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牙周炎患者血清LTB4、Cx43水平及其临床意义

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目的 分析白三烯B4(leukotriene B4,LTB4)、连接蛋白43(connexin43,Cx43)在牙周炎患者血清中的表达水平,并探究其临床意义.方法 选择2020年1月至2022年1月我院口腔科收治的98例牙周炎患者为牙周炎组,根据其病情严重程度分为轻度组34例,中度组36例,重度组28例;同期牙周健康的口腔志愿者95例为对照组.采用酶联免疫吸附测定(enzyme-linked immunosorbent assay,ELISA)法检测血清中LTB4、Cx43的表达水平.采用Pearson相关性分析血清LTB4、Cx43表达水平相关性以及二者与牙周探诊深度(probing depth,PD)、附着丧失(attachment loss,AL)、菌斑指数(plaque index,PLI)的相关性;Logistic回归分析牙周炎发生的影响因素.ROC曲线分析血清LTB4、Cx43表达水平对牙周炎患者的预测价值.结果 牙周炎组不正规刷牙方式、每日刷牙时间<3min、次数<2次、夜磨牙的人数显著多于对照组,PD、AL、PLI的水平显著高于对照组(P<0.05);与对照组相比,牙周炎组血清中LTB4、Cx43的表达水平显著升高(P<0.05);重度组牙周炎患者的LTB4、Cx43的表达水平高于中度组和轻度组,中度组高于轻度组(P<0.05);Pearson相关性分析显示,血清中LTB4与Cx43水平以及二者与PD、AL、PLI的值均呈正相关(P<0.05);Logistic回归分析显示,PD、AL、PLI、LTB4、Cx43为牙周炎发生的影响因素(P<0.05).血清LTB4、Cx43预测牙周炎患者发生的曲线下面积均大于单一指标预测(Z=13.582,P<0.001;Z=8.103,P<0.001).结论 牙周炎患者血清中LTB4、Cx43表达水平显著增加,二者表达呈正相关,是牙周炎发生的影响因素.
Serum LTB4 and Cx43 Levels in Patients with Periodontitis and Their Clinical Significances
Objective To analyze expression levels of leukotriene B4(LTB4)and connexin 43(Cx43)in the serum of patients with periodontitis,and to explore their clinical significances.Methods From January,2020 to January,2022,98 patients with periodontitis admitted to the Department of Stomatology of our hospital were regarded as the periodontitis group.According to the severity levels of their disease,these patients were grouped into the mild group(34 cases),moderate group(36 cases),and severe group(28 cases),while 95 oral volunteers with healthy periodontics were collected as the control group.Expression levels of LTB4 and Cx43 in serum were detected by enzyme-linked immunosorbent assay(ELISA).Pearson correlation was used to analyze the correlation of serum LTB4 and Cx43 expression levels and their correlations with periodontal probing depth(PD),attachment loss(AL),and plaque index(PLI).Logistic regression was applied to analyze the influencing factors of periodontitis.The predictive value of serum LTB4 and Cx43 expression levels in periodontitis patients was evaluated by ROC curve.Results In the periodontitis group,the numbers of patients with irregular tooth brushing,daily brushing time<3 min,number of times<2,and molars were significantly higher than those in the control group,while levels of PD,AL and PLI were significantly higher than those in the control group(P<0.05);Compared with the control group,expression levels of LTB4 and Cx43 in the serum of the periodontitis group were significantly increased(P<0.05);Expression levels of LTB4 and Cx43 in patients with periodontitis in the severe group were significantly higher than those in the moderate group and the mild group,and the moderate group were significantly higher than the mild group(P<0.05);Pearson correlation analysis showed that levels of LTB4 and Cx43 in serum and the values of PD,AL and PLI were positively correlated(P<0.05);Logistic regression analysis showed that PD,AL,PLI,LTB4,and Cx43 were the influencing factors of periodontitis(P<0.05).The area under the curve predicted by serum LTB4 and Cx43 was greater than that predicted by each single indicator(Z=13.582,P<0.001;Z=8.103,P<0.001).Conclusion Expression levels of LTB4 and Cx43 in serum of patients with periodontitis are significantly increased,and the expressions of these two markers are positively correlated,which are the influencing factors of periodontitis.

PeriodontitisLeukotriene B4Connexin 43

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达州市中西医结合医院口腔科,四川达州 635000

牙周炎 白三烯B4 连接蛋白43

国家自然科学基金面上项目

82172401

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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