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“ NUTRIGENOMICS : A NEW PARADIGM FOR
UNDERSTANDING PERIODONTAL DISEASES ’’
GUIDED BY:
Dr. SAVITA.S , M.D.S
PROFESSOR AND H.O.D
DEPT OF PERIODONTOLOGY
CO-GUIDE :
Dr. RITHESH.K, M.D.S
READER
DEPARTMENT OF
PERIODONTOLOGY
PRESENTED BY :
Dr. SHILPA . SHIVANAND.
DEPT OF PERIODONTOLOGY.
RAJARAJESWARI DENTAL COLLEGE.
 Relationship of nutrition with health is long
known.
 But how each component exert their effect on
an individual at genetic level is gradually
known.
 Specific bioactive feed components present in
diet act as the key environmental factors which
regulate gene expression. (Mead, 2007)
 With these knowledge a new area of study
called “NUTRIGENOMICS” has emerged.
(Roche et al 2006)
INTRODUCTION
 The study of how genes and gene products
interact with dietary chemicals to alter
phenotype and, conversely, how genes and
their products metabolize nutrients is called
nutritional genomics or “Nutrigenomics”.
(Kaput et al, 2005)
 A new science seeking to understand the
influence of dietary components on the
Genome, Transcriptome, Proteome, and
Metabolome. (Ronteltap et al, 2009)
 It is a science which study the effect of
nutrients on the gene expression.
WHAT IS NUTRIGENOMICS

BASIC TOOLS
TRANSCRIPTOMICS
Approach in which mRNA, and
consequently gene expression is analyzed
in a biological sample under certain
conditions at given point of time
METABOLOMICS
Quantitative analysis of all
metabolites in a biological system
such as cell, tissue or biological
fluid (blood, plasma and saliva)
PROTEOMICS
Take this analysis further and aims
to characterize all proteins in a
biological sample at the functional
level
 Diet and food components -
prime environmental factors that
affect the genome,
transcriptome, proteome and
metabolome  this life-long
interaction defines health/
disease state of an individual.
 Nutritional genomics approach
 created hopes: gene-based
nutrition planning- play a
significant role in preventing
chronic disease
WE ARE WHAT WE EAT
• 65 SNPs associated with the risk of
developing type II DM
• Advances of genome sequencing & decoding
human genome  test for detection of SNPs
 available to public
Type II DM
• Cause chronic process of inflammation for
developing metabolic syndromes.
• Bioactive component α-tocopherol in green
tea decrease chronic inflammatory process in
obese.
Obesity
• Higher intakes of oily fish
• Lowering of plasma triacylglycerolCVD
SYSTEMIC DISEASES MODIFIED BY DIET

• Postmenopausal women
• Phosphorous damage kidney & cause
osteoporosis
• Increase micronutrient mainly calcium
Osteoporosis
• Overdose of aluminium cause dementia
• Diet supplements like antioxidants (vit
A & C), lipoic acid, L- carnitine , fruits
& vegetables
Dementia,
Alzheimer’s
• Nickel nose,lung, larynx, prostrate
cancer
• green tea in inhibiting TNF-α release in
lung cancer
• prostate carcinogenesis
induced  n-methyl-n-nitrosourea 
tomato powder inhibit carcinogenesis
Cancers

PERIODONTITIS
DIABETES,
HYPERTENSION
OBESITY,
DYSLIPIDEMIA
VITAMIN,
MINERAL,
NUTRIENT
DEFICIENCY
OSTEOPOROSIS,
RHEUMATOID
ARTHRITIS
SYSTEMIC DISEASES REGULATING PERIODONTAL
HEALTH

Antioxidant vitamins (vitamins A, C and E)
Trace elements (selenium, copper and zinc)
Depleted during periods of inflammation
Counteract reactive oxygen species damage to
cellular tissues
Modulate immune-cell function through
regulation of redox-regulated transcription
factors
Affect production of cytokines &
prostaglandins
NUTRIRIONAL MODULATION OF PERIODONTAL
INFLAMMATION
I.

Selenium important
redox functions
Selenium-dependent
glutathione enzymes
Reduction of damaging lipid and
phospholipid hydro peroxides
to harmless products
Periodontal disease
progression increased plaque
and higher gingival index
measurements
II.

Vitamins, Trace elements
Epithelial tissue integrity and
structure
Periodontal health
III.

ώ-3
polyunsat
urated
fatty
acids
(oily fish)
Increase the tissue
concentrations of
eicosapentaenoic
acid,
docosahexaenoic
acid
↓ major
inflammatory
mediators PG
E2, PG F2
alpha, LT B4
, PAF in
gingival
tissue
Down regulate
inflammation
Bone
destruction
PeriodontitisIV.

