炎症生物标志物在不可逆转的脉和脉坏死:一个系统的审查和元分析
Rahman Wahyudi1, Panuroot Aguilar2, Chidsanu Changsiripun3
1Faculty of Dentistry, Graduate Program in Oral Biology, Chulalongkorn University, Bangkok, Thailand; Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
International dental journal
|February 26, 2026
概括
像TNF-α这样的炎症生物标志物在不可逆转的脉炎 (IP) 中升高,即使没有症状. 这表明分子标志物可能为治疗规划提供比单独临床征兆更好的纸状况评估.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 分子生物学分子生物学
- 生物标志物发现发现
背景情况:
- 在牙科治疗中,区分不可逆转的脉病 (IP) 和脉死 (PN) 非常重要.
- 缺乏对炎症生物标志物的元分析,阻碍了准确的诊断和治疗开发.
研究的目的:
- 为了比较IP和PN中的炎症生物标志物表达与健康的纸.
- 确定疾病特异性的分子概况,以提高诊断准确度.
主要方法:
- 来自PubMed,Scopus和Cochrane的研究的系统审查和元分析 (开始2024).
- 包括具有IP或PN报告定量蛋白质生物标志物的人类永久牙.
- 从26项符合条件的研究中使用随机效应模型汇集数据.
主要成果:
- 与健康的纸相比,症状性IP显示TNF-α,IL-2,IL-6,IL-8,P物质,CGRP和catalase的增加.
- 无症状IP也显著增加了TNF-α,类似于症状IP.
- 纸死亡症显示TNF-α,IFN-γ,IL-10和TGF-β的持续升高.
结论:
- 症状和无症状的IP都表现出具有高TNF-α的炎症前驱特征.
- 分子生物标志物可能会比临床症状更准确地反映纸状况.
- 在无症状的IP中TNF-α的升高表明了对生命脉治疗评估的潜力.
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