed may lead to oral diseases...
Would like to expound a bit on this article wrt possible defects in tooth structure during embryonic development that may happen when a pregnant woman contracts Covid scielo.br/j/pboci/a/Vvn3…. H/t @beattrice_ (🧵)...
Tooth development usually happens in stages and they start as early as 6 wks during pregnancy.
Tooth dev is divided into stages: bud, early cap, late cap and bell stage
(Photo courtesy of pocketdentistry.com)...
As always, molecular signals and biochemical pathways are highly responsible for initiating tooth development. This is a continuous process. Any disruption or change in these signals caused by external factors--such as viruses-- can lead to congenital defects such that...
An interesting preprint came out today (H/T @ringleader_ ) which may give us a clue as to why we're suddenly seeing reports of gum disease and falling teeth. The last time I tweeted about this, focus was placed on ⬆️osteoclastic activity, which may affect bone along the 🧵1/
alveolar ridge of both the maxilla (upper jaw) and mandible (lower jaw). 2/
Would like to focus now on periodontal fibers, which are another set of components of a system otherwise known as the periodontium.
Periodontal fibers are fibrous structures that serve as the attachment of your teeth's roots to the surrounding bone. So you can actually think 3/
There's a lot to say about risk v benefit and this is exactly where this tweet goes oh so wrong. Even with medication, one tries to assess the risk from adverse effects compared to what one can benefit from taking medication. Obviously, benefits should outweigh risks all the (1)
time. So now let's weigh the risks v the benefits of exposing people, much more children, to pathogens. Exposing them to the most common and least harmful cold virus will, maybe, outweigh the benefits of children getting to socialize or learn in a classroom. Will it help in (2)
building their immune system by inducing memory? Probably. But see here, we're talking about strep and Covid and maybe a more harmful version of the flu virus which, CLEARLY, pose more risks than benefits. The kids won't just end up missing school hours on this one. Your (3)