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Protein regulation significantly influences the pathogenesis and management of periodontitis. However, research regarding its regulatory role in periodontitis remains relatively limited. The ubiquitin\u2010proteasome system (UPS), which mainly involves ubiquitination by E3 ubiquitin ligases (E3s) and deubiquitination by deubiquitinating enzymes (DUBs), is the primary intracellular and non\u2010lysosomal mechanism of protein degradation. Recent studies have provided compelling evidence to support the involvement of UPS in periodontitis progression. Increasing evidence indicated that E3s, such as CUL3, Nedd4\u20102, Synoviolin, FBXL19, PDLIM2, TRIMs and TRAFs, modulate inflammatory responses and bone resorption in periodontitis through multiple classical signalling pathways, including NLRP3, GSDMD, NF\u2010\u03baB, Wnt\/\u03b2\u2010catenin and Nrf2. Meanwhile, DUBs, including OTUD1, A20, CYLD, UCH\u2010L1 and USPs, also broadly modulate periodontitis progression by regulating signalling pathways such as NF\u2010\u03baB, Wnt\/\u03b2\u2010catenin, NLRP3, and BMP2. Therefore, the modulation of E3s and DUBs has proven to be an effective therapy against periodontitis. This review provides a comprehensive overview of the regulatory role of ubiquitinating and deubiquitinating enzymes in periodontitis progression and the underlying mechanisms. Finally, we summarise several chemical and genetic methods that regulate UPS enzymes and pave the way for the development of targeted therapies for periodontitis.<\/jats:p>","DOI":"10.1111\/cpr.13781","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T20:44:41Z","timestamp":1733258681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Ubiquitin\u2010Proteasome System in Periodontitis: Mechanisms and Clinical Implications"],"prefix":"10.1111","volume":"58","author":[{"given":"Yilin","family":"Ma","sequence":"first","affiliation":[{"name":"Institute of Stomatology, School and Hospital of Stomatology Wenzhou Medical University  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruiwei","family":"Jia","sequence":"additional","affiliation":[{"name":"Institute of Stomatology, School and Hospital of Stomatology Wenzhou Medical University  Wenzhou 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and Hospital of Stomatology Wenzhou Medical University  Wenzhou China"},{"name":"Department of Prosthodontics, School and Hospital of Stomatology Wenzhou Medical University  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Sun","sequence":"additional","affiliation":[{"name":"Institute of Stomatology, School and Hospital of Stomatology Wenzhou Medical University  Wenzhou China"},{"name":"Department of Periodontics, School and Hospital of Stomatology Wenzhou Medical University  Wenzhou 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