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遗传易感性与牙周病:对意大利大样本的回顾性研究

Genetic susceptibility and periodontal disease: a retrospective study on a large italian sample.

作者信息

Tettamanti L, Gaudio R M, Iapichino A, Mucchi D, Tagliabue A

机构信息

Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

出版信息

Oral Implantol (Rome). 2017 Apr 10;10(1):20-27. doi: 10.11138/orl/2017.10.1.020. eCollection 2017 Jan-Mar.

Abstract

BACKGROUND

Periodontal disease (PD) is a multifactorial illness in which environment and host interact. The genetic component plays a key role in the onset of PD. In fact the genetic compound can modulate the inflammation of the mucous membranes and the loss of alveolar bone. The genetics of PD is not well understood. Previous studies suggest a strong association between PD occurrence and individual genetic profile. The role of genetic susceptibility could impact on the clinical manifestations of PD, and consequently on prevention and therapy.

MATERIALS AND METHODS

Genetic polymorphisms of VRD, IL6 and IL10 were investigated in Italian adults affected by PD. 571 cases classified according the criteria of the American Academy of Periodontology were included. All patients were Italian coming from three areas according to italian institute of statistics (ISTAT) (www.istat.it/it/archivio/regioni). The sample comprised 379 patients from North (66%), 152 from Central (26%) and 40 of South (8%).

RESULTS

No significant differences were found among allele distribution.

CONCLUSION

Chronic PD is a complex disease caused by a combination of genetic susceptibility, patients habits (oral hygiene, smoking, alcohol consumption) and oral pathogens. In our report no differences were detected among three Italian regions in allele distribution.

摘要

背景

牙周病(PD)是一种环境与宿主相互作用的多因素疾病。遗传因素在牙周病的发病中起关键作用。事实上,遗传因素可调节黏膜炎症和牙槽骨丧失。牙周病的遗传学尚未完全了解。先前的研究表明牙周病的发生与个体遗传特征之间存在密切关联。遗传易感性的作用可能会影响牙周病的临床表现,进而影响预防和治疗。

材料与方法

对意大利成年牙周病患者的VRD、IL6和IL10基因多态性进行了研究。纳入了571例根据美国牙周病学会标准分类的病例。所有患者均为意大利人,根据意大利国家统计局(ISTAT)(www.istat.it/it/archivio/regioni)来自三个地区。样本包括379名来自北部的患者(66%)、152名来自中部的患者(26%)和40名来自南部的患者(8%)。

结果

等位基因分布之间未发现显著差异。

结论

慢性牙周病是一种由遗传易感性、患者习惯(口腔卫生、吸烟、饮酒)和口腔病原体共同引起的复杂疾病。在我们的报告中,意大利三个地区的等位基因分布未发现差异。

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