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白细胞介素 13 基因多态性(-1112 C/T 和-1512 A/C)在慢性侵袭性牙周炎患者中的作用:对龈沟液和牙周治疗效果的影响。

IL-13 gene polymorphisms (-1112 C/T and -1512 A/C) in patients with chronic and aggressive periodontitis: Effects on GCF and outcome of periodontal therapy.

机构信息

Department of Periodontology, Cumhuriyet University, Faculty of Dentistry, Sivas, Turkey.

Department of Periodontology, Health Sciences University, Faculty of Gülhane Dentistry, Ankara, Turkey.

出版信息

Niger J Clin Pract. 2021 Jul;24(7):965-972. doi: 10.4103/njcp.njcp_487_19.

DOI:10.4103/njcp.njcp_487_19
PMID:34290170
Abstract

BACKGROUND

IL-13 is the key cytokine in the regulation of inflammatory with an autoimmune disease and has an anti-inflammatory effect.

AIMS

This study aimed to compare IL-13 (-1112 C/T and -1512 A/C) gene polymorphisms in patients with aggressive periodontitis (AgP), chronic periodontitis (CP), and periodontally healthy group (C) and evaluate the effect of nonsurgical periodontal therapy on gingival crevicular fluid (GCF) IL-13 levels in patients.

MATERIALS AND METHODS

One hundred thirty patients with AgP, 120 patients with CP, and 70 periodontally healthy subjects were included in this study. Clinical parameters were recorded (plaque and gingival index, probing pocket depth, clinical attachment level), and GCF and blood samples were taken at baseline and 6-week. Nonsurgical periodontal therapy was performed in patients with periodontitis. Gene analyses (IL-13 - 1112C/T (rs1800925) and - 1512 A/C (rs1881457) were performed with real-time polymerase chain reaction (PCR) and cytokine levels were determined by an enzyme-linked immunosorbent assay method.

RESULTS

AgP and CP patients showed significant improvement in clinical parameters after periodontal therapy (P < 0.05). According to results, genotype distributions and allele frequencies in IL-13 variants - 1112C/T and - 1512 A/C were found similarly in all groups (P > 0.05). In the AgP group, GCF IL-13 cytokine level is statistically significant and increased in 6 weeks; however, in the CP group, there is no statistically significant difference between baseline and 6 week. In the AgP group, baseline GCF IL-13 cytokine level is lower than those of the CP group and C group (P < 0.05).

CONCLUSION

Within the limits of this study, IL-13 -1112 and -1512 gene polymorphisms have not been associated with AgP and CP, and GCF IL-13 cytokine level is increased after treatment in the AgP group.

摘要

背景

IL-13 是调节炎症的关键细胞因子,具有抗炎作用,且与自身免疫性疾病有关。

目的

本研究旨在比较侵袭性牙周炎(AgP)、慢性牙周炎(CP)和牙周健康组(C)患者中 IL-13(-1112C/T 和-1512A/C)基因多态性,并评估非手术牙周治疗对患者龈沟液(GCF)中 IL-13 水平的影响。

材料和方法

本研究纳入了 130 例 AgP 患者、120 例 CP 患者和 70 例牙周健康受试者。记录临床参数(菌斑和牙龈指数、探诊袋深度、临床附着水平),并在基线和 6 周时采集 GCF 和血液样本。对牙周炎患者进行非手术牙周治疗。采用实时聚合酶链反应(PCR)进行基因分析(IL-13-1112C/T(rs1800925)和-1512A/C(rs1881457)),并采用酶联免疫吸附试验法测定细胞因子水平。

结果

牙周治疗后,AgP 和 CP 患者的临床参数均显著改善(P<0.05)。结果显示,IL-13 变体-1112C/T 和-1512A/C 的基因型分布和等位基因频率在所有组中均相似(P>0.05)。在 AgP 组中,GCF IL-13 细胞因子水平在 6 周时具有统计学意义且增加;然而,在 CP 组中,基线和 6 周时之间无统计学差异。在 AgP 组中,基线 GCF IL-13 细胞因子水平低于 CP 组和 C 组(P<0.05)。

结论

在本研究范围内,IL-13-1112 和-1512 基因多态性与 AgP 和 CP 无关,且在 AgP 组中治疗后 GCF IL-13 细胞因子水平增加。

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