PREVENT
PERIODONTITIS
Calcium
Antioxidants
higher intake of
vegetables, berries,
fruits/phytonutrient
supplementation
Vitamin D
MICRONUTRITIONAL APPROACH TO PERIODONTAL
THERAPY
• Gene-diet interaction describes
dietary modulation of the effect
of genotype on a particular
phenotype
• Effect of dietary changes on
plasma biomarker concentrations
differs significantly between
individuals
• Inter-individual variability in
response to dietary modification
 determined by genetic factors.
PERSONALIZED NUTRITION: CURRENT STATUS AND
FUTURE

 "If we could give every individual the right amount
of nourishment and exercise, not too little and not
too much, we would have found the safest way to
health.”
 "Leave your drugs in the chemist's pot if you can
heal the patient with food."
- Hippocrates
CONCLUSION
THANK YOU

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NUTRIGENOMICS : PERIODONTAL IMPLICATIONS,

  • 1.
  • 2. “ NUTRIGENOMICS : A NEW PARADIGM FOR UNDERSTANDING PERIODONTAL DISEASES ’’ GUIDED BY: Dr. SAVITA.S , M.D.S PROFESSOR AND H.O.D DEPT OF PERIODONTOLOGY CO-GUIDE : Dr. RITHESH.K, M.D.S READER DEPARTMENT OF PERIODONTOLOGY PRESENTED BY : Dr. SHILPA . SHIVANAND. DEPT OF PERIODONTOLOGY. RAJARAJESWARI DENTAL COLLEGE.
  • 3.  Relationship of nutrition with health is long known.  But how each component exert their effect on an individual at genetic level is gradually known.  Specific bioactive feed components present in diet act as the key environmental factors which regulate gene expression. (Mead, 2007)  With these knowledge a new area of study called “NUTRIGENOMICS” has emerged. (Roche et al 2006) INTRODUCTION
  • 4.  The study of how genes and gene products interact with dietary chemicals to alter phenotype and, conversely, how genes and their products metabolize nutrients is called nutritional genomics or “Nutrigenomics”. (Kaput et al, 2005)  A new science seeking to understand the influence of dietary components on the Genome, Transcriptome, Proteome, and Metabolome. (Ronteltap et al, 2009)  It is a science which study the effect of nutrients on the gene expression. WHAT IS NUTRIGENOMICS
  • 5.  BASIC TOOLS TRANSCRIPTOMICS Approach in which mRNA, and consequently gene expression is analyzed in a biological sample under certain conditions at given point of time METABOLOMICS Quantitative analysis of all metabolites in a biological system such as cell, tissue or biological fluid (blood, plasma and saliva) PROTEOMICS Take this analysis further and aims to characterize all proteins in a biological sample at the functional level
  • 6.  Diet and food components - prime environmental factors that affect the genome, transcriptome, proteome and metabolome  this life-long interaction defines health/ disease state of an individual.  Nutritional genomics approach  created hopes: gene-based nutrition planning- play a significant role in preventing chronic disease WE ARE WHAT WE EAT
  • 7.
  • 8. • 65 SNPs associated with the risk of developing type II DM • Advances of genome sequencing & decoding human genome  test for detection of SNPs  available to public Type II DM • Cause chronic process of inflammation for developing metabolic syndromes. • Bioactive component α-tocopherol in green tea decrease chronic inflammatory process in obese. Obesity • Higher intakes of oily fish • Lowering of plasma triacylglycerolCVD SYSTEMIC DISEASES MODIFIED BY DIET
  • 9.  • Postmenopausal women • Phosphorous damage kidney & cause osteoporosis • Increase micronutrient mainly calcium Osteoporosis • Overdose of aluminium cause dementia • Diet supplements like antioxidants (vit A & C), lipoic acid, L- carnitine , fruits & vegetables Dementia, Alzheimer’s • Nickel nose,lung, larynx, prostrate cancer • green tea in inhibiting TNF-α release in lung cancer • prostate carcinogenesis induced  n-methyl-n-nitrosourea  tomato powder inhibit carcinogenesis Cancers
  • 11.  Antioxidant vitamins (vitamins A, C and E) Trace elements (selenium, copper and zinc) Depleted during periods of inflammation Counteract reactive oxygen species damage to cellular tissues Modulate immune-cell function through regulation of redox-regulated transcription factors Affect production of cytokines & prostaglandins NUTRIRIONAL MODULATION OF PERIODONTAL INFLAMMATION I.
  • 12.  Selenium important redox functions Selenium-dependent glutathione enzymes Reduction of damaging lipid and phospholipid hydro peroxides to harmless products Periodontal disease progression increased plaque and higher gingival index measurements II.
  • 13.  Vitamins, Trace elements Epithelial tissue integrity and structure Periodontal health III.
  • 14.  ώ-3 polyunsat urated fatty acids (oily fish) Increase the tissue concentrations of eicosapentaenoic acid, docosahexaenoic acid ↓ major inflammatory mediators PG E2, PG F2 alpha, LT B4 , PAF in gingival tissue Down regulate inflammation Bone destruction PeriodontitisIV.
  • 15.  PREVENT PERIODONTITIS Calcium Antioxidants higher intake of vegetables, berries, fruits/phytonutrient supplementation Vitamin D MICRONUTRITIONAL APPROACH TO PERIODONTAL THERAPY
  • 16. • Gene-diet interaction describes dietary modulation of the effect of genotype on a particular phenotype • Effect of dietary changes on plasma biomarker concentrations differs significantly between individuals • Inter-individual variability in response to dietary modification  determined by genetic factors. PERSONALIZED NUTRITION: CURRENT STATUS AND FUTURE
  • 17.   "If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.”  "Leave your drugs in the chemist's pot if you can heal the patient with food." - Hippocrates CONCLUSION