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探索代谢综合征患者牙周病原体与全身炎症标志物之间的联系。

Exploring the Link Between Periodontal Pathogens and Systemic Inflammatory Markers in Patients with Metabolic Syndrome.

作者信息

Boyapati Ramanarayana, Vudathaneni Vijaya Krishna Prasad, Bodduru Ruparani, Todima Jyothi, Dasari Ankineedu Babu, Chintala Lalitha

机构信息

Department of Periodontology, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India.

Department of Internal Medicine, Columbus Regional Hospital, Columbus, Indiana, USA.

出版信息

J Pharm Bioallied Sci. 2025 Jun;17(Suppl 2):S1808-S1810. doi: 10.4103/jpbs.jpbs_436_25. Epub 2025 Jun 18.

Abstract

BACKGROUND

The group of health conditions MetS includes obesity, high blood pressure, poor blood fat control, and insulin resistance, making people more likely to develop heart diseases and type 2 diabetes. Younger research shows that dental bacteria cause more bodywide swelling, hurting MetS patients.

MATERIALS AND METHODS

Study included 100 MetS patients together with 100 healthy individuals having chronic periodontitis symptoms. Research team members measured the level of periodontal tissue structure loss with PPD and CAL measurements. The researchers took subgingival plaque samples from patients to perform the polymerase chain reaction test for , , and detection. Samples of blood tested for inflammation provided numerical values determining CRP, IL-6, and TNF-α levels in the body. We performed independent -test and Pearson's correlation tests for our statistical analysis.

RESULTS

People with MetS had stronger periodontal inflammation than others because their gum depths measured 4.8 ± 1.2 mm, and gum damage reached 5.2 ± 1.5 mm when compared to the control group (PPD: 3.2 ± 0.9 mm, CAL: 3.5 ± 1.1 mm; < 0.05). MetS patients had more , , and bacteria in their mouths than the control group at < 0.05. MetS patients revealed higher CRP amounts in their blood tests (4.2 ± 1.1 mg/L) than regular participants (2.1 ± 0.8 mg/L). Testing showed the connection between bacteria count and inflammation markers was strong.

CONCLUSION

Research shows that periodontal disease microbes directly relate to higher inflammatory values in people who have metabolic syndrome. The research shows periodontal infections play a role in raising inflammation throughout the body of MetS patients when managing their health condition needs attention.

摘要

背景

代谢综合征(MetS)这组健康状况包括肥胖、高血压、血脂控制不佳和胰岛素抵抗,使人们更容易患上心脏病和2型糖尿病。早期研究表明,口腔细菌会导致全身更严重的炎症,对代谢综合征患者造成损害。

材料与方法

研究纳入了100名代谢综合征患者以及100名有慢性牙周炎症状的健康个体。研究团队成员通过测量牙周探诊深度(PPD)和临床附着丧失(CAL)来评估牙周组织结构丧失的程度。研究人员从患者处采集龈下菌斑样本,进行聚合酶链反应检测以检测 、 和 。检测血液中的炎症样本以提供确定体内C反应蛋白(CRP)、白细胞介素 - 6(IL - 6)和肿瘤坏死因子 - α(TNF - α)水平的数值。我们进行独立样本t检验和Pearson相关性检验进行统计分析。

结果

代谢综合征患者的牙周炎症比其他人更严重,因为与对照组相比,他们的牙龈深度为4.8±1.2毫米,牙龈损伤达5.2±1.5毫米(PPD:3.2±0.9毫米,CAL:3.5±1.1毫米;P<0.05)。代谢综合征患者口腔中的 、 和 细菌比对照组更多(P<0.05)。代谢综合征患者血液检测中的CRP含量(4.2±1.1毫克/升)高于正常参与者(2.1±0.8毫克/升)。检测表明细菌数量与炎症标志物之间的关联很强。

结论

研究表明,牙周病微生物与代谢综合征患者体内较高的炎症值直接相关。该研究表明,在管理代谢综合征患者的健康状况时,牙周感染在引发全身炎症中起作用,这一点需要关注。

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本文引用的文献

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Periodontal diseases.牙周病。
Nat Rev Dis Primers. 2017 Jun 22;3:17038. doi: 10.1038/nrdp.2017.38.

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