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[牙龈纤毛菌及其在慢性牙周炎病因学中的作用]

[Filifactor alocis and its role in the etiology of chronic periodontitis].

作者信息

Balmasova I P, Tsarev V N, Arutyunov S D, Babayev E A

机构信息

Moscow State Medical and Dental University named after A.I. Evdokimov, Moscow, Russia.

出版信息

Stomatologiia (Mosk). 2020;99(3):78-82. doi: 10.17116/stomat20209903178.

Abstract

The review is devoted to the analysis of modern ideas about the role of bacteria Filifactor alocis in the etiology of chronic periodontitis. The study of these bacteria, discovered in 1985, is complicated by the difficulty of their detection with cultural methods. According to modern researches, the bacteria with good reason can be included in the red complex of periodontal pathogens as the most important pathogens of chronic periodontitis. is a synergist of such a key pathogen , as well as a frequent satellite of and, somewhat less frequently, . is practically not found in healthy people (except for smokers), with a high frequency accompanies the aggressive course of periodontal disease, and also recorded in endodontitis. Due to the ability to participate in the metabolism of arginine, expressed protease activity, a wide range of virulence factors, not only colonizes the periodontal tissues, but also significantly affects the formation of the community of periodontal microorganisms (including viruses), contributing to their invasion of epithelial tissues. F. alocis has a number of unique properties, including resistance to oxidative stress conditions in the home defeat, induction of apoptosis of epithelial cells, extracellular matrix degradation of periodontal tissues, activation of proinflammatory cytokines formulation in sites of its presence, suppression of protective reactions of neutrophilic granulocytes, inhibition of the process of complement activation.

摘要

这篇综述致力于分析关于牙龈纤毛菌在慢性牙周炎病因学中作用的现代观点。对这些于1985年发现的细菌的研究因用培养方法检测它们存在困难而变得复杂。根据现代研究,这些细菌有充分理由可被纳入牙周病原体红色复合体,作为慢性牙周炎最重要的病原体。它是关键病原体的协同因子,也是的常见伴随菌,较少是和的伴随菌。在健康人(吸烟者除外)中几乎未发现,在牙周病的侵袭性病程中高频出现,也见于牙髓炎。由于其参与精氨酸代谢的能力、表达的蛋白酶活性、广泛的毒力因子,牙龈纤毛菌不仅定殖于牙周组织,还显著影响牙周微生物群落(包括病毒)的形成,促使它们侵袭上皮组织。牙龈纤毛菌有许多独特特性,包括在宿主感染中对氧化应激条件的抗性、诱导上皮细胞凋亡、降解牙周组织细胞外基质、在其存在部位激活促炎细胞因子生成、抑制中性粒细胞的保护反应、抑制补体激活过程。

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