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Implant surface modifications and their impact on osseointegration and peri-implant diseases through epigenetic changes: A scoping review 种植体表面修饰及其通过表观遗传学变化对骨结合和种植体周围疾病的影响:范围综述。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-15 DOI: 10.1111/jre.13273
Marcel F. Kunrath, Carlos Garaicoa-Pazmino, Paula Milena Giraldo-Osorno, Aya Haj Mustafa, Christer Dahlin, Lena Larsson, Farah Asa'ad

Dental implant surfaces and their unique properties can interact with the surrounding oral tissues through epigenetic cues. The present scoping review provides current perspectives on surface modifications of dental implants, their impact on the osseointegration process, and the interaction between implant surface properties and epigenetics, also in peri-implant diseases. Findings of this review demonstrate the impact of innovative surface treatments on the epigenetic mechanisms of cells, showing promising results in the early stages of osseointegration. Dental implant surfaces with properties of hydrophilicity, nanotexturization, multifunctional coatings, and incorporated drug-release systems have demonstrated favorable outcomes for early bone adhesion, increased antibacterial features, and improved osseointegration. The interaction between modified surface morphologies, different chemical surface energies, and/or release of molecules within the oral tissues has been shown to influence epigenetic mechanisms of the surrounding tissues caused by a physical–chemical interaction. Epigenetic changes around dental implants in the state of health and disease are different. In conclusion, emerging approaches in surface modifications for dental implants functionalized with epigenetics have great potential with a significant impact on modulating bone healing during osseointegration.

牙科种植体表面及其独特特性可通过表观遗传学线索与周围口腔组织相互作用。本综述就牙科种植体的表面修饰、其对骨结合过程的影响以及种植体表面特性与表观遗传学之间的相互作用(包括种植体周围疾病)提供了当前的视角。本综述的研究结果表明了创新性表面处理对细胞表观遗传学机制的影响,在骨结合的早期阶段显示出良好的效果。具有亲水性、纳米挤压性、多功能涂层和结合药物释放系统等特性的牙科种植体表面在早期骨粘附、增加抗菌功能和改善骨结合方面都取得了良好的效果。事实证明,改良的表面形态、不同的化学表面能和/或口腔组织内分子的释放之间的相互作用,会通过物理化学相互作用影响周围组织的表观遗传机制。在健康和疾病状态下,牙科种植体周围的表观遗传学变化是不同的。总之,利用表观遗传学对牙科种植体表面进行功能化修饰的新方法具有巨大潜力,可在骨结合过程中对调节骨愈合产生重大影响。
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引用次数: 0
Umbelliferone reduces inflammation and ligature-induced osteoclastic alveolar bone resorption in mice 伞形酮可减少炎症和结扎引起的小鼠破骨细胞牙槽骨吸收。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-14 DOI: 10.1111/jre.13277
Samia Jessica Silva Tavares, Camila Rodrigues Pereira, Roseane Aline Monteiro Fortes, Bianca Elen Souza Alves, Cristiane Sá Roriz Fonteles, Deysi Viviana Tenazoa Wong, Roberto César Pereira Lima-Júnior, Manoel Odorico Moraes, Vilma Lima

Aims

This study aimed to investigate the effects of Umbelliferone (UMB) on the inflammation underlying alveolar bone resorption in mouse periodontitis.

Methods

Male Swiss mice subjected to a ligature of molars were grouped as non-treated (NT), received UMB (15, 45, or 135 mg/kg) or saline daily for 7 days, respectively, and were compared with naïve mice as control. Gingival tissues were evaluated by myeloperoxidase (MPO) activity and interleukin-1β level by ELISA. The bone resorption was directly assessed on the region between the cement–enamel junction and the alveolar bone crest. Microscopically, histomorphometry of the furcation region, immunofluorescence for nuclear factor-kappa B (NF-ĸB), and immunohistochemistry for tartrate-resistant acid phosphatase (TRAP), and cathepsin K (CTSK) were performed. Systemically, body mass variation and leukogram were analyzed.

Results

Periodontitis significantly increased MPO activity, interleukin-1β level, and NF-ĸB+ immunofluorescence, and induced severe alveolar bone and furcation resorptions, besides increased TRAP+ and CTSK+ cells compared with naïve. UMB significantly prevented the inflammation by reducing MPO activity, interleukin-1β level, and NF-ĸB+ intensity, besides reduction of resorption of alveolar bone and furcation area, and TRAP+ and CTSK+ cells compared with the NT group. Periodontitis or UMB treatment did not affect the animals systemically.

Conclusion

UMB improved periodontitis by reducing inflammation and bone markers.

