The disease progression involves a network of interacting molecular pathways made of pro-inflammatory mediators like cytokines growth factors reactive oxygen speciesmatrix metalloproteinases (MMPs) and their inhibitors and regulators. Matrix macromolecules like proteoglycan and non- ollagen protein can be degraded by proteinases from the four major classes (metallo serine cysteine and aspartic active site residues). Matrix metalloproteinases (MMPs) are members of a large subfamily of Zn 2+ and Ca 2+ dependent proteolytic enzymes playinganimportant role in periodontal destruction.
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