Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Oral and Maxillofacial Pathology Department, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran.
Clin Exp Dent Res. 2022 Dec;8(6):1348-1353. doi: 10.1002/cre2.668. Epub 2022 Oct 20.
Periodontitis is one of the most important periodontal diseases that can be affected by many factors. Although the mechanism of periodontitis development is not yet fully understood, previous studies suggest that apoptosis may be one of the pathological factors that can affect the process of the disease by destroying old and damaged cells. Low expression of P53 protein is one of the reasons for delaying cell death that allows damaged cells to survive longer and gives more time for the chance of mutations and pathogenesis. Because of the important role of P53 in gingival cells of patients with chronic periodontitis, the objective of our study is to evaluate the P53 protein expression in gingival tissues of patients with chronic periodontitis by immunohistochemistry methods.
In this cross-sectional study, 35 patients with severe to moderate chronic periodontitis (loss of attachment ≥3 mm, probing depth ≥5 mm) with no treatment and 25 people who were healthy for periodontal problems were examined. Gingival biopsies from marginal and attached gingiva were obtained, prepared, and mounted on slides. Then, the expression of P53 on each slide was evaluated by optic microscopy after using P53 antibodies and staining with hematoxylin-eosin (immunohistochemistry method). Data were analyzed using independent t-test, Mann-Whitney U-test, and Spearman correlation test using SPSS Statistics version 18.0.
The mean ages of participants in the case and control groups were 37.58 and 32.09, respectively. Our results showed that the expression of P53 was not significant in periodontitis compared to the control group (p > .05). Also, gender could not affect the expression of P53 in both groups (p > .05), and there was no significant relationship between age and P53 gene incidence.
Chronic periodontitis has no significant effect on P53 expression, so changes in apoptosis due to P53 expression in periodontitis are not significant.
牙周炎是一种最重要的牙周疾病之一,可受到多种因素的影响。虽然牙周炎发病机制尚未完全阐明,但既往研究表明,细胞凋亡可能是一种通过破坏衰老和受损细胞来影响疾病进程的病理因素。P53 蛋白表达水平低是导致细胞死亡延迟的原因之一,这使得受损细胞能够存活更长时间,并为突变和发病机制提供更多的机会。由于 P53 在慢性牙周炎患者的牙龈细胞中具有重要作用,我们的研究目的是通过免疫组织化学方法评估慢性牙周炎患者牙龈组织中 P53 蛋白的表达。
在这项横断面研究中,检查了 35 名未经治疗的严重至中度慢性牙周炎(附着丧失≥3mm,探诊深度≥5mm)患者和 25 名牙周健康的人。从边缘和附着龈获取牙龈活检组织,制备并载玻片上。然后,使用 P53 抗体并通过苏木精-伊红染色(免疫组织化学方法)对每张幻灯片上的 P53 表达进行评估。使用 SPSS Statistics 版本 18.0 对数据进行独立 t 检验、Mann-Whitney U 检验和 Spearman 相关检验分析。
病例组和对照组的平均年龄分别为 37.58 岁和 32.09 岁。我们的结果表明,与对照组相比,牙周炎组中 P53 的表达没有显著性差异(p>0.05)。此外,性别不能影响两组中 P53 的表达(p>0.05),年龄与 P53 基因发生率之间也没有显著关系。
慢性牙周炎对 P53 表达没有显著影响,因此 P53 表达导致的细胞凋亡变化在牙周炎中不显著。