目的:本研究旨在探讨伞形酮(UMB)对小鼠牙周炎牙槽骨吸收炎症的影响:方法:将臼齿结扎后的雄性瑞士小鼠分为未治疗组(NT),每天分别接受 UMB(15、45 或 135 毫克/千克)或生理盐水治疗 7 天,并与作为对照的天真小鼠进行比较。用髓质过氧化物酶(MPO)活性和白细胞介素-1β水平(ELISA)评估牙龈组织。骨吸收直接在骨水泥-釉质交界处和牙槽骨嵴之间的区域进行评估。在显微镜下,对毛囊区进行了组织形态测量,对核因子卡巴B(NF-ĸB)进行了免疫荧光,并对耐酒石酸磷酸酶(TRAP)和酪蛋白酶K(CTSK)进行了免疫组化。结果显示,牙周炎显著增加了 MPO 活性:结果:牙周炎明显增加了 MPO 活性、白细胞介素-1β 水平和 NF-ĸB+ 免疫荧光,并诱发了严重的牙槽骨和龈沟吸收,此外 TRAP+ 和 CTSK+ 细胞也比新发期增多。与NT组相比,UMB能降低MPO活性、白细胞介素-1β水平和NF-ĸB+强度,减少牙槽骨和龈沟的吸收,减少TRAP+和CTSK+细胞,从而明显预防炎症。牙周炎或 UMB 治疗对动物全身没有影响:结论:UMB可通过减少炎症和骨标记物来改善牙周炎。
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引用次数: 0
Effects of vitamin K2 administration on guided bone regeneration in diabetic rats 服用维生素 K2 对糖尿病大鼠引导骨再生的影响
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-14 DOI: 10.1111/jre.13287
Irmak Duman, Gamze Tanrıverdi, Hafize Öztürk Özener

Aim

The present study aimed to investigate the histomorphometric and immunohistochemical impacts of vitamin K2 on guided bone regeneration (GBR) in calvarial critical-size defects (CSDs) in diabetic rats.

Methods

A total of 30 rats were used in this study, comprising 12 non-diabetic (control) rats and 18 with streptozotocin-nicotinamide-induced experimental Diabetes mellitus (DM). In all rats, two calvarial CSDs were created: one defect was left empty (E), the other was treated with bovine-derived bone graft and collagen-based resorbable membrane (GM). Study groups were as follows: control rats administered saline (n = 6, C-E and C-GM groups) or vitamin K2 (n = 6, CK-E and CK-GM groups) and diabetic rats administered saline (n = 6, DM-E and DM-GM groups) or vitamin K2 (n = 6, DMK-E and DMK-GM groups). After 4 weeks of saline or vitamin K2 administration, the rats were euthanized. Bone defect healing and new bone formation were assessed histomorphometrically, and osteocalcin and osteopontin levels were examined immunohistochemically.

Results

Percentage of new bone formation was greater in CK-GM vs. CK-E and in DMK-GM vs. DMK-E [d = 3.86 (95% CI = 16.38–28.61), d = 1.86, (95% CI = 10.74–38.58), respectively, p < .05]. Bone defect healing scores were higher in CK-GM vs. CK-E and in DMK-GM vs. DMK-E [d = 2.69 (95% CI = -2.12 to −0.87), d = 3.28 (95% CI = 0.98–1.91), respectively, p < .05]. Osteocalcin expression levels were elevated in CK-GM vs. CK-E, in DMK-GM vs. DMK-E [d = 1.19 (95% CI = 0.08–1.41), d = 1.10 (95% CI = 0.02–1.22), respectively p < .05]. Vitamin K2 enhanced osteocalcin expression levels in DMK-E vs. DM-E [d = 2.78, (95% CI = 0.56–1.53), p < .05] and in DMK-GM vs. DM-GM [d = 2.43, (95% CI = 0.65–2.10), p < .05]. Osteopontin expression was enhanced in defects treated with GM vs. E defects [C-GM vs. C-E, d = 1.56 (95% CI = 0.38–2.01); CK-GM vs. CK-E, d = 1.91 (95% CI = 0.49–1.72); DM-GM vs. DM-E, d = 2.34 (95% CI = -1.12 to −0.50); DMK-GM vs. DMK-E, d = 2.00 (95% CI = 0.58–1.91), p < .05].

Conclusion

The research findings suggest that administering vitamin K2 in GBR for rats with DM favorably impacts bone healing in CSDs, presenting an adjunctive strategy for bone regeneration.

