Erythritol

赤藓糖醇
  • 文章类型: Journal Article
    赤藓糖醇是一种天然的无热量甜味剂,它是通过发酵生产的,广泛应用于食品中,医药和化学工业。赤藓糖醇合成途径的最后一步涉及赤藓糖醇还原酶,其活性和NADPH依赖性成为赤藓糖醇生产效率的限制节点。在这里,我们实施了结合分子对接和热稳定性筛选的策略构建ER突变体文库.并且我们成功获得了双突变体ERK26N/V295M(ER*),其催化活性是野生型ER的1.48倍。通过结构分析和MD分析,我们发现ER*的催化口袋和酶稳定性都得到了改善。我们在工程菌株ΔKU70中过表达ER*以获得菌株YLE-1。YLE-1可在144h内产生39.47g/L的赤藓糖醇,与未修饰的菌株相比,增加了35%,与过表达野生型ER的菌株相比增加10%。考虑到NADPH供应的必要性,我们进一步将ER*与PPP氧化期的两个基因共表达,ZWF1和GND1。这导致了YLE-3的建造,其产量显着增加,在144小时内生产47.85g/L赤藓糖醇,与原始底盘应变相比,增加了63.90%。工程菌株YLE-3的生产率和产量分别为0.33g/L/h和0.48g/g甘油,分别。这项工作提供了一个具有优异性能的ER突变,也证明了辅因子在赤藓糖醇合成过程中的重要性,这将促进Y的代谢工程赤藓糖醇的工业生产。
    Erythritol is a natural non-caloric sweetener, which is produced by fermentation and extensively applied in food, medicine and chemical industries. The final step of the erythritol synthesis pathway is involved in erythritol reductase, whose activity and NADPH-dependent become the limiting node of erythritol production efficiency. Herein, we implemented a strategy combining molecular docking and thermal stability screening to construct an ER mutant library. And we successfully obtained a double mutant ERK26N/V295M (ER*) whose catalytic activity was 1.48 times that of wild-type ER. Through structural analysis and MD analysis, we found that the catalytic pocket and the enzyme stability of ER* were both improved. We overexpressed ER* in the engineered strain ΔKU70 to obtain the strain YLE-1. YLE-1 can produce 39.47 g/L of erythritol within 144 h, representing a 35% increase compared to the unmodified strain, and a 10% increase compared to the strain overexpressing wild-type ER. Considering the essentiality of NADPH supply, we further co-expressed ER* with two genes from the oxidative phase of PPP, ZWF1 and GND1. This resulted in the construction of YLE-3, which exhibited a significant increase in production, producing 47.85 g/L of erythritol within 144 h, representing a 63.90% increase compared to the original chassis strain. The productivity and the yield of the engineered strain YLE-3 were 0.33 g/L/h and 0.48 g/g glycerol, respectively. This work provided an ER mutation with excellent performance, and also proved the importance of cofactors in the process of erythritol synthesis, which will promote the industrial production of erythritol by metabolic engineering of Y. lipolytica.
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  • 文章类型: Journal Article
    背景:没有足够的临床和微生物学证据支持使用二极管激光和赤藓糖醇的空气抛光作为鳞片和根部规划(SRP)的补充。本研究的目的是评估赤藓糖醇牙龈下空气抛光和二极管激光治疗牙周炎的临床和微生物疗效。
    方法:该研究包括24名寻求牙周治疗并诊断为I期和II期牙周炎的个体。八名患者仅接受了SRP。另有8名患者接受了SRP,然后进行了赤藓糖醇龈下空气抛光,8例患者接受了SRP,然后应用了二极管激光。在基线和六周,测量牙周临床参数,包括斑块指数(PI),牙龈指数(GI),牙周探伤深度(PPD),和临床依恋水平(CAL)。放线菌的细菌计数(A.A),牙龈卟啉单胞菌(P.G)在不同的时间点进行评价。
    结果:微生物学评估显示,治疗后立即激光组和赤藓糖醇组之间的A.A.计数存在显着差异,表明对微生物水平的潜在影响。然而,微生物水平在随后的几周内出现波动,没有统计学上的显著差异。各组治疗后斑块指数显著下降,组间无显著差异。牙龈指数下降,激光组显示低于赤藓糖醇和对照组。PPD和CAL在所有组显著下降,激光组表现出最低值。
    结论:补充使用二极管激光和赤藓糖醇空气抛光,与SRP一起,代表加速牙周治疗方式。这种方法导致细菌的减少和牙周健康的改善。
    背景:该临床试验已在ClinicalTrials.gov(注册ID:NCT06209554)上注册,并于2024年01月08日发布。
    BACKGROUND: There is insufficient clinical and microbiological evidence to support the use of diode laser and air-polishing with erythritol as supplements to scaling and root planning(SRP). The aim of the current study is to evaluate the clinical and microbiologic efficacy of erythritol subgingival air polishing and diode laser in treatment of periodontitis.
