Centro de Biología Molecular & Farmacogenética, Departamento de Ciencias Básicas, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Departamento de Odontología Adultos, Facultad de Odontología, Universidad de La Frontera, Temuco, Chile.
Clin Oral Investig. 2018 Jan;22(1):331-337. doi: 10.1007/s00784-017-2117-z. Epub 2017 Apr 27.
This research aimed to evaluate the frequency of single nucleotide polymorphisms (SNPs) in dopaminergic pathway genes (DRD1, DRD2, DRD3, DRD4, DRD5, and MAOB) in patients undergoing bruxism treatment and controls.
Patients submitted to bruxism treatment were classified in awake bruxism (61 patients), sleep bruxism (26 patients), and awake-sleep bruxism (43 patients). Control group included 59 patients. Association between circadian manifestations of bruxism and SNPs was investigated using Fisher's exact test, chi-squared test, and calculating the odds ratios and their respective 95% confidence intervals.
The G allele of DRD2 rs1800497 SNP was associated with a significant risk reduction of awake-sleep bruxism (p = 0.041), while the C allele of DRD3 rs6280 SNP was associated with increased risk of sleep bruxism (p = 0.02), and the C allele of DRD5 rs6283 SNP was associated with decreased risk of awake bruxism (p = 0.01).
To our knowledge, this is the first report exploring the contribution of genetic variants in dopaminergic pathways to bruxism development, considering all circadian manifestations. Our findings indicate a possible genetic influence in the etiology of awake, sleep, and awake-sleep bruxism. Therefore, further research is needed to increase the current understanding of bruxism physiopathology.
本研究旨在评估多巴胺能通路基因(DRD1、DRD2、DRD3、DRD4、DRD5 和 MAOB)中单核苷酸多态性(SNP)在接受磨牙症治疗的患者中的频率。
将接受磨牙症治疗的患者分为清醒磨牙症(61 例)、睡眠磨牙症(26 例)和清醒-睡眠磨牙症(43 例)。对照组包括 59 例患者。使用 Fisher 确切检验、卡方检验和计算优势比及其相应的 95%置信区间来研究磨牙症的昼夜表现与 SNPs 之间的关系。
DRD2 rs1800497 SNP 的 G 等位基因与清醒-睡眠磨牙症的显著风险降低相关(p=0.041),而 DRD3 rs6280 SNP 的 C 等位基因与睡眠磨牙症的风险增加相关(p=0.02),DRD5 rs6283 SNP 的 C 等位基因与清醒磨牙症的风险降低相关(p=0.01)。
据我们所知,这是第一项探索多巴胺能通路遗传变异对磨牙症发展的贡献的报告,同时考虑了所有的昼夜表现。我们的发现表明遗传因素可能在觉醒、睡眠和觉醒-睡眠磨牙症的病因学中起作用。因此,需要进一步研究以增加对磨牙症病理生理学的现有理解。