Zhao C Z, Chen Z, Li M Y
West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.
Department of Conservative Dentistry and Endodontics, Guiyang Hospital of Stomatology, Guiyang 550002, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Mar 9;56(3):301-305. doi: 10.3760/cma.j.cn112144-20200429-00239.
Human oral cavity is colonized by various microbial communities which play an important role in the initiation and progression of periodontitis. However, it is still not clear how these microbial communities mediate the disease. With the rise of metagenomics research, polymicrobial synergy and dysbiosis (PSD) model, a new periodontitis pathogenesis mechanism, was proposed. The importance of the microbial communities acting as a whole system in the development of periodontitis is gradually recognized. Host susceptibility, as another key factor in the initiation of the disease, is vital in PSD model. This article reviews the mechanisms of the PSD model and its research progress in periodontitis as well as some other diseases and briefly highlights the positive significance in terms of prevention and treatment of periodontitis in order to provide insights and perspectives for the future periodontal researches.
人类口腔中定植着各种微生物群落,它们在牙周炎的发生和发展中起着重要作用。然而,这些微生物群落如何介导该疾病仍不清楚。随着宏基因组学研究的兴起,提出了一种新的牙周炎发病机制——多微生物协同与失调(PSD)模型。微生物群落作为一个整体系统在牙周炎发展中的重要性正逐渐得到认可。宿主易感性作为疾病发生的另一个关键因素,在PSD模型中至关重要。本文综述了PSD模型的机制及其在牙周炎以及其他一些疾病中的研究进展,并简要强调了其在牙周炎预防和治疗方面的积极意义,以便为未来的牙周研究提供见解和观点。