Abuohashish Hatem, Omar Omar, Alrayes Nabras, AlQahtani Norah, Muhamood Muhaseena, Alhawaj Hussain, Alkhamis Taleb, Almas Khalid
Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, 31441, Dammam, Saudi Arabia.
College of Dentistry, Imam Abdulrahman Bin Faisal University, 31441, Dammam, Saudi Arabia.
Odontology. 2025 Feb 12. doi: 10.1007/s10266-025-01067-8.
This study explored the impact of western diet (WD) on a ligature-induced periodontitis (PD) model. After either control diet (CD) or WD feeding for 16 weeks, male Wistar rats were allocated in six groups (n = 6). The first and second groups had no PD. The third and fourth groups had ligature-induced PD for 10 days, while the fifth and sixth groups had ligature-induced PD for 10 days, followed by ligature removal healing period for another 10 days. The CD contained 13.71% protein, 75.98% carbohydrate, and 10.31% fat, though WD composed of 14.7% protein, 40.7% carbohydrate, and 44.6% fat. After clinical evaluation, the maxillary alveolar bone and gingival tissues were collected for morphometric, microstructural, histological, and gene expression analyses. There were significant increases in the gingival bleeding index, periodontal probing depth, and tooth mobility in WD animals with PD and in the healing groups. The WD groups had a greater alveolar crest height, indicating greater bone resorption. Disruption of the bone microarchitecture by PD was exacerbated in WD-fed animals. The histological evaluation demonstrated a greater extent of gingival inflammation in the PD groups. The Tnf, Il6, Ctsk, and Tnfsf11/RANKL gene expression levels were increased in the WD groups, while the Bglap and Hif1a gene expression levels were decreased in the WD groups. Findings of the study are compelling preclinical evidence that WD deteriorates periodontal health and exacerbates periodontal disease and alveolar bone loss in experimental animals. Future clinical research is warranted to translate these preclinical findings.
本研究探讨了西方饮食(WD)对结扎诱导的牙周炎(PD)模型的影响。在给予对照饮食(CD)或WD喂养16周后,将雄性Wistar大鼠分为六组(n = 6)。第一组和第二组没有患牙周炎。第三组和第四组结扎诱导牙周炎10天,而第五组和第六组结扎诱导牙周炎10天,随后去除结扎丝并再愈合10天。CD含有13.71%的蛋白质、75.98%的碳水化合物和10.31%的脂肪,而WD由14.7%的蛋白质、40.7%的碳水化合物和44.6%的脂肪组成。经过临床评估后,收集上颌牙槽骨和牙龈组织进行形态计量学、微观结构、组织学和基因表达分析。患有牙周炎的WD组动物以及愈合组的牙龈出血指数、牙周探诊深度和牙齿松动度均显著增加。WD组的牙槽嵴高度更高,表明骨吸收更严重。在喂食WD的动物中,牙周炎对骨微结构的破坏加剧。组织学评估显示,牙周炎组的牙龈炎症程度更高。WD组中Tnf、Il6、Ctsk和Tnfsf11/RANKL基因表达水平升高,而WD组中Bglap和Hif1a基因表达水平降低。该研究结果是令人信服的临床前证据,表明WD会恶化实验动物的牙周健康,加剧牙周疾病和牙槽骨丧失。有必要开展未来的临床研究来转化这些临床前研究结果。