Meta-analysis of the association between chronic periodontitis and chronic kidney disease

BACKGROUND Many scholars have performed several clinical studies have investigated the association between chronic periodontitis(CP)and chronic kidney disease(CKD).However,there are still differences between these research results,and there is no unified conclusion.Therefore,a systematic review is required to understand this issue fully.AIM To explore the correlation between CP and CKD.METHODS Literature on the correlation between CP and CKD,as well as the clinical attachment level(CAL)and pocket probing depth(PPD)of CKD and non-CKD,were retrieved from PubMed,Embase,the Cochrane Library,and Web of Science repositories until January 2024.After the effective data were extracted,data processing and statistics were performed using Stata 12.0.RESULTS Of the 22 studies,13 were related to CP and CKD,and 9 reported CAL and PPD in patients with CKD and healthy controls.Meta-analysis of the correlation between CP and CKD revealed that CKD probability in people with CP was 1.54 times that of healthy individuals[relative risk=1.54,95%confidence interval(CI):1.40-1.70],and CP incidence in patients with CKD was 1.98 times that of healthy individuals[overall risk(OR)=1.98,95%CI:1.53-2.57].Meta-analysis of CAL and PPD evaluations between CKD patients and healthy individuals showed that CAL and PPD levels were higher in CKD patients[standard mean difference(SMD)of CAL=0.65,95%CI:0.29-1.01;SMD of PPD=0.33,95%CI:0.02-0.63].CONCLUSION A bidirectional association exists between CP and CKD.CKD risk is increased in CP patients and vice versa.Periodontal tissue or tooth loss risks increase over time in CKD patients.

Effect of Zingiber Officinale Sucus on contraction of isolated duodenum in rabbits

Objective:Observation of ginger (Zingiber Officinale Sucus, ZOS) effect on rabbit isolated duodenum and to explore the correlation mechanism with M and H1 receptor. To investigate the effects of ZOS on isolated duodenum of rabbits treated with acetylcholine, histamine, atropine and chlorpheniramine respectively. Methods: The optimal concentration of ZOS was 1% and the above drugs were applied to the isolated duodenal segments respectively. The contractile force was recorded by BL-420E biological signal acquisition system. Results: The results showed that ZOS significantly inhibited the contraction of isolated rabbit duodenal smooth muscle in a positive concentration-dependent manner. The mechanism of inhibiting contraction had little correlation with M and H1 receptors. Conclusion: It could inhibit the efficacy of acetylcholine and histamine, and was a synergist for atropine and chlorpheniramine. This study provided a basis for the use of ginger in daily life and the development of combined medication.