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短期非手术牙周治疗可提高白细胞介素-12 水平,降低口腔癌风险。

Short-term, nonsurgical periodontal therapy boosts interleukin-12 levels and reduces oral cancer risk.

机构信息

Department of Restorative Dentistry, College of Dentistry, University of Ha'il, Ha'il 55473, Saudi Arabia.

Department of Dentistry, LLRM Medical College, CCS University Meerut, Meerut, 250002, UP, India.

出版信息

Ir J Med Sci. 2024 Aug;193(4):1949-1955. doi: 10.1007/s11845-024-03695-5. Epub 2024 May 3.

DOI:10.1007/s11845-024-03695-5
PMID:38698250
Abstract

BACKGROUND

Cytokines, including interleukin-12 (IL-12), are proteins that regulate cell survival, proliferation, differentiation, and function. IL-12 is a heterodimeric proinflammatory cytokine. It possesses tumoricidal properties and promotes M1 macrophage polarization and IFN-γ production by T helper (Th1) cells, which in turn stimulates the antitumor cytotoxic cluster of eight positive (CD8+) and natural killer cells, therefore activating an effector immune response against tumor cells.

MATERIALS AND METHODS

Herein, the IL-2 levels of 60 patients with generalized chronic periodontitis (GCP) were assessed. Plaque index, gingival index, pocket probing depth, bleeding on probing percentage (BOP %), and clinical attachment loss were the clinical indicators reported.

RESULTS

Patients with GCP in the pretreatment group had substantially lower mean IL-12 levels than those in the post-treatment group. Short-term, nonsurgical treatment (NST) considerably improved periodontal indices and increased IL-12 levels, thereby reducing oral cancer risk.

CONCLUSION

NST is a cost-effective and accessible cancer prevention procedure for general dentists.

摘要

背景

细胞因子,包括白细胞介素-12(IL-12),是调节细胞存活、增殖、分化和功能的蛋白质。IL-12 是一种异源二聚体细胞因子。它具有杀肿瘤特性,并促进辅助性 T(Th1)细胞的 M1 巨噬细胞极化和 IFN-γ产生,进而刺激抗肿瘤细胞毒性 8 因子阳性(CD8+)和自然杀伤细胞,从而激活针对肿瘤细胞的效应免疫反应。

材料和方法

在此,评估了 60 例广泛性慢性牙周炎(GCP)患者的 IL-2 水平。报道的临床指标包括菌斑指数、牙龈指数、牙周袋探诊深度、探诊出血百分比(BOP%)和临床附着丧失。

结果

预处理组的 GCP 患者的平均 IL-12 水平明显低于治疗后组。短期非手术治疗(NST)显著改善牙周指数并增加 IL-12 水平,从而降低口腔癌风险。

结论

NST 是普通牙医进行成本效益高且易于获得的癌症预防措施。

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