糖尿病・慢性腎臓病と歯周病の関連 そのメカニズム解析と歯周治療への応用の展望

「はじめに」 歯周病は全身状態や内科疾患と密接な関連を有していることが明らかにされてきており, ペリオドンタルメディシンという概念の下で研究が進められている. 特に糖尿病との関連が双方向性に密接であることは十分にコンセンサスが得られているが, いまだその機序において明らかになっていない点がある. また, 糖尿病合併症として関連する慢性腎臓病と歯周病の関係性については不明なことが多い. 本稿では, インスリン抵抗性や酸化ストレスを中心に, それらの関係性を概説する. 「歯周組織におけるインスリン抵抗性の発現」 歯周病と糖尿病が相互に影響を及ぼし合うことは, 疫学的調査や介入研究により広く認識され...

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Published in日本歯科保存学雑誌 Vol. 65; no. 1; pp. 25 - 29
Main Author 水谷, 幸嗣
Format Journal Article
LanguageJapanese
Published 特定非営利活動法人 日本歯科保存学会 28.02.2022
日本歯科保存学会
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ISSN0387-2343
2188-0808
DOI10.11471/shikahozon.65.25

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Abstract 「はじめに」 歯周病は全身状態や内科疾患と密接な関連を有していることが明らかにされてきており, ペリオドンタルメディシンという概念の下で研究が進められている. 特に糖尿病との関連が双方向性に密接であることは十分にコンセンサスが得られているが, いまだその機序において明らかになっていない点がある. また, 糖尿病合併症として関連する慢性腎臓病と歯周病の関係性については不明なことが多い. 本稿では, インスリン抵抗性や酸化ストレスを中心に, それらの関係性を概説する. 「歯周組織におけるインスリン抵抗性の発現」 歯周病と糖尿病が相互に影響を及ぼし合うことは, 疫学的調査や介入研究により広く認識されており, さまざまなメカニズムが示されている. 糖尿病の定義である「慢性的な高血糖状態」がインスリン抵抗性を生じ, 主要な糖尿病慢性合併症の発症に強くかかわっていることが知られている.
AbstractList 「はじめに」 歯周病は全身状態や内科疾患と密接な関連を有していることが明らかにされてきており, ペリオドンタルメディシンという概念の下で研究が進められている. 特に糖尿病との関連が双方向性に密接であることは十分にコンセンサスが得られているが, いまだその機序において明らかになっていない点がある. また, 糖尿病合併症として関連する慢性腎臓病と歯周病の関係性については不明なことが多い. 本稿では, インスリン抵抗性や酸化ストレスを中心に, それらの関係性を概説する. 「歯周組織におけるインスリン抵抗性の発現」 歯周病と糖尿病が相互に影響を及ぼし合うことは, 疫学的調査や介入研究により広く認識されており, さまざまなメカニズムが示されている. 糖尿病の定義である「慢性的な高血糖状態」がインスリン抵抗性を生じ, 主要な糖尿病慢性合併症の発症に強くかかわっていることが知られている.
Author 水谷, 幸嗣
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References 3) Lalla E, Papapanou PN. Diabetes mellitus and periodontitis: a tale of two common interrelated diseases. Nat Rev Endocrinol 2011; 7: 738-748.
7) Buranasin P, Mizutani K, Iwasaki K, Pawaputanon Na Mahasarakham C, Kido D, Takeda K, Izumi Y. High glucose-induced oxidative stress impairs proliferation and migration of human gingival fibroblasts. PLoS One 2018; 13: e0201855.
13) Takeda K, Mizutani K, Matsuura T, Kido D, Mikami R, Noda M, Buranasin P, Sasaki Y, Izumi Y. Periodontal regenerative effect of enamel matrix derivative in diabetes. PLoS One 2018; 13: e0207201.
