Guruprasad C N, Pradeep A R
Department of Periodontology, Government Dental College and Research Institute, Bengaluru, Karnataka, India.
J Investig Clin Dent. 2018 May;9(2):e12317. doi: 10.1111/jicd.12317. Epub 2018 Jan 18.
The aim of the present study was to evaluate and correlate the levels of interleukin-34 (IL-34) in gingival crevicular fluid (GCF) and plasma in chronic periodontitis (CP) patients with and without type-2 diabetes mellitus (DM).
A total of 175 patients were divided into five groups: (a) group I had 35 periodontally-healthy patients; (b) group II had 35 chronic gingivitis patients; (c) group III had 35 CP patients without type-2 DM; (d) group IV had 35 CP patients with type-2 DM; and (e) group V had 35 type-2 DM patients without CP. The GCF and plasma levels of IL-34 were quantified using enzyme-linked immunosorbent assay. Clinical and systemic parameters, such as gingival index, probing pocket depth, clinical attachment loss, and glycated hemoglobin levels, were evaluated.
The mean IL-34 concentration in GCF and plasma was highest for group IV, followed by groups III, V, and II, and lowest in group I. The difference between them was statistically significant (P < .05). There was a positive correlation between IL-34 concentration in GCF and plasma in the study groups, with the exception of group I, for which there was a negative correlation.
IL-34 can be considered a possible GCF and plasma inflammatory biomarker of periodontal disease progression and DM.
本研究旨在评估并关联慢性牙周炎(CP)伴或不伴2型糖尿病(DM)患者龈沟液(GCF)和血浆中白细胞介素-34(IL-34)的水平。
总共175名患者被分为五组:(a)第一组有35名牙周健康的患者;(b)第二组有35名慢性牙龈炎患者;(c)第三组有35名不伴2型DM的CP患者;(d)第四组有35名伴2型DM的CP患者;(e)第五组有35名不伴CP的2型DM患者。使用酶联免疫吸附测定法定量GCF和血浆中IL-34的水平。评估临床和全身参数,如牙龈指数、探诊深度、临床附着丧失和糖化血红蛋白水平。
第四组GCF和血浆中IL-34的平均浓度最高,其次是第三组、第五组和第二组,第一组最低。它们之间的差异具有统计学意义(P <.05)。除第一组呈负相关外,研究组中GCF和血浆中IL-34浓度之间呈正相关。
IL-34可被视为牙周疾病进展和DM的一种可能的GCF和血浆炎症生物标志物。