Chomyszyn-Gajewska Maria
Katedra i Zakład Periodontologii i Klinicznej, Patologii Jamy Ustnej IS UJCM w Krakowie.
Przegl Lek. 2010;67(3):213-6.
There are articles showing promise on diagnostic use of pro-inflammatory markers in certain body fluids. Research on pathogenesis of periodontal diseases concerns evaluation of biochemical and immunological factors in context of their influence on severity, progress and prognosis of the disease. The methods comprised of saliva, gingival sulcus fluid and traditionally serum.
Contemporary view on possibilities of evaluation of some salivary factors in aspect of making periodontal diagnosis and monitoring of this disease was presented, on the basis of chosen literature. Authors evaluated factors such as: host proteins, phenotypic markers, host cells, hormones, bacteria and bacterial products, ions and volatile compounds. Factors in neutrophils, free radicals and significance of oxidative stress, platelet-activating factor (PAF), vascular endothelial growth factor (VEGF), neopterin and immunoglobulins activity, also their role in periodontal pathogenesis, were described. It was concluded, that longer-term, well controlled clinical studies in bigger population should be performed, to confirm significance of specific saliva markers for diagnosis and monitoring of periodontitis and other lesions in oral cavity.
有文章显示某些体液中促炎标志物的诊断用途具有前景。牙周疾病发病机制的研究涉及在生化和免疫因素对疾病严重程度、进展和预后影响的背景下对其进行评估。所采用的方法包括唾液、龈沟液以及传统的血清。
基于所选文献,阐述了关于评估某些唾液因素在牙周诊断和该疾病监测方面可能性的当代观点。作者评估了以下因素:宿主蛋白、表型标志物、宿主细胞、激素、细菌及细菌产物、离子和挥发性化合物。描述了中性粒细胞中的因素、自由基及氧化应激的意义、血小板活化因子(PAF)、血管内皮生长因子(VEGF)、蝶呤和免疫球蛋白活性,以及它们在牙周发病机制中的作用。得出的结论是,应开展更大规模人群的长期、严格对照的临床研究,以证实特定唾液标志物对牙周炎及口腔其他病变诊断和监测的意义。