2017, Número 2-3
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Rev Mex Periodontol 2017; 8 (2-3)
Polimorfismo -308 G›A del gen TNF-α y su papel en la periodontitis
Görnemann CN, Gómez SJR, Fuentes-Lerma MG, Gallegos Arreola MP, Mariaud Schmidt RP
Idioma: Español
Referencias bibliográficas: 50
Paginas: 54-59
Archivo PDF: 287.35 Kb.
RESUMEN
La periodontitis es una enfermedad inflamatoria que se distingue por la presencia de pérdida de inserción y hueso como resultado de las interacciones entre las especies microbianas subgingivales específicas y el huésped susceptible. Esta interacción conduce a la liberación de mediadores inflamatorios como las citocinas proinflamatorias, que intervienen en la destrucción del tejido con la intención de controlar a los microorganismos presentes en el surco gingival. El factor de necrosis tumoral alfa (TNF-
α) pertenece a este grupo de citocinas, por lo que su presencia podría representar un factor de riesgo en el mantenimiento y progresión de la enfermedad periodontal. Se ha descrito que la heterogeneidad alélica en los genes de las citocinas y los factores que regulan su expresión pueden influir en las manifestaciones clínicas y progresión de la enfermedad periodontal. Diversos estudios han demostrado que los polimorfismos ubicados en el promotor del gen de TNF-
α tienen un aumento significativo en su actividad transcripcional. A pesar de que el polimorfismo
-308 G›A se encuentra en el promotor de dicho gen y hay un cambio de un alelo G por un alelo A, los cambios funcionales a causa del polimorfismo no son claros. Se han realizado diversos estudios en diferentes poblaciones del mundo en los que se han encontrado resultados controversiales respecto a la asociación de dicho polimorfismo con la enfermedad periodontal. Los polimorfismos de TNF-
α pueden aparecer con patrones alélicos variables en distintas poblaciones. El uso de las técnicas moleculares y su aplicación diagnóstica en el área odontológica, particularmente en la enfermedad periodontal, ha permitido integrar más conocimientos sobre esta y su evolución; explorar estas herramientas nos permitirá dilucidar si en nuestra población existe o no asociación del polimorfismo
-308G›A del gen TNF-
α con la progresión o severidad de dicha enfermedad.
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