16) 水谷幸嗣, 三上理沙子, 松浦孝典, 和泉雄一, 岩田隆紀, 青木 章. 低侵襲の歯周外科治療にEr : YAGレーザーを応用した症例の長期経過. 日歯保存誌 2020 ; 63 : 96-104.
18) Mikami R, Mizutani K, Gohda T, Gotoh H, Matsuyama Y, Aoyama N, Matsuura T, Kido D, Takeda K, Izumi Y, Fujiwara T, Iwata T. Association between circulating tumor necrosis factor receptors and oral bacterium in patients receiving hemodialysis: a cross-sectional study. Clin Exp Nephrol 2021; 25: 58-65.
11) Mizutani K, Buranasin P, Mikami R, Takeda K, Kido D, Watanabe K, Takemura S, Nakagawa K, Kominato H, Saito N, Hattori A, Iwata T. Effects of antioxidant in adjunct with periodontal therapy in patients with type 2 diabetes: A systematic review and meta-analysis. Antioxidants (Basel) 2021; 10.
4) Rask-Madsen C, Kahn CR. Tissue-specific insulin signaling, metabolic syndrome, and cardiovascular disease. Arterioscler Thromb Vasc Biol 2012; 32: 2052-2059.
12) Kao RT, Nares S, Reynolds MA. Periodontal regeneration―intrabony defects: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86: S77-104.
9) Kominato H, Takeda K, Mizutani K, Mikami R, Kido D, Buranasin P, Saito N, Takemura S, Nakagawa K, Nagasawa T, Iwata T. Metformin accelerates wound healing by Akt phosphorylation of gingival fibroblasts in insulin-resistant prediabetes mice. J Periodontol 2021. (in press
15) Mizutani K, Shioyama H, Matsuura T, Mikami R, Takeda K, Izumi Y, Aoki A, Iwata T. Periodontal regenerative therapy in patients with type 2 diabetes using minimally invasive surgical technique with enamel matrix derivative under 3-year observation: A prospective cohort study. J Periodontol 2021; 92: 1262-1273.
19) Mizutani K, Mikami R, Gohda T, Gotoh H, Aoyama N, Matsuura T, Kido D, Takeda K, Izumi Y, Sasaki Y, Iwata T. Poor oral hygiene and dental caries predict high mortality rate in hemodialysis: a 3-year cohort study. Sci Rep 2020; 10: 21872.
6) Mizutani K, Park K, Mima A, Katagiri S, King GL. Obesity-associated gingival vascular inflammation and insulin resistance. J Dent Res 2014; 93: 596-601.
8) Kido D, Mizutani K, Takeda K, Mikami R, Matsuura T, Iwasaki K, Izumi Y. Impact of diabetes on gingival wound healing via oxidative stress. PLoS One 2017; 12: e0189601.
14) Takeda K, Mizutani K, Matsuura T, Kido D, Mikami R, Buranasin P, Saito N, Kominato H, Takemura S, Nakagawa K, Iwata T. Antioxidant effect of enamel matrix derivative for early phase of periodontal tissue regeneration in diabetes. J Periodontol 2021. (in press
20) Takeda K, Mizutani K, Minami I, Kido D, Mikami R, Konuma K, Saito N, Kominato H, Takemura S, Nakagawa K, Izumi Y, Ogawa Y, Iwata T. Association of periodontal pocket area with type 2 diabetes and obesity: a cross-sectional study. BMJ Open Diabetes Res Care 2021; 9.
2) Simpson TC, Weldon JC, Worthington HV, Needleman I, Wild SH, Moles DR, Stevenson B, Furness S, Iheozor-Ejiofor Z. Treatment of periodontal disease for glycaemic control in people with diabetes mellitus. Cochrane Database Syst Rev 2015: CD004714.
17) Mizutani K, Aoki A, Coluzzi D, Yukna R, Wang CY, Pavlic V, Izumi Y. Lasers in minimally invasive periodontal and peri-implant therapy. Periodontol 2000 2016; 71: 185-212.
