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Unveiling the Neurodegenerative Alterations through Oral Stem Cells 通过口腔干细胞揭开神经退行性病变的神秘面纱
IF 7.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-14 DOI: 10.1177/00220345241265661
M. Tatullo, T. Cocco, A. Ferretta, R. Caroppo, B. Marrelli, G. Spagnuolo, F. Paduano
Parkinson’s disease (PD) is a neurodegenerative condition characterized by the progressive and selective loss of dopaminergic (DAergic) neurons in the midbrain. The replacement of neuromelanin (NM)–containing DAergic neurons in the substantia nigra and the enhancement of NM concentration could offer a promising and safe approach to treating PD symptoms. The objective of this study was to investigate and compare the potential of human periapical-cysts mesenchymal stem cells (hPCy-MSCs) and dental pulp stem cells (DPSCs) to differentiate into DAergic NM-producing neurons and to generate functional 3-dimensional (3D) midbrain-like organoids in vitro. We assessed the changes in morphology and behavior of neuron-like cells (NLCs) as well as the expression of molecular markers characterizing the DAergic neurons. Furthermore, we observed electrically active and functionally mature DAergic neurons by means of electrophysiological assays, NM dosage assays, and the quantification of dopamine release by high-performance liquid chromatography. Our results demonstrate for the first time that both hPCy-MSCs and DPSCs are capable of differentiating into NLCs, further confirmed by the increase in lactate levels in the medium of cells exposed to neurogenic conditions. Importantly, we have induced such NLCs to further differentiate into functional DAergic NM-producing neurons. Finally, 3D midbrain-like organoids have been produced from oral stem cells: they appear as neurosphere-like structures diffusely expressing the neural marker β-III tubulin and containing NM-like granules. Our findings open up a novel and fascinating opportunity to rethink oral stem cells, and the derived 3D disease models, as a strategic and reliable tool for unveiling the neurodegenerative alterations.
帕金森病(PD)是一种神经退行性疾病,其特征是中脑多巴胺能(DAergic)神经元的进行性和选择性丧失。替换黑质中含有神经髓鞘素(NM)的多巴胺能神经元并提高 NM 的浓度可为治疗帕金森病症状提供一种安全可靠的方法。本研究旨在调查和比较人根尖囊间充质干细胞(hPCy-MSCs)和牙髓干细胞(DPSCs)分化为产生DA能神经元和在体外生成功能性三维(3D)中脑样器官组织的潜力。我们评估了神经元样细胞(NLCs)形态和行为的变化,以及表征DA能神经元的分子标记的表达。此外,我们还通过电生理学实验、NM剂量实验和高效液相色谱法量化多巴胺的释放,观察到了电活性和功能成熟的DA能神经元。我们的研究结果首次证明了 hPCy-MSCs 和 DPSCs 都能分化成 NLCs,暴露于神经源条件下的细胞培养基中乳酸水平的增加进一步证实了这一点。重要的是,我们还诱导了这类 NLCs 进一步分化为功能性 DAergic NM 生产神经元。最后,我们从口腔干细胞中培育出了三维中脑类器官组织:它们呈神经球样结构,弥漫表达神经标记β-III微管蛋白,并含有NM样颗粒。我们的发现为重新思考口腔干细胞和衍生的三维疾病模型提供了一个新颖而迷人的机会,使其成为揭示神经退行性病变的可靠战略工具。
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引用次数: 0
Computational Methods for Image Analysis in Craniofacial Development and Disease 颅面发育和疾病图像分析的计算方法
IF 7.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-14 DOI: 10.1177/00220345241265048
E. James, A.J. Caetano, P.T. Sharpe
Observation is at the center of all biological sciences. Advances in imaging technologies are therefore essential to derive novel biological insights to better understand the complex workings of living systems. Recent high-throughput sequencing and imaging techniques are allowing researchers to simultaneously address complex molecular variations spatially and temporarily in tissues and organs. The availability of increasingly large dataset sizes has allowed for the evolution of robust deep learning models, designed to interrogate biomedical imaging data. These models are emerging as transformative tools in diagnostic medicine. Combined, these advances allow for dynamic, quantitative, and predictive observations of entire organisms and tissues. Here, we address 3 main tasks of bioimage analysis, image restoration, segmentation, and tracking and discuss new computational tools allowing for 3-dimensional spatial genomics maps. Finally, we demonstrate how these advances have been applied in studies of craniofacial development and oral disease pathogenesis.
