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Lactoperoxidase

Lactoperoxidase (LPO) is a heme-containing enzyme that plays a crucial role in the innate immune system, particularly on mucosal surfaces. It is abundantly found in various exocrine secretions, including milk, saliva, tears, and mucus, forming a vital part of the host’s first line of defense against pathogens.

The primary biological function of lactoperoxidase involves its potent antimicrobial activity. This is achieved through the catalysis of the oxidation of thiocyanate ions (SCN-) by hydrogen peroxide (H2O2), which are naturally present in biological fluids. This reaction produces hypothiocyanite (OSCN-) and other oxidized halogens. Hypothiocyanite is a mild oxidant that effectively inhibits the metabolic activity and growth of a broad spectrum of microorganisms, including bacteria, fungi, and some viruses, without causing significant damage to host cells. This mechanism is known as the lactoperoxidase system, and it contributes to a non-specific defense system that complements the specific adaptive immune response.

The antimicrobial properties of lactoperoxidase make it clinically relevant in several areas. In oral health, it contributes to protecting the oral cavity from bacterial overgrowth and maintaining a balanced oral microbiome, thus preventing conditions like dental caries and periodontal diseases. In newborns, lactoperoxidase in breast milk provides crucial immune protection, particularly in the gastrointestinal tract, where it helps defend against enteric pathogens. Its role in modulating microbial populations has led to its inclusion in various hygiene products, such as toothpastes, mouthwashes, and contact lens solutions, to enhance their antimicrobial efficacy.

Beyond its direct biological and clinical roles, lactoperoxidase holds social importance, particularly in food safety and preservation. The natural lactoperoxidase system in milk is utilized as a biopreservative method in some regions to extend the shelf life of raw milk, especially where refrigeration is limited. By inhibiting bacterial growth, it helps ensure milk safety and reduces spoilage, contributing to food security and public health. Furthermore, its potential applications in biotechnology and medicine continue to be explored, highlighting its versatility as a natural antimicrobial agent.

Genetic variations play a crucial role in modulating biological pathways, including those integral to innate immunity and host defense, where lactoperoxidase (LPO) is a key enzyme. Variants in genes encoding glycosyltransferases, such as MAN1A1, FUT2, FUT6, and FUT3, can significantly alter cellular recognition and immune responses. MAN1A1 (Mannosidase Alpha Class 1A Member 1) is involved in trimming N-glycans in the endoplasmic reticulum; variations like rs62418808 and rs76158833 could modify glycan structures, potentially influencing how immune cells interact with pathogens or how proteins are folded and secreted, thereby affecting the overall immune landscape that lactoperoxidase helps defend.[1] Similarly, FUT2 (Fucosyltransferase 2) determines secretor status, which impacts the presence of ABO blood group antigens in mucosal secretions; its variants, rs516246 and rs601338 , can alter the mucosal environment, potentially affecting bacterial adhesion and the efficacy of antimicrobial systems like lactoperoxidase.[2] FUT6 (Fucosyltransferase 6) and FUT3 (Fucosyltransferase 3) contribute to the synthesis of Lewis antigens, which are important cell surface markers involved in cell adhesion and inflammatory processes. Variants such as rs17855739 , rs12019136 in FUT6 and rs537757549 , rs2608894 in FUT3could modify these markers, influencing immune cell trafficking and pathogen interactions, thereby indirectly linking to the broader context of innate immunity where lactoperoxidase operates.

Receptor and signaling genes also show variations with implications for immune function. MRC1(Mannose Receptor C-Type 1) encodes a C-type lectin receptor on immune cells that recognizes pathogen-associated carbohydrate patterns, facilitating pathogen uptake and immune activation.[3] The variant rs56278466 in MRC1could alter receptor efficiency, potentially impacting the initial immune recognition of pathogens and the subsequent inflammatory response, which lactoperoxidase helps to manage.LGR6(Leucine-Rich Repeat Containing G Protein-Coupled Receptor 6) is involved in stem cell maintenance and tissue regeneration, particularly in barrier tissues like the skin; variations likers12129456 might affect epithelial integrity and repair, critical factors in preventing pathogen entry and complementing the antimicrobial actions of enzymes such as lactoperoxidase.[4]

The LPOgene itself encodes lactoperoxidase, a crucial enzyme in the innate immune system, particularly active in mucosal secretions like saliva, tears, and milk. This enzyme generates antimicrobial compounds by oxidizing thiocyanate and halides, offering broad protection against bacteria, viruses, and fungi. Variants such asrs368901060 , rs8178290 , and rs11337012 within the LPO gene could directly influence the enzyme’s activity, stability, or expression levels, thereby impacting the effectiveness of the body’s first line of defense. [1] Additionally, genes involved in neurotrophic support, such as NRTN (Neurturin), with variants like rs79744308 and rs7250982 , could indirectly affect mucosal health through neuro-immune interactions. Proline-rich proteins like PRR4 and PRH1, often found in saliva, contribute to oral immunity by modulating the microbial environment and protecting oral tissues. The variant rs10772398 , shared across PRR4, PRH1, and TAS2R14(a bitter taste receptor), might affect the composition or protective functions of saliva, influencing how effectively the lactoperoxidase system can function in the mouth .TAS2R14itself, expressed in various tissues beyond taste buds, can detect bacterial signals and trigger local immune responses, thus variations could impact early pathogen detection and subsequent immune activation, working in concert with lactoperoxidase.

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RS IDGeneRelated Traits
rs62418808
rs76158833
MAN1A1blood protein amount
lactoperoxidase measurement
rs516246
rs601338
FUT2inflammatory bowel disease
serum gamma-glutamyl transferase measurement
vitamin B12 measurement
Crohn’s disease
type 1 diabetes mellitus
rs56278466 MRC1aspartate aminotransferase measurement
liver fibrosis measurement
ADGRE5/VCAM1 protein level ratio in blood
CD200/CLEC4G protein level ratio in blood
HYOU1/TGFBR3 protein level ratio in blood
rs368901060
rs8178290
rs11337012
LPOlactoperoxidase measurement
rs17855739
rs12019136
FUT6E-selectin amount
age-related macular degeneration, COVID-19
alpha-(1,3)-fucosyltransferase 5 measurement
lactoperoxidase measurement
beta-1,4-glucuronyltransferase 1 measurement
rs79744308
rs7250982
NRTNblood protein amount
interleukin-1 receptor-like 2 measurement
level of mucin-13 in blood
alkaline phosphatase measurement
lactoperoxidase measurement
rs537757549
rs2608894
FUT3lactoperoxidase measurement
rs12129456 LGR6lactoperoxidase measurement
rs61180947 CATSPERDlactoperoxidase measurement
rs10772398 PRR4, PRH1, TAS2R14lactoperoxidase measurement

[1] Benjamin EJ. Genome-wide association with select biomarker traits in the Framingham Heart Study. BMC Med Genet. 2007;8 Suppl 1:S11.

[2] Gieger C. Genetics meets metabolomics: a genome-wide association study of metabolite profiles in human serum. PLoS Genet. 2008;4(11):e1000282.

[3] Melzer D. A genome-wide association study identifies protein quantitative trait loci (pQTLs). PLoS Genet. 2008;4(5):e1000072.

[4] Yuan X. Population-based genome-wide association studies reveal six loci influencing plasma levels of liver enzymes. Am J Hum Genet. 2008;83(5):549-61.