牙周感染如何影响阿尔茨海默病的发病和进展?
How do periodontal infections affect the onset and progression of Alzheimer's disease?
机构信息
King Fahd Medical Research Center, King Abdulaziz University, P.O. Box 80216, Jeddah 21589, Saudi Arabia.
出版信息
CNS Neurol Disord Drug Targets. 2014 Apr;13(3):460-6. doi: 10.2174/18715273113126660152.
Chronic infection can cause slow progressive dementia, cortical atrophy and amyloid deposition in the atrophic form of general paresis. Due to the fact that specific bacterial ligands can increase the expression of proinflammatory molecules that can activate innate and adaptive immune systems, inflammation may play a significant role in the pathogenesis of Alzheimer's disease (AD). Furthermore, there is a significant association between AD and various types of spirochete. Periodontitis is a prevalent and persistent peripheral infection that is associated with gram-negative anaerobic bacteria and is capable of showing localized and systemic infections in the host. Periodontal disease related pathogens and their inflammatory products contribute to systemic inflammation and the pathogenesis of AD. In this minireview, we propose a hypothetical link between periodontitis, type 2 diabetes and AD. We also present the possible mechanistic links between periodontitis-related inflammation, type 2 diabetes and AD. Since this condition is treatable, periodontitis may be a readily-modifiable risk factor for AD.
慢性感染可导致全麻痹萎缩型进行性痴呆、皮质萎缩和淀粉样沉积。由于特定的细菌配体可以增加促炎分子的表达,从而激活先天和适应性免疫系统,因此炎症可能在阿尔茨海默病(AD)的发病机制中发挥重要作用。此外,AD 与各种螺旋体之间存在显著相关性。牙周炎是一种普遍存在且持续存在的外周感染,与革兰氏阴性厌氧菌有关,能够在宿主中表现出局部和全身感染。牙周病相关病原体及其炎症产物可导致全身炎症和 AD 的发病机制。在这篇综述中,我们提出了牙周炎、2 型糖尿病和 AD 之间的假设联系。我们还介绍了牙周炎相关炎症、2 型糖尿病和 AD 之间可能的机制联系。由于这种情况是可以治疗的,因此牙周炎可能是 AD 的一个易于改变的危险因素。