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牙周炎与胃肠道癌的进展:现有知识与未来展望。

Periodontitis and progression of gastrointestinal cancer: current knowledge and future perspective.

机构信息

Department of Dentistry, Islamic Azad University, Tehran, Iran.

Department of Periodontics, Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Clin Transl Oncol. 2023 Oct;25(10):2801-2811. doi: 10.1007/s12094-023-03162-0. Epub 2023 Apr 10.

Abstract

Periodontitis is a polymicrobial disorder caused by dysbiosis. Porphyromonas gingivalis (P.gingivalis) and Fusobacterium nucleatum (F.nucleatum) are pathobiont related to periodontitis pathogenesis and were found to be abundant in the intestinal mucosa of inflammatory bowel disease (IBD) and colorectal cancer (CRC) patients. Besides, periodontal infections have been found in a variety of tissues and organs, indicating that periodontitis is not just an inflammation limited to the oral cavity. Considering the possible translocation of pathobiont from the oral cavity to the gastrointestinal (GI) tract, this study aimed to review the published articles in this field to provide a comprehensive view of the existing knowledge about the relationship between periodontitis and GI malignancies by focusing on the oral/gut axis.

摘要

牙周炎是由菌群失调引起的一种多微生物疾病。牙龈卟啉单胞菌(P.gingivalis)和核梭杆菌(F.nucleatum)是与牙周炎发病机制相关的条件致病菌,在炎症性肠病(IBD)和结直肠癌(CRC)患者的肠道黏膜中大量存在。此外,牙周感染已在多种组织和器官中发现,表明牙周炎不仅仅是局限于口腔的炎症。鉴于条件致病菌可能从口腔转移到胃肠道(GI),本研究旨在回顾该领域已发表的文章,通过关注口腔/肠道轴,提供有关牙周炎与 GI 恶性肿瘤之间关系的现有知识的综合视图。

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