“…Inflammation-stimulating factors released by bacteria, such as LPS and TNF-α, activate the immune response in PDL cells, thereby aggravating the destruction of alveolar bone. Among the 18 studies that investigated the regulatory role of lncRNAs in PDL cells in response to inflammation and other stimuli, 6 studies compared the inflammatory responses of H-PDL and P-PDL cells [ 66 , 67 , 68 , 69 , 70 , 71 ], 7 studies stimulated PDL cells with LPS or/and TNF-α to mimic periodontal inflammation [ 66 , 68 , 69 , 70 , 71 , 72 , 74 ], 3 studies stimulated PDL cells with mechanical stress [ 73 , 74 , 75 ], 1 study subjected PDL cells to hypoxia [ 76 ], and 1 study subjected cells to oxidative stress [ 77 ]. Under these stimuli, the biological activities of PDL cells, including cell proliferation, apoptosis, inflammatory responses, osteogenic differentiation, and autophagy, were explored.…”