    METHODS: The study encompassed twenty-four individuals seeking periodontal therapy and diagnosed with stage I and stage II periodontitis. Eight patients simply underwent SRP. Eight more patients had SRP followed by erythritol subgingival air polishing, and eight patients had SRP followed by diode laser application. At baseline and six weeks, clinical periodontal parameters were measured, including Plaque Index (PI), Gingival Index (GI), periodontal Probing Depth (PPD), and Clinical Attachment Level (CAL). The bacterial count of Aggregatibacter actinomycetemcomitans(A.A), Porphyromonas gingivalis (P.G) was evaluated at different points of time.
    RESULTS: The microbiological assessment revealed significant differences in the count of A.A. between the laser and erythritol groups immediately after treatment, indicating a potential impact on microbial levels. However, the microbial levels showed fluctuations over the subsequent weeks, without statistically significant differences. Plaque indices significantly decreased post-treatment in all groups, with no significant inter-group differences. Gingival indices decreased, and the laser group showed lower values than erythritol and control groups. PPD and CAL decreased significantly across all groups, with the laser group exhibiting the lowest values.
    CONCLUSIONS: The supplementary use of diode laser and erythritol air polishing, alongside SRP, represents an expedited periodontal treatment modality. This approach leads to a reduction in bacteria and improvement in periodontal health.
    BACKGROUND: This clinical trial was registered on Clinical Trials.gov (Registration ID: NCT06209554) and released on 08/01/2024.
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  • 文章类型: Journal Article
    背景:赤藓糖醇,一种天然多元醇,是由许多微生物合成的低热量甜味剂,比如传粉念珠。然而,由于需要在富含葡萄糖的底物上培养,赤藓糖醇的广泛使用受到高生产成本的限制。这项研究探讨了使用里氏木霉作为赤藓糖醇生产替代宿主的潜力,因为这种腐生真菌可以在木质纤维素生物质残留物上培养。这项研究的目的是通过确定赤藓糖醇生物合成的合适碳源来评估这种替代宿主是否会导致更可持续和经济可行的赤藓糖醇生产。影响赤藓糖醇生物合成的主要参数,并评估扩大定义过程的可行性。
    结果:我们的研究表明,里氏木霉可以从葡萄糖合成赤藓糖醇,但不能从木糖和乳糖等其他碳源合成赤藓糖醇。里氏酵母能够食用赤藓糖醇,但它不存在葡萄糖。在氮源中,尿素和酵母提取物比铵和硝酸盐更有效。随着pH和温度的变化,观察到对赤藓糖醇合成的显着影响。尽管成功的摇瓶实验,向生物反应器的过渡面临挑战,表明需要进一步放大优化。
    结论:虽然里氏木霉显示出产赤藓糖醇的潜力,在延长的时间内达到1g/L的最大浓度,可以通过优化影响赤藓糖醇生产的参数来提高其生产率。无论如何,这项研究为里氏木霉的多元醇代谢提供了有价值的见解,为甘油或甘露醇生产的未来研究提供潜在的启示。此外,这表明赤藓糖醇的产生与戊糖磷酸途径的糖酵解之间存在潜在的代谢关联。
    BACKGROUND: Erythritol, a natural polyol, is a low-calorie sweetener synthesized by a number of microorganisms, such as Moniliella pollinis. Yet, a widespread use of erythritol is limited by high production costs due to the need for cultivation on glucose-rich substrates. This study explores the potential of using Trichoderma reesei as an alternative host for erythritol production, as this saprotrophic fungus can be cultivated on lignocellulosic biomass residues. The objective of this study was to evaluate whether such an alternative host would lead to a more sustainable and economically viable production of erythritol by identifying suitable carbon sources for erythritol biosynthesis, the main parameters influencing erythritol biosynthesis and evaluating the feasibility of scaling up the defined process.
