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乳铁传递蛋白基因(LTF)多态性与牙种植体脱落:一项病例对照关联研究。

Lactotransferrin Gene (LTF) Polymorphisms and Dental Implant Loss: A Case-Control Association Study.

作者信息

Doetzer Andrea Duarte, Schlipf Nina, Alvim-Pereira Fabiano, Alvim-Pereira Claudia Cristina, Werneck Renata, Riess Olaf, Bauer Peter, Trevilatto Paula Cristina

机构信息

Core for Advanced Molecular Investigation (COMI), School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil.

Department of Medical Genetics, University of Tübingen, Tübingen, Germany.

出版信息

Clin Implant Dent Relat Res. 2015 Oct;17 Suppl 2:e550-61. doi: 10.1111/cid.12284. Epub 2014 Dec 23.

Abstract

BACKGROUND

Dental implants have been widely used to replace missing teeth, accomplishing aesthetics and function. Due to its large use worldwide, the small percentage of implant loss becomes significant in number of cases. Lactotransferrin (LTF) is a pleiotropic protein, expressed in various body tissues and fluids, which modulates the host immune-inflammatory response and bone metabolism, and might be involved in dental implant osseointegration. Recently, a few studies have been investigating genetic aspects underlying dental implant failure.

PURPOSE

This case-control study aimed to investigate the association of genetic markers (tag SNPs) in LTF gene and clinical parameters with dental implant loss.

MATERIAL AND METHODS

278 patients, both sexes, mean age 51 years old, divided into 184 without and 94 with implant loss, were genotyped for sixteen tag SNPs, representative of the whole LTF gene. Also, clinical oral and systemic parameters were analyzed. Univariate and Multivariate Logistic Regression model were used to analyze the results (p < .05).

RESULTS

No association was found between the tag SNPs and implant loss in the study population. Clinical association was found with medical treatment, hormonal reposition, edentulism, number of placed implants, plaque, calculus, and mobility.

CONCLUSION

Clinical variables, but not LTF gene polymorphisms, were associated with implant loss.

摘要

背景

牙种植体已被广泛用于替代缺失牙,以实现美观和功能。由于其在全球范围内的大量使用,种植体丢失的小比例在病例数量上变得显著。乳铁蛋白(LTF)是一种多效性蛋白质,在身体的各种组织和体液中表达,它调节宿主免疫炎症反应和骨代谢,可能参与牙种植体的骨整合。最近,一些研究一直在调查牙种植体失败的潜在遗传因素。

目的

本病例对照研究旨在调查LTF基因中的遗传标记(标签单核苷酸多态性)和临床参数与牙种植体丢失之间的关联。

材料与方法

对278名患者(男女均有,平均年龄51岁)进行了基因分型,这些患者被分为184名无种植体丢失者和94名有种植体丢失者,对代表整个LTF基因的16个标签单核苷酸多态性进行基因分型。此外,还分析了临床口腔和全身参数。使用单变量和多变量逻辑回归模型分析结果(p < 0.05)。

结果

在研究人群中,未发现标签单核苷酸多态性与种植体丢失之间存在关联。发现临床关联与医疗治疗、激素替代、无牙、植入种植体的数量、牙菌斑、牙结石和松动有关。

结论

与种植体丢失相关的是临床变量,而非LTF基因多态性。

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