观察是所有生物科学的核心。因此,成像技术的进步对于获得新的生物学见解以更好地了解生命系统的复杂运作至关重要。最近的高通量测序和成像技术使研究人员能够同时处理组织和器官中空间和时间上的复杂分子变化。数据集规模越来越大,这使得专为分析生物医学成像数据而设计的强大深度学习模型得以发展。这些模型正在成为诊断医学的变革性工具。结合这些进步,可以对整个生物体和组织进行动态、定量和预测性观察。在此,我们将讨论生物图像分析的三大任务:图像修复、分割和跟踪,并讨论可绘制三维空间基因组学图谱的新型计算工具。最后,我们将展示如何将这些进展应用于颅面发育和口腔疾病发病机制的研究。
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引用次数: 0
Photobiomodulation of Gingival Cells Challenged with Viable Oral Microbes 对受到口腔微生物挑战的牙龈细胞进行光生物调节
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-05-03 DOI: 10.1177/00220345241246529
J. Tanum, H.E. Kim, S.M. Lee, A. Kim, J. Korostoff, G. Hwang
The oral cavity, a unique ecosystem harboring diverse microorganisms, maintains health through a balanced microflora. Disruption may lead to disease, emphasizing the protective role of gingival epithelial cells (GECs) in preventing harm from pathogenic oral microbes. Shifting GECs’ response from proinflammatory to antimicrobial could be a novel strategy for periodontitis. Photobiomodulation therapy (PBMT), a nonpharmacologic host modulatory approach, is considered an alternative to drugs. While the host cell response induced by a single type of pathogen-associated molecular patterns (PAMPs) was widely studied, this model does not address the cellular response to intact microbes that exhibit multiple PAMPs that might modulate the response. Inspired by this, we developed an in vitro model that simulates direct interactions between host cells and intact pathogens and evaluated the effect of PBMT on the response of human gingival keratinocytes (HGKs) to challenge viable oral microbes at both the cellular and molecular levels. Our data demonstrated that LED pretreatment on microbially challenged HGKs with specific continuous wavelengths (red: 615 nm; near-infrared: 880 nm) induced the production of various antimicrobial peptides, enhanced cell viability and proliferation, promoted reactive oxygen species scavenging, and down-modulated proinflammatory activity. The data also suggest a potential explanation regarding the superior efficacy of near-infrared light treatment compared with red light in enhancing antimicrobial activity and reducing cellular inflammation of HGKs. Taken together, the findings suggest that PBMT enhances the overall barrier function of gingival epithelium while minimizing inflammation-mediated breakdown of the underlying structures.
口腔是一个独特的生态系统,蕴藏着多种微生物,通过平衡的微生物菌群维持健康。破坏平衡可能导致疾病,这就强调了牙龈上皮细胞(GECs)在防止口腔病原微生物危害方面的保护作用。将牙龈上皮细胞的反应从促炎性转变为抗菌性,可能是治疗牙周炎的一种新策略。光生物调节疗法(PBMT)是一种非药物的宿主调节方法,被认为是药物的替代疗法。虽然单一类型的病原体相关分子模式(PAMPs)诱导的宿主细胞反应已被广泛研究,但这一模型并没有解决细胞对完整微生物的反应问题,因为完整微生物会表现出多种可能调节反应的 PAMPs。受此启发,我们开发了一种体外模型,模拟宿主细胞与完整病原体之间的直接相互作用,并从细胞和分子水平评估了 PBMT 对人牙龈角质细胞(HGKs)挑战有活力口腔微生物的反应的影响。我们的数据表明,用特定连续波长(红色:615 纳米;近红外:880 纳米)的 LED 对受到微生物挑战的 HGKs 进行预处理,可诱导产生各种抗菌肽,提高细胞活力和增殖,促进活性氧清除,并降低促炎活性。这些数据还为近红外光处理在增强 HGK 的抗菌活性和减轻细胞炎症方面的功效优于红光提供了可能的解释。综上所述,研究结果表明,PBMT 可增强牙龈上皮的整体屏障功能,同时最大限度地减少炎症介导的底层结构破坏。
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引用次数: 0
An Acid-Responsive Iron-Based Nanocomposite for OSCC Treatment 用于治疗 OSCC 的酸响应铁基纳米复合材料
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-30 DOI: 10.1177/00220345241238154
X. Zhao, D. Leng, H. Wang, H. Jin, Y. Wu, Z. Qin, D. Wu, X. Wei
Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer, characterized by invasiveness, local lymph node metastasis, and poor prognosis. Traditional treatment and medications have limitations, making the specific inhibition of OSCC growth, invasion, and metastasis a challenge. The tumor microenvironment exhibits mildly acidity and high concentrations of H2O2, and its exploitation for cancer treatment has been widely researched across various cancers, but research in the oral cancer field is relatively limited. In this study, by loading ultra-small Prussian blue nanoparticles (USPBNPs) into mesoporous calcium–silicate nanoparticles (MCSNs), we developed an acid-responsive iron-based