南方医科大学学报2024，Vol.44Issue(1)：36-44,9.DOI:10.12122/j.issn.1673-4254.2024.01.05
多囊卵巢综合征与牙周炎呈正相关:一项前瞻性研究
Polycystic ovary syndrome is positively correlated with periodontitis:a prospective study
摘要
Abstract
Objective To explore the correlation between polycystic ovary syndrome(PCOS)and periodontitis in light of cytokines levels,sex hormone levels and metabolism-related indicators and their changes during progression of the two diseases.Methods Twenty healthy subjects and 40 patients diagnosed with PCOS underwent full-mouth periodontal examinations to obtain full-mouth plaque score(FMPS),gingival bleeding index of probing(BOP),probing depth(PD),and clinical attachment level(CAL).The participants were divided into Group A without periodontitis or PCOS(n=15),Group B with PCOS but without periodontitis(n=28),Group C with periodontitis but without PCOS(n=5),and Group D with both diseases(n=12).Serum levels of luteinizing hormone/follicle stimulating hormone(LH/FSH),testosterone,prolactin,progesterone and estradiol,and the levels of interleukin 6(IL-6),IL-17A,tumor necrosis factor α and matrix metalloproteinase 8(MMP-8)in both serum and saliva samples were measured at the time of enrolment and at 3 and 6 months after enrolment and compared among the 4 groups.Results Serum MMP-8 level was significantly higher in Group B than in Group A(P<0.05).Salivary MMP-8 level was significantly higher in Group D than in Group B(P<0.05).Salivary MMP-8,LH,and LH/FSH levels and serum and salivary IL-6 and progesterone levels all tended to increase in the 6 months after enrollment(OR>1,P<0.05).During the follow-up period,serum IL-6 levels differed significantly between the non-PCOS groups(A and C)and PCOS groups(B and D)(P<0.05);serum IL-6 and salivary MMP-8 levels differed significantly between the non-periodontitis groups(A and B)and periodontitis groups(C and D)(P<0.05).Spearman correlation analysis indicated positive correlations of LH and LH/FSH with PD(P<0.05);testosterone and LH/FSH were positively correlated with serum MMP-8 levels(P<0.05),and PD,BOP and FMPS were positively correlated with salivary MMP-8 levels(P<0.01).Conclusion There is a correlation between PCOS and periodontitis,and their progression is accompanied by changes in serum and salivary levels of pro-inflammatory cytokines and serum sex hormones.关键词
多囊卵巢综合征/牙周炎/性激素/细胞因子Key words
polycystic ovarian syndrome/periodontitis/sex hormone/cytokine引用本文复制引用
胡当立,张锋,李蕙君,许小艺,文萍,郑峥,姚吉龙..多囊卵巢综合征与牙周炎呈正相关:一项前瞻性研究[J].南方医科大学学报,2024,44(1):36-44,9.基金项目
国家重点研发计划(2016YFC1000103) （2016YFC1000103）
深圳市科技创新委员会科技计划项目(KJYY20180703173402020) （KJYY20180703173402020）
深圳市科技创新委员会深港创新圈D项目(SGDX2019081623060946) （SGDX2019081623060946）
