“…26,35,36 These compounds increase cathepsin B and cAMP, secretion of PGE 2 , and permeability of the oral mucosa, decrease protein and collagen synthesis, and inhibit growth and proliferation of epithelial cells. [37][38][39][40][41] It has also been shown that exposure to methyl mercaptan alters protein synthesis in human gingival fibroblasts, inhibits cell migration, and reduces intracellular pH in periodontal ligament cells. 42,43 On the basis of a previous report, 30 it seems that most strains of H. pylori require sulfur-containing amino acids and can produce VSCs.…”