牙周炎中微生物组衍生的生物标志物的诊断准确性:系统性审查和元分析
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Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
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Anbo Dong1, Gordon Proctor1, Svetislav Zaric1
1Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Journal of periodontal research
|January 13, 2025
概括
口腔液中的微生物组生物标志物在诊断牙周炎时具有很高的准确性. 这些发现凸显了它们在早期检测和改善患者结果方面的临床实用性.
科学领域:
- 口腔微生物学 口腔微生物学
- 诊断生物标志物 诊断生物标志物
- 牙周病是牙周病的一种疾病.
背景情况:
- 牙周炎的诊断依赖于临床症状,但微生物组分析提供了一种新的方法.
- 口服液提供可访问的样本,用于检测牙周炎相关的微生物转移.
研究的目的:
- 系统地审查和评估微生物组衍生的牙周炎生物标志物的诊断准确性.
- 评估唾液和下样本中的生物标志物的性能.
主要方法:
- 按照PRISMA指南进行系统审查.
- 从2022年12月到2024年11月进行的电子数据库搜索.
- 用随机效应模型 (REM) 和双变随机效应模型 (BREM) 进行唾液和下样本的子组分析.
主要成果:
- 包含了10项研究,分析了唾液和下样本.
- 在唾液中, Porphyromonas gingivalis, Tannerella forsythia 和 Prevotella intermedia 呈现出高灵敏度和特异性 (AUC > 0.80). 在唾液中, Porphyromonas gingivalis, Tannerella forsythia 和 Prevotella intermedia 显示出高灵敏度和特异性 (AUC > 0.80).
- 下生物标志物,包括内毒素活性和结合的细菌标志物,显示出出色的诊断性能 (AUC高达0.93).
结论:
- 来自微生物组的生物标志物在牙周炎诊断中具有显著的临床实用性,具有高灵敏度和特异性.
- 标准化方法,增加样本大小,确保多样化的群体对于验证这些发现至关重要.
- 这些生物标志物可以提高诊断的准确性,并促进早期查牙周炎和牙障.
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