    RESULTS: Our investigation revealed that T. reesei can synthesize erythritol from glucose but not from other carbon sources like xylose and lactose. T. reesei is able to consume erythritol, but it does not in the presence of glucose. Among nitrogen sources, urea and yeast extract were more effective than ammonium and nitrate. A significant impact on erythritol synthesis was observed with variations in pH and temperature. Despite successful shake flask experiments, the transition to bioreactors faced challenges, indicating a need for further scale-up optimization.
    CONCLUSIONS: While T. reesei shows potential for erythritol production, reaching a maximum concentration of 1 g/L over an extended period, its productivity could be improved by optimizing the parameters that affect erythritol production. In any case, this research contributes valuable insights into the polyol metabolism of T. reesei, offering potential implications for future research on glycerol or mannitol production. Moreover, it suggests a potential metabolic association between erythritol production and glycolysis over the pentose phosphate pathway.
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  • 文章类型: Journal Article
    叶绿体不仅是植物光合作用的关键位点,但它们也参与质体逆行信号,以响应发育和环境信号。MEcPP(2-C-甲基-D-赤藓糖醇-2,4-环焦磷酸酯)是叶绿体中甲基赤藓糖醇磷酸酯(MEP)途径的中间体。它是合成类异戊二烯和萜类化合物衍生物的关键前体,在植物生长发育中起着至关重要的作用,光合作用,繁殖,和防御环境限制。应激条件下MEcPP的积累会触发IMPa-9和TPR2的表达,从而导致非生物应激反应基因的激活。在这份信件中,我们讨论了质体逆行信号传导,以支持最近发表在《分子植物》上的一篇论文(Zeng等人。2024).我们希望它能对逆行信号级联有更多的了解。
    Chloroplasts are not only critical photosynthesis sites in plants, but they also participate in plastidial retrograde signaling in response to developmental and environmental signals. MEcPP (2-C-Methyl-D-erythritol-2,4-cyclopyrophosphate) is an intermediary in the methylerythritol phosphate (MEP) pathway in chloroplasts. It is a critical precursor for the synthesis of isoprenoids and terpenoid derivatives, which play crucial roles in plant growth and development, photosynthesis, reproduction, and defense against environmental constraints. Accumulation of MEcPP under stressful conditions triggers the expression of IMPα-9 and TPR2, contributing to the activation of abiotic stress-responsive genes. In this correspondence, we discuss plastidial retrograde signaling in support of a recently published paper in Molecular Plant (Zeng et al. 2024). We hope that it can shed more insight on the retrograde signaling cascade.
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  • 文章类型: Journal Article
    甲基赤藓糖醇磷酸酯(MEP)途径负责真细菌和质体中类异戊二烯化合物前体的生物合成。它是在古细菌和真核生物中发现的用于类异戊二烯生产的众所周知的甲羟戊酸途径的代谢替代品。最近,MEP途径在氧化应激检测中的作用,信令,反应已经确定。此角色部分通过不寻常的循环中间执行,甲基赤藓糖醇环二磷酸(MEcDP)。我们推测,这种反应是通过MEP途径的末端铁-硫(Fe-S)簇酶的氧敏感性触发的。MEcDP是IspG的底物,途径中的第一个Fe-S簇酶;它在氧化应激条件下积累并充当信号分子。它也可以作为抗氧化剂。此外,有证据表明,MEP途径在氧化应激反应中具有更广泛和高度细微的作用,通过在路径中的许多节点处的不同调节和灵敏度的复杂系统来实现。这里,我们探索了这种作用的证据(包括Fe-S簇酶和不同途径代谢物的贡献,尤其是MEcDP),进化的含义,以及在存在氧化应激的情况下MEP途径的行为仍存在许多问题。
    The methylerythritol phosphate (MEP) pathway is responsible for biosynthesis of the precursors of isoprenoid compounds in eubacteria and plastids. It is a metabolic alternative to the well-known mevalonate pathway for isoprenoid production found in archaea and eukaryotes. Recently, a role for the MEP pathway in oxidative stress detection, signalling, and response has been identified. This role is executed in part through the unusual cyclic intermediate, methylerythritol cyclodiphosphate (MEcDP). We postulate that this response is triggered through the oxygen sensitivity of the MEP pathway\'s terminal iron-sulfur (Fe-S) cluster enzymes. MEcDP is the substrate of IspG, the first Fe-S cluster enzyme in the pathway; it accumulates under oxidative stress conditions and acts as a signalling molecule. It may also act as an antioxidant. Furthermore, evidence is emerging for a broader and highly nuanced role of the MEP pathway in oxidative stress responses, implemented through a complex system of differential regulation and sensitivity at numerous nodes in the pathway. Here, we explore the evidence for such a role (including the contribution of the Fe-S cluster enzymes and different pathway metabolites, especially MEcDP), the evolutionary implications, and the many questions remaining about the behaviour of the MEP pathway in the presence of oxidative stress.