目的:本研究旨在探讨维生素 K2 对糖尿病大鼠腓骨临界大小缺损(CSD)中引导骨再生(GBR)的组织形态学和免疫组织化学影响:本研究共使用了 30 只大鼠,包括 12 只非糖尿病(对照组)大鼠和 18 只链脲佐菌素-烟酰胺诱导的实验性糖尿病(DM)大鼠。所有大鼠都有两个犊骨 CSD:一个缺损为空洞(E),另一个用牛源性骨移植和胶原基可吸收膜(GM)处理。研究分组如下:对照组大鼠服用生理盐水(n = 6,C-E 和 C-GM 组)或维生素 K2(n = 6,CK-E 和 CK-GM 组);糖尿病大鼠服用生理盐水(n = 6,DM-E 和 DM-GM 组)或维生素 K2(n = 6,DMK-E 和 DMK-GM 组)。注射生理盐水或维生素 K2 4 周后,大鼠被安乐死。用组织形态计量学方法评估骨缺损愈合和新骨形成情况,用免疫组化方法检测骨钙素和骨素水平:结果:CK-GM 与 CK-E 相比,DMK-GM 与 DMK-E 相比,新骨形成的百分比更高[分别为 d = 3.86(95% CI = 16.38-28.61),d = 1.86,(95% CI = 10.74-38.58),p 结论:研究结果表明,在GBR中给DM大鼠服用维生素K2会对CSD的骨愈合产生有利影响,是骨再生的一种辅助策略。
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引用次数: 0
Effects of mechanical loading on matrix homeostasis and differentiation potential of periodontal ligament cells: A scoping review 机械负荷对基质稳态和牙周韧带细胞分化潜能的影响:范围综述。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-12 DOI: 10.1111/jre.13284
Novena Dameria Pakpahan, Maythwe Kyawsoewin, Jeeranan Manokawinchoke, Chutimon Termkwancharoen, Hiroshi Egusa, Phoonsuk Limraksasin, Thanaphum Osathanon

Various mechanical loadings, including mechanical stress, orthodontics forces, and masticatory force, affect the functions of periodontal ligament cells. Regulation of periodontal tissue destruction, formation, and differentiation functions are crucial processes for periodontal regeneration therapy. Numerous studies have reported that different types of mechanical loading play a role in maintaining periodontal tissue matrix homeostasis, and osteogenic differentiation of the periodontal ligament cells. This scoping review aims to evaluate the studies regarding the effects of various mechanical loadings on the secretion of extracellular matrix (ECM) components, regulation of the balance between formation and destruction of periodontal tissue matrix, osteogenic differentiation, and multiple differentiation functions of the periodontal ligament. An electronic search for this review has been conducted on two databases; MEDLINE via PubMed and SCOPUS. Study selection criteria included original research written in English that reported the effects of different mechanical loadings on matrix homeostasis and differentiation potential of periodontal ligament cells. The final 204 articles were mainly included in the present scoping review. Mechanical forces of the appropriate magnitude, duration, and pattern have a positive influence on the secretion of ECM components such as collagen, as well as regulate the secretion of matrix metalloproteinases and tissue inhibitors of matrix metalloproteinases. Additionally, these forces regulate a balance between osteoblastic and osteoclast differentiation. Conversely, incorrect mechanical loadings can lead to abnormal formation and destruction of both soft and hard tissue. This review provides additional insight into how mechanical loadings impact ECM homeostasis and multiple differentiation functions of periodontal ligament cells (PDLCs), thus making it valuable for regenerative periodontal treatment. In combination with advancing technologies, the utilization of ECM components, application of different aspects of mechanical force, and differentiation potential of PDLCs could bring potential benefits to future periodontal regeneration therapy.

各种机械负荷,包括机械应力、正畸力和咀嚼力,都会影响牙周韧带细胞的功能。调节牙周组织的破坏、形成和分化功能是牙周再生治疗的关键过程。大量研究表明,不同类型的机械负荷在维持牙周组织基质平衡和牙周韧带细胞成骨分化方面发挥作用。本综述旨在评估有关各种机械负荷对细胞外基质(ECM)成分分泌的影响、牙周组织基质形成与破坏平衡的调节、成骨分化以及牙周韧带多种分化功能的研究。本综述在两个数据库中进行了电子检索:MEDLINE(通过 PubMed)和 SCOPUS。研究选择标准包括用英文撰写的、报道不同机械负荷对基质稳态和牙周韧带细胞分化潜能影响的原创性研究。最终的 204 篇文章主要包括在本次范围界定综述中。适当大小、持续时间和模式的机械力对胶原蛋白等 ECM 成分的分泌有积极影响,同时还能调节基质金属蛋白酶和基质金属蛋白酶组织抑制剂的分泌。此外,这些力还能调节成骨细胞和破骨细胞分化之间的平衡。相反,不正确的机械负荷会导致软组织和硬组织的异常形成和破坏。本综述提供了有关机械负荷如何影响 ECM 平衡和牙周韧带细胞(PDLCs)多种分化功能的更多见解,从而使其对牙周再生治疗具有重要价值。结合不断进步的技术,ECM 成分的利用、机械力不同方面的应用以及牙周韧带细胞的分化潜力可能会为未来的牙周再生治疗带来潜在的益处。
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引用次数: 0
Microbiome of periodontitis and peri-implantitis before and after therapy: Long-read 16S rRNA gene amplicon sequencing 牙周炎和种植体周围炎治疗前后的微生物组:长线16S rRNA基因扩增片段测序。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-08 DOI: 10.1111/jre.13269
Pei-Shiuan Yu, Che-Chang Tu, Nawarat Wara-aswapati, Chen-Ying Wang, Yu-Kang Tu, Hsin-Han Hou, Takaaki Ueno, I-Hui Chen, Kuan-Lun Fu, Huei-Ying Li, Yi-Wen Chen