nanocomposite, USPBNPs@MCSNs (UPM), for the OSCC treatment. UPM demonstrated excellent dual enzyme activities, generating toxic ·OH in a mildly acidic environment, effectively killing OSCC cells and producing O2 in a neutral environment to alleviate tissue hypoxia. The results showed that UPM could effectively inhibit the proliferation, migration, and invasion of OSCC cells, as well as the growth of mice solid tumors, without obvious systemic toxicity. The mechanisms may involve UPM inducing ferroptosis of OSCC cells by downregulating the xCT/GPX4/glutathione (GSH) axis, characterized by intracellular iron accumulation, reactive oxygen species accumulation, GSH depletion, lipid peroxidation, and abnormal changes in mitochondrial morphology. Therefore, this study provides empirical support for ferroptosis as an emerging therapeutic target for OSCC and offers a valuable insight for future OSCC treatment.
口腔鳞状细胞癌(OSCC)是最常见的口腔癌,具有侵袭性、局部淋巴结转移和预后不良等特点。传统的治疗方法和药物存在局限性,因此如何特异性地抑制 OSCC 的生长、侵袭和转移成为一项挑战。肿瘤微环境呈现弱酸性和高浓度的 H2O2,利用 H2O2 治疗癌症已在各种癌症中得到广泛研究,但在口腔癌领域的研究相对有限。在本研究中,我们将超小普鲁士蓝纳米颗粒(USPBNPs)载入介孔硅酸钙纳米颗粒(MCSNs),开发了一种酸响应铁基纳米复合材料 USPBNPs@MCSNs(UPM),用于治疗口腔癌。UPM 表现出优异的双酶活性,在弱酸性环境中产生有毒的 -OH,有效杀死 OSCC 细胞;在中性环境中产生 O2,缓解组织缺氧。结果表明,UPM 能有效抑制 OSCC 细胞的增殖、迁移和侵袭,以及小鼠实体瘤的生长,且无明显的全身毒性。其机制可能是UPM通过下调xCT/GPX4/谷胱甘肽(GSH)轴诱导OSCC细胞铁变态反应,表现为细胞内铁积累、活性氧积累、GSH耗竭、脂质过氧化和线粒体形态异常变化。因此,本研究为铁变态反应作为OSCC的一个新兴治疗靶点提供了实证支持,并为未来OSCC的治疗提供了有价值的见解。
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引用次数: 0
Enterococcus faecalis Extracellular Vesicles Promote Apical Periodontitis 粪肠球菌胞外小泡促进根尖牙周炎的发生
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-29 DOI: 10.1177/00220345241230867
R.Y. Ma, Z.L. Deng, Q.Y. Du, M.Q. Dai, Y.Y. Luo, Y.E. Liang, X.Z. Dai, S.M. Guo, W.H. Zhao
Enterococcus faecalis is an important contributor to the persistence of chronic apical periodontitis. However, the mechanism by which E. faecalis infection in the root canals and dentinal tubules affects periapical tissue remains unclear. Bacterial extracellular vesicles (EVs) act as natural carriers of microbe-associated molecular patterns (MAMPs) and have recently attracted considerable attention. In this study, we investigated the role of EVs derived from E. faecalis in the pathogenesis of apical periodontitis. We observed that E. faecalis EVs can induce inflammatory bone destruction in the periapical areas of mice. Double-labeling immunofluorescence indicated that M1 macrophage infiltration was increased by E. faecalis EVs in apical lesions. Moreover, in vitro experiments demonstrated the internalization of E. faecalis EVs into macrophages. Macrophages tended to polarize toward the M1 profile after treatment with E. faecalis EVs. Pattern recognition receptors (PRRs) can recognize MAMPs of bacterial EVs and, in turn, trigger inflammatory responses. Thus, we performed further mechanistic exploration, which showed that E. faecalis EVs considerably increased the expression of NOD2, a cytoplasmic PRR, and that inhibition of NOD2 markedly reduced macrophage M1 polarization induced by E. faecalis EVs. RIPK2 ubiquitination is a major downstream of NOD2. We also observed increased RIPK2 ubiquitination in macrophages treated with E. faecalis EVs, and E. faecalis EV-induced macrophage M1 polarization was notably alleviated by the RIPK2 ubiquitination inhibitor. Our study revealed the potential for EVs to be considered a virulence factor of E. faecalis and found that E. faecalis EVs can promote macrophage M1 polarization via NOD2/RIPK2 signaling. To our knowledge, this is the first report to investigate apical periodontitis development from the perspective of bacterial vesicles and demonstrate the role and mechanism of E. faecalis EVs in macrophage polarization. This study expands our understanding of the pathogenic mechanism of E. faecalis and provides novel insights into the pathogenesis of apical periodontitis.