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  • 文章类型: Journal Article
    水果果渣,作为水果和蔬菜加工的副产品,是一种廉价且易于获取的材料,用于进一步加工,可以替代选定的配方成分,通常是面粉。此外,他们的优势是具有很高的促进健康的潜力。这项研究的目的是评估同时使用赤藓糖醇(100%蔗糖取代)和添加不同量的黑醋栗的效果,苦莓和苹果渣(0%,10%,30%和50%的面粉重量)对人体体内研究中食用脆饼饼干后的血糖反应(ISO26642:2010)。结果表明,每种果渣的添加量增加会降低饼干的血糖指数值。将果渣和蔗糖甜味饼干分为中GI和低GI组。对于每种果渣,其在饼干配方中所占份额的增加与GI值的降低有关(果渣:苹果49.1-37.2%,黑醋栗56.4-41.0%,苦莓59.4-35.5%)。赤藓糖醇的使用显示了类似的相关性(果渣:苹果39.5-29.1%,黑醋栗43.9-31.9%,苦莓34.6-20.7%)。果渣添加对脆饼饼干的GI值的显着影响,仅在蔗糖甜味产品中观察到。获得的结果可以得出结论,即在功能食品的生产中使用废弃原料是有潜力的。
    Fruit pomace, as a by-product of fruit and vegetable processing, is a cheap and easily accessible material for further processing that can replace selected recipe ingredients, most often flour. In addition, their advantage is their high health-promoting potential. The aim of this study was to evaluate the effect of the simultaneous use of erythritol (100% sucrose substitution) and the addition of varying amounts of blackcurrant, chokeberry and apple pomace (0%, 10%, 30% and 50% by weight of flour) on the glycaemic response after consumption of shortbread cookies in an in vivo study with humans (ISO 26642:2010). It was shown that an increase in the addition of each type of pomace reduced the glycaemic index value of the cookies. The pomace and sucrose-sweetened cookies were classified in the medium and low GI group. For each type of pomace, an increase in its share in the recipe of cookies was associated with a reduction in GI values (pomace: apple 49.1-37.2%, blackcurrant 56.4-41.0%, chokeberry 59.4-35.5%). Similar correlations were shown for the use of erythritol (pomace: apple 39.5-29.1%, blackcurrant 43.9-31.9%, chokeberry 34.6-20.7%). A significant effect of pomace addition on the GI values of shortbread cookies, was only observed for sucrose-sweetened products. The results obtained allow the conclusion that there is potential for the use of waste raw materials in the production of functional foods.
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  • 文章类型: Journal Article
    背景:主要疟疾病媒中杀虫剂抗性的发展需要开发新的病媒控制工具。一种这样的策略涉及使用针对蚊子媒介的食糖行为的有毒糖诱饵。在这项研究中,我们调查了多元醇的潜力,作为有毒的食物(糖)来源,有毒的糖诱饵对抗疟疾媒介斯蒂芬氏按蚊。我们检查了六种多元醇的急性毒性,即,赤藓糖醇,甘油,甘露醇,丙二醇(PG),山梨醇,和成年女性An的木糖醇。stephensi蚊子在两个不同的浓度-2%和10%。我们还研究了繁殖力的变化,多元醇暴露诱导的卵孵化率和中肠过氧化物水平。
    结果:在测试的六种多元醇化合物中,与对照(蔗糖)相比,PG的毒性和致死性最强,其次是甘油和赤藓糖醇(P<0.001)。PG在不同测试浓度下诱导急性死亡。在红霉素和甘油喂养组中,观察到对死亡率的剂量依赖性效应.甘油显着降低了促性腺激素周期G1和G2的繁殖力和卵孵化率。蔗糖是首选食物来源(48%),其次是赤藓糖醇(18%),PG(10%)和甘油(8%)。摄入多元醇会增加蚊子肠道中的过氧化物水平,持续时间延长,最终导致快速死亡率(P<0.05)。
    结论:本研究强调了糖多元醇在开发具有最少有效成分的有毒糖诱饵方面的有用性。进一步的研究可以集中在现场实验和探索不同多元醇的协同作用,以优化现场应用。©2024化学工业学会。
    BACKGROUND: Development of insecticide resistance in the major malaria vectors has necessitated the development of novel vector control tools. One such strategy involves the use of toxic sugar baits that targets the sugar-feeding behaviour of mosquito vectors. In this study, we investigated the potential of polyols, as a toxic food (sugar) source in toxic sugar baits against the malaria vector Anopheles stephensi Liston. We examined the acute toxicity of six polyols, namely, erythritol, glycerol, mannitol, propylene glycol (PG), sorbitol, and xylitol on adult female An. stephensi mosquitoes at two different concentrations - 2% and 10%. We also studied changes in fecundity, egg hatchability and mid-gut peroxide levels induced by polyol exposure.
