“…These results suggested a differential pattern of macrophage infiltration/differentiation/maturation in aged healthy tissues that tended towards increased inflammatory and tissue destructive macrophages (M1), even in healthy aged tissues. Thus, as we have found previously exploring gene expression profiles for other pathways (Gonzalez, Stromberg, Huggins, Gonzalez-Martinez, Novak and Ebersole, 2011, Gonzalez, John Novak, Kirakodu, Stromberg, Shen, Orraca, Gonzalez-Martinez and Ebersole, 2013, Gonzalez, Novak, Kirakodu, Orraca, Chen, Stromberg, Gonzalez-Martinez and Ebersole, 2014, Ebersole, Kirakodu, Novak, Stromberg, Shen, Orraca, Gonzalez-Martinez, Burgos and Gonzalez, 2014), while apparently clinically healthy, the aged gingival tissues seem to be fundamentally altered in the local environmental milieu of cellular functions that may present an enhanced predisposition to a tissue destructive process when challenged with a more pathogenic microbial stimulus. Additionally, in periodontitis tissues, increases in gene expression reflecting an increase in total macrophage populations appeared to be primarily related to increases in M1 cells, reflecting a response more skewed towards tissue destructive inflammation than was observed even in the adult periodontitis tissues.…”