粪肠球菌是慢性根尖周炎持续存在的重要原因。然而,根管和牙本质小管中的粪肠球菌感染影响根尖周组织的机制仍不清楚。细菌胞外囊泡(EVs)是微生物相关分子模式(MAMPs)的天然载体,最近引起了广泛关注。在本研究中,我们研究了粪大肠杆菌衍生的 EVs 在根尖牙周炎发病机制中的作用。我们观察到粪大肠杆菌 EVs 可诱导小鼠根尖周炎性骨破坏。双标记免疫荧光显示,根尖病变中的粪大肠杆菌 EVs 增加了 M1 巨噬细胞的浸润。此外,体外实验证明了粪大肠杆菌 EVs 在巨噬细胞中的内化作用。用粪大肠杆菌 EVs 处理后,巨噬细胞倾向于向 M1 型极化。模式识别受体(PRR)可以识别细菌 EVs 的 MAMPs,进而引发炎症反应。因此,我们进行了进一步的机理探索,结果表明粪大肠杆菌 EV 显著增加了细胞质 PRR NOD2 的表达,抑制 NOD2 可明显降低粪大肠杆菌 EV 诱导的巨噬细胞 M1 极化。RIPK2 泛素化是 NOD2 的主要下游作用。我们还观察到用粪大肠杆菌 EVs 处理的巨噬细胞中 RIPK2 泛素化增加,RIPK2 泛素化抑制剂明显减轻了粪大肠杆菌 EV 诱导的巨噬细胞 M1 极化。我们的研究揭示了EVs被认为是粪大肠杆菌毒力因子的潜力,并发现粪大肠杆菌EVs可通过NOD2/RIPK2信号传导促进巨噬细胞M1极化。据我们所知,这是首次从细菌囊泡的角度研究根尖牙周炎的发展,并证明了粪大肠杆菌 EVs 在巨噬细胞极化中的作用和机制。这项研究拓展了我们对粪大肠杆菌致病机制的认识,并为根尖周炎的发病机制提供了新的见解。
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引用次数: 0
Artificial Intelligence in Orthodontics: Critical Review 人工智能在正畸学中的应用:批判性评论
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-29 DOI: 10.1177/00220345241235606
N.F. Nordblom, M. Büttner, F. Schwendicke
With increasing digitalization in orthodontics, certain orthodontic manufacturing processes such as the fabrication of indirect bonding trays, aligner production, or wire bending can be automated. However, orthodontic treatment planning and evaluation remains a specialist’s task and responsibility. As the prediction of growth in orthodontic patients and response to orthodontic treatment is inherently complex and individual, orthodontists make use of features gathered from longitudinal, multimodal, and standardized orthodontic data sets. Currently, these data sets are used by the orthodontist to make informed, rule-based treatment decisions. In research, artificial intelligence (AI) has been successfully applied to assist orthodontists with the extraction of relevant data from such data sets. Here, AI has been applied for the analysis of clinical imagery, such as automated landmark detection in lateral cephalograms but also for evaluation of intraoral scans or photographic data. Furthermore, AI is applied to help orthodontists with decision support for treatment decisions such as the need for orthognathic surgery or for orthodontic tooth extractions. One major challenge in current AI research in orthodontics is the limited generalizability, as most studies use unicentric data with high risks of bias. Moreover, comparing AI across different studies and tasks is virtually impossible as both outcomes and outcome metrics vary widely, and underlying data sets are not standardized. Notably, only few AI applications in orthodontics have reached full clinical maturity and regulatory approval, and researchers in the field are tasked with tackling real-world evaluation and implementation of AI into the orthodontic workflow.
