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广泛侵袭性牙周炎或慢性牙周炎患者唾液和血清中五聚素-3及白细胞介素-1β的水平

Saliva and serum levels of pentraxin-3 and interleukin-1β in generalized aggressive or chronic periodontitis.

作者信息

Gümüş Pınar, Nizam Nejat, Nalbantsoy Ayşe, Özçaka Özgün, Buduneli Nurcan

机构信息

Department of Periodontology, School of Dentistry, Ege University, İzmir, Turkey.

出版信息

J Periodontol. 2014 Mar;85(3):e40-6. doi: 10.1902/jop.2013.130281. Epub 2013 Aug 16.

Abstract

BACKGROUND

Pentraxin-3 (PTX3) is a multifactorial protein involved in immunity and inflammation, which is rapidly produced and released by several cell types in response to inflammatory signals. The aim of the present study is to evaluate saliva, serum levels of PTX3, interleukin (IL)-1β in patients with generalized chronic periodontitis (CP) or aggressive periodontitis (AgP), and periodontally healthy individuals.

METHODS

A total of 94 participants (25 patients with AgP, 25 patients with CP, and 44 periodontally healthy individuals matched with AgP and CP groups) were recruited. Saliva and serum samples were collected. Clinical periodontal measurements were recorded. PTX3, IL-1β levels in serum, and saliva samples were determined by enzyme-linked immunosorbent assay. Data were tested statistically using Kruskal-Wallis, Mann-Whitney U, and Spearman ρ rank test.

RESULTS

Serum and saliva data were similar in CP and AgP groups. Saliva levels of IL-1β were significantly higher in the AgP and CP groups than controls (P <0.05). Salivary PTX3 levels were similar in the CP and control groups. Significantly higher salivary concentrations of PTX3 were detected in the AgP group than the control group (P <0.05). Saliva PTX3 levels correlated with plaque index and bleeding on probing in the CP group (P <0.05). Serum and saliva PTX3 levels correlated with those of IL-1β in the AgP group (P <0.05).

CONCLUSIONS

It may be suggested that PTX3 is related with periodontal tissue inflammation. Its salivary concentrations may have a diagnostic potential. Additional intervention and follow-up studies coupling PTX3 concentrations with microbiologic analysis would better clarify its role in periodontal diseases.

摘要

背景

五聚体蛋白3(PTX3)是一种参与免疫和炎症反应的多功能蛋白,可由多种细胞类型在炎症信号刺激下迅速产生和释放。本研究旨在评估慢性广泛性牙周炎(CP)或侵袭性牙周炎(AgP)患者以及牙周健康个体的唾液、血清中PTX3、白细胞介素(IL)-1β水平。

方法

共招募94名参与者(25例AgP患者、25例CP患者以及44名与AgP和CP组匹配的牙周健康个体)。收集唾液和血清样本。记录临床牙周测量数据。采用酶联免疫吸附测定法测定血清和唾液样本中的PTX3、IL-1β水平。数据采用Kruskal-Wallis检验、Mann-Whitney U检验和Spearman ρ秩相关检验进行统计学分析。

结果

CP组和AgP组的血清和唾液数据相似。AgP组和CP组唾液中IL-1β水平显著高于对照组(P<0.05)。CP组和对照组唾液中PTX3水平相似。AgP组唾液中PTX3浓度显著高于对照组(P<0.05)。CP组唾液PTX3水平与菌斑指数和探诊出血相关(P<0.05)。AgP组血清和唾液PTX3水平与IL-1β水平相关(P<0.05)。

结论

提示PTX3与牙周组织炎症有关。其唾液浓度可能具有诊断潜力。将PTX3浓度与微生物分析相结合的进一步干预和随访研究将更好地阐明其在牙周疾病中的作用。

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