牙周病的遗传生物标志物:系统综述

IF 5.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
H Dommisch, D Hoedke, E M-C Lu, A Schäfer, G Richter, J Kang, L Nibali
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引用次数: 0

摘要

目的:鉴定可用于诊断、预防或管理不同形式牙周病的遗传生物标志物。材料和方法:根据方案登记和PICOTS(患者、干预、比较、结果、时间、研究)问题,进行文献系统检索(PudMed, Ovid),由两位审稿人筛选1592篇论文。从纳入的论文中提取或计算诊断数据,并与临床确定的诊断、疾病进展和/或对治疗的反应进行比较。结果:共有607篇文章符合纳入标准,其中牙龈炎报道10篇,牙周炎报道597篇。只有两篇论文报告了诊断性能数据,而41篇关于大型候选基因研究的文章,诊断性能可以从报告的数据中计算出来。未发现使用椅子侧试验的研究。敏感性、特异性、阳性和阴性预测值及诊断准确性均为中低值。结论:目前尚无对牙周诊断、预防或预测牙周疾病预后具有临床价值的遗传诊断试验。因此,本文讨论了编码易感性的多基因风险评分以及单基因或少基因形式牙周病的单标记检测的潜在未来应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic Biomarkers for Periodontal Diseases: A Systematic Review.

Aims: To identify genetic biomarkers that may be used in the diagnosis, prevention or management of different forms of periodontal disease.

Materials and methods: Following protocol registration and PICOTS (patient, intervention, comparison, outcome, time, studies) questions, a systematic search of the literature was conducted (PudMed, Ovid), resulting in 1592 papers screened by two reviewers. Diagnostic data were extracted or calculated from included papers and compared with clinically determined diagnoses, disease progression and/or response to treatment.

Results: A total of 607 articles met the inclusion criteria, including 10 reporting data on gingivitis and 597 on periodontitis. Only two papers reported diagnostic performance data, while for 41 articles on large candidate gene studies, diagnostic performance could be calculated from the reported data. No study using chair-side tests was identified. Low to moderate values for sensitivity, specificity, positive and negative predictive value and diagnostic accuracy were found.

Conclusion: No genetic diagnostic test of clinical value emerged for periodontal diagnosis, prevention or prediction of disease resolution. Thus, potential future applications of polygenic risk scores that encode susceptibility, as well as single-marker testing for monogenic or oligogenic forms of periodontal diseases, are discussed.

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来源期刊
Journal of Clinical Periodontology
Journal of Clinical Periodontology 医学-牙科与口腔外科
CiteScore
13.30
自引率
10.40%
发文量
175
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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