随着正畸数字化程度的不断提高,某些正畸生产流程,如间接粘接托盘的制作、矫治器的生产或线的弯曲都可以实现自动化。然而,正畸治疗计划和评估仍然是专科医生的任务和职责。由于预测正畸患者的生长情况和对正畸治疗的反应本质上是复杂和个性化的,因此正畸医生会利用从纵向、多模态和标准化正畸数据集中收集到的特征。目前,正畸医生利用这些数据集做出明智的、基于规则的治疗决策。在研究中,人工智能(AI)已被成功应用于协助正畸医生从这些数据集中提取相关数据。在这里,人工智能已被应用于临床图像的分析,例如头颅侧位图中的自动地标检测,以及口内扫描或照片数据的评估。此外,人工智能还被应用于帮助正畸医生为治疗决策提供决策支持,如是否需要进行正颌外科手术或正畸拔牙。目前人工智能在正畸学领域的研究面临的一个主要挑战是普及性有限,因为大多数研究使用的都是单中心数据,存在很大的偏差风险。此外,在不同的研究和任务中比较人工智能几乎是不可能的,因为结果和结果指标差异很大,而且基础数据集也没有标准化。值得注意的是,目前只有少数人工智能在正畸领域的应用达到了临床成熟和监管批准的程度,该领域的研究人员正肩负着在正畸工作流程中对人工智能进行真实世界评估和实施的任务。
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引用次数: 0
A Novel Mechanism of MSCs Responding to Occlusal Force for Bone Homeostasis 间充质干细胞响应咬合力促进骨平衡的新机制
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-26 DOI: 10.1177/00220345241236120
F. Wang, H. Wang, H. Zhang, B. Sun, Z. Wang
Alveolar bone, as tooth-supporting bone for mastication, is sensitive to occlusal force. However, the mechanism of alveolar bone loss after losing occlusal force remains unclear. Here, we performed single-cell RNA sequencing of nonhematopoietic (CD45) cells in mouse alveolar bone after removing the occlusal force. Mesenchymal stromal cells (MSCs) and endothelial cell (EC) subsets were significantly decreased in frequency, as confirmed by immunofluorescence and flow cytometry. The osteogenic and proangiogenic abilities of MSCs were impaired, and the expression of mechanotransducers yes associated protein 1 ( Yap) and WW domain containing transcription regulator 1 ( Taz) in MSCs decreased. Conditional deletion of Yap and Taz from LepR+ cells, which are enriched in MSCs that are important for adult bone homeostasis, significantly decreased alveolar bone mass and resisted any further changes in bone mass induced by occlusal force changes. Interestingly, LepR-Cre; Yapf/f; Tazf/f mice showed a decrease in CD31hi endomucin (Emcn)hi endothelium, and the expression of some EC-derived signals acting on osteoblastic cells was inhibited in alveolar bone. Mechanistically, conditional deletion of Yap and Taz in LepR+ cells inhibited the secretion of pleiotrophin (Ptn), which impaired the proangiogenic capacity of LepR+ cells. Knockdown in MSC-derived Ptn repressed human umbilical vein EC tube formation in vitro. More important, administration of recombinant PTN locally recovered the frequency of CD31hiEmcnhi endothelium and rescued the low bone mass phenotype of LepR-Cre; Yapf/f; Tazf/f mice. Taken together, these findings suggest that occlusal force governs MSC-regulated endothelium to maintain alveolar bone homeostasis through the Yap/Taz/Ptn axis, providing a reference for further understanding of the relationship between dysfunction and bone homeostasis.
