Aggravation of gingival inflammatory symptoms during pregnancy associated with the concentration of plasminogen activator inhibitor type 2 (PAI-2) in gingival fluid.

Aggravation of gingival inflammatory symptoms during pregnancy associated with the concentration of plasminogen activator inhibitor type 2 (PAI-2) in gingival fluid.
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妊娠期间牙龈炎症症状的加重与牙龈液中纤溶酶原激活剂抑制剂 2 型 (PAI-2) 的浓度有关。

DOI:
10.1111/j.1600-0765.1996.tb00493.x
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发表时间:
1996
影响因子:
3.5
通讯作者:
B. Åstedt
B. Åstedt
中科院分区:
医学3区
文献类型:
--
作者:
B. Kinnby;L. Matsson;B. Åstedt

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怀孕期间牙龈炎症症状会加重。体外研究表明,激素对 2 型纤溶酶原激活剂抑制剂 (PAI-2) 的影响以及纤溶系统平衡的紊乱可能有助于解释妊娠期牙龈炎。对 14 名怀孕和怀孕后妇女的龈沟液 (GCF) 进行了采样。通过 Løe & Silness (GI) 牙龈指数评估牙龈状况,通过 Silness & Løe (PI) 菌斑指数评估菌斑量。计算牙龈炎部位与菌斑部位的比率(G/P 比)。采用 ELISA 测定 GCF 中组织纤溶酶原激活剂 (t-PA)、尿激酶型纤溶酶原激活剂 (u-PA)、1 型纤溶酶原激活剂抑制剂 (PAI-1) 和 PAI-2 的抗原水平,并采用放射免疫测定法测定血清中 17β-雌二醇和孕酮的抗原水平。对于每个个体,计算怀孕期间和怀孕后之间激素水平以及 PA 和 PAI 的差异 (delta)。根据妊娠期和妊娠后 G/P 比的差异,将其分为高反应组和低反应组。对于整个组来说,怀孕期间的平均 G/P 比为 2.0,怀孕后的平均 G/P 比为 1.2 (p = 0.064)。注意到 δ 黄体酮和 δ PAI-2 之间存在统计学上显着的相关性:δ 黄体酮越高,δ PAI-2 越低。没有发现激素水平和纤溶系统成分之间存在其他显着相关性。对于整个女性组来说,怀孕期间 PAI-2、PAI-1 和 t-PA 的浓度显着高于怀孕后。然而,高反应组的个体在怀孕期间表现出较低或不变的 PAI-2 产量,而低反应组的个体则表现出大大增加的产量。炎症反应较高的女性在怀孕期间 PAI-2 产生量较低,抑制能力较低,这表明纤溶系统的成分可能参与妊娠牙龈炎的发展,并暗示 PAI-2 作为组织蛋白水解的重要抑制剂。目前的发现有助于解释妊娠牙龈炎。
Gingival inflammatory symptoms are aggravated during pregnancy. In vitro studies suggest a hormonal influence on the plasminogen activator inhibitor type 2 (PAI-2), and a disturbed balance of the fibrinolytic system could help to explain pregnancy gingivitis. Gingival crevicular fluid (GCF) was sampled in 14 women in pregnant and post-pregnant states. The gingival condition was assessed by the gingival index of Løe & Silness (GI) and the amount of bacterial plaque by the plaque index of Silness & Løe (PI). The ratio of sites with gingivitis to sites with bacterial plaque was calculated (G/P-ratio). Antigen levels of tissue plasminogen activator (t-PA), urokinase-type plasminogen activator (u-PA), plasminogen activator inhibitors type 1 (PAI-1) and PAI-2 in GCF were determined with ELISAs and 17 beta-oestradiol and progesterone in serum with radioimmunoassays. For each individual the differences (delta) in hormone levels and PAs and PAIs between pregnancy and post-pregnancy were calculated. Based on differences in G/P-ratio between pregnancy and post-pregnancy, subgrouping was done into a high-reacting and a low-reacting group. For the total group, the mean G/P-ratio was 2.0 during and 1.2 after pregnancy (p = 0.064). A statistically significant correlation between delta progesterone and delta PAI-2 was noted: the higher delta progesterone, the lower delta PAI-2. No other significant correlations between hormone levels and components of the fibrinolytic system were found. For the total group of women, the concentrations of PAI-2, PAI-1 and t-PA were significantly higher during than after pregnancy. The individuals in the high-reacting group, however, showed a lower or unchanged production of PAI-2 during pregnancy, while those in the low-reacting group showed a greatly increased production. The lower inhibitory capacity in terms of a low production of PAI-2 during pregnancy in women with a higher inflammatory reaction indicates that the components of the fibrinolytic system may be involved in the development of pregnancy gingivitis and implies that PAI-2 serves as an inhibitor of importance for tissue proteolysis. The present finding contributes to the explanation of pregnancy gingivitis.
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DOI: --
发表时间: 1993
期刊: Cancer research
影响因子: 11.2
作者:
Laug,WE;Cao,XR;Yu,YB;Shimada,H;Kruithof,EK
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DOI: --
发表时间: 1988
期刊: Blood
影响因子: 20.3
作者:
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通讯作者: Levin,EG
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DOI: --
发表时间: 1990
期刊: Journal of immunology (Baltimore, Md. : 1950)
影响因子: --
作者:
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通讯作者: Schwartz,BS