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GLUT2 和 TAS1R2 基因型与龋齿风险的关联。

Association of GLUT2 and TAS1R2 genotypes with risk for dental caries.

机构信息

Faculty of Dentistry, University of Toronto, Toronto, Ont., Canada.

出版信息

Caries Res. 2013;47(3):219-25. doi: 10.1159/000345652. Epub 2012 Dec 19.

Abstract

To determine whether common polymorphisms in the sweet taste receptor (TAS1R2) and glucose transporter (GLUT2) genes are associated with dental caries, 80 healthy Caucasian individuals aged 21-32 years were genotyped and grouped based on the TAS1R2 (Ile191Val) and GLUT2 (Thr110Ile) polymorphisms. Clinical and radiographic examinations were conducted by a single examiner who was blinded to the genotypes. To assess caries prevalence, three different caries scores were determined: DMFT (decayed, missing, and filled teeth), DMFT + X-ray and ICDAS (International Caries Detection and Assessment System). Associations between genotypes and caries prevalence were analyzed using Student's t test. Based on the genotypes for each of the GLUT2 and TAS1R2 genes, individuals were stratified into four groups for comparison of caries scores. A higher DMFT score (mean ± SE; 4.3 ± 0.4 vs. 6.1 ± 1.2, p = 0.04) was observed among carriers of the Ile allele for GLUT2 (risk group). Carriers of the Val allele for TAS1R2 (resistant group) demonstrated lower caries scores: DMFT (4.1 ± 0.5 vs. 5.8 ± 0.9, p = 0.05), DMFT + X-ray (4.9 ± 0.6 vs. 7.5 ± 0.9, p = 0.01), and ICDAS (19.5 ± 2.2 vs. 26.14 ± 2.82, p = 0.03). Based on genotype stratification, caries scores were significantly lower in the double resistant group as compared to the double risk groups: DMFT (9.1 ± 0.08 vs. 4.2 ± 0.01, p < 0.01), DMFT + X-ray (10.5 ± 0.07 vs. 5.2 ± 0.01, p < 0.01) and ICDAS (32.9 ± 0.2 vs. 19.9 ± 0.01, p = 0.01). In conclusion, GLUT2 and TAS1R2 genotypes individually and in combination are associated with caries risk. Considering the combination of risk/resistance genotypes might further our understanding of genetic predispositions to dental caries and improve the accuracy of caries prediction models.

摘要

为了确定甜味受体(TAS1R2)和葡萄糖转运蛋白(GLUT2)基因中的常见多态性是否与龋齿有关,对 80 名年龄在 21-32 岁的健康白种人进行了基因分型,并根据 TAS1R2(Ile191Val)和 GLUT2(Thr110Ile)多态性进行分组。由一位对基因型不知情的单一检查者进行临床和影像学检查。为了评估龋齿患病率,确定了三种不同的龋齿评分:DMFT(龋齿、缺失和补牙)、DMFT+X 射线和 ICDAS(国际龋齿检测和评估系统)。使用学生 t 检验分析基因型与龋齿患病率之间的关系。基于 GLUT2 和 TAS1R2 基因的每种基因型,将个体分为四组进行龋齿评分比较。GLUT2 的 Ile 等位基因携带者的 DMFT 评分(平均值±SE;4.3±0.4 与 6.1±1.2,p=0.04)更高。TAS1R2 的 Val 等位基因携带者(抗性组)的龋齿评分较低:DMFT(4.1±0.5 与 5.8±0.9,p=0.05)、DMFT+X 射线(4.9±0.6 与 7.5±0.9,p=0.01)和 ICDAS(19.5±2.2 与 26.14±2.82,p=0.03)。根据基因型分层,与双重风险组相比,双重抗性组的龋齿评分明显更低:DMFT(9.1±0.08 与 4.2±0.01,p<0.01)、DMFT+X 射线(10.5±0.07 与 5.2±0.01,p<0.01)和 ICDAS(32.9±0.2 与 19.9±0.01,p=0.01)。总之,GLUT2 和 TAS1R2 基因型单独和组合与龋齿风险相关。考虑风险/抗性基因型的组合可能会进一步了解牙齿龋齿的遗传易感性,并提高龋齿预测模型的准确性。

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