Research advances in the therapeutic potential of xanthine oxidoreductase inhibitors for periodontitis

Periodontitis is associated with abnormal purine metabolism, which is manifested by increased uric acid in host blood and increased expression of the purine-degrading enzyme, xanthine oxidoreductase (XOR), in periodontal tissues. Both XOR and uric acid are pro-oxidative and pro-inflammatory mediators under pathological conditions. Animal studies have found that injection of uric acid promotes the progression of periodontitis and that febuxostat (an XOR inhibitor) improves tissue destruction in periodontitis. Therefore, blocking the source of uric acid may be a therapeutic strategy to control the progression of periodontitis. In this article, the rationality of XOR inhibitors as potential therapeutic drugs for periodontitis is reviewed. The literature review results suggest that XOR inhibitors show antioxidative, anti-inflammatory, and anti-osteoclastic effects, and XOR inhibitors show clinical efficacy in the treatment of infectious, inflammatory and osteolytic diseases. Although there is no direct evidence to support the finding that XOR inhibitors can ameliorate periodontal microecological dysbiosis, these drugs can modulate intestinal microflora dysbiosis, and there is indirect evidence to support a beneficial effect of XOR inhibitors on periodontal microecological dysbiosis. In conclusion, XOR inhibitors may be used as immunomodulators for the adjuvant treatment of periodontitis by inhibiting inflammation, oxidative stress and anti-osteoclast effects

Table_1_Groundwater salinization under the influence of paleo sea-level fluctuation: a case study in southern Laizhou Bay, China.xlsx

The groundwater environment in low-lying coastal regions is significantly impacted by global sea-level fluctuation. In Laizhou Bay, three large-scale transgressions have occurred since the late Pleistocene, resulting in the transformation of ancient seawater into brine. This brine has become a major contributor to groundwater salinity in the area. This study establishes a correlation between groundwater occurrence and paleoclimate changes in Laizhou Bay using borehole sediment data. The source and mechanism of groundwater salinity are analyzed based on sediment pore water characteristics and hydrogen and oxygen isotopes. The study reveals that the stratigraphic structures in the area consist of four layers: a Holocene transgressive layer, a continental confining bed from the late Pleistocene, a Cangzhou transgressive layer from the late Pleistocene, and a fluvial aquifer from the middle Pleistocene. All aquifers in the study area have been infiltrated by modern seawater, with the uppermost Holocene aquifer influenced by evaporation and leaching processes, the central late Pleistocene aquifer remaining relatively stable, and the lower middle Pleistocene aquifer affected by subsurface low salinity runoff and exhibiting an increasing trend with depth. Given the presence of numerous hydrogeological environments globally that are similar to the study area, the obtained mechanisms of groundwater salinization in this study will provide theoretical support for groundwater management in similar regions worldwide.</p