    RESULTS: Among the six polyol compounds tested, PG was most toxic and lethal followed by glycerol and erythritol (P < 0.001) compared to the control (sucrose). PG induced acute mortality at different tested concentrations. In the erythritol- and glycerol-fed groups, a dose-dependent effect on mortality was observed. Glycerol evidently reduced fecundity and egg-hatchability in gonotrophic cycles G1 and G2. Sucrose was the preferred food source (48%), followed by erythritol (18%), PG (10%) and glycerol (8%). Ingestion of polyols increased peroxide levels in mosquito guts, which persisted for extended durations ultimately resulting in rapid mortality (P < 0.05).
    CONCLUSIONS: The present study highlights the usefulness of sugar polyols for the development of toxic sugar baits with minimal yet effective ingredients. Further research could be focused on field experiments and on the exploration of synergistic effects of different polyols for optimization of field applications. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    赤藓糖醇,作为一种新型的天然甜味剂,已广泛用于食品中,medical,化妆品,制药等领域由于其独特的理化性质和生理功能。近年来,随着合成生物学等战略的不断发展,代谢工程,基于组学的系统生物学和高通量筛选技术,人们对赤藓糖醇生物合成途径的认识逐渐加深,和具有独立修饰能力的微生物细胞工厂已经成功建设。在这次审查中,详细介绍了合成赤藓糖醇的廉价原料,阐述了影响赤藓糖醇合成的环境因素及其调控机制,综述了赤藓糖醇合成中代谢工程的工具和策略。此外,赤藓糖醇衍生物的研究有助于拓展其应用领域。最后,讨论了阻碍赤藓糖醇有效生产的挑战,为绿色奠定了基础,未来赤藓糖醇的高效可持续生产,突破生产瓶颈。
    Erythritol, as a new type of natural sweetener, has been widely used in food, medical, cosmetics, pharmaceutical and other fields due to its unique physical and chemical properties and physiological functions. In recent years, with the continuous development of strategies such as synthetic biology, metabolic engineering, omics-based systems biology and high-throughput screening technology, people\'s understanding of the erythritol biosynthesis pathway has gradually deepened, and microbial cell factories with independent modification capabilities have been successfully constructed. In this review, the cheap feedstocks for erythritol synthesis are introduced in detail, the environmental factors affecting the synthesis of erythritol and its regulatory mechanism are described, and the tools and strategies of metabolic engineering involved in erythritol synthesis are summarized. In addition, the study of erythritol derivatives is helpful in expanding its application field. Finally, the challenges that hinder the effective production of erythritol are discussed, which lay a foundation for the green, efficient and sustainable production of erythritol in the future and breaking through the bottleneck of production.
