牙周病和阿尔茨海默病之间的关联:一个范围审查
Xiaocui Zhang1, Xin Huang1, Mengdie Chang1
1Department of Stomatology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Frontiers in aging neuroscience
|October 31, 2025
概括
牙周病 (PD) 可能会增加阿尔茨海默病 (AD) 的风险,并加速认知能力下降. 牙周治疗显示了AD预防和管理的潜力,但需要更多的研究.
科学领域:
- 神经科学是一个神经科学.
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 阿尔茨海默病 (AD) 是导致痴呆的主要原因,轻度认知障碍 (MCI) 是早期阶段.
- 牙周病 (PD) 是一种与全身性疾病相关的慢性炎症状况.
- 新出现的证据表明PD和AD/MCI之间存在联系.
研究的目的:
- 对PD和AD之间的关联进行现有证据的范围审查.
- 探索潜在的生物机制,链接PD和AD.
- 评估PD对AD进展和潜在干预措施的影响.
主要方法:
- 在PubMed,Embase和Cochrane数据库 (2004-2025) 中进行了全面的文献搜索.
- 包括的研究包括人类临床试验,动物模型和体外实验.
- 两个研究人员独立选研究,提取数据,并评估质量.
主要成果:
- 包括52项研究,其中25项临床研究检查了PD-AD相关性.
- 有证据表明PD提高AD风险,加快认知能力下降.
- 机制包括粉样β和聚, Porphyromonas gingivalis诱导的神经炎症,以及肠-大脑轴的破坏.
结论:
- PD可能是AD的可修改风险因素.
- 牙周干预可以帮助AD预防和管理.
- 需要进行进一步的临床试验,以验证针对AD的口腔微生物群的治疗潜力.
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