Bhansali Rahul Suresh, Yeltiwar Ramreddy Krishnarao, Bhat Kishore
Department of Dentistry, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India.
Department of Periodontics, V.Y.W.S. Dental College, Amravati, Maharashtra, India.
J Indian Soc Periodontol. 2017 Nov-Dec;21(6):449-455. doi: 10.4103/jisp.jisp_107_17.
Association of neutrophil function abnormalities with localized aggressive periodontitis (LAP) has been reported in Indian population. There are no published studies on the familial aggregation of aggressive periodontitis (AP) and neutrophil function abnormalities associated with it in Indian population. The present study aimed to assess neutrophil chemotaxis, phagocytosis, and microbicidal activity in AP patients and their family members of Indian origin, who may or may not be suffering from AP.
Eighteen families with a total of 51 individuals (18 probands, 33 family members) were included. Neutrophil chemotaxis was evaluated against an alkali-soluble casein solution using Wilkinson's method. Phagocytosis and microbicidal activity assay were performed using as an indicator organism.
The magnitude of association between the presence of defective neutrophil function and LAP or GAP was calculated using odds ratio and relative risk. Total incidence of AP, and in particular, LAP in the families attributable to the presence of defective neutrophil function was calculated by attributable risk.
The association between depressed neutrophil chemotaxis and presence of AP and LAP or GAP in all the family members ( = 51) was found to be significant ( < 0.05) while that for phagocytic and microbicidal activity were observed to be nonsignificant.
The results of the present study suggest high incidence of AP (LAP and GAP) within families was associated with depressed neutrophil chemotaxis. High prevalence of depressed neutrophil chemotaxis in the family members (61%) of LAP probands exhibiting depressed chemotaxis suggests that the observed abnormalities in neutrophil functions may also be inherited by the family members.
在印度人群中,已报道中性粒细胞功能异常与局限性侵袭性牙周炎(LAP)有关。关于侵袭性牙周炎(AP)在印度人群中的家族聚集性以及与之相关的中性粒细胞功能异常,尚无已发表的研究。本研究旨在评估印度裔AP患者及其家庭成员(无论是否患有AP)的中性粒细胞趋化性、吞噬作用和杀菌活性。
纳入18个家庭,共51人(18名先证者,33名家庭成员)。使用威尔金森法针对碱溶性酪蛋白溶液评估中性粒细胞趋化性。以[具体指示生物]为指示生物进行吞噬作用和杀菌活性测定。
使用比值比和相对风险计算中性粒细胞功能缺陷与LAP或广泛型侵袭性牙周炎(GAP)之间的关联程度。通过归因风险计算家庭中因中性粒细胞功能缺陷导致的AP(尤其是LAP)的总发病率。
在所有家庭成员(n = 51)中,发现中性粒细胞趋化性降低与AP以及LAP或GAP的存在之间的关联具有统计学意义(P < 0.05),而吞噬作用和杀菌活性方面的关联无统计学意义。
本研究结果表明,家庭中AP(LAP和GAP)的高发病率与中性粒细胞趋化性降低有关。在趋化性降低的LAP先证者的家庭成员中,中性粒细胞趋化性降低的患病率较高(61%),这表明观察到的中性粒细胞功能异常也可能由家庭成员遗传。