牙槽骨作为咀嚼时的牙齿支撑骨,对咬合力非常敏感。然而,失去咬合力后牙槽骨流失的机制仍不清楚。在此,我们对去除咬合力后小鼠牙槽骨中的非造血细胞(CD45-)进行了单细胞 RNA 测序。免疫荧光和流式细胞术证实,间充质基质细胞(MSCs)和内皮细胞(EC)亚群的频率明显下降。间充质干细胞的成骨和促血管生成能力受损,间充质干细胞中的机械传导相关蛋白1(Yap)和含WW结构域的转录调节因子1(Taz)的表达减少。LepR+细胞中富含对成人骨平衡非常重要的间充质干细胞,有条件地缺失LepR+细胞中的Yap和Taz会显著降低牙槽骨质量,并抑制咬合力变化引起的骨量进一步变化。有趣的是,LepR-Cre; Yapf/f; Tazf/f 小鼠显示出 CD31hi 内皮素(Emcn)hi 内皮细胞的减少,一些作用于成骨细胞的 EC 衍生信号在牙槽骨中的表达受到抑制。从机制上讲,LepR+细胞中Yap和Taz的条件性缺失抑制了褶皱素(Ptn)的分泌,从而削弱了LepR+细胞的促血管生成能力。敲除间充质干细胞衍生的 Ptn 可抑制体外人脐静脉 EC 管的形成。更重要的是,在局部给予重组 PTN 可恢复 CD31hiEmcnhi 内皮的频率,并挽救 LepR-Cre; Yapf/f; Tazf/f 小鼠的低骨量表型。综上所述,这些研究结果表明,咬合力通过Yap/Taz/Ptn轴调控间充质干细胞调节内皮维持牙槽骨稳态,为进一步了解功能障碍与骨稳态之间的关系提供了参考。
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引用次数: 0
Tongue-Coating Microbial and Metabolic Characteristics in Halitosis 口臭的舌苔微生物和代谢特征
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-16 DOI: 10.1177/00220345241230067
Y. Zhang, K.L. Lo, A.N. Liman, X.P. Feng, W. Ye
Halitosis is a common oral condition, which leads to social embarrassment and affects quality of life. Cumulative evidence has suggested the association of tongue-coating microbiome with the development of intraoral halitosis. The dynamic variations of tongue-coating microbiota and metabolites in halitosis have not been fully elucidated. Therefore, the present study aimed to determine the tongue-coating microbial and metabolic characteristics in halitosis subjects without other oral diseases using metagenomics and metabolomics analysis. The participants underwent oral examination, halitosis assessment, and tongue-coating sample collection for the microbiome and metabolome analysis. It was found that the microbiota richness and diversity were significantly elevated in the halitosis group. Furthermore, species from Actinomyces, Prevotella, Veillonella, and Solobacterium were significantly more abundant in the halitosis group. However, the Rothia and Streptococcus species exhibited opposite tendencies. Eleven Kyoto Encyclopedia of Genes and Genomes pathways were significantly enriched in the halitosis tongue coatings, including cysteine and methionine metabolism. Functional genes related to sulfur, indole, skatole, and cadaverine metabolic processes (such as serA, metH, metK and dsrAB) were identified to be more abundant in the halitosis samples. The metabolome analysis revealed that indole-3-acetic, ornithine, and L-tryptophan were significantly elevated in the halitosis samples. Furthermore, it was observed that the values of volatile sulfur compounds and indole-3-acetic abundances were positively correlated. The multiomics analysis identified the metagenomic and metabolomic characteristics to differentiate halitosis from healthy individuals using the least absolute shrinkage and selection operator logistic regression and random forest classifier. A total of 19 species and 39 metabolites were identified as features in halitosis patients, which included indole-3-acetic acid, Bacillus altitudinis, Candidatus Saccharibacteria, and Actinomyces species. In conclusion, an evident shift in microbiome and metabolome characteristics was observed in the halitosis tongue coating, which may have a potential etiological significance and provide novel insights into the mechanism for halitosis.
