Role of ROS, RNS, IL-6, TNF-alpha, chemokines, acute-phase proteins and prostaglandins in the development of acute odontogenic inflammation

Authors

Keywords:

acute odontogenic inflammation, ROS, RNS, IL-6, TNF-alpha

Abstract

Inflammation is a complex of reactions that develop in tissues in response to the action of various factors and is essentially a protective immune response that is carried out by the macroorganism against pathogens. Acute odontogenic inflammatory processes are of a bacterial origin, and their development goes through four phases. The innate immune system recognizes a wide range of different pathogens – viruses, bacteria, fungi – through specific receptors, known in the literature as pattern-recognition receptors (PRRs). If the capabilities of innate immunity prove insufficient to cope with pathogens, the mechanisms of acquired immunity are involved through the activation of T- and B-lymphocytes. The role of cellular and molecular biomarkers is significant, the most important of which are: ROS (reactive oxygen species) and RNS (reactive nitrogen species); DNA derivatives; cytokines such as interleukin 6 (IL-6) and tumor necrosis factor alpha, as well as chemokines; acute-phase proteins, such as C-reactive protein (CRP); prostaglandins; cyclooxygenase metabolites; growth factors associated with inflammation; and transcription factors such as nuclear factor kappa B (NF-kappa B); cells of the immune system.

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Published

20.04.2026

Issue

Section

Scientific reviews

How to Cite

Pavlov, N., & Pechalova, P. (2026). Role of ROS, RNS, IL-6, TNF-alpha, chemokines, acute-phase proteins and prostaglandins in the development of acute odontogenic inflammation. Medical Review, 62(3), 13-18. https://journals.mu-sofia.bg/index.php/mr/article/view/765