Aims

The microbial profiles of peri-implantitis and periodontitis (PT) are inconclusive. The controversies mainly arise from the differences in sampling sites, targeted gene fragment, and microbiome analysis techniques. The objective of this study was to explore the microbiomes of peri-implantitis (PI), control implants (CI), PT and control teeth (CT), and the microbial change of PI after nonsurgical treatment (PIAT).

Methods

Twenty-two patients diagnosed with both PT and peri-implantitis were recruited. Clinical periodontal parameters and radiographic bone levels were recorded. In each patient, the subgingival and submucosal plaque samples were collected from sites with PI, CI, PT, CT, and PIAT. Microbiome diversity was analyzed by high-throughput amplicon sequencing using full-length of 16S rRNA gene by next generation sequencing.

Results

The 16S rRNA gene sequencing analysis revealed 512 OTUs in oral microbiome and 377 OTUs reached strain levels. The PI and PT groups possessed their own unique core microbiome. Treponema denticola was predominant in PI with probing depth of 8–10 mm. Interestingly, Thermovirga lienii DSM 17291 and Dialister invisus DSM 15470 were found to associate with PI. Nonsurgical treatment for peri-implantitis did not significantly alter the microbiome, except Rothia aeria.

Conclusion

Our study suggests Treponemas species may play a pivotal role in peri-implantitis. Nonsurgical treatment did not exert a major influence on the peri-implantitis microbiome in short-term follow-up. PT and peri-implantitis possess the unique microbiome profiles, and different therapeutic strategies may be suggested in the future.

目的:种植体周围炎和牙周炎(PT)的微生物谱尚无定论。争议主要源于取样部位、目标基因片段和微生物组分析技术的不同。本研究旨在探讨种植体周围炎(PI)、对照种植体(CI)、PT 和对照牙(CT)的微生物组,以及非手术治疗(PIAT)后 PI 的微生物变化:招募了22名被诊断患有PT和种植体周围炎的患者。记录临床牙周参数和放射骨水平。每位患者的龈下和粘膜下牙菌斑样本均采集自PI、CI、PT、CT和PIAT部位。通过新一代测序技术对 16S rRNA 全长基因进行高通量扩增片段测序,分析微生物组的多样性:结果:16S rRNA 基因测序分析显示,口腔微生物组中有 512 个 OTU,377 个 OTU 达到菌株水平。PI组和PT组拥有各自独特的核心微生物群。在探查深度为 8-10 毫米的 PI 组中,牙隐窝菌占主导地位。有趣的是,Thermovirga lienii DSM 17291 和 Dialister invisus DSM 15470 也与 PI 相关。对种植体周围炎的非手术治疗并没有明显改变微生物组,除了Rothia aeria:结论:我们的研究表明,特雷波纳菌可能在种植体周围炎中起到关键作用。结论:我们的研究表明,特雷波纳菌在种植体周围炎中可能起着关键作用,非手术治疗在短期随访中对种植体周围炎微生物群的影响不大。PT和种植体周围炎具有独特的微生物群谱,未来可能会提出不同的治疗策略。
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引用次数: 0
Influence of gender on periodontal outcomes: A retrospective analysis of eight randomized clinical trials 性别对牙周治疗效果的影响:对八项随机临床试验的回顾性分析。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-06 DOI: 10.1111/jre.13272
Nidia Castro dos Santos, Miriam R. Westphal, Belen Retamal-Valdes, Poliana Mendes Duarte, Luciene Cristina Figueiredo, Marcelo Faveri, Jamil Shibli, Geisla Soares, Tamires Miranda, Daiane Fermiano, Ivan Borges, Cristiane Goncalves, Caio Junji Tanaka, Flavia Teles, Max Goodson, Hatice Hasturk, Thomas Van Dyke, Benjamin Ehmke, Peter Eickholz, Katrin Nickles, Ulrich Schlagenhauf, Joerg Meyle, Thomas Kocher, Ti-Sun Kim, Helio Doyle, Magda Feres

Aims

To explore the influence of gender on periodontal treatment outcomes in a dataset of eight RCTs conducted in Brazil, United States, and Germany.

Methods

Clinical parameters were compared between men and women with stages III/IV grades B/C generalized periodontitis at baseline and 1-year post-therapy, including scaling and root planing with or without antibiotics.

