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念珠菌相关性义齿性口炎老年患者的唾液细胞因子谱

Salivary cytokine profile in elders with Candida-related denture stomatitis.

作者信息

Pesee Siripen, Arpornsuwan Teerakul

机构信息

Faculty of Dentistry, Thammasat University, Pathumtani, Thailand.

Faculty of Allied Health Science, Thammasat University, Pathumtani, Thailand.

出版信息

Gerodontology. 2015 Jun;32(2):132-40. doi: 10.1111/ger.12064. Epub 2013 Jul 7.

Abstract

OBJECTIVES

This study investigated risk factors of denture stomatitis, and the levels of cytokines in the saliva of elderly Candida-related denture stomatitis participants compared with adult individuals.

MATERIAL AND METHODS

The occurrence of denture stomatitis in 128 patients with upper removable dentures was clinically examined. Participants were divided into two age groups as adult and elder. Risk factors associated with denture stomatitis were evaluated by questionnaire and oral and dental prosthesis examination. The quality of dentures was evaluated by direct examination. Palatal mucosa was swabbed for Candida carriage investigation, and whole unstimulated saliva was collected for cytokine detection. Salivary cytokines (interleukin (IL)-6, IL-8, IL-10, IL-17, intercellular adhesion molecule (ICAM)-1 and tumour necrosis factor (TNF)-α) were examined by enzyme-linked immunosorbent assay (ELISA).

RESULTS

The associations between the occurrence of denture stomatitis and either the quality of dentures or Candida isolation on palatal mucosa were significant. However, differences in the levels of salivary IL-6, IL-8, IL-10, IL-17, ICAM-1 and TNF-α between the denture wearers with and without denture stomatitis were undetectable. Adult and elderly Candida-related denture stomatitis patients also showed a similar level of salivary IL-6, IL-8, IL-10, IL-17, ICAM-1 and TNF-α. No correlation between the presence of denture stomatitis in the elder and the quantity of Candida infection was found.

CONCLUSION

No association was found between the occurrence of Candida-related denture stomatitis and the concentrations of salivary IL-6, IL-8, IL-10, IL-17, ICAM-1 and TNF-α, regardless of age.

摘要

目的

本研究调查了义齿性口炎的危险因素,并比较了老年念珠菌相关性义齿性口炎参与者与成年人唾液中细胞因子的水平。

材料与方法

对128例佩戴上颌可摘义齿的患者进行义齿性口炎的临床检查。参与者分为成人和老年人两个年龄组。通过问卷调查以及口腔和义齿检查评估与义齿性口炎相关的危险因素。通过直接检查评估义齿质量。擦拭腭黏膜进行念珠菌携带情况调查,并收集全唾液进行细胞因子检测。采用酶联免疫吸附测定(ELISA)检测唾液细胞因子(白细胞介素(IL)-6、IL-8、IL-10、IL-17、细胞间黏附分子(ICAM)-1和肿瘤坏死因子(TNF)-α)。

结果

义齿性口炎的发生与义齿质量或腭黏膜念珠菌分离之间存在显著关联。然而,未发现患义齿性口炎和未患义齿性口炎的义齿佩戴者之间唾液IL-6、IL-8、IL-10、IL-17、ICAM-1和TNF-α水平存在差异。成人和老年念珠菌相关性义齿性口炎患者的唾液IL-6、IL-8、IL-10、IL-17、ICAM-1和TNF-α水平也相似。未发现老年人义齿性口炎的存在与念珠菌感染数量之间存在相关性。

结论

无论年龄如何,念珠菌相关性义齿性口炎的发生与唾液IL-6、IL-8、IL-10、IL-17、ICAM-1和TNF-α的浓度之间均未发现关联。

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