CONCISE REVIEW Biological: Periodontal Inflammation and Insulin Resistance— Lessons from Obesity

CONCISE REVIEW Biological: Periodontal Inflammation and Insulin Resistance— Lessons from Obesity
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生物学简评:牙周炎症和胰岛素抵抗——肥胖的教训

DOI:
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发表时间:
2001
期刊:
Journal of dentistry research
影响因子:
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通讯作者:
Yoji Murayama
Yoji Murayama
中科院分区:
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文献类型:
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作者:
Fusanori Nishimura;Yoji Murayama

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最近的注意力集中在我们对口腔慢性炎症对全身健康的负面影响的理解上。成功的牙周治疗似乎对2型糖尿病的代谢控制有有益的影响。虽然2型糖尿病是一种多风险因素综合征,但胰岛素敏感性降低,称为胰岛素抵抗,在疾病发展中至关重要。已知由肥胖受试者的脂肪组织产生的促炎细胞因子肿瘤坏死因子-α(TNF-α)在诱导胰岛素抵抗中起主要作用。因此,可以假设抗感染牙周治疗可以通过降低外周TNF-α浓度来改善胰岛素敏感性,从而改善糖尿病的代谢控制。在这篇综述中,我们总结了胰岛素抵抗的性质,并讨论了胰岛素敏感性受慢性炎症(如牙周病)影响的机制。
Recent attention has been focused on our understanding of the negative influences of oral chronic inflammation on systemic health. Successful periodontal treatment appears to have beneficial effects on the metabolic control of type 2 diabetes. Although type 2 diabetes is a multiple-risk-factor syndrome, lowered insulin sensitivity, called insulin resistance, is essential in developing the disease. Pro-inflammatory cytokine, tumor necrosis factor-a (TNF-a), produced from adipose tissues in obese subjects, is known to play a predominant role in inducing insulin resistance. Therefore, it can be hypothesized that anti-infectious periodontal treatment may improve metabolic control of diabetes via improved insulin sensitivity by reducing peripheral TNF-a concentration. In this review, we summarize the nature of insulin resistance and discuss the mechanisms by which insulin sensitivity is influenced by chronic inflammation, such as in periodontal disease.
DOI: 10.1902/annals.1998.3.1.51
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