牙嵌塞的遗传基础:系统综述。

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
S Papadopoulos, I Ziakas, E Panteris, A Chatzigianni
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引用次数: 0

摘要

目的:本综述的目的是通过系统地收集现有的最佳证据来确定导致牙齿嵌塞的基因和遗传特征。材料和方法:检索截至2025年3月的10个数据库的相关文献,按照PECOS和PRISMA指南制定检索标准。合格标准包括病例对照、队列和横断面观察性研究,这些研究检查了人类受试者,而不考虑年龄或性别,并重点分析了导致牙齿嵌塞的基因、等位基因、基因变异、非编码rna或其他遗传因素。使用乔安娜布里格斯研究所(JBI)关键评估清单评估合格研究的偏倚风险。结果:总共有15项研究符合纳入标准。几个重要的基因被强调,这些基因的突变和多态性显示出牙齿嵌塞的风险增加。其中,MSX1 rs12532、PAX9 rs4904210和rs2073247、AXIN2 rs2240308、MSX2 rs4868444和ARNT2 rs140220410与犬齿、第三磨牙或一般牙齿嵌塞有显著相关性。还讨论了一些基因型的协同效应。第三磨牙嵌塞与相应牙囊的特异性长非编码rna有关,并与个体的血型有关。根据JBI检查表,这些研究显示出很高的方法学质量。结论:三个关键基因MSX1、PAX9和AXIN2在牙嵌塞中起重要作用。此外,有限的证据表明,长链非编码rna和个体血型可能是牙齿嵌塞的潜在生物标志物。然而,纳入研究的相互矛盾的结果降低了任何可靠结论的确定性。采用先进的基因检测方法进行大样本的进一步研究对于查明牙齿嵌塞的潜在遗传因素至关重要。临床意义:了解牙嵌塞的遗传因素和特定突变,可以提高牙嵌塞的早期诊断、预防和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The genetic basis of tooth impaction: a systematic review.

Objectives: The aim of this review was to identify genes and genetic traits that cause tooth impaction by systematically collecting the best available evidence.

Materials and methods: Relevant literature was searched on 10 databases up to March 2025 and search criteria were formulated using the PECOS and PRISMA guidelines. The eligibility criteria included case-control, cohort and cross-sectional observational studies, which examined human subjects regardless of age or sex and focused on the analysis of genes, alleles, gene variants, non-coding RNAs, or other genetic factors that cause tooth impaction. The risk of bias of eligible studies was evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists.

Results: Overall, 15 studies met the inclusion criteria. Several important genes were highlighted and mutations and polymorphism in these genes showed an increase in the risk of tooth impaction. Specifically, MSX1 rs12532, PAX9 rs4904210 and rs2073247, AXIN2 rs2240308, as well as MSX2 rs4868444 and ARNT2 rs140220410 revealed significant association with canine, third molar or general tooth impaction. Synergistic effects of some gene genotypes were also addressed. The third molar impaction was associated with specific long non-coding RNAs of the corresponding dental follicles, and with the individual's blood group. According to the JBI checklist, the studies showed high methodological quality.

Conclusion: Three key genes, namely MSX1, PAX9 and AXIN2, appear to have an important role in tooth impaction. Moreover, limited evidence suggests that long non-coding RNAs and the type of individual's blood group could be potential biomarkers of tooth impaction. However, the contradictory results from the included studies reduce the certainty of any solid conclusions. Additional studies with large samples involving advanced methodologies for genetic testing are essential to pinpoint the underlying genetic factors of tooth impaction.

Clinical relevance: Understanding the genetic factors and specific mutations behind tooth impaction, may enhance early diagnosis, prevention of impaction and treatment.

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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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