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外泌体在牙周炎发生发展及诊疗中作用研究进展

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外泌体由体内多种细胞分泌,是含有核酸、蛋白质及脂质的微小囊泡结构,广泛存在于体液中。现有研究表明外泌体在牙周炎发生发展、诊断及治疗方面具有重要作用。微生物源性和宿主源性外泌体可通过调节细胞炎症水平或机体免疫反应来影响牙周炎的发生发展。唾液外泌体易采集、含量丰富且理化性质稳定,含有多种微小RNAs(microRNAs,miRNAs)和蛋白质等分子,近年来成为诊断牙周炎的新型生物标志物。在牙周炎的治疗中,外泌体用于修复牙槽骨缺损及促进牙髓牙本质再生的研究逐渐增多;此外,外泌体还具有靶向药物载体的潜能。基于外泌体的重要功能及应用价值,文章就外泌体在牙周炎发生发展、临床诊断及治疗等方面作用的研究进展做一综述,为后续研究及临床应用提供思路。
Research progress on the role of exosomes in the development of periodontitis and its application in periodonti-tis diagnosis and treatment
Exosomes are secreted by a variety of cells in the body and are tiny vesicular structures containing nucleic ac-ids,proteins,and lipids,which are widely present in body fluids.Existing studies have shown that exosomes play a pivot-al role in the development,diagnosis and treatment of periodontitis.Microbial and host-derived exosomes can influence the development of periodontitis by regulating the levels of cellular inflammation or the body's immune responses.Sali-vary exosomes are easy to collect,abundant and physicochemically stable,containing a variety of microRNAs(miRNAs),proteins and other molecules,which have become a novel biomarker for the diagnosis of periodontitis in recent years.In the treatment of periodontitis,the research in the use of exosomes for repairing alveolar bone defects and promoting the regeneration of dental pulp and dentin is gradually increasing;in addition,exosomes have the potential to be targeted drug carriers.Based on the important function and application value of exosomes,this review provides the research prog-ress on the role of exosomes in the development,clinical diagnosis and treatment of periodontitis,and offers ideas for sub-sequent research and clinical application.

exosomesperiodontitisbiomarkersdiagnosistreatment

罗文欣、任彪、黄睿洁

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口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心,四川 成都 610041

四川大学华西口腔医院儿童口腔科,四川 成都 610041

外泌体 牙周炎 生物标志物 诊断 治疗

国家自然科学基金青年科学基金

NSFC31800114

2024

中国实用口腔科杂志
中国医师协会 中国实用医学杂志社 中国医科大学附属口腔医院

中国实用口腔科杂志

CSTPCD
影响因子:1.024
ISSN:1674-1595
年,卷(期):2024.17(1)
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