Droździk A, Kurzawski M, Safronow K, Banach J
Department of Periodontology, Pomeranian Medical University, Szczecin, Poland.
Adv Med Sci. 2006;51 Suppl 1:13-7.
The aim of the present study was to explore an association between IL-1B polymorphism and periodontal disease in patients with chronic periodontitis and subjects with aggressive periodontitis in a Polish population. In multivariate logistic regression the association of the following parameters: genotype, age, sex, smoking status, and approximal space plaque index (API) > 50% with the risk of periodontitis was analyzed.
Fifty-two unrelated patients suffering from periodontitis, 20 of them with generalized aggressive periodontitis and 32 with generalized advanced chronic periodontitis were enrolled into the study. Control group consisted of 52 healthy volunteers, without signs of periodontitis. IL-1B(+3954) polymorphism was determined using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).
There were no significant differences in the distribution of IL-1B(+3954) genotypes and alleles between periodontal patients either with chronic or aggressive periodontitis and the controls. A predisposing genotype consisting of allele 2 was carried by 34.4% of subjects with chronic periodontitis, 25.0% of subjects with aggressive periodontitis, and 40.3% of healthy subjects. Multivariate logistic regression analysis revealed significant association of age (p = 0.003), smoking (p =0.03), and API > 50% (p = 0.002) with the appearance of aggressive periodontitis, as well as API > 50% (p < 0.001) with chronic periodontitis.
The study revealed no association of IL-1B polymorphism and the risk of aggressive and chronic periodontitis. The risk of aggressive periodontitis was significantly associated with age, smoking, and oral hygiene where as chronic periodontitis with oral hygiene only.
本研究旨在探讨波兰人群中慢性牙周炎患者和侵袭性牙周炎患者白细胞介素-1β(IL-1B)基因多态性与牙周病之间的关联。在多因素逻辑回归分析中,分析了以下参数:基因型、年龄、性别、吸烟状况以及邻面菌斑指数(API)>50%与牙周炎风险的关联。
52例无亲缘关系的牙周炎患者纳入研究,其中20例为广泛性侵袭性牙周炎患者,32例为广泛性重度慢性牙周炎患者。对照组由52名无牙周炎体征的健康志愿者组成。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)法测定IL-1B(+3954)基因多态性。
慢性或侵袭性牙周炎患者与对照组之间IL-1B(+3954)基因型和等位基因的分布无显著差异。慢性牙周炎患者中34.4%、侵袭性牙周炎患者中25.0%以及健康受试者中40.3%携带由等位基因2组成的易患基因型。多因素逻辑回归分析显示,年龄(p = 0.003)、吸烟(p = 0.03)以及API>50%(p = 0.002)与侵袭性牙周炎的发生显著相关,API>50%(p < 0.001)与慢性牙周炎显著相关。
该研究表明IL-1B基因多态性与侵袭性和慢性牙周炎风险无关。侵袭性牙周炎的风险与年龄、吸烟和口腔卫生显著相关,而慢性牙周炎仅与口腔卫生相关。