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  • 文章类型: Journal Article
    类异戊二烯代谢及其衍生物参与光合作用,生长调节,信号转导,和植物防御生物和非生物胁迫。然而,铝(Al)胁迫如何影响类异戊二烯代谢以及类异戊二烯代谢在柑橘植物应对Al胁迫中起着至关重要的作用尚不清楚。在这项研究中,我们报道了铝处理引起的单萜(α-pine烯,β-pine烯,柠檬烯,α-萜品烯,柑橘(耐铝)和C.grandis(铝敏感)叶片之间的γ-松油烯和3-carene)和异戊二烯不同。Al诱导的CO2同化减少,初级PSII光化学的最大量子产率(Fv/Fm),葡萄糖和淀粉含量较低,与甲羟戊酸(MVA)途径和2-C-甲基-D-赤藓糖醇4-磷酸(MEP)途径有关的酶活性降低可能是类异戊二烯挥发速率不同的原因。此外,与类异戊二烯前体和/或衍生物代谢相关的基因的转录水平改变,如叶酰二磷酸(3GPP)合成酶(GPPS)在GMP生物合成,香叶基香叶基二磷酸合成酶(GGPPS),叶绿素合成酶(CHS)和GPB还原酶(GGPPR)在叶绿素生物合成中,柠檬烯合酶(LS)和α-pine烯合酶(APS)在柠檬烯和α-pine烯合成中,分别,可能是C.grandis和C.sinensis中相应产品含量不同的原因。我们的数据表明类异戊二烯代谢参与柑橘的铝耐受反应,类异戊二烯代谢的某些分支的交替可以赋予柑橘不同的耐铝能力。
    Isoprenoid metabolism and its derivatives took part in photosynthesis, growth regulation, signal transduction, and plant defense to biotic and abiotic stresses. However, how aluminum (Al) stress affects the isoprenoid metabolism and whether isoprenoid metabolism plays a vital role in the Citrus plants in coping with Al stress remain unclear. In this study, we reported that Al-treatment-induced alternation in the volatilization rate of monoterpenes (α-pinene, β-pinene, limonene, α-terpinene, γ-terpinene and 3-carene) and isoprene were different between Citrus sinensis (Al-tolerant) and C. grandis (Al-sensitive) leaves. The Al-induced decrease of CO2 assimilation, maximum quantum yield of primary PSII photochemistry (Fv/Fm), the lower contents of glucose and starch, and the lowered activities of enzymes involved in the mevalonic acid (MVA) pathway and 2-C-methyl-D-erythritol 4-phosphate (MEP) pathway might account for the different volatilization rate of isoprenoids. Furthermore, the altered transcript levels of genes related to isoprenoid precursors and/or derivatives metabolism, such as geranyl diphosphate (GPP) synthase (GPPS) in GPP biosynthesis, geranylgeranyl diphosphate synthase (GGPPS), chlorophyll synthase (CHS) and GGPP reductase (GGPPR) in chlorophyll biosynthesis, limonene synthase (LS) and α-pinene synthase (APS) in limonene and α-pinene synthesis, respectively, might be responsible for the different contents of corresponding products in C. grandis and C. sinensis. Our data suggested that isoprenoid metabolism was involved in Al tolerance response in Citrus, and the alternation of some branches of isoprenoid metabolism could confer different Al-tolerance to Citrus species.
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  • 文章类型: Journal Article
    目的:专业口腔卫生对预防种植体周围疾病至关重要。种植体支持的修复体应使用适当的器械:它们应有效地去除沉积物而不会损坏牙种植体表面。本系统评价的目的是研究赤藓糖醇空气抛光在植入物支持的康复中的疗效和安全性。与替代卫生技术相比。
    方法:本系统评价采用系统评价和荟萃分析(PRISMA)首选报告项目适应症中报告的指南。焦点问题是:“赤藓糖醇空气抛光对牙科植入物表面的清洁功效和/或安全性有什么影响?”最终的在线搜索于2023年8月13日进行;MEDLINE-PubMed,Scopus和Cochrane图书馆被雇用。包括比较的体外或体内原始研究。
    结果:最初的数据库搜索产生了128个条目;最终的选择包括15篇文章。使用纽卡斯尔渥太华量表(NOS)评估偏倚风险,Cochrane干预措施系统审查手册,等级方法。超声波缩放与PEEK提示,在纳入的研究中,与赤藓糖醇粉末相比,甘氨酸空气抛光和冷大气等离子体是最常见的设备。赤藓糖醇空气抛光似乎更有效地减少生物膜相比其他处理,不会对植入物表面和植入物周围组织造成任何重大损害,促进良好的生物学反应。
    结论:赤藓糖醇空气抛光在种植体支持的修复体的专业口腔卫生方面显示出有希望的结果。根据这个系统的回顾,它是有效和安全的去除生物膜从钛牙种植体。
    OBJECTIVE: Professional oral hygiene is essential to prevent peri-implant disease. Appropriate instruments should be employed for implant-supported restorations: they should effectively remove deposits without damaging dental implant surface. The aim of the present systematic review is to investigate the efficacy and safety of erythritol air-polishing in implant-supported rehabilitations, compared to alternative hygienic techniques.
    METHODS: The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: \'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?\' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.
    RESULTS: The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.
    CONCLUSIONS: Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.
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