Abstract
Background
There is increasing interest in genetic effects on sleep bruxism, as well as on psychological stress. Peripheral type benzodiazepine receptor (PBR) gene polymorphisms are associated with stress sensitivity but it is not yet clear whether polymorphisms in this gene have any influence on psychological stress before and after sleep bruxism. The present study was performed to examine the relationship between sleep bruxism and PBR gene polymorphisms.
Materials and methods
The study population consisted of 30 male and 28 female healthy volunteers with a mean age of 24.0 years. The PBR gene was amplified using phi29 DNA polymerase after collection of DNA from oral mucosa cells. Polymorphisms were identified by direct sequencing after PBR gene amplification by PCR. Masseter muscle activity was also measured during sleep using portable electromyography to evaluate sleep bruxism. Furthermore, stimulated whole saliva samples were collected for quantification of the salivary chromogranin A (CgA) level as an index of psychological stress.
Results
The results show that 32 subjects (68.1 %) had the G/G genotype, 13 (27.6 %) had G/A and 2 had A/A. The number of bruxism events was significantly higher in the G/A group than in the G/G group (P < 0.05). Changes in salivary CgA levels were significantly lower in the G/A group than in the G/G group (P < 0.05).
Conclusions
Genetic factors, such as PBR gene polymorphisms, may influence psychological stress management through bruxism during sleep. When treating sleep bruxism it is important to take genetic factors into consideration for a personalized medicine approach.
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References
Ahlberg K, Ahlberg J, Kononen M, Partinen M, Lindholm H, Savolainen A. Reported bruxism and stress experience in media personnel with or without irregular shift work. Acta Odontol Scand. 2003;61:315–8.
Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001;119:53–61.
Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;8:1085–91.
Kato T, Montplaisir JY, Guitard F, Sessle BJ, Lund JP, Lavigne GJ. Evidence that experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res. 2003;82:284–8.
Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35:476–94.
Hugoson A, Bergendal T, Ekfeldt A, Helkimo M. Prevalence and severity of incisal and occlusal tooth wear in an adult Swedish population. Acta Odontol Scand. 1988;46:255–65.
Ratcliff S, Becker IM, Quinn L. Type and incidence of cracks in posterior teeth. J Prosthet Dent. 2001;86:168–72.
Ekfeldt A, Christiansson U, Eriksson T, Linden U, Lundqvist S, Rundcrantz T, et al. A retrospective analysis of factors associated with multiple implant failures in maxillae. Clin Oral Implants Res. 2001;12:462–7.
McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol. 1996;67:666–74.
Bragger U, Aeschlimann S, Burgin W, Hammerle CH, Lang NP. Biological and technical complications and failures with fixed partial dentures (FPD) on implants and teeth after four to five years of function. Clin Oral Implants Res. 2001;12:26–34.
Michelotti A, Cioffi I, Festa P, Scala G, Farella M. Oral parafunctions as risk factors for diagnostic TMD subgroups. J Oral Rehabil. 2010;37:157–62.
Harada T, Ichiki R, Tsukiyama Y, Koyano K. The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device. J Oral Rehabil. 2006;33:482–8.
Makino M, Masaki C, Tomoeda K, Kharouf E, Nakamoto T, Hosokawa R. The relationship between sleep bruxism behavior and salivary stress biomarker level. Int J Prosthodont. 2009;22:43–8.
Slavicek R, Sato S. [Bruxism—a function of the masticatory organ to cope with stress]. Wien Med Wochenschr (1946). 2004;154:584–9.
Ellison JM, Stanziani P. SSRI-associated nocturnal bruxism in four patients. J Clin Psychiatry. 1993;54:432–4.
Gerber PE, Lynd LD. Selective serotonin-reuptake inhibitor-induced movement disorders. Ann Pharmacother. 1998;32:692–8.
Abe Y, Suganuma T, Ishii M, Yamamoto G, Gunji T, Clark GT, et al. Association of genetic, psychological and behavioral factors with sleep bruxism in a Japanese population. J Sleep Res. 2012;21:289–96.
Saletu A, Parapatics S, Saletu B, Anderer P, Prause W, Putz H, et al. On the pharmacotherapy of sleep bruxism: placebo-controlled polysomnographic and psychometric studies with clonazepam. Neuropsychobiology. 2005;51:214–25.
Gavish M, Katz Y, Bar-Ami S, Weizman R. Biochemical, physiological, and pathological aspects of the peripheral benzodiazepine receptor. J Neurochem. 1992;58:1589–601.
Yoshii M, Nakamoto Y, Nakamura K. [Polymorphism of the peripheral-type benzodiazepine-receptor gene associated with the trait of anxiety]. Nihon Yakurigaku Zasshi. 2005;125:33–6.
Nakamura K, Yamada K, Iwayama Y, Toyota T, Furukawa A, Takimoto T, et al. Evidence that variation in the peripheral benzodiazepine receptor (PBR) gene influences susceptibility to panic disorder. Am J Med Genet B Neuropsychiatr Genet. 2006;141B:222–6.
Ikeda T, Nishigawa K, Kondo K, Takeuchi H, Clark GT. Criteria for the detection of sleep-associated bruxism in humans. J Orofac Pain. 1996;10:270–82.
Lavigne GJ, Rompre PH, Montplaisir JY. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996;75:546–52.
Iwata N, Mishima N, Shimizu T, Mizoue T, Fukuhara M, Hidano T, Spielberger CD. Positive and negative affect in the factor structure of the State-Trait Anxiety Inventory for Japanese workers. Psychol Rep. 1998;82:651–6.
Hublin C, Kaprio J, Partinen M, Koskenvuo M. Sleep bruxism based on self-report in a nationwide twin cohort. J Sleep Res. 1998;7:61–7.
Acknowledgments
This research was supported by a grant (24592926) for Science Research from the Ministry of Education, Science, and Culture, Tokyo, Japan. Masaki Yoshida is representative director of SleepWell, Osaka, Japan. Their contribution to this research included providing the portable one-channel EEG devices and technical support for the experiments.
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The authors declare that there is no conflict of interest.
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Murakami, T., Masaki, C., Takahashi, H. et al. Sleep bruxism is affected by peripheral benzodiazepine receptor gene polymorphisms. J. Stomat. Occ. Med. 7, 13–17 (2014). https://doi.org/10.1007/s12548-013-0101-z
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DOI: https://doi.org/10.1007/s12548-013-0101-z