帕金森病与牙周炎症有积极的关联
Melis Yilmaz1,2, Ekin Yay1,2, Nur Balci2
1The Forsyth Institute, Cambridge, Massachusetts, USA.
Journal of periodontology
|July 11, 2023
概括
帕金森病 (PA) 与牙周炎症的增加有关,该炎症通过探针上的出血和炎症标志物的升高而表现出来. 这表明牙疾病与PA患者的神经炎症之间存在联系.
科学领域:
- 神经科学是一个神经科学.
- 牙周病学 牙周病学
- 免疫学 免疫学 免疫学
背景情况:
- 帕金森病 (PA) 影响了60岁以上的人口的1%,神经炎症在其发病过程中发挥了关键作用.
- 假设PA与牙周组织炎症有关,可能增加全身炎症负担.
研究的目的:
- 为了研究帕金森病和牙周炎症之间的关联.
- 在PA患者中探索牙周炎症和全身炎症标志物之间的联系.
主要方法:
- 招募了60名患有牙周炎 (P) 和帕金森病 (PA) 的患者 (n=20),60名仅患有牙周炎的患者 (n=20),以及20名健康对照人 (n=20).
- 收集的临床牙周数据和生物样本 (血清,唾液,牙裂液 - GCF).
- 测量了炎症和神经退行性标志物,包括YKL-40,弗拉克塔尔金,S100B,α-synuclein,tau,VCAM-1,BDNF和NfL.
主要成果:
- 与对照组相比,患有牙周炎 (P) 和患有P+PA的患者的牙周参数和GCF体积显著更高.
- 与单独患有牙周炎的患者相比,帕金森病患者的探针出血 (BOP) 显著增加.
- 与P和对照组相比,P+PA组的唾液和血清中观察到高水平的YKL-40. 在P+PA组中,GCF NfL和S100B水平也明显高于P+PA组.
结论:
- 帕金森病与牙周炎症负担的增加密切相关,由BOP和炎症标志物证明.
- 这些发现表明,在帕金森病中牙周炎症和神经炎症之间存在平行关系.
- 牙周炎症可能导致在帕金森病中观察到的全身炎症状态.
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