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重度低龄儿童龋唾液中sIgA、MDA、MMP-9的表达水平与意义

Expression level and significance of slgA,MDA and MMP-9 in caries saliva of severe young children

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目的 探究重度低龄儿童龋唾液中分泌型免疫球蛋白A(secretory immunoglobulin A,sIgA)、丙二醛(Methylenedioxyamphetamine,MDA)、基质金属蛋白酶-9(matrix metalloprotein-9,MMP-9)的表达水平与意义.方法 选取2021年4月—2022年4月于秦皇岛市妇幼保健院口腔科就诊的210例重度低龄儿童龋患儿为研究对象,另选轻度龋病组患儿100例、健康组儿童110例作为对照.通过免疫透射比浊法、ELISA法对三组的sIgA、MDA和MMP-9表达进行检测,并分析sIgA、MDA、MMP-9表达的变化对重度低龄儿童龋的意义.结果 与健康儿童相比,轻度、重度龋患儿sIgA、MMP-9表达升高,MDA水平表达降低;与轻度龋相比,重度龋患儿sIgA、MMP-9表达升高,MDA水平表达降低(P<0.05).唾液中MDA与龋失补牙面(decayed-missing-filled surface,dmfs)指数呈负相关,而sIgA、MMP-9 与 dmfs 指数呈正相关(P<0.05).sIgA、MDA、MMP-9 之间 Pearson 相关性分析显示,sIgA、MDA 之间呈负相关(r=-0.432,P=0.001);sIgA、MMP-9 之间呈正相关(r=0.436,P=0.001);MDA、MMP-9 之间呈负相关(r=-766,P=0.001).结论 重度低龄儿童龋患儿唾液中sIgA、MMP-9水平升高,MDA水平降低,可看出三者表达对重度低龄儿童龋患儿发病具有重要的意义.
Objective To explore the expression level and significance of secreted immunoglobulin A(sIgA),Meth-ylenedioxyamphetamine(MDA)and matrix metalloprotein-9(MMP-9)in the saliva of severe young children.Methods The 210 children with severe low childhood caries admitted to our hospital from April 2021 to April 2022,and 100 chil-dren in mild caries group and 110 children in healthy group were selected.The expressions of sIgA,MDA and MMP-9 in the three groups were examined by immunotransmission turbidimetry,ELISA,and the significance of changes in sI-gA,MDA and MMP-9 expression for caries in severe younger children was analyzed.Results Compared with healthy children,sIg A and MMP-9 expression were increased compared with healthy children,and severe children had increased sIg A,MMP-9 expression and decreased MDA levels(P<0.05).Salivary MDA was negatively associated with the de-cayed-missing-filled surface(dmfs)index,while sIgA and MMP-9 were positively associated with the dmfs index(P<0.05).The Pearson correlation analysis between sIg A,MDA,and MMP-9 showed a negative correlation between sIg A and MDA(r=-0.432,P=0.001),a positive correlation between sIgA and MMP-9(r=0.436,P=0.001),and a nega-tive correlation between MDA and MMP-9(r=-766,P=0.001).Conclusion The levels of sIgA,MMP-9 and MDA are increased in children with the presence of caries at severe age.

saliva of severe young children with cariesSecretory immunoglobulin AMalondialdehydeMatrix met-alloproteinase-9

郭晓琳

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秦皇岛市妇幼保健院 口腔科,河北秦皇岛 066000

重度低龄儿童龋唾液 分泌型免疫球蛋白A 丙二醛 基质金属蛋白酶-9

2024

中国实验诊断学
吉林大学中日联谊医院 上海交通大学医学院附属瑞金医院

中国实验诊断学

CSTPCD
影响因子:1.273
ISSN:1007-4287
年,卷(期):2024.28(7)