Poor oral health was associated with higher risk of gastric cancer: Evidence from 1431677 participants.

BACKGROUND: In recent years, the association between oral health and the risk of gastric cancer (GC) has gradually attracted increased interest. However, in terms of GC incidence, the association between oral health and GC incidence remains controversial. Periodontitis is reported to increase the risk of GC. However, some studies have shown that periodontitis has no effect on the risk of GC. Therefore, the present study aimed to assess whether there is a relationship between oral health and the risk of GC. AIM: To assess whether there was a relationship between oral health and the risk of GC. METHODS: Five databases were searched to find eligible studies from inception to April 10, 2023. Newcastle-Ottawa Scale score was used to assess the quality of included studies. The quality of cohort studies and case-control studies were evaluated separately in this study. Incidence of GC were described by odds ratio (OR) and 95% confidence interval (CI). Funnel plot was used to represent the publication bias of included studies. We performed the data analysis by StataSE 16. RESULTS: A total of 1431677 patients from twelve included studies were enrolled for data analysis in this study. According to our analysis, we found that the poor oral health was associated with higher risk of GC (OR = 1.15, 95%CI: 1.02-1.29; I2 = 59.47%, P = 0.00 < 0.01). Moreover, after subgroup analysis, the outcomes showed that whether tooth loss (OR = 1.12, 95%CI: 0.94-1.29; I2 = 6.01%, P > 0.01), gingivitis (OR = 1.19, 95%CI: 0.71-1.67; I2 = 0.00%, P > 0.01), dentures (OR = 1.27, 95%CI: 0.63-1.19; I2 = 68.79%, P > 0.01), or tooth brushing (OR = 1.25, 95%CI: 0.78-1.71; I2 = 88.87%, P > 0.01) had no influence on the risk of GC. However, patients with periodontitis (OR = 1.13, 95%CI: 1.04-1.23; I2 = 0.00%, P < 0.01) had a higher risk of GC. CONCLUSION: Patients with poor oral health, especially periodontitis, had a higher risk of GC. Patients should be concerned about their oral health. Improving oral health might reduce the risk of GC.

[Effects of Bisphosphonates on Beclin1 and LC3â ¡ Induced by High-glucose in Rat Bone Marrow Mesenchymal Stem Cells].

OBJECTIVE: To investigate the effects of bisphosphonates on autophagy induced by high-glucose in rat bone marrow mesenchymal stem cells (BMSCs). METHODS: BMSCs were isolated and cultured in vitro, identified by undergoing osteogenic/chondrogenic/adipogenic differentiation, the concentration of bisphosphonates was determined by CCK-8 method. The cells were cultured in normal glucose (5.6 mmol/L D-glucose), high glucose (30 mmol/L D-glucose), and high glucose with bisphosphonates (30 mmol/L D-glucose+10-9 mmol/L bisphosphonates). At 48 h, mRNA expression levels of autophagy related genes Beclin1 and microtubule-associated protein 1 light chain 3 (LC3) were dected by real-time PCR, protein expression levels of Beclin1 and LC3Ⅱ were detected by Western blot, and the autophagy body was observed by transmission electron microscopy (TEM). RESULTS: The results showed that BMSCs had the ability of osteogenenic, chondrogenic and adipogenic differentiation. Compared with the control group and high glucose with bisphosphonates group, the mRNA [CM(155mm]expressions of Beclin1 and LC3 and protein expressions of Beclin1 and LC3Ⅱ in the high glucose group were increased (P<0.01 or P<0.05). TEM showed that the number of autophagy body in high glucose group was higher than that in normal group and high glucose with bisphosphonates group. CONCLUSION: Bisphosphonates may play a role of down-regulating the expression of Beclin1 and LC3Ⅱ induced by high-glucose in BMSCs.