5) King GL. The role of inflammatory cytokines in diabetes and its complications. J Periodontol 2008; 79: 1527-1534.
21) Mikami R, Mizutani K, Matsuyama Y, Matsuura T, Kido D, Takeda K, Takemura S, Nakagawa K, Mukaiyama Y, Suda T, Yasuda T, Ohta S, Takaya N, Fujiwara T, Izumi Y, Iwata T. Association between periodontal inflammation and serum lipid profile in a healthy population: A cross-sectional study. J Periodontal Res 2021. (in press
1) Sanz M, Ceriello A, Buysschaert M, Chapple I, Demmer RT, Graziani F, Herrera D, Jepsen S, Lione L, Madianos P, Mathur M, Montanya E, Shapira L, Tonetti M, Vegh D. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J Clin Periodontol 2018; 45: 138-149.
10) Saito N, Mikami R, Mizutani K, Takeda K, Kominato H, Kido D, Ikeda Y, Buranasin P, Nakagawa K, Takemura S, Ueno T, Hosaka K, Hanawa T, Shinomura T, Iwata T. Impaired dental implant osseointegration in rat with streptozotocin-induced diabetes. J Periodontal Res 2022. (in press
References_xml – reference: 17) Mizutani K, Aoki A, Coluzzi D, Yukna R, Wang CY, Pavlic V, Izumi Y. Lasers in minimally invasive periodontal and peri-implant therapy. Periodontol 2000 2016; 71: 185-212.
– reference: 2) Simpson TC, Weldon JC, Worthington HV, Needleman I, Wild SH, Moles DR, Stevenson B, Furness S, Iheozor-Ejiofor Z. Treatment of periodontal disease for glycaemic control in people with diabetes mellitus. Cochrane Database Syst Rev 2015: CD004714.
– reference: 19) Mizutani K, Mikami R, Gohda T, Gotoh H, Aoyama N, Matsuura T, Kido D, Takeda K, Izumi Y, Sasaki Y, Iwata T. Poor oral hygiene and dental caries predict high mortality rate in hemodialysis: a 3-year cohort study. Sci Rep 2020; 10: 21872.
– reference: 7) Buranasin P, Mizutani K, Iwasaki K, Pawaputanon Na Mahasarakham C, Kido D, Takeda K, Izumi Y. High glucose-induced oxidative stress impairs proliferation and migration of human gingival fibroblasts. PLoS One 2018; 13: e0201855.
– reference: 11) Mizutani K, Buranasin P, Mikami R, Takeda K, Kido D, Watanabe K, Takemura S, Nakagawa K, Kominato H, Saito N, Hattori A, Iwata T. Effects of antioxidant in adjunct with periodontal therapy in patients with type 2 diabetes: A systematic review and meta-analysis. Antioxidants (Basel) 2021; 10.
– reference: 18) Mikami R, Mizutani K, Gohda T, Gotoh H, Matsuyama Y, Aoyama N, Matsuura T, Kido D, Takeda K, Izumi Y, Fujiwara T, Iwata T. Association between circulating tumor necrosis factor receptors and oral bacterium in patients receiving hemodialysis: a cross-sectional study. Clin Exp Nephrol 2021; 25: 58-65.
– reference: 15) Mizutani K, Shioyama H, Matsuura T, Mikami R, Takeda K, Izumi Y, Aoki A, Iwata T. Periodontal regenerative therapy in patients with type 2 diabetes using minimally invasive surgical technique with enamel matrix derivative under 3-year observation: A prospective cohort study. J Periodontol 2021; 92: 1262-1273.
– reference: 1) Sanz M, Ceriello A, Buysschaert M, Chapple I, Demmer RT, Graziani F, Herrera D, Jepsen S, Lione L, Madianos P, Mathur M, Montanya E, Shapira L, Tonetti M, Vegh D. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J Clin Periodontol 2018; 45: 138-149.
