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阿拉伯树胶作为群体感应淬灭及牙周疾病治疗的潜在候选物。

Gum Arabic as a potential candidate in quorum quenching and treatment of periodontal diseases.

作者信息

Hashim Nada Tawfig, Babiker Rasha, Rahman Mohammed Mustahsen, Chaitanya Nallan C S K, Mohammed Riham, Dasnadi Shahistha Parveen, Gismalla Bakri Gobara

机构信息

Department of Periodontics, RAK College of Dental Sciences, RAK Medical & Health Sciences University, Ras al-Khaimah, United Arab Emirates.

Department of Physiology, RAK College of Medical Sciences, RAK Medical & Health Sciences University, Ras-al-Khaimah, United Arab Emirates.

出版信息

Front Oral Health. 2024 Oct 8;5:1459254. doi: 10.3389/froh.2024.1459254. eCollection 2024.

Abstract

Periodontal diseases are chronic inflammatory conditions influenced by bacterial biofilm formation and host immune responses, affecting millions worldwide. Traditional treatments like mechanical debridement and systemic antibiotics often face limitations, including biofilm resilience and antibiotic resistance. Gum Arabic (GA), a natural exudate from trees, presents a promising alternative with its anti-biofilm and anti-inflammatory properties. This review highlights the role of GA in periodontal therapy, particularly its ability to interfere with quorum sensing (QS) pathways, specifically the AI-2 signaling system used by key periodontal pathogens such as , , and . By disrupting QS, GA inhibits biofilm formation, reduces bacterial virulence, and promotes a balanced oral microbiome. GA's prebiotic properties also encourage the growth of beneficial bacteria, enhancing the host's immune response while preserving the systemic microbiome. Clinical studies demonstrate GA's effectiveness as an adjunct in periodontal therapy, with significant reductions in plaque accumulation, gingival inflammation, and bleeding. This highlights GA's potential as a natural therapeutic agent, offering an effective, antibiotic-sparing option in managing periodontal disease. However, further research is warranted to fully establish GA's role in comprehensive periodontal care and its long-term benefits.

摘要

牙周疾病是由细菌生物膜形成和宿主免疫反应影响的慢性炎症性疾病,全球数百万人受其影响。机械清创和全身使用抗生素等传统治疗方法常常面临局限性,包括生物膜的弹性和抗生素耐药性。阿拉伯树胶(GA)是一种从树木中提取的天然渗出物,因其具有抗生物膜和抗炎特性而成为一种有前景的替代物。这篇综述强调了GA在牙周治疗中的作用,特别是其干扰群体感应(QS)途径的能力,具体而言是干扰如[具体病原体1]、[具体病原体2]和[具体病原体3]等关键牙周病原体所使用的AI-2信号系统。通过破坏QS,GA抑制生物膜形成,降低细菌毒力,并促进口腔微生物群的平衡。GA的益生元特性还能促进有益细菌的生长,在保护全身微生物群的同时增强宿主的免疫反应。临床研究证明GA作为牙周治疗辅助手段的有效性,可显著减少牙菌斑积聚、牙龈炎症和出血。这凸显了GA作为一种天然治疗剂的潜力,为牙周疾病的管理提供了一种有效的、节省抗生素的选择。然而,需要进一步研究以全面确立GA在综合牙周护理中的作用及其长期益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/265a/11493777/446643aeb64d/froh-05-1459254-g001.jpg

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