Enfermedad Periapical y la Corteza Prefrontal.¿ Existe una Relación entre la Proteína Fijadora de Calcio y las Enfermedades Neurodegenerativas?
DOI:
https://doi.org/10.21270/archi.v11i1.5350Palabras clave:
Proteínas de Unión al Cálcio, Inflamación, Enfermedades Neurodegenerativas, Enfermedades Periodontales, Corteza PrefrontalResumen
La periodontitis apical (PA) o lesión periapical (PL) es una enfermedad inflamatoria que cursa con dolor, pérdida de hueso y destrucción de otros tejidos de soporte de los dientes. Esta condición puede ser causada por caries, trauma dental y/o microfiltración periapical, la cual es regulada por el sistema inmunológico o respuesta inflamatoria. Diversos análisis han demostrado que la infección endodóntica puede causar alteraciones sistémicas como accidente cerebrovascular, resistencia a la insulina, enfermedades cardiovasculares y contribuir a la aparición de trastornos neurodegenerativos. La corteza prefrontal (PfC), ubicada en la región más anterior del cerebro, está involucrada esencialmente en habilidades conductuales, roles intelectuales, cognición, aprendizaje y otras funciones. Las neuronas con distribución laminar en el PfC, especialmente en las capas inferiores, expresan varios tipos de proteínas de unión a calcio (CaBP) como parvalbúmina, calbindina y calretinina que están involucradas en el almacenamiento de calcio en el cerebro (SNC). Estas proteínas están co-localizadas con las neuronas GABAérgicas, las principales células inhibidoras del cerebro. La evidencia ha señalado una relación entre la periodontitis apical y las enfermedades neurodegenerativas donde los microorganismos y/o toxinas producidas en la infección dental pueden penetrar en el torrente sanguíneo, infiltrarse en el límite de la barrera hematoencefálica y activar astrocitos y células microgliales en el sistema nervioso central (SNC). ) y aumentar la liberación de citocinas proinflamatorias que promueven la degeneración neuronal piramidal y no piramidal. Entonces, ¿existe una relación entre la periodontitis apical, la higiene bucal y la corteza prefrontal y los trastornos neurodegenerativos?
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