“…Therefore, blockade of TNF-α and IL-6 secreted by periodontal pathogens or other cytokines may suppress pro-inflammatory responses, and inhibit the development and progression of periodontal disease. It has been reported that LPS possibly induces TNF-α and IL-6 expressions through transient phosphorylation of ERK1/2, JNK, and p38MAPK (Matsuzaki et al, 2004;Kim et al, 2007;Son et al, 2008;Neuder et al, 2009;Xiao et al, 2007). Additionally, it has been also reported that the production of inflammatory cytokines requires nuclear factor kappaB (NF-κB) activation (D'Acquisto et al, 1997).…”