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牙龈卟啉单胞菌在肿瘤发生发展中作用的研究进展OA

Research progress on the role of Porphyromonas gingivalis in the progression of tumor

中文摘要英文摘要

牙周炎是一种慢性炎症性疾病,牙周炎致病菌的异位定植可影响全身健康引起全身性疾病.牙龈卟啉单胞菌(Porphyromonas gingivalis,P.gingivalis)作为牙周炎的关键病原体,已被证实与口腔鳞状细胞癌(oral squamous cell carcinoma,OSCC)、肺癌、食管癌、胰腺癌、结直肠癌、宫颈癌和前列腺癌的发生发展有关.P.gingivalis通过多种机制参与调控OSCC的发生发展:P.gingivalis直接调控细胞周期和凋亡相关蛋白促进肿瘤细胞增殖、诱导分化簇 44(cluster of differentiation 44,CD44)和分化簇 133(cluster of differentiation 133,CD133)的表达增强肿瘤干细胞特性、激活炎性小体和P38/c-Jun NH2末端激酶1(c-Jun N-terminal kinase,JNK)通路以及调控肿瘤相关中性粒细胞(tumor-associated neutrophil,TAN)极化重塑肿瘤微环境、调控上皮-间充质转化(epithelial-mesenchymal transition,EMT)促进肿瘤转移、调控巨噬细胞功能逃避宿主免疫反应、诱导肿瘤细胞耐药以及调控与共生菌间的相互作用等参与OSCC的进展.此外,P.gingivalis通过促进细胞增殖、抑制细胞凋亡、诱导慢性炎症、逃避宿主免疫监视等促进食管癌、胰腺癌、结直肠癌和前列腺癌的进展.然而,口腔微生物组是一个复杂的系统,P.gingivalis并非独立存在,口腔微生物之间的相互作用是否影响肿瘤的进展有待进一步的研究.

Periodontitis is a chronic inflammatory disease.The heterotopic colonization of periodontal pathogens re-sults in the development of several systemic diseases.Porphyromonas gingivalis(P.gingivalis),a key pathogen for peri-odontitis,has been linked to the development of various cancers,such as oral squamous cell carcinoma(OSCC),lung cancer,esophageal cancer,pancreatic cancer,colorectal cancer,cervical cancer,and prostate cancer.P.gingivalis pro-mote the progression of tumor through various mechanisms,P.gingivalis regulates proteins targeting cell cycle and apoptosis to promote proliferation of tumor cells directly,enhances tumor stemness by upregulating the expression of cluster of differentiation 44(CD44)and cluster of differentiation 133(CD133),activates inflammasome and p38/c-Jun N-terminal kinase 1(JNK)pathways,regulates tumor-associated neutrophil(TAN)polarization to remodel the tumor mi-croenvironment,regulates epithelial-mesenchymal transition(EMT)to promote tumor metastasis,remodel macrophage function to evade host immune response,and regulates multi-communicating with symbiotic bacteria.In addition,P.gingivalis accelerates the progression of esophageal cancer,pancreatic cancer,colorectal cancer,and prostate cancer by promoting cell proliferation,inhibiting apoptosis,inducing chronic inflammation,and escaping immunity.However,the oral microbiome is a complex system,whether the interactions between oral bacteria affect tumor progression needs to be further investigated.

冯云;冯燕;余丽

西南医科大学附属口腔医院儿童口腔科,四川 泸州(646000)||口颌面修复重建和再生泸州市重点实验室,四川 泸州(646000)西南医科大学附属口腔医院儿童口腔科,四川 泸州(646000)||口颌面修复重建和再生泸州市重点实验室,四川 泸州(646000)口颌面修复重建和再生泸州市重点实验室,四川 泸州(646000)||西南医科大学附属口腔医院牙周黏膜病科,四川 泸州(646000)

医药卫生

牙龈卟啉单胞菌牙周炎肿瘤口腔鳞状细胞癌系统性疾病菌群失调致癌机制早期诊疗口腔健康

Porphyromonas gingivalisperiodontitistumororal squamous cell carcinomasystemic dis-easesdysbacteriosiscarcinogenic mechanismsearly diagnosis and treatmentoral health

《口腔疾病防治》 2026 (2)

180-190,11

国家自然科学基金项目(82403404)四川省科技计划项目(2024JDRC0040) This study was supported by the grants from the National Natural Science Foundation of China(No.82403404)and the Sichuan Science and Technology Program(No.2024JDRC0040).

10.12016/j.issn.2096-1456.202550222

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