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牙周炎的炎症和微生物特征在健康的年轻非裔美国人和白种人之间的差异。

Periodontal inflammatory and microbial profiles in healthy young African Americans and Caucasians.

机构信息

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.

出版信息

J Clin Periodontol. 2024 Jul;51(7):895-904. doi: 10.1111/jcpe.13989. Epub 2024 May 19.

Abstract

AIM

This study aimed to compare microbial and inflammatory profiles in periodontally/systemically healthy African American (AA) and Caucasian (C) individuals.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

材料和方法

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。

结果

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。

结论

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。

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