口臭是一种常见的口腔疾病,会导致社交尴尬并影响生活质量。累积的证据表明,舌苔微生物群与口腔内口臭的发生有关。舌苔微生物群和代谢物在口臭中的动态变化尚未完全阐明。因此,本研究旨在通过元基因组学和代谢组学分析,确定无其他口腔疾病的口臭受试者的舌苔微生物和代谢特征。参与者接受了口腔检查、口臭评估和舌苔样本采集,以进行微生物组和代谢组分析。结果发现,口臭组的微生物群丰富度和多样性明显增加。此外,口臭组中放线菌属、普雷沃特菌属、维龙菌属和索尔杆菌属的物种明显更多。然而,罗氏菌和链球菌则表现出相反的趋势。在口臭舌苔中,《京都基因和基因组百科全书》中的 11 个通路明显富集,包括半胱氨酸和蛋氨酸代谢。在口臭样本中,与硫、吲哚、鳐鱼碱和尸碱代谢过程有关的功能基因(如 serA、metH、metK 和 dsrAB)含量较高。代谢组分析表明,口臭样本中的吲哚-3-乙酸、鸟氨酸和 L-色氨酸明显升高。此外,还发现挥发性硫化合物的含量与吲哚-3-乙酸的含量呈正相关。多组学分析利用最小绝对收缩和选择算子逻辑回归和随机森林分类器确定了区分口臭和健康人的元基因组和代谢组特征。结果发现,口臭患者共有 19 个物种和 39 种代谢物,其中包括吲哚-3-乙酸、高度芽孢杆菌、酵母菌和放线菌。总之,在口臭舌苔中观察到了微生物组和代谢组特征的明显变化,这可能具有潜在的病因学意义,并为口臭的机制提供了新的见解。
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引用次数: 0
Periodontitis, Dental Procedures, and Young-Onset Cryptogenic Stroke 牙周炎、牙科手术与青年隐源性中风
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-16 DOI: 10.1177/00220345241232406
J. Leskelä, J. Putaala, N. Martinez-Majander, L. Tulkki, M. Manzoor, S. Zaric, P. Ylikotila, R. Lautamäki, A. Saraste, S. Suihko, E. Könönen, J. Sinisalo, P.J. Pussinen, S. Paju
Periodontitis is associated with an increased risk of ischemic stroke, and the risk may be particularly high among young people with unexplained stroke etiology. Thus, we investigated in a case-control study whether periodontitis or recent invasive dental treatments are associated with young-onset cryptogenic ischemic stroke (CIS). We enrolled participants from a multicenter case-control SECRETO study including adults aged 18 to 49 y presenting with an imaging-positive first-ever CIS and stroke-free age- and sex-matched controls. Thorough clinical and radiographic oral examination was performed. Furthermore, we measured serum lipopolysaccharide (LPS) and lipotechoic acid (LTA) levels. Multivariate conditional regression models were adjusted for stroke risk factors, regular dentist visits, and patent foramen ovale (PFO) status. We enrolled 146 case-control pairs (median age 41.9 y; 58.2% males). Periodontitis was diagnosed in 27.5% of CIS patients and 20.1% of controls ( P < 0.001). In the fully adjusted models, CIS was associated with high periodontal inflammation burden (odds ratio [OR], 95% confidence interval) with an OR of 10.48 (3.18–34.5) and severe periodontitis with an OR of 7.48 (1.24–44.9). Stroke severity increased with the severity of periodontitis, having an OR of 6.43 (1.87–23.0) in stage III to IV, grade C. Invasive dental treatments performed within 3 mo prestroke were associated with CIS, with an OR of 2.54 (1.01–6.39). Association between CIS and invasive dental treatments was especially strong among those with PFO showing an OR of 6.26 (1.72–40.2). LPS/LTA did not differ between CIS patients and controls but displayed an increasing trend with periodontitis severity. Periodontitis and recent invasive dental procedures were associated with CIS after controlling for multiple confounders. However, the role of bacteremia as a mediator of this risk was not confirmed.
