A Preliminary Study on the Ability of the Trypsin-Like Peptidase Activity Assay Kit to Detect Periodontitis.

A Preliminary Study on the Ability of the Trypsin-Like Peptidase Activity Assay Kit to Detect Periodontitis.
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DOI:
10.3390/dj8030098
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发表时间:
2020-09-01
期刊:
影响因子:
2.6
通讯作者:
Nishihara T
Nishihara T
中科院分区:
其他
文献类型:
--
作者:
Iwasaki M;Usui M;Ariyoshi W;Nakashima K;Nagai-Yoshioka Y;Inoue M;Nishihara T

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本研究旨在探讨胰蛋白酶样肽酶活性测定试剂盒(TLP-AA-Kit),它测量的N-苯甲酰-dl-精氨酸肽酶(胰蛋白酶样肽酶)的活性,是否可以作为一个可靠的工具,牙周炎的检测,以人口为基础的监测。总共有105人接受了全口牙周检查,并提供舌拭子作为进一步分析的标本。TLP-AA-Kit的结果评分在1 - 5之间;评分越高表示胰蛋白酶浓度越高。受试者操作特征分析用于评估TLP-AA-Kit的预测有效性,其中疾病控制中心/美国牙周病学会提供的牙周炎病例定义作为参考。重度和中度牙周炎分别占研究人群的4.8%和16.2%。TLP-AA-Kit对重度牙周炎的诊断准确率较高,曲线下面积为0.93(95%置信区间= 0.88-0.99)。然而,TLP-AA-Kit对中/重度牙周炎的诊断准确性并不可靠。虽然需要进一步的研究来验证我们的结果,但本文提供的结果突出了TLP-AA-Kit作为牙周炎检测的有用工具的潜力,特别是在严重的情况下,用于基于人群的监测。
This study aimed to explore whether the Trypsin-Like Peptidase Activity Assay Kit (TLP-AA-Kit), which measures the activity of N-benzoyl-dl-arginine peptidase (trypsin-like peptidase), can be used as a reliable tool for periodontitis detection in population-based surveillance. In total, 105 individuals underwent a full-mouth periodontal examination and provided tongue swabs as specimens for further analyses. The results of the TLP-AA-Kit were scored between 1 and 5; higher scores indicated higher trypsin concentrations. Receiver operating characteristic analyses were used to evaluate the predictive validity of the TLP-AA-Kit, where the periodontitis case definition provided by the Centers for Disease Control/American Academy of Periodontology served as the reference. Severe and moderate periodontitis were identified in 4.8% and 16.2% of the study population, respectively. The TLP-AA-Kit showed high diagnostic accuracy for severe periodontitis, with an area under the curve of 0.93 (95% confidence interval = 0.88–0.99). However, the diagnostic accuracy of the TLP-AA-Kit for moderate/severe periodontitis was not reliable. While further studies are necessary to validate our results, the results provided herein highlight the potential of the TLP-AA-Kit as a useful tool for the detection of periodontitis, particularly in severe cases, for population-based surveillance.
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