低氧环境下的口腔稳态失衡OA
Oral homeostasis imbalance under hypoxia
低氧通过干扰牙胚发育过程,损害唾液腺功能与唾液缓冲能力、口腔黏膜屏障完整性、颌骨及牙槽骨改建平衡,以及口腔微生物群落的多样性和功能等,导致口腔稳态失衡,进而引起多种口腔疾病的发生与发展.同时,口腔稳态的失衡还可通过炎症因子及微生物群移位等机制,影响全身稳态并增加其他系统疾病风险.本文系统梳理了低氧暴露对口腔稳态的影响及机制,并探讨低氧口腔稳态失衡与全身稳态失衡的关联,旨在为深入理解低氧口腔稳态和全身稳态调控的机制以及维持策略研究提供参考.
Hypoxia disrupts oral homeostasis through multiple interconnected pathways,including interference with tooth germ development,impairment of salivary gland function and salivary buffering capacity,compromise of the oral mucosal barrier,imbalance in jawbone and alveo-lar bone remodeling,and alterations in the diversity and functionality of the oral microbiome.These disturbances collectively contribute to the onset and progression of oral diseases.Moreover,disruption of oral homeostasis may,in turn,affect systemic homeostasis,increasing the risk of disorders in other organ systems through mecha-nisms involving inflammatory mediator release and microbial translocation.Here,we systematically review the effects and underlying mechanisms of hypoxia exposure on oral homeostasis,and further explore the interconnections between hypoxia-induced oral dysregulation and systemic homeostatic imbalance.This review aims to provide a comprehensive understanding of the regulatory networks linking oral and systemic homeostasis under hypoxia,thereby offering potential insights for maintaining homeostatic balance.
徐一帆;王松灵;周建
首都医科大学附属北京口腔医院种植科,北京 100070||首都医科大学口腔健康北京实验室,北京 100069||首都医科大学硝酸盐维持低氧稳态机制及转化应用基础临床联合实验室,北京 100069首都医科大学口腔健康北京实验室,北京 100069首都医科大学口腔健康北京实验室,北京 100069||首都医科大学硝酸盐维持低氧稳态机制及转化应用基础临床联合实验室,北京 100069||首都医科大学附属北京口腔医院国际医疗部,北京 100070||首都医科大学附属北京天坛医院口腔和全身健康融合与转化研究实验室,北京 100070
医药卫生
低氧口腔稳态唾液腺口腔黏膜屏障颌骨口腔微生物群全身稳态
hypoxiaoral homeostasissalivary glandoral mucosal barrierjawboneoral microbiomesystemic homeostasis
《华西口腔医学杂志》 2026 (2)
215-223,9
Beijing Municipal Government Grant(Beijing Laboratory of Oral Health,PXM2021_014226_000041)Natio-nal Natural Science Foundation of China(81741106,82470961)Beijing High-Level Innovation and Entrepreneurship Talent Support Program Leading Talent Projects(G202512061)Projeot of Laboratory for Clinical Medicine(Capital Medical Uni-versity)[(2023)175]Young Scientist Program of Beijing Stomatological Hospital,Capital Medical University(YSP202408) 北京市政府资助项目(口腔健康北京实验室,PXM20 21_014226_000041)国家自然科学基金(81741106,82470961)北京高层次创新创业人才支持计划领军人才项目(G202512061)首都医科大学硝酸盐维持低氧稳态机制及转化应用基础临床联合实验室资助项目[(2023)175]首都医科大学附属北京口腔医院青年科技创新人才培育计划(YSP202408)
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