The Role of the Innate Immune Response in Oral Mucositis Pathogenesis.

Int J Mol Sci

School of Biomedicine, University of Adelaide, Adelaide 5005, Australia.

Published: November 2023


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Article Abstract

Oral mucositis (OM) is a significant complication of cancer therapy with limited management strategies. Whilst inflammation is a central feature of destructive and ultimately ulcerative pathology, to date, attempts to mitigate damage via this mechanism have proven limited. A relatively underexamined aspect of OM development is the contribution of elements of the innate immune system. In particular, the role played by barriers, pattern recognition systems, and microbial composition in early damage signaling requires further investigation. As such, this review highlights the innate immune response as a potential focus for research to better understand OM pathogenesis and development of interventions for patients treated with radiotherapy and chemotherapy. Future areas of evaluation include manipulation of microbial-mucosal interactions to alter cytotoxic sensitivity, use of germ-free models, and translation of innate immune-targeted agents interrogated for mucosal injury in other regions of the alimentary canal into OM-based clinical trials.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10670995PMC
http://dx.doi.org/10.3390/ijms242216314DOI Listing

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