目的:检测动脉粥样硬化斑块中是否存在牙周致病菌。方法:共选取在手术过程中剥离的、已有动脉粥样硬化改变的动脉内膜标本10例,采用PCR扩增16S rDNA(16S ribosomal DNA)片段的方法,检测7种牙周可疑致病菌,包括牙龈卟啉单胞菌(Porphyromonas gingivalis,Pg)、福赛坦菌(Tannerella forsythia,Tf)、伴放线聚生杆菌(Aggregatibacter actinomycetemcomitans,Aa)、中间普氏菌(Prevotella intermedia,Pi)、变黑普氏菌(Prevotella nigrescen,Pn)、牙密螺旋体(Treponema denticola,Td)及直肠弯曲菌(Campylobacter rectus,Cr)。结果:10例标本中有3例检测出了牙周可疑致病菌,3例样本均检出了Pg,这3例中有1例同时检出了Tf,另1例同时检出了Pn;其余7例标本未检出相关牙周致病菌。结论:动脉粥样硬化斑块样本中检出了部分牙周可疑致病菌,为牙周炎与动脉粥样硬化之间可能存在联系提供了初步证据。
Objective:To detect periodontopathic bacterial DNA in atherosclerotic vascular lesions in a group of Chinese patients by using polymerase chain reaction(PCR) techniques.Methods: Ten human specimens of atherosclerotic plaque were obtained sterilely.The sclerotic lesions were blade into fine pieces and DNA was isolated from the samples.To detect Porphyromonas gingivalis(Pg),Tannerella forsythia(Tf),Aggregatibacter actinomycetemcomitans(Aa),Prevotella intermedia(Pi),Prevotella nigre-scens(Pn),Treponema denticola(Td),Campylobacter rectus(Cr),PCR amplification of bacterial 16S ribosomal DNA(rDNA) was carried out.Results: PCR assays for bacterial 16S rDNA indicated the presence of periodontal pathogens in 3 out of 10 surgical specimens.DNA of Pg were found in 3 samples,Tf was found only in one among the 3 samples and Pn was found in another sample among the 3 samples.Conclusion: The data confirm that DNA of periodontal pathogens present in atherosclerotic plaques.Pg,Tf,Pn may play a role in the development and progression of atherosclerosis in these Chinese patients.Further studies with large size samples are needed.