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儿童和成年患者中牙周病原体的较高流行率可能与超重和肥胖有关。

Higher Prevalence of the Periodontal Pathogen among Pediatric and Adult Patients May Be Associated with Overweight and Obesity.

作者信息

Williams Austin, Porter Jace, Kingsley Karl, Howard Katherine M

机构信息

Department of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada, Las Vegas, 1700 West Charleston Blvd, Las Vegas, NV 89106, USA.

Department of Clinical Sciences, School of Dental Medicine, University of Nevada, Las Vegas, 1700 West Charleston Blvd, Las Vegas, NV 89106, USA.

出版信息

Pathogens. 2024 Apr 19;13(4):338. doi: 10.3390/pathogens13040338.

Abstract

New evidence has suggested that oral and gut microflora may have significant impacts on the predisposition, development, and stability of obesity in adults over time-although less is known about this phenomenon in children. Compared with healthy-weight controls, overweight and obese adult patients are now known to harbor specific pathogens, such as (), that are capable of digesting normally non-digestible cellulose and fibers that significantly increase caloric extraction from normal dietary intake. To evaluate this phenomenon, clinical saliva samples (N = 122) from subjects with a normal BMI (18-25) and a BMI over 25 (overweight, obese) from an existing biorepository were screened using qPCR. The prevalence of in samples from normal-BMI participants were lower (21.4%) than in overweight-BMI (25-29; 46.1%) and obese-BMI (30 and above; 36.8%) samples-a strong, positive correlation that was not significantly affected by age or race and ethnicity. These data strongly suggest that may be intricately associated with overweight and obesity among patients, and more research will be needed to determine the positive and negative feedback mechanisms that may be responsible for these observations as well as the interventions needed to remove or reduce the potential effects of this oral pathogen.

摘要

新证据表明,口腔和肠道微生物群可能会随着时间的推移对成年人肥胖的易感性、发展和稳定性产生重大影响——尽管在儿童中对这一现象的了解较少。与健康体重对照组相比,现在已知超重和肥胖的成年患者体内携带特定病原体,如(),这些病原体能够消化通常难以消化的纤维素和纤维,从而显著增加从正常饮食摄入中提取的热量。为了评估这一现象,使用定量聚合酶链反应(qPCR)对来自现有生物样本库中体重指数(BMI)正常(18 - 25)和BMI超过25(超重、肥胖)的受试者的临床唾液样本(N = 122)进行了筛查。BMI正常参与者样本中()的患病率低于超重BMI(25 - 29;46.1%)和肥胖BMI(30及以上;36.8%)样本——这是一种强烈的正相关,且不受年龄、种族和民族的显著影响。这些数据有力地表明,()可能与患者的超重和肥胖密切相关,需要更多的研究来确定可能导致这些观察结果的正负反馈机制,以及消除或减少这种口腔病原体潜在影响所需的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7792/11053746/c48dbe027c13/pathogens-13-00338-g001.jpg

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