アブストラクト
Title | 歯周病と全身疾患の関連 |
---|---|
Subtitle | シリーズ <歯科における感染症の課題> |
Authors | 有吉渉 |
Authors (kana) | |
Organization | 九州歯科大学・歯学部・感染分子生物学分野 |
Journal | バムサジャーナル |
Volume | 33 |
Number | 1 |
Page | 20-27 |
Year/Month | 2021 / |
Article | 報告 |
Publisher | バイオメディカルサイエンス研究会 |
Abstract | [要旨] 近年, 口腔細菌学の研究は, う蝕や歯周病などの病原菌を対象としたものだけでなく, 健康増進という観点から, 口腔内細菌に起因する全身疾患の発症メカニズムの解析が進められている. 口腔内の感染症が原病巣となり, 二次的に様々な全身感染症が誘発される歯性病巣感染は古くから知られていたが, その発症メカニズムに関しては不明な点が多く残されていた. さらに, 超高齢社会となった我が国では, 要介護高齢者の口腔管理により誤嚥性肺炎の発症が抑えられるという調査研究報告が発表され, にわかに口腔細菌と全身疾患に関する研究が注目されるようになった. そこで, 全身疾患に起因する口腔内細菌という視点で最新の研究成果を紹介し, それを踏まえて口腔内細菌が全身疾患を引き起こすメカニズムについて概説する. さらに, 高まっている歯周病の病態解明, 新たな検査法, 治療法に関する研究のニーズに対して, 我々が取り組んでいる研究成果の一部を紹介する. |
Practice | 公衆衛生学 |
Keywords | 歯周病, 歯周医学, 誤嚥性肺炎, 感染性心内膜炎, 虚血性心疾患 |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Page RC, Kornman KS: The pathogenesis of human periodontitis: an introduction. Periodontol 2000. 1997; 14: 9-11.
- 2) Atilla G, Sorsa T, Ronka H, Emingil G: Matrix metalloproteinases (MMP-8 and -9) and neutrophil elastase in gingival crevicular fluid of cyclosporin-treated patients. J Periodontol. 2001; 72: 354-360.
- 3) Domeij H, Yucel-Lindberg T, Modeer T: Signal pathways involved in the production of MMP-1 and MMP-3 in human gingival fibroblasts. Eur J Oral Sci. 2002; 110: 302-306.
- 4) Grayson R, Douglas CW, Heath J, Rawlinson A, Evans GS: Activation of human matrix metalloproteinase 2 by gingival crevicular fluid and Porphyromonas gingivalis. J Clin Periodontol. 2003; 30: 542-550.
- 5) Sandros J, Karlsson C, Lappin DF, Madianos PN, Kinane DF, Papapanou PN: Cytokine responses of oral epithelial cells to Porphyromonas gingivalis infection. J Dent Res. 2000; 79: 1808-1814.
残りの31件を表示する
- 6) Lima HR, Gelani V, Fernandes AP, Gasparoto TH, Torres SA, Santos CF, et al: The essential role of toll like receptor-4 in the control of Aggregatibacter actinomycetemcomitans infection in mice. J Clin Periodontol. 2010; 37: 248-254.
- 7) Nakamura H, Fukusaki Y, Yoshimura A, Shiraishi C, Kishimoto M, Kaneko T, et al: Lack of Toll-like receptor 4 decreases lipopolysaccharide-induced bone resorption in C3H/HeJ mice in vivo. Oral Microbiol Immunol. 2008; 23: 190-195.
- 8) Yoshikawa TT: Perspective: aging and infectious diseases: past, present, and future. J Infect Dis. 1997; 176: 1053-1057.
- 9) Griffen AL, Beall CJ, Campbell JH, Firestone ND, Kumar PS, Yang ZK, et al: Distinct and complex bacterial profiles in human periodontitis and health revealed by 16S pyrosequencing. ISME J. 2012; 6: 1176-1185.
- 10) 柿木保明, 西原達次: 口腔内環境と全身との関連口腔内細菌と誤嚥性肺炎 (1)口腔ケアの周辺. 日本歯科評論. 2000; 687: 17-19.
- 11) Watanabe N, Yokoe S, Ogata Y, Sato S, Imai K: Exposure to Porphyromonas gingivalis induces production of proinflammatory cytokine via TLR2 from human respiratory epithelial cells. J Clin Med. 2020; 9: E3433.
- 12) He Y, Shiotsu N, Uchida-Fukuhara Y, Guo J, Weng Y, Ikegame M, et al: Outer membrane vesicles derived from Porphyromonas gingivalis induced cell death with disruption of tight junctions in human lung epithelial cells. Arch Oral Biol. 2020; 118: 104841.
- 13) Benedyk M, Mydel PM, Delaleu N, Plaza K, Gawron K, Milewska A, et al: Gingipains: Critical factors in the development of aspiration pneumonia caused by Porphyromonas gingivalis. J Innate Immun. 2016; 8: 185-198.
- 14) Takeshita T, Tomioka M, Shimazaki Y, Matsuyama M, Koyano K, Matsuda K, et al: Microfloral characterization of the tongue coating and associated risk for pneumonia-related health problems in institutionalized older adults. J Am Geriatr Soc. 2010; 58: 1050-1057.
- 15) Yoneyama T, Yoshida M, Ohrui T, Mukaiyama H, Okamoto H, Hoshiba K, et al: Oral care reduces pneumonia in older patients in nursing homes. J Am Geriatr Soc. 2002; 50: 430-433.
- 16) Takahashi Y, Watanabe N, Kamio N, Kobayashi R, Iinuma T, Imai K: Aspiration of periodontopathic bacteria due to poor oral hygiene potentially contributes to the aggravation of COVID-19. J Oral Sci. 2020; Online a head in print.