Results

Data from 1042 patients were analyzed. Men presented a tendency towards higher probing depth (p = .07, effect size = 0.11) and clinical attachment level (CAL) than women at baseline (p = .01, effect size = 0.16). Males also presented statistically significantly lower CAL gain at sites with CAL of 4–6 mm at 1-year post-therapy (p = .001, effect size = 0.20). Among patients with Grade B periodontitis who took antibiotics, a higher frequency of women achieved the endpoint for treatment (i.e., ≤4 sites PD ≥5 mm) at 1 year than men (p < .05, effect size = 0.12).

Conclusion

Men enrolled in RCTs showed a slightly inferior clinical response to periodontal therapy in a limited number of sub-analyses when compared to women. These small differences did not appear to be clinically relevant. Although gender did not dictate the clinical response to periodontal treatment in this population, our findings suggest that future research should continue to explore this topic.

目的:在巴西、美国和德国进行的八项研究性临床试验的数据集中,探讨性别对牙周治疗结果的影响:方法:比较患有 III/IV 期 B/C 级全身性牙周炎的男性和女性在基线和治疗后 1 年的临床参数,包括使用或不使用抗生素进行洗牙和根面平整:对 1042 名患者的数据进行了分析。基线时,男性探诊深度(p = .07,效应大小 = 0.11)和临床附着水平(CAL)均高于女性(p = .01,效应大小 = 0.16)。在治疗后 1 年,CAL 为 4-6 mm 的部位,男性的 CAL 增量也明显低于女性(p = .001,效应大小 = 0.20)。在服用抗生素的 B 级牙周炎患者中,1 年后达到治疗终点(即≤4 个部位 PD ≥5 mm)的女性多于男性(p 结论:治疗后 1 年的 CAL 增量明显低于治疗前 1 年的 CAL 增量(p = 0.001):在有限的几项子分析中,参与研究性试验的男性对牙周治疗的临床反应略逊于女性。这些微小的差异似乎与临床无关。虽然性别并不决定该人群对牙周治疗的临床反应,但我们的研究结果表明,未来的研究应继续探讨这一主题。
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引用次数: 0
Exploring the link between tooth loss, cognitive function, and brain wellness in the context of healthy aging 探索健康老龄化背景下牙齿脱落、认知功能和大脑健康之间的联系。
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-06 DOI: 10.1111/jre.13280
Roger D. Newman-Norlund, Santosh Kudaravalli, Anwar T. Merchant, Julius Fridriksson, Chris Rorden

Aims

The aim of this study was to evaluate the utility of using MRI-derived tooth count, an indirect and nonspecific indicator of oral/periodontal health, and brain age gap (BAG), an MRI-based measure of premature brain aging, in predicting cognition in a population of otherwise healthy adults.

Methods

This retrospective study utilized data from 329 participants from the University of South Carolina's Aging Brain Cohort Repository. Participants underwent neuropsychological testing including the Montreal Cognitive Assessment (MoCA), completed an oral/periodontal health questionnaire, and submitted to high-resolution structural MRI imaging. The study compared variability on cognitive scores (MoCA) accounted for by MRI-derived BAG, MRI-derived total tooth count, and self-reported oral/periodontal health.

Results

We report a significant positive correlation between the total number of teeth and MoCA total scores after controlling for age, sex, and race, indicating a robust relationship between tooth count and cognition, r(208) = .233, p < .001. In a subsample of participants identified as being at risk for MCI (MoCA <= 25, N = 36) inclusion of MRI-based tooth count resulted in an R2 change of .192 (H0 = 0.138 → H1 = 0.330), F(1,31) = 8.86, p = .006. Notably, inclusion of BAG, a valid and reliable measure of overall brain health, did not significantly improve prediction of MoCA scores in similar linear regression models.

Conclusions

Our data support the idea that inclusion of MRI-based total tooth count may enhance the ability to predict clinically meaningful differences in cognitive abilities in healthy adults. This study contributes to the growing body of evidence linking oral/periodontal health with cognitive function.

