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探索肾透析中钙结合蛋白-D28K与口腔健康的关联:一项综述

Exploring the association of calbindin -D28K in renal dialysis with oral health: a comprehensive review.

作者信息

Jaber Mohamed, Ingafou Mohamed Saleh Hamad, Maniangat Luke Alexander

机构信息

Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates.

Centre for Medical and Bio-Allied Health Sciences Research (CMBAHSR), Ajman University, Ajman, United Arab Emirates.

出版信息

Front Oral Health. 2025 Apr 25;6:1523024. doi: 10.3389/froh.2025.1523024. eCollection 2025.

Abstract

BACKGROUND

The kidney, brain, and endocrine glands all express calbindin-D28K, a calcium-binding protein that is essential for maintaining calcium homeostasis. Calcium metabolism is disturbed in chronic kidney disease (CKD), which may have an impact on dental and bone health. Patients on dialysis frequently have changed salivary composition, which raises their risk of dental problems such tooth decay and periodontal disease. Although there is no direct study on the relationship between Calbindin-D28K and dental health in dialysis patients, its function in calcium control raises the possibility of a connection that merits more investigation.

OBJECTIVE

To address the impact of Calbindin-D28K levels in chronic kidney disease on oral health.

DESIGN

A comprehensive electronic search was conducted using databases like PubMed, ResearchGate, SCOPUS, and others, to find relevant articles published before May 2024. The search terms included Calbindin-D28K, renal dialysis, dental and oral health, Vitamin D, calcium, end-stage renal disease, and related topics. The review examined studies from 1975 to 2024, focusing on the relationship between dental health and renal dialysis and factors affecting Calbindin-D28K levels.

RESULTS

A total of 48 articles were retrieved through electronic database. After evaluating the title, abstract, and full text of these articles, only 7 were selected for the present review. Final consideration: Based on the data available on selected studies, they point to a possible association between these people's higher frequency of periodontal disease and tooth caries and lower levels of Calbindin-D28K.It is imperative to recognize the reciprocal impact of systemic illnesses on oral health. In addition to being important for maintaining calcium homeostasis, calbindin-D28K may also be a biomarker for renal damage and have an impact on dental health. Its relevance for both diagnosis and treatment of chronic kidney disease and associated diseases is highlighted by its involvement in renal function and neuroprotection.

摘要

背景

肾脏、大脑和内分泌腺均表达钙结合蛋白-D28K,这是一种对维持钙稳态至关重要的钙结合蛋白。慢性肾脏病(CKD)患者的钙代谢紊乱,这可能会影响牙齿和骨骼健康。透析患者的唾液成分经常发生变化,这增加了他们患龋齿和牙周病等牙齿问题的风险。尽管目前尚无关于透析患者钙结合蛋白-D28K与牙齿健康之间关系的直接研究,但其在钙控制中的作用增加了两者之间存在关联的可能性,值得进一步研究。

目的

探讨慢性肾脏病患者钙结合蛋白-D28K水平对口腔健康的影响。

设计

利用PubMed、ResearchGate、SCOPUS等数据库进行全面的电子检索,以查找2024年5月之前发表的相关文章。检索词包括钙结合蛋白-D28K、肾透析、牙齿和口腔健康、维生素D、钙、终末期肾病及相关主题。本综述纳入了1975年至2024年的研究,重点关注牙齿健康与肾透析之间的关系以及影响钙结合蛋白-D28K水平的因素。

结果

通过电子数据库共检索到48篇文章。在评估这些文章的标题、摘要和全文后,仅选择了7篇进行本综述。最终结论:基于所选研究的现有数据,表明这些人群中牙周病和龋齿的发生率较高与钙结合蛋白-D28K水平较低之间可能存在关联。认识到全身性疾病对口腔健康的相互影响至关重要。钙结合蛋白-D28K除了对维持钙稳态很重要外,还可能是肾损伤的生物标志物,并影响牙齿健康。其参与肾功能和神经保护突出了其在慢性肾脏病及相关疾病的诊断和治疗中的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ce0/12062178/37871834a3b5/froh-06-1523024-g001.jpg

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