吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (03): 563-567.doi: 10.13481/j.1671-587x.20180320

• 临床研究 • 上一篇    下一篇

牙周炎患者血清中内脂素和PGE2水平检测及其与牙周炎活动性的关系

陈飞1,2, 史金先2, 焦鹏1, 金权1, 许立硕1, 张莉3, 马宁1   

  1. 1. 吉林大学口腔医院牙周病科, 吉林长春 130021;
    2. 吉林省牙发育及颌骨重塑与再生实验室, 吉林长春 130021;
    3. 吉林大学口腔医院急诊科, 吉林长春 130021
  • 收稿日期:2018-03-08 出版日期:2018-05-28 发布日期:2018-05-31
  • 通讯作者: 马宁,教授,硕士研究生导师(Tel:0431-88796039,E-mail:maningbsh76@sina.com);张莉,副教授,硕士研究生导师(Tel:0431-85579359,E-mail:zlamy1009@sina.com) E-mail:maningbsh76@sina.com;zlamy1009@sina.com
  • 作者简介:陈飞(1988-),男,福建省莆田市人,在读医学硕士,主要从事牙周病诊治方面的研究。
  • 基金资助:
    吉林省中医药管理局科研项目资助课题(2017097,2017096);吉林省卫计委适宜技术推广项目资助课题(2017S026);吉林省卫计委适宜技术扶贫项目资助课题(2017FP026)

Detection of levels of serum visfatin and PGE2 in patients with periodontitis and their relationships with activity of periodontitis

CHEN Fei1,2, SHI Jinxian2, JIAO Peng1, JIN Quan1, XU Lishuo1, ZHANG Li3, MA Ning1   

  1. 1. Department of Periodontics, Stomatology Hospital, Jilin University, Changchun 130021, China;
    2. Tooth Development and Maxillary Reconstruction and Regeneration Laboratory, Jilin Province, Changchun 130021, China;
    3. Department of Emergency, Stomatology Hospital, Jilin University, Changchun 130021, China
  • Received:2018-03-08 Online:2018-05-28 Published:2018-05-31

摘要: 目的:检测牙周炎患者血清中内脂素、前列腺素E2(PGE2)和白细胞介素1β(IL-1β)的水平,探讨内脂素和PGE2在慢性牙周炎发病中的作用及其对于牙周炎活动性评估的临床意义。方法:选取79例慢性牙周炎患者作为慢性牙周炎组,根据慢性牙周炎活动期的诊断标准将患者分为慢性牙周炎活动期组(33例)和慢性牙周炎静止期组(46例);另选取健康志愿者25例作为健康对照组。收集各组研究对象的血清,采用ELISA法定量检测各组研究对象血清中内脂素、PGE2和IL-1β水平,采用Spearman分析和偏相关分析检测各组研究对象血清中内脂素水平与PGE2、IL-1β水平的相关性。结果:慢性牙周炎组患者血清中内脂素、PGE2和IL-1β水平均明显高于健康对照组(P<0.05);慢性牙周炎活动期组患者血清中内脂素、PGE2和IL-1β水平高于慢性牙周炎静止期组(P<0.05)。相关性分析,慢性牙周炎组患者血清中内脂素与IL-1β水平(r=0.68,P<0.05)、IL-1β与PGE2水平(r=0.79,P<0.05)、内脂素与PGE2水平(r=0.63,P<0.05)呈正相关关系;患者血清中内脂素水平越高,PGE2水平越高。慢性牙周炎活动期组患者血清中内脂素与PGE2水平呈显著正相关关系(r=0.78,P<0.05),而慢性牙周炎静止期组患者血清中内脂素与PGE2水平则呈低度正相关关系(r=0.45,P<0.05)。结论:内脂素和PGE2可能共同参与了牙周炎的发生发展过程。血清中内脂素和PGE2水平升高可能预示着牙周炎处于活动期。

关键词: 慢性牙周炎, 白细胞介素1β, 前列腺素E2, 内脂素

Abstract: Objective: To detect the levels of visfatin,prostaglandin E2 (PGE2) and interleukin-1β (IL-1β) in serum of the chronic periodontitis patients,and to investigate the role of the above three factors in the pathogenesis of chronic periodontitis and their clinical significances in the assessment of activity of chronic periodontitis. Methods: A total of 79 cases of chronic periodontitis patients(including active and resting stages) were selected.The chronic periodontitis patients were divided into active stage of chronic periodontitis group (n=33) and resting stage of chronic periodontitis group (n=46) according to the diagnostic criteria for chronic periodontitis activity.A total of 25 cases of healthy volunteers were also selected as healthy control group.The serum of all cases were collected,then the serum levels of visfatin,PGE2 and IL-1β of the subjects in various groups were detected by ELISA method.The relationships between the serum levels of visfatin,PGE2 and IL-1β were analyzed with Spearman and partial correlation analysis. Results: The levels of serum visfatin,PGE2 and IL-1β of the patients in chronic periodontitis group were significantly higher than those in healthy control group(P<0.05).The levels of serum visfatin,PGE2 and IL-1β of the patients in active stage of chronic periodontitis group were significantly higher than those in resting stage of chronic periodontitis group(P<0.05).The correlative analysis results demonstrated that the serum IL-1β level had positive relationships with the serum levels of visfatin and PGE2 of the patients in chronic periodontitis group(r=0.68,P<0.05;r=0.79,P<0.05).The serum visfatin level had positive relationships with the serum PGE2 level of the patients in chronic periodontitis group(r=0.63,P<0.05);the higher the serum visfatin level was,the higher the serum PGE2 level was. The serum visfatin level had significantly positive relationship with the serum PGE2 level of the patients in active stage of chronic periodontitis group(r=0.78,P<0.05).The serum levels of visfatin and PGE2 of the patients in resting stage of chronic periodontitis group had positive correlation at a low level(r=0.45,P<0.05). Conclusion: Visfatin and PGE2 may be involved in the pathogenesis of chronic periodontitis.The increasing of serum visfatin and PGE2 levels may predict the active stage of chronic periodontitis.

Key words: chronic periodontitis, visfatin, prostaglandin E2, interleukin-1β

中图分类号: 

  • R781.4