目的:本研究旨在评估使用核磁共振成像衍生的牙齿数量(口腔/牙周健康的间接和非特异性指标)和脑年龄差距(基于核磁共振成像的大脑过早老化测量方法)预测健康成年人认知能力的实用性:这项回顾性研究利用了南卡罗来纳大学老年脑队列库中 329 名参与者的数据。参与者接受了包括蒙特利尔认知评估(MoCA)在内的神经心理学测试,填写了一份口腔/牙周健康问卷,并接受了高分辨率结构性核磁共振成像。研究比较了磁共振成像衍生的BAG、磁共振成像衍生的总牙齿数和自我报告的口腔/牙周健康状况对认知评分(MoCA)的影响:在控制了年龄、性别和种族之后,我们发现牙齿总数与 MoCA 总分之间存在明显的正相关性,这表明牙齿数量与认知能力之间存在稳健的关系,r(208) = .233,p 2 变化为 .192 (H0 = 0.138 → H1 = 0.330),F(1,31) = 8.86,p = .006。值得注意的是,在类似的线性回归模型中,纳入 BAG(一种有效、可靠的大脑整体健康测量指标)并不能显著提高对 MoCA 分数的预测:我们的数据支持这样一种观点,即纳入基于核磁共振成像的总齿数可能会提高预测健康成年人认知能力中具有临床意义的差异的能力。这项研究为越来越多的将口腔/牙周健康与认知功能联系起来的证据做出了贡献。
{"title":"Exploring the link between tooth loss, cognitive function, and brain wellness in the context of healthy aging","authors":"Roger D. Newman-Norlund,&nbsp;Santosh Kudaravalli,&nbsp;Anwar T. Merchant,&nbsp;Julius Fridriksson,&nbsp;Chris Rorden","doi":"10.1111/jre.13280","DOIUrl":"10.1111/jre.13280","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the utility of using MRI-derived tooth count, an indirect and nonspecific indicator of oral/periodontal health, and brain age gap (BAG), an MRI-based measure of premature brain aging, in predicting cognition in a population of otherwise healthy adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study utilized data from 329 participants from the University of South Carolina's Aging Brain Cohort Repository. Participants underwent neuropsychological testing including the Montreal Cognitive Assessment (MoCA), completed an oral/periodontal health questionnaire, and submitted to high-resolution structural MRI imaging. The study compared variability on cognitive scores (MoCA) accounted for by MRI-derived BAG, MRI-derived total tooth count, and self-reported oral/periodontal health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We report a significant positive correlation between the total number of teeth and MoCA total scores after controlling for age, sex, and race, indicating a robust relationship between tooth count and cognition, <i>r</i>(208) = .233, <i>p</i> &lt; .001. In a subsample of participants identified as being at risk for MCI (MoCA &lt;= 25, <i>N</i> = 36) inclusion of MRI-based tooth count resulted in an <i>R</i><sup>2</sup> change of .192 (<i>H</i><sub>0</sub> = 0.138 → <i>H</i><sub>1</sub> = 0.330), <i>F</i>(1,31) = 8.86, <i>p</i> = .006. Notably, inclusion of BAG, a valid and reliable measure of overall brain health, did not significantly improve prediction of MoCA scores in similar linear regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our data support the idea that inclusion of MRI-based total tooth count may enhance the ability to predict clinically meaningful differences in cognitive abilities in healthy adults. This study contributes to the growing body of evidence linking oral/periodontal health with cognitive function.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16715,"journal":{"name":"Journal of periodontal research","volume":"59 6","pages":"1184-1194"},"PeriodicalIF":3.4,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Probiotics enhance alveolar bone microarchitecture, intestinal morphology and estradiol levels in osteoporotic animals 益生菌可改善骨质疏松动物的牙槽骨微结构、肠道形态和雌二醇水平
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-03 DOI: 10.1111/jre.13256
R. L. Lucateli, P. H. F. Silva, S. L. Salvador, E. Ervolino, F. A. C. Furlaneto, M. A. Marciano, T. B. M. Antunes, M. C. G. Del Arco, M. D. C. Tardelli, L. G. de Sousa, M. R. Messora
<div> <section> <h3> Background and Objective</h3> <p>Osteoporosis is associated with bone microarchitecture alterations, and the depletion of estrogen during menopause is a major contributing factor to its development. The literature highlights the noteworthy role of gut microbiota in bone metabolism, particularly in the progression of osteoporosis. Periodontal disease leads to alveolar bone loss, which may be influenced by estrogen deficiency, and this mechanism is intricately associated with an imbalance in systemic microbiota. The aim of this study was to evaluate the effects of <i>Bifidobacterium animalis</i> subsp. <i>lactis</i> HN019 (<i>B. lactis</i> HN019) and <i>Lacticaseibacillus casei</i> 01 (<i>L. casei</i> 01) administrations on an osteoporosis animal model.</p> </section> <section> <h3> Materials and Methods</h3> <p>Thirty-three female rats were randomly divided into three groups: control (C-OVX), C-OVX-HN019 and C-OVX-LC01. All animals were ovariectomized. In groups C-OVX-HN019 and C-OVX-LC01, the probiotics were administered for 4 months. All animals were euthanized after 16 weeks from ovariectomy. Microtomographic, histopathological and immunohistochemical examinations were conducted on periodontal tissues, whereas histomorphometry, histopathological and immunohistochemical analyses were carried out on the intestine. The levels of estradiol were assessed in blood using an immunoenzymatic assay. The data were subjected to statistical analyses (<i>p</i> < .05).</p> </section> <section> <h3> Results</h3> <p>The C-OVX-LC01 group exhibited a significant reduction in alveolar bone porosity and an increase in connective tissue density compared to C-OVX (<i>p</i> < .05). The C-OVX-HN019 and C-OVX-LC01 groups presented reduced expression of TRAP and RANKL compared to the C-OVX (<i>p</i> < .05). The C-OVX group presented villi defects, mild neutrophil infiltration, decrease in both villous height and intestinal crypts and reduced expression of intestinal junctional epithelium markers e-cadherin and claudin 01 compared to C-OVX-HN019 and C-OVX-LC01 (<i>p</i> < .05). The C-OVX group had lower estradiol levels than C-OVX-HN019 and C-OVX-LC01 (<i>p</i> < .05).</p> </section> <section> <h3> Conclusion</h3> <p>The probiotic therapy promoted a reduction in alveolar bone destruction and intestinal permeability as well as an increase in estradiol levels in ovariectomized rats. Specifically, the probiotic strain <i>Lacticaseibacillus casei</i> 01 exhibited greater effectiveness compared to <i>Bifidobacterium animalis</i> subsp. <i>lactis</i> HN019, indicating strain-dependent outcomes.</p> </section>
背景和目的骨质疏松症与骨骼微结构的改变有关,而绝经期雌激素的耗竭是导致骨质疏松症的一个主要因素。文献强调了肠道微生物群在骨代谢中的重要作用,尤其是在骨质疏松症的进展过程中。牙周病会导致牙槽骨流失,这可能受到雌激素缺乏的影响,而这一机制与全身微生物群的失衡密切相关。本研究旨在评估动物双歧杆菌亚种乳酸杆菌 HN019(B. lactis HN019)和乳酸酶杆菌酪酸菌 01(L. casei 01)对骨质疏松症动物模型的影响。所有动物均切除卵巢。在 C-OVX-HN019 组和 C-OVX-LC01 组中,益生菌用药 4 个月。所有动物均在卵巢切除 16 周后安乐死。对牙周组织进行显微形态学、组织病理学和免疫组化检查,对肠道进行组织形态学、组织病理学和免疫组化分析。血液中的雌二醇水平采用免疫酶法进行评估。结果与 C-OVX 相比,C-OVX-LC01 组的牙槽骨孔隙率显著降低,结缔组织密度显著增加(p <.05)。与 C-OVX 相比,C-OVX-HN019 组和 C-OVX-LC01 组的 TRAP 和 RANKL 表达减少(p <.05)。与 C-OVX-HN019 和 C-OVX-LC01 组相比,C-OVX 组出现绒毛缺损、轻度中性粒细胞浸润、绒毛高度和肠隐窝下降,肠连接上皮标志物 e-cadherin 和 claudin 01 表达减少(p <.05)。C-OVX组的雌二醇水平低于C-OVX-HN019和C-OVX-LC01组(p <.05)。具体而言,益生菌株 Lacticaseibacillus casei 01 与动物双歧杆菌亚种 Bifidobacterium animalis subsp.
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引用次数: 0
Capsaicin attenuates Porphyromonas gingivalis-suppressed osteogenesis of periodontal ligament stem cells via regulating mitochondrial function and activating PI3K/AKT/mTOR pathway 辣椒素通过调节线粒体功能和激活 PI3K/AKT/mTOR 通路,减轻牙龈卟啉单胞菌抑制的牙周韧带干细胞成骨作用
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-03 DOI: 10.1111/jre.13252
Weijia Wang, Zhiyan Zhou, Tian Ding, Susu Feng, Hongrui Liu, Mengmeng Liu, Shaohua Ge

