Fujihara Chiharu, Hafiyyah Osa Amila, Murakami Shinya
Department of Periodontology and Regenerative Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan.
Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Jpn Dent Sci Rev. 2023 Dec;59:357-364. doi: 10.1016/j.jdsr.2023.09.001. Epub 2023 Oct 13.
Aggressive periodontitis (AgP), Stage III or IV and Grade C according to the new periodontitis classification, is characterized by the rapid destruction of periodontal tissues in the systemically healthy population and often causes premature tooth loss. The presence of familial aggregation suggests the involvement of genetic factors in the pathogenesis. However, the genes associated with the onset and progression of the disease and details of its pathogenesis have not yet been fully identified. In recent years, the genome-wide approach (GWAS), a comprehensive genome analysis method using bioinformatics, has been used to search for disease-related genes, and the results have been applied in genomic medicine for various diseases, such as cancer. In this review, we discuss GWAS in the context of AgP. First, we introduce the relationship between single-nucleotide polymorphisms (SNPs) and susceptibility to diseases and how GWAS is useful for searching disease-related SNPs. Furthermore, we summarize the recent findings of disease-related genes using GWAS on AgP inside and outside Japan and a possible mechanism of the pathogenesis of AgP based on available literature and our research findings. These findings will lead to advancements in the prevention, prognosis, and treatment of AgP.
侵袭性牙周炎(AgP),根据新的牙周炎分类为III期或IV期且为C级,其特征是在全身健康人群中牙周组织迅速破坏,并常导致牙齿过早脱落。家族聚集性的存在提示遗传因素参与了发病机制。然而,与该疾病的发生和进展相关的基因及其发病机制的细节尚未完全明确。近年来,全基因组方法(GWAS),一种利用生物信息学的综合基因组分析方法,已被用于寻找疾病相关基因,其结果已应用于各种疾病如癌症的基因组医学中。在本综述中,我们在AgP的背景下讨论GWAS。首先,我们介绍单核苷酸多态性(SNP)与疾病易感性之间的关系以及GWAS如何有助于寻找疾病相关的SNP。此外,我们总结了日本国内外利用GWAS对AgP疾病相关基因的最新发现以及基于现有文献和我们的研究结果的AgP发病机制的可能机制。这些发现将推动AgP预防、预后和治疗方面的进展。