糖尿病和牙周炎之间的双向关联,从基本到临床
Takanori Shinjo1, Fusanori Nishimura1
1Section of Periodontology, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka 812-8582, Japan.
The Japanese dental science review
|December 15, 2023
概括
糖尿病通过炎症和胰岛素耐药性使牙周炎恶化. 牙周炎反过来对糖尿病控制产生负面影响,突出显示了关键的双向联系. 本综述探讨了这些联系和潜在的干预措施.
科学领域:
- 口腔健康 口腔健康
- 内分泌学 在内分泌学.
- 代谢综合征是代谢综合征的一种.
背景情况:
- 糖尿病与牙周炎的患病率和严重程度的增加有关.
- 严重的牙周炎通过通过全身微炎症损害胰岛素作用,对糖尿病产生不利影响.
- 牙周炎和糖尿病之间存在双向关系,涉及复杂的分子机制.
研究的目的:
- 审查糖尿病对牙周炎的影响,重点关注代谢异常和胰岛素抵抗.
- 检查牙周炎对糖尿病的影响,特别是脂肪组织的微炎症.
- 讨论未来的战略,以打断这种不利的相互关系.
主要方法:
- 关于糖尿病与牙周炎联系的最新发现的文献综述.
- 对分子机制和流行病学数据的分析.
- 合成有关代谢和炎症途径的信息.
主要成果:
- 糖尿病通过高血糖,高脂血症,慢性炎症和胰岛素作用受损而加剧牙周炎.
- 牙周炎有助于糖尿病并发症,包括在特定亚洲人群中增加心血管疾病风险.
- 涉及胰岛素抵抗和脂肪组织衍生的微炎症的新机制是理解这种关系的关键.
结论:
- 糖尿病和牙周炎之间的相互作用是复杂的,涉及代谢和炎症途径.
- 了解这些机制对于开发新型治疗方法至关重要.
- 针对双向关系的定位可能会改善两个条件的结果.
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