牙周炎与缺血性脑卒中风险的增加有关,在脑卒中病因不明的年轻人中,这种风险可能尤其高。因此,我们在一项病例对照研究中调查了牙周炎或最近的侵入性牙科治疗是否与年轻时发生的隐源性缺血性中风(CIS)有关。我们从一项多中心病例对照 SECRETO 研究中招募了参与者,包括年龄在 18 至 49 岁、首次出现影像学阳性 CIS 的成人,以及无中风的年龄和性别匹配的对照组。我们进行了全面的临床和放射口腔检查。此外,我们还测量了血清脂多糖(LPS)和脂回声酸(LTA)水平。多变量条件回归模型对中风风险因素、定期看牙医和卵圆孔状态进行了调整。我们共纳入了 146 对病例对照(中位年龄为 41.9 岁;58.2% 为男性)。27.5%的CIS患者和20.1%的对照组患者被诊断患有牙周炎(P < 0.001)。在完全调整模型中,CIS 与高牙周炎症负担有关(几率比 [OR],95% 置信区间),OR 为 10.48(3.18-34.5),与严重牙周炎有关,OR 为 7.48(1.24-44.9)。脑卒中严重程度随牙周炎严重程度的增加而增加,III 至 IV 期 C 级的 OR 为 6.43(1.87-23.0)。脑卒中前 3 个月内进行的侵入性牙科治疗与 CIS 相关,OR 为 2.54(1.01-6.39)。在患有 PFO 的患者中,CIS 与侵入性牙科治疗之间的关系尤为密切,OR 值为 6.26(1.72-40.2)。LPS/LTA 在 CIS 患者和对照组之间没有差异,但随着牙周炎严重程度的增加而呈上升趋势。在控制了多种混杂因素后,牙周炎和最近的侵入性牙科手术与 CIS 相关。然而,菌血症在这一风险中的中介作用并未得到证实。
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引用次数: 0
Spatiotemporal Evolution of Developing Palate in Mice 小鼠腭部发育的时空演变
IF 7.6 1区 医学 Q1 Dentistry Pub Date : 2024-04-15 DOI: 10.1177/00220345241232317
B. Wang, Z. Zhang, J. Zhao, Y. Ma, Y. Wang, N. Yin, T. Song
The intricate formation of the palate involves a series of complex events, yet its mechanistic basis remains uncertain. To explore major cell populations in the palate and their roles during development, we constructed a spatiotemporal transcription landscape of palatal cells. Palate samples from C57BL/6 J mice at embryonic days 12.5 (E12.5), 14.5 (E14.5), and 16.5 (E16.5) underwent single-cell RNA sequencing (scRNA-seq) to identify distinct cell subsets. In addition, spatial enhanced resolution omics-sequencing (stereo-seq) was used to characterize the spatial distribution of these subsets. Integrating scRNA-seq and stereo-seq with CellTrek annotated mesenchymal and epithelial cellular components of the palate during development. Furthermore, cellular communication networks between these cell subpopulations were analyzed to discover intercellular signaling during palate development. From the analysis of the middle palate, both mesenchymal and epithelial populations were spatially segregated into 3 domains. The middle palate mesenchymal subpopulations were associated with tooth formation, ossification, and tissue remodeling, with initial state cell populations located proximal to the dental lamina. The nasal epithelium of the palatal shelf exhibited richer humoral immune responses than the oral side. Specific enrichment of Tgfβ3 and Pthlh signals in the midline epithelial seam at E14.5 suggested a role in epithelial–mesenchymal transition. In summary, this study provides high-resolution transcriptomic information, contributing to a deeper mechanistic understanding of palate biology and pathophysiology.
腭的形成错综复杂,涉及一系列复杂的事件,但其机理基础仍不确定。为了探索腭部的主要细胞群及其在发育过程中的作用,我们构建了腭细胞的时空转录图谱。我们对胚胎 12.5 天(E12.5)、14.5 天(E14.5)和 16.5 天(E16.5)的 C57BL/6 J 小鼠腭部样本进行了单细胞 RNA 测序(scRNA-seq),以确定不同的细胞亚群。此外,还利用空间增强分辨率omics测序(stereo-seq)来描述这些亚群的空间分布特征。将 scRNA-seq 和立体测序与 CellTrek 相结合,注释了腭部发育过程中的间充质和上皮细胞成分。此外,还分析了这些细胞亚群之间的细胞通讯网络,以发现腭发育过程中的细胞间信号传导。通过对中腭的分析,间充质和上皮细胞群在空间上被分为三个区域。中腭间充质亚群与牙齿形成、骨化和组织重塑有关,其初始状态细胞群位于牙层近端。与口腔侧相比,腭架鼻腔上皮表现出更丰富的体液免疫反应。在E14.5时,Tgfβ3和Pthlh信号在中线上皮接缝中的特异性富集表明了其在上皮-间质转化中的作用。总之,这项研究提供了高分辨率的转录组信息,有助于加深对腭生物学和病理生理学的机理认识。
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引用次数: 0
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Journal of Dental Research
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