Immune dysregulation and macrophage polarization in peri-implantitis

Front Bioeng Biotechnol. 2024 Jan 29:12:1291880. doi: 10.3389/fbioe.2024.1291880. eCollection 2024.

Abstract

The term "peri-implantitis" (peri-implantitis) refers to an inflammatory lesion of the mucosa surrounding an endosseous implant and a progressive loss of the peri-implant bone that supports the implant. Recently, it has been suggested that the increased sensitivity of implants to infection and the quick elimination of supporting tissue after infection may be caused by a dysregulated peri-implant mucosal immune response. Macrophages are polarized in response to environmental signals and play multiple roles in peri-implantitis. In peri-implantitis lesion samples, recent investigations have discovered a considerable increase in M1 type macrophages, with M1 type macrophages contributing to the pro-inflammatory response brought on by bacteria, whereas M2 type macrophages contribute to inflammation remission and tissue repair. In an effort to better understand the pathogenesis of peri-implantitis and suggest potential immunomodulatory treatments for peri-implantitis in the direction of macrophage polarization patterns, this review summarizes the research findings related to macrophage polarization in peri-implantitis and compares them with periodontitis.

Keywords: immune dysregulation; macrophages; peri-implantitis; periodontitis; polarization.

Publication types

  • Review

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Key R&D Program of China (2020YFC2009000, Project No. 2020YFC2009005), and supported by Beijing Natural Science Foundation (No. 7222228), and by the National Program for Multidisciplinary Cooperative Treatment on Major Diseases (PKUSSNMP-202004).