Background and Objective

Prevention of periodontal bone resorption triggered by Porphyromonas gingivalis (P. gingivalis) is crucial for dental stability. Capsaicin, known as the pungent ingredient of chili peppers, can activate key signaling molecules involved in osteogenic process. However, the effect of capsaicin on osteogenesis of periodontal ligament stem cells (PDLSCs) under inflammation remains elusive.

Methods

P. gingivalis culture suspension was added to mimic the inflammatory status after capsaicin pretreatment. The effects of capsaicin on the osteogenesis of PDLSCs, as well as mitochondrial morphology, Ca2+ level, reactive oxygen species (ROS), mitochondrial membrane potential (MMP), and osteogenesis-regulated protein expression levels were analyzed. Furthermore, a mouse experimental periodontitis model was established to evaluate the effect of capsaicin on alveolar bone resorption and the expression of osteogenesis-related proteins.

Results

Under P. gingivalis stimulation, capsaicin increased osteogenesis of PDLSCs. Not surprisingly, capsaicin rescued the damage to mitochondrial morphology, decreased the concentration of intracellular Ca2+ and ROS, enhanced MMP and activated phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway. The in vivo results showed that capsaicin significantly attenuated alveolar bone loss and augmented the expression of bone associated proteins.

Conclusion

Capsaicin increases osteogenesis of PDLSCs under inflammation and reduces alveolar bone resorption in mouse experimental periodontitis.

