LL-37 and bacterial DNA complexes in dental plaque: Implications for biofilm structure, innate immunity, and periodontal pathogenesis

LL-37-bacterial DNA complex formation represents a key event at the interface of innate defense and dysbiosis in dental plaque. This dual nature of LL-37, whereby it acts as an antimicrobial peptide when alone, yet promotes biofilm formation and inflammation when complexed with bacterial DNA, sheds new light on the mechanisms underlying biofilm persistence and chronic inflammation. Understanding this interaction may open new avenues for therapeutic strategies targeting biofilm-associated periodontal diseases.