Department of Oral Health Practice, Periodontology Division, College of Dentistry, University of Kentucky, Lexington, Kentucky, USA.
Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
J Clin Periodontol. 2024 Jul;51(7):895-904. doi: 10.1111/jcpe.13989. Epub 2024 May 19.
This study aimed to compare microbial and inflammatory profiles in periodontally/systemically healthy African American (AA) and Caucasian (C) individuals.
Thirty-seven C and 46 AA aged from 5 to 25 years were evaluated regarding periodontal disease, caries, microbial subgingival profile via 16-s sequencing, as well as salivary and gingival crevicular fluid (GCF) inflammatory profile via multiplex assay.
Greater probing depth percentage was detected in AA (p = .0075), while a higher percentage of caries index (p = .0069) and decayed, missing, filled teeth (DMFT) index (p = .0089) was observed in C, after adjusting for number of teeth, sex and age. Salivary levels of IL-6, IL-8 and TNFα were higher for C, whereas GCF levels of eotaxin, IL-12p40, IL-12p70, IL-2 and MIP-1α were higher in AA (p < .05). Different microbial profiles were observed between the races (p = .02). AA presented higher abundance of periodontopathogens (such as Tanerella forsythia, Treponema denticola, Filifactor alocis, among others), and C presented more caries-associated bacteria (such as Streptococcus mutans and Prevotella species). Bacillaceae and Lactobacillus species were associated with higher DMFT index, whereas Fusobacterium and Tanerella species with periodontal disease parameters.
A different inflammatory and bacterial profile was observed between healthy AA and C, which may predispose these races to higher susceptibility to specific oral diseases.
本研究旨在比较牙周健康/全身健康的非裔美国人和白种人个体的微生物和炎症特征。
评估了 37 名白种人和 46 名非裔美国人的牙周疾病、龋齿、通过 16s 测序获得的龈下微生物谱,以及通过多重分析获得的唾液和龈沟液(GCF)炎症谱。
在调整了牙齿数量、性别和年龄后,非裔美国人的探诊深度百分比更高(p=.0075),而白种人的龋齿指数(p=.0069)和失牙、缺牙、补牙指数(DMFT)更高(p=.0089)。C 组的唾液中白细胞介素-6、白细胞介素-8 和肿瘤坏死因子-α 水平较高,而 AA 组的龈沟液中嗜酸性粒细胞趋化因子、白细胞介素-12p40、白细胞介素-12p70、白细胞介素-2 和巨噬细胞炎性蛋白-1α 水平较高(p<.05)。不同种族之间观察到不同的微生物谱(p=.02)。非裔美国人的牙周病病原体(如坦纳拉福赛西亚菌、牙髓密螺旋体、嗜纤维菌等)丰度较高,而白种人的龋齿相关细菌(如变形链球菌和普雷沃氏菌属)较多。芽孢杆菌科和乳杆菌属与较高的 DMFT 指数相关,而梭杆菌属和坦纳拉福赛西亚菌与牙周病参数相关。
健康的非裔美国人和白种人之间存在不同的炎症和细菌谱,这可能使这些种族更容易患上特定的口腔疾病。