Varela-López Alfonso, Quiles José L, Cordero Mario, Giampieri Francesca, Bullón Pedro
Institute of Nutrition and Food Technology "José Mataix Verdú", Biomedical Research Center (CIBM), University of Granada, Avda. del Conocimiento s.n., Armilla, Granada 18100, Spain.
Department of Periodontology, Dental School, University of Sevilla, C/Avicena s.n., Sevilla 41009, Spain.
Antioxidants (Basel). 2015 Apr 28;4(2):322-44. doi: 10.3390/antiox4020322.
Oxidative stress is one of the main factors studied to explain the pathophysiological mechanisms of inflammatory conditions, such as periodontitis. In this respect, nutrition may be of great importance. Actually, research on nutrients' effects on periodontal diseases has expanded to include those influencing the redox status, which correlates to the inflammatory process. Dietary fat or lipids are often blamed as the major source of excess energy. Consequently, when caloric intake exceeds energy expenditure, the resultant substrate-induced increase in citric acid cycle activity generates an excess of reactive oxygen species (ROS). In addition, dietary fatty acid intake influences in relative fatty acid composition of biological membranes determining its susceptibility to oxidative alterations. From this standpoint, here, we reviewed studies analyzing the dietary fat role in periodontal disease. Research data suggest that periodontal health could be achieved by main dietary strategies which include substitution of saturated fats with monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA), particularly n-3 PUFA. Maybe in the future, we should analyze the diet and provide some advice to periodontitis patients to improve treatment outcomes.
氧化应激是为解释诸如牙周炎等炎症性疾病的病理生理机制而研究的主要因素之一。在这方面,营养可能非常重要。实际上,关于营养素对牙周疾病影响的研究已经扩展到包括那些影响氧化还原状态的营养素,氧化还原状态与炎症过程相关。膳食脂肪或脂质常被认为是多余能量的主要来源。因此,当热量摄入超过能量消耗时,由此产生的底物诱导的柠檬酸循环活性增加会产生过量的活性氧(ROS)。此外,膳食脂肪酸的摄入会影响生物膜的相对脂肪酸组成,从而决定其对氧化改变的敏感性。从这个角度来看,在此我们回顾了分析膳食脂肪在牙周疾病中作用的研究。研究数据表明,通过主要的饮食策略可以实现牙周健康,这些策略包括用单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA),特别是n-3多不饱和脂肪酸替代饱和脂肪。也许在未来,我们应该分析饮食并为牙周炎患者提供一些建议以改善治疗效果。