广泛型侵袭性牙周炎患者牙根形态异常与相关致病基因的关联Association between root abnormalities and related pathogenic genes in patients with generalized aggressive periodontitis
刘建;王宪娥;吕达;乔敏;张立;孟焕新;徐莉;毛铭馨;
摘要(Abstract):
目的:探索广泛型侵袭性牙周炎(generalized aggressive periodontitis,GAg P)患者牙根形态异常与骨代谢或牙根发育相关基因多态性的关联。方法:纳入179例GAg P患者,平均(27.23±5.19)岁,男∶女=67∶112,平均存留牙数(26.80±1.84)颗。采用基于基质辅助激光解吸电离飞行时间质谱技术进行9个与骨代谢和牙根发育相关基因的13个单核苷酸多态性位点(single nucleotide polymorphisms,SNPs)的基因型检测。采用全口根尖片评判牙根形态异常,包括锥根、细长根、冠根比例失调、弯曲根、融合根、后牙根形态异常,分析13个SNPs位点不同基因型根形态异常牙的数量及发生率。结果:GAg P患者根形态异常牙构成比为14.49%(695/4 798颗),平均(3.88±3.84)颗。维生素D受体(vitamin D receptor,VDR)基因rs2228570位点的CC、CT、TT基因型患者根形态异常牙数量分别为(4.66±4.10)、(3.71±3.93)和(2.68±2.68)颗,CC基因型和TT基因型之间差异有统计学意义(t=2.62,P=0.01)。降钙素受体(calcitotin receptor,CTR)基因rs2283002位点CC、CT、TT基因型患者根形态异常数分别为(5.02±3.70)、(3.43±3.95)、(3.05±3.12)颗,CC基因型的根形态异常发病率高于CT和TT基因型(87.86%vs.65.26%和63.64%,P=0.006,adjusted OR=3.71,95%CI:1.45~9.50)。结论:VDR rs2228570及CTR rs2283002位点可能与广泛型侵袭性牙周炎患者牙根形态异常的发生有关,值得进一步研究。
关键词(KeyWords): 侵袭性牙周炎;牙根形态异常;基因;单核苷酸多态性
基金项目(Foundation):
作者(Author): 刘建;王宪娥;吕达;乔敏;张立;孟焕新;徐莉;毛铭馨;
Email:
DOI: 10.19723/j.issn.1671-167X.2021.01.004
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