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吸烟者慢性牙周炎中牙龈卟啉单胞菌及菌毛A基因型的定量分析

Quantification of Porphyromonas gingivalis and fimA genotypes in smoker chronic periodontitis.

作者信息

Teixeira Sílvia R L, Mattarazo Flávia, Feres Magda, Figueiredo Luciene C, de Faveri Marcelo, Simionato Maria R L, Mayer Marcia P A

机构信息

Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo 05508-900, Brazil.

出版信息

J Clin Periodontol. 2009 Jun;36(6):482-7. doi: 10.1111/j.1600-051X.2009.01411.x.

Abstract

AIM

Porphyromonas gingivalis fimA genotypes were associated with virulence factors in vitro, but little evidence of an association with disease severity were shown in humans. We aimed to correlate levels of P. gingivalis fimA genotypes II and IV and probing depth in smoker-chronic periodontitis subjects.

MATERIAL AND METHODS

One hundred and sixty eight subgingival samples of 20 smokers non-treated chronic periodontitis subjects obtained from sites with different probing depths [shallow (< or =3 mm), intermediate (4-6 mm), deep (> or =7 mm)] were analysed by real-time PCR for P. gingivalis and genotypes fimA II and IV.

RESULTS

P. gingivalis and fimA IV were detected in all subjects, whereas fimA II was detected in 18 subjects (90%). One hundred and fifty two sites (90.5%) harboured P. gingivalis. Genotypes II and IV were detected in 28% and 69.6% of sites, respectively. The proportions of genotypes II and IV in relation to P. gingivalis levels were similar in shallow, intermediate and deep probing sites (2.4%, 4.6%, 1.4% for genotype II and 15.5%, 17.7%, 11.7% for genotype IV, respectively), indicating that other non-tested genotypes were more abundant. Increased levels of genotype IV were associated with increasing probing depth, but not of genotype II.

CONCLUSIONS

The data suggested an association between P. gingivalis genotype fimA IV and disease severity in smoker-chronic periodontitis subjects.

摘要

目的

牙龈卟啉单胞菌菌毛蛋白A(fimA)基因型在体外与毒力因子相关,但在人类中几乎没有证据表明其与疾病严重程度相关。我们旨在研究牙龈卟啉单胞菌fimA基因型II和IV水平与吸烟相关性慢性牙周炎患者探诊深度之间的关系。

材料与方法

从20名未经治疗的吸烟相关性慢性牙周炎患者不同探诊深度[浅(≤3mm)、中(4 - 6mm)、深(≥7mm)]部位采集168份龈下样本,采用实时聚合酶链反应(PCR)分析牙龈卟啉单胞菌及fimA基因型II和IV。

结果

所有受试者均检测到牙龈卟啉单胞菌和fimA IV,18名受试者(90%)检测到fimA II。152个部位(90.5%)检出牙龈卟啉单胞菌。基因型II和IV分别在28%和69.6%的部位检出。在浅、中、深探诊部位,基因型II和IV相对于牙龈卟啉单胞菌水平的比例相似(基因型II分别为2.4%、4.6%、1.4%,基因型IV分别为15.5%、17.7%、11.7%),表明其他未检测的基因型更为丰富。基因型IV水平升高与探诊深度增加相关,而基因型II则不然。

结论

数据表明牙龈卟啉单胞菌fimA基因型IV与吸烟相关性慢性牙周炎患者的疾病严重程度相关。

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