Bendyk A, Marino V, Zilm P S, Howe P, Bartold P M
Dental School, University of Adelaide, Adelaide, SA, Australia.
J Periodontal Res. 2009 Apr;44(2):211-6. doi: 10.1111/j.1600-0765.2008.01108.x. Epub 2009 Feb 6.
Periodontitis is an infective disease caused predominantly by gram-negative anerobes. The host inflammatory response to these bacteria causes alveolar bone loss, which characterizes periodontitis. Omega-3 polyunsaturated fatty acids have recognized anti-inflammatory effects; their oxygenated derivatives are key mediators in reducing inflammation. In this study we tested the hypothesis that dietary supplementation with tuna fish oil rich in the n-3 polyunsaturated fatty acid, docosahexaenoic acid, would reduce alveolar bone loss in mice inoculated with periodontopathic bacteria.
Adult mice were fed experimental diets containing either 10% tuna oil or Sunola oil for 57 d. After 14 d, 35 mice on each diet were inoculated orally with Porphyromonas gingivalis, with a mixture of P. gingivalis and Fusobacterium nucleatum, with carboxymethylcellulose or remained untreated. The mice were killed, and soft tissue biopsies from the oral cavity of treated mice were used to determine the polyunsaturated fatty acid concentrations. The maxilla was removed, stained and digitally imaged to assess bone loss around the upper molars.
n-3 polyunsaturated fatty acid levels were significantly higher in oral soft tissues of mice fed tuna oil compared with the control group. Mice fed tuna oil and inoculated with P. gingivalis or with the combination of F. nucleatum and P. gingivalis exhibited 72% and 54% less alveolar bone loss respectively, compared with the treatment control group.
Alveolar bone loss was inversely related to n-3 polyunsaturated fatty acid tissue levels. In conclusion, fish oil dietary supplementation may have potential benefits as a host modulatory agent in the prevention and/or adjunctive management of periodontitis.
牙周炎是一种主要由革兰氏阴性厌氧菌引起的感染性疾病。宿主对这些细菌的炎症反应会导致牙槽骨丧失,这是牙周炎的特征。ω-3多不饱和脂肪酸具有公认的抗炎作用;其氧化衍生物是减轻炎症的关键介质。在本研究中,我们检验了以下假设:饮食中补充富含n-3多不饱和脂肪酸二十二碳六烯酸的金枪鱼油,可减少接种牙周病细菌的小鼠的牙槽骨丧失。
成年小鼠分别喂食含10%金枪鱼油或Sunola油的实验性饮食57天。14天后,每种饮食的35只小鼠分别经口接种牙龈卟啉单胞菌、牙龈卟啉单胞菌与具核梭杆菌的混合物、羧甲基纤维素或不进行处理。处死小鼠,取处理小鼠口腔软组织活检样本以测定多不饱和脂肪酸浓度。取出上颌骨,进行染色并数字化成像,以评估上颌磨牙周围的骨丧失情况。
与对照组相比,喂食金枪鱼油的小鼠口腔软组织中n-3多不饱和脂肪酸水平显著更高。与处理对照组相比,喂食金枪鱼油并接种牙龈卟啉单胞菌或具核梭杆菌与牙龈卟啉单胞菌混合物的小鼠,牙槽骨丧失分别减少了72%和54%.
牙槽骨丧失与n-3多不饱和脂肪酸组织水平呈负相关。总之,饮食中补充鱼油作为宿主调节剂在牙周炎的预防和/或辅助治疗中可能具有潜在益处。