– reference: 10) Saito N, Mikami R, Mizutani K, Takeda K, Kominato H, Kido D, Ikeda Y, Buranasin P, Nakagawa K, Takemura S, Ueno T, Hosaka K, Hanawa T, Shinomura T, Iwata T. Impaired dental implant osseointegration in rat with streptozotocin-induced diabetes. J Periodontal Res 2022. (in press)
– reference: 16) 水谷幸嗣, 三上理沙子, 松浦孝典, 和泉雄一, 岩田隆紀, 青木 章. 低侵襲の歯周外科治療にEr : YAGレーザーを応用した症例の長期経過. 日歯保存誌 2020 ; 63 : 96-104.
– reference: 8) Kido D, Mizutani K, Takeda K, Mikami R, Matsuura T, Iwasaki K, Izumi Y. Impact of diabetes on gingival wound healing via oxidative stress. PLoS One 2017; 12: e0189601.
– reference: 12) Kao RT, Nares S, Reynolds MA. Periodontal regeneration―intrabony defects: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86: S77-104.
– reference: 5) King GL. The role of inflammatory cytokines in diabetes and its complications. J Periodontol 2008; 79: 1527-1534.
– reference: 20) Takeda K, Mizutani K, Minami I, Kido D, Mikami R, Konuma K, Saito N, Kominato H, Takemura S, Nakagawa K, Izumi Y, Ogawa Y, Iwata T. Association of periodontal pocket area with type 2 diabetes and obesity: a cross-sectional study. BMJ Open Diabetes Res Care 2021; 9.
– reference: 4) Rask-Madsen C, Kahn CR. Tissue-specific insulin signaling, metabolic syndrome, and cardiovascular disease. Arterioscler Thromb Vasc Biol 2012; 32: 2052-2059.
– reference: 21) Mikami R, Mizutani K, Matsuyama Y, Matsuura T, Kido D, Takeda K, Takemura S, Nakagawa K, Mukaiyama Y, Suda T, Yasuda T, Ohta S, Takaya N, Fujiwara T, Izumi Y, Iwata T. Association between periodontal inflammation and serum lipid profile in a healthy population: A cross-sectional study. J Periodontal Res 2021. (in press)
– reference: 3) Lalla E, Papapanou PN. Diabetes mellitus and periodontitis: a tale of two common interrelated diseases. Nat Rev Endocrinol 2011; 7: 738-748.
– reference: 6) Mizutani K, Park K, Mima A, Katagiri S, King GL. Obesity-associated gingival vascular inflammation and insulin resistance. J Dent Res 2014; 93: 596-601.
– reference: 13) Takeda K, Mizutani K, Matsuura T, Kido D, Mikami R, Noda M, Buranasin P, Sasaki Y, Izumi Y. Periodontal regenerative effect of enamel matrix derivative in diabetes. PLoS One 2018; 13: e0207201.
– reference: 9) Kominato H, Takeda K, Mizutani K, Mikami R, Kido D, Buranasin P, Saito N, Takemura S, Nakagawa K, Nagasawa T, Iwata T. Metformin accelerates wound healing by Akt phosphorylation of gingival fibroblasts in insulin-resistant prediabetes mice. J Periodontol 2021. (in press)
– reference: 14) Takeda K, Mizutani K, Matsuura T, Kido D, Mikami R, Buranasin P, Saito N, Kominato H, Takemura S, Nakagawa K, Iwata T. Antioxidant effect of enamel matrix derivative for early phase of periodontal tissue regeneration in diabetes. J Periodontol 2021. (in press)
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Snippet 「はじめに」 歯周病は全身状態や内科疾患と密接な関連を有していることが明らかにされてきており, ペリオドンタルメディシンという概念の下で研究が進められている. 特に糖...
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SubjectTerms 慢性腎臓病
歯周病
糖尿病
酸化ストレス
Subtitle そのメカニズム解析と歯周治療への応用の展望
Title 糖尿病・慢性腎臓病と歯周病の関連
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