解开口腔肠轴:牙周炎和炎症性肠病之间的相互联系,当前的挑战和未来的前景
Himanshi Tanwar1, Jeba Mercy Gnanasekaran1, Devon Allison1
1Division of Periodontology, University of Maryland School of Dentistry, Baltimore, MD, USA.
Journal of Crohn's & colitis
|February 28, 2024
概括
口腔和肠道连接在一起,形成口腔-肠轴. 像牙周炎这样的口腔疾病在炎症性肠病 (IBD) 患者中更为常见,这表明共享的途径.
科学领域:
- 胃肠道学和口腔医学
- 微生物学和免疫学
背景情况:
- 口腔和肠道,尽管有解剖学上的分离,但它们具有重要的微生物和免疫连接.
- 新出现的证据表明,口腔病理和炎症性肠病 (IBD) 之间存在双向关系,这挑战了将它们视为独立疾病的观点.
研究的目的:
- 审查支持"口腔-肠道"轴的证据.
- 检查口腔疾病和IBD之间共享的微生物和免疫路径.
- 为牙周炎引起的肠道炎症提出一个"多重打击"假设.
主要方法:
- 对调查口腔肠轴的研究的文献综述.
- 分析共享的微生物和免疫因素.
- 检查有关口腔疾病和IBD同时发生的流行病学数据.
主要成果:
- 患有IBD的患者患有牙周炎和其他口腔疾病的患病率更高.
- 口腔肠轴的特点是共享的微生物和免疫路径.
- 对于牙周炎介导的肠道炎症的发病原因,提出了一种"多重打击"假说.
结论:
- 口腔健康和肠道健康之间存在着复杂的相互关系.
- 牙医和胃肠病学家之间的合作对于综合口腔系统医疗保健至关重要.
- 了解口腔肠轴对于管理IBD和口腔病理至关重要.
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