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口腔面部疼痛病症中的生物标志物:一项叙述性综述。

Biomarkers in orofacial pain conditions: A narrative review.

作者信息

Harris Mervin, Sreekumar Saranya, Paul Bindhu, Ramanarayanan Venkitachalam, Nayar Suresh, Subash Pramod, Mathew Anil

机构信息

Department of Prosthodontics, Amrita School of Dentistry, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham Kochi, Kerala, 682041, India.

Core Staff Member - Amrita Center for Evidence-based Oral Health, India.

出版信息

J Oral Biol Craniofac Res. 2025 Mar-Apr;15(2):365-382. doi: 10.1016/j.jobcr.2025.01.029. Epub 2025 Feb 13.

Abstract

Orofacial pain conditions, including temporomandibular disorder, migraine, dental pain, and trigeminal neuralgia, are complex, multifactorial disorders with significant impacts on patients' quality of life. As understanding of the pathophysiology of these conditions has deepened, the role of molecular and genetic biomarkers in diagnosing, monitoring, and potentially treating orofacial pain has garnered increasing interest. This scoping review provides a comprehensive overview of the current state of research on biomarkers associated with orofacial pain conditions. By analyzing existing literature, we identify key biomarkers linked to inflammation, neural activity, and tissue degradation that are common across multiple conditions, as well as those specific to particular disorders. Our findings underscore the potential of these biomarkers to guide the development of personalized therapeutic strategies. However, the review also highlights the challenges faced by current biomarker research, including heterogeneity in study designs, small sample sizes, and a lack of longitudinal data. Addressing these challenges is critical for translating biomarker research into clinical practice and improving outcomes for patients with orofacial pain.

摘要

口面部疼痛病症,包括颞下颌关节紊乱、偏头痛、牙痛和三叉神经痛,是复杂的多因素病症,对患者的生活质量有重大影响。随着对这些病症病理生理学的理解不断深入,分子和遗传生物标志物在口面部疼痛的诊断、监测以及潜在治疗方面的作用越来越受到关注。本范围综述全面概述了与口面部疼痛病症相关的生物标志物的研究现状。通过分析现有文献,我们确定了与炎症、神经活动和组织降解相关的关键生物标志物,这些标志物在多种病症中都很常见,以及特定病症特有的生物标志物。我们的研究结果强调了这些生物标志物在指导个性化治疗策略开发方面的潜力。然而,该综述也突出了当前生物标志物研究面临的挑战,包括研究设计的异质性、样本量小以及缺乏纵向数据。应对这些挑战对于将生物标志物研究转化为临床实践并改善口面部疼痛患者的治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a30f/11875180/ab0e1b345d77/ga1.jpg

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