背景和目的预防牙龈卟啉单胞菌(P. gingivalis)引发的牙周骨吸收对牙齿的稳定性至关重要。辣椒素是辣椒中的刺激性成分,可激活参与成骨过程的关键信号分子。然而,辣椒素对炎症条件下牙周韧带干细胞(PDLSCs)成骨过程的影响仍不明确。分析了辣椒素对 PDLSCs 骨生成的影响,以及线粒体形态、Ca2+水平、活性氧(ROS)、线粒体膜电位(MMP)和骨生成调控蛋白的表达水平。此外,还建立了小鼠实验性牙周炎模型,以评估辣椒素对牙槽骨吸收和成骨相关蛋白表达的影响。令人惊讶的是,辣椒素能修复线粒体形态的损伤、降低细胞内 Ca2+ 和 ROS 的浓度、增强 MMP 和激活磷脂酰肌醇 3- 激酶(PI3K)/蛋白激酶 B(AKT)/哺乳动物雷帕霉素靶标(mTOR)通路。体内研究结果表明,辣椒素可明显减少牙槽骨流失,并增加骨相关蛋白的表达。
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引用次数: 0
Vaspin facilitates the proliferation and osteogenic differentiation of periodontal ligament stem cells Vaspin 促进牙周韧带干细胞的增殖和成骨分化
IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-03 DOI: 10.1111/jre.13254
Zhihui Jing, Xinran Feng, Xin Li, Xiaoyu Zhang, Chunling Pan

Objective

To investigate whether visceral adipose tissue-derived serine protease inhibitor (vaspin) can alleviate the inhibitory effect of high-glucose (HG) culture on the proliferation and osteogenic differentiation of human periodontal ligament stem cells (PDLSCs) and to preliminarily explore the underlying mechanisms.

Background

High glucose produces damage to the regeneration of periodontal tissue of PDLSCs. The expression level of vaspin in periodontal tissue is high in periodontitis patients and effectively reduced after initial therapy of periodontal diseases. However, the effect of vaspin on PDLSCs remains unknown.

Materials and Methods

PDLSCs were cultured in media augmented with 5.5 or 25.0 mM concentrations of glucose to elucidate the impact and mechanism of vaspin on PDLSCs under high glucose in vitro. Proliferation was measured by Cell Counting Kit-8 (CCK8) assay. Osteogenesis of PDLSCs was assessed by alkaline phosphatase (ALP) staining, ALP activity, and Alizarin Red staining. Quantitative real-time polymerase chain reaction (qRT-PCR) and western blot (WB) were used to investigate the osteo-specific markers. Then, the molecular impact of vaspin in the presence/absence of HG on PDLSCs physiology was determined with TGF-β1/Smad signaling pathway as the main focus.

Results

It was revealed that the proliferation and osteogenic differentiation (OD) of PDLSCs under HG was reduced, and by adding vaspin the anti-osteogenic impact of HG was relieved. Moreover, vaspin enhanced TGF-β1/Smad signaling pathway activity. Pretreatment with TGF-β1 inhibitor blocked vaspin-triggered TGF-β1/Smad signal activation and minimized the vaspin-induced protective effect against HG-inhibited growth and OD.

Conclusions

In summary, vaspin observably reduces HG-mediated inhibition of PDLSCs OD by modulating the TGF-β1/Smad signaling pathway. Vaspin may be a potential therapeutic for periodontal tissue regeneration in diabetic patients.

目的 研究内脏脂肪组织衍生的丝氨酸蛋白酶抑制剂(vaspin)能否减轻高葡萄糖(HG)培养对人牙周韧带干细胞(PDLSCs)增殖和成骨分化的抑制作用,并初步探讨其潜在的机制。牙周炎患者牙周组织中 vaspin 的表达水平较高,牙周病初步治疗后,vaspin 的表达水平会有效降低。材料与方法在添加了 5.5 或 25.0 mM 浓度葡萄糖的培养基中培养 PDLSCs,以阐明 vaspin 在体外高糖条件下对 PDLSCs 的影响和机制。增殖用细胞计数试剂盒-8(CCK8)测定。通过碱性磷酸酶(ALP)染色、ALP活性和茜素红染色评估PDLSCs的成骨情况。定量实时聚合酶链反应(qRT-PCR)和免疫印迹(WB)用于研究骨特异性标志物。结果表明,在HG作用下,PDLSCs的增殖和成骨分化(OD)降低,而加入vaspin后,HG的抗成骨影响得到缓解。此外,vaspin 还能增强 TGF-β1/Smad 信号通路的活性。结论综上所述,vaspin通过调节TGF-β1/Smad信号通路,明显降低了HG介导的对PDLSCs OD的抑制。Vaspin可能是糖尿病患者牙周组织再生的一种潜在疗法。
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Journal of periodontal research
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