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论文摘要

疱疹病毒和牙周致病菌在牙周炎中相互作用的研究进展

Research progress on the synergy between herpes viruses and periodontopathic bacteria

作者:邓凤英,林志勇

Author:Deng Fengying, Lin Zhiyong.

收稿日期:          年卷(期)页码:2016,43(6):711-716

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:牙周炎,疱疹病毒,牙周致病菌,

Key words:periodontitis,herpes viruses,periodontopathic bacteria,

基金项目:

中文摘要

疱疹病毒和牙周致病菌的相互作用影响着牙周炎的发生发展,二者共同感染是牙周病发病的主要病因。在牙周炎患者的龈下菌斑中,病毒的检出率远较健康者高。疱疹病毒和牙周致病菌二者可在牙周病发病的多个阶段内相互影响:病毒促进细菌的黏附和定植、牙周致病菌促进病毒的活化,二者共同改变宿主的免疫反应。在牙周病发病过程中,牙周致病菌的黏附定植、疱疹病毒的活化以及宿主的免疫抑制机制等,可相对科学合理地解释牙周病的发作区域、进展速度和严重程度等特征。如果疱疹病毒介导的分子旁路与牙周炎导致的系统性疾病的生物联系被证实,那么传统的以清除细菌为目的的治疗方法对于牙周炎治疗的效果将是有限的,而将抗病毒药物和龈下刮治和根面平整术相结合的治疗方法可能在治疗和预防牙周病及其复发方面更加有效。疱疹病毒-牙周致病菌模型不仅使人们对牙周炎的发病机制有了更深的认识,也为牙周病治疗指出了新的方向。

英文摘要

Viral infection of periodontal herpes is typically associated with the increased occurrence of periodontopathic bacteria, and herpes virus display a strong synergy effect with periodontal pathogens through various mechanisms. Prevalence of herpes virus in the subgingival dental plaque of periondontitis patients was higher than that of periodontal healthy controls. Pathogenic synergy existed throughout the process of periodontitis by different mechanisms, including adhesion and colonization of periodontal pathogenic bacteria, reactive of herpes virus, and impairment of host antibacterial immune. These mechanisms can better explain the clinical characteristics of periodontitis. When the biological link in periomedicine concept is established through virus-induced molecular pathway of herpes, the conventional periodontal therapy directed at bacteria may be inefficient in periodontitis treatment while the treatment employing antiviral agents may be significantly effective. The concept of herpesviral-bacterial coinfection in periodontitis is an interesting topic for future research. This paper reviews the research progress in the study of interactions between herpes virus and periodontopathic bacteria in periodontal diseases.

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