- 17) Reis LC, Rocas IN, Siqueira Jr JF, de Uzeda M, Lacerda VS, Domingues RMPC, et al: Bacteremia after supragingival scaling and dental extraction: Culture and molecular analyses. Oral Dis. 2018; 24: 657-663.
- 18) Ninomiya M, Hashimoto M, Nagata T, Naruishi K: Relationship of oral conditions to the incidence of infective endocarditis in periodontitis patients with valvular heart disease: a cross-sectional study. Clin Oral Investig. 2020; 24: 833-840.
- 19) Humphrey LL, Fu R, Buckley DI, Freeman M, Helfand M: Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. J Gen Intern Med. 2008; 23: 2079-2086.
- 20) Friedewald VE, Kornman KS, Beck JD, Genco R, Goldfine A, Libby P, et al: The American Journal of Cardiology and Journal of Periodontology Editors' Consensus: periodontitis and atherosclerotic cardiovascular disease: Am J Cardiol. 2009; 104: 59-68.
- 21) Carrizales-Sepulveda EF, Ordaz-Farias A, Vera-Pineda R, Flores-Ramirez R: Periodontal disease, systemic inflammation and the risk of cardiovascular disease. Heart Lung Circ. 2018; 27: 1327-1334.
- 22) Sakurai K, Wang D, Suzuki J, Umeda M, Nagasawa T, Izumi Y, et al: High incidence of Actinobacillus actinomycetemcomitans infection in acute coronary syndrome: Int Heart J. 2007; 48: 663-675.
- 23) Morishita M, Ariyoshi W, Okinaga T, Usui M, Nakashima K, Nishihara T. A. actinomycetemcomitans LPS enhances foam cell formation induced by LDL. J Dent Res. 2013; 92: 241-246.
- 24) Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications. 2006; 20: 59-68.
- 25) Katagiri S, Nitta H, Nagasawa T, Uchimura I, Izumiyama H, Inagaki K, et al: Multi-center intervention study on glycohemoglobin (HbA1c) and serum, high-sensitivity CRP (hs-CRP) after local anti-infectious periodontal treatment in type 2 diabetic patients with periodontal disease. Diabetes Res Clin Pract. 2009; 83: 308-315.
- 26) Arimatsu K, Yamada H, Miyazawa H, Minagawa T, Nakajima M, Ryder MI, et al: Oral pathobiont induces systemic inflammation and metabolic changes associated with alteration of gut microbiota. Sci Rep. 2014; 4: 4828.
- 27) Ceccarelli F, Orru G, Pilloni A, Bartosiewicz I, Perricone C, Martino E, et al: Porphyromonas gingivalis in the tongue biofilm is associated with clinical outcome in rheumatoid arthritis patients. Clin Exp Immunol. 2018; 194: 244-252.
- 28) Rodriguez-Lozano B, Gonzalez-Febles J, Garnier-Rodriguez JL, Dadlani S, Bustabad-Reyes S, Sanz M, et al: Association between severity of periodontitis and clinical activity in rheumatoid arthritis patients: a case-control study. Arthritis Res Ther. 2019; 21: 27.
- 29) Koziel J, Mydel P, Potempa J: The link between periodontal disease and rheumatoid arthritis: An updated review. Curr Rheumatol Rep. 2014; 16: 408.
- 30) Dominy SS, Lynch C, Ermini F, Benedyk M, Marczyk A, Konradi A, et al: Porphyromonas gingivalis in Alzheimer's disease brains: Evidence for disease causation and treatment with small-molecule inhibitors. Sci Adv. 2019; 23; 5: eaau3333.
- 31) Zeng F, Liu Y, Huang W, Qing H, Kadowaki T, Kashiwazaki H, et al: Receptor for advanced glycation end products up-regulation in cerebral endothelial cells mediates cerebrovascular-related amyloid beta accumulation after Porphyromonas gingivalis infection. J Neurochem. 2020; Online a head in print.
- 32) Kawano A, Ariyoshi W, Yoshioka Y, Hikiji H, Nishihara T, Okinaga T: Docosahexaenoic acid enhances M2 macrophage polarization via the p38 signaling pathway and autophagy. J Cell Biochem. 2019; 120: 12604-12617.
- 33) Kawano A, Ariyoshi W, Yamasaki R, Yoshioka Y, Kashiwagi K, Namikawa D, Nishihara T, et al: Docosahexaenoic acid attenuates cell death and interleukin-1β secretion in THP-1 cells responded to Aggregatibacter actinomycetemcomitans invasion. Biomedical Research. 2020; 31: 93-100. https://www.biomedres.info/biomedical-research/docosahexaenoic-acid-attenuates-cell-death-and-interleukin1beta-secretion-in-thp1-cells-responded-toaggregatibacter-actinomycetem-13001.html
- 34) Thongsiri C, Nagai-Yoshioka Y, Yamasaki R, Adachi Y, Usui M, Nakashima K, et al: Schizophyllum commune β-glucan: Effect on interleukin-10 expression induced by lipopolysaccharide from periodontopathic bacteria. Carbohydr Polym. 2021; 253: 117285.
- 35) Hara S, Nagai-Yoshioka Y, Yamasaki R, Adachi Y, Fujita Y, Watanabe K, et al: Dectin-1-mediated suppression of RANKL-induced osteoclastogenesis by glucan from baker's yeast. J Cell Physiol. 2020; Online a head in print.
- 36) Yamasaki T, Ariyoshi W, Okinaga T, Adachi Y, Hosokawa R, Mochizuki S, et al: The dectin 1 agonist curdlan regulates osteoclastogenesis by inhibiting nuclear factor of activated T cells cytoplasmic 1 (NFATc1) through Syk kinase. J Biol Chem. 2014; 289: 19191-19203.