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牙周炎 3 期伴 B、C 级患者龈沟液中半乳糖凝集素-3 和白细胞介素-1β水平

Gingival crevicular fluid galectin-3 and interleukin-1 beta levels in stage 3 periodontitis with grade B and C.

机构信息

Department of Periodontology, School of Dentistry, Adnan Menderes University, Aydın, Turkey.

Department of Biology, Section of Molecular Biology, School of Science, Celal Bayar University, Manisa, Turkey.

出版信息

Clin Oral Investig. 2023 Jul;27(7):3749-3758. doi: 10.1007/s00784-023-04991-7. Epub 2023 Apr 5.

Abstract

OBJECTIVES

This study aims to evaluate GCF Galectin-3 and Interleukin-1 beta (IL-β) levels in different grades (B and C) of stage 3 periodontitis, concurrently, and also to investigate their discriminative efficiencies in periodontal diseases.

MATERIALS AND METHODS

A total of 80 systemically healthy and non-smoker individuals, 20 stage 3 grade C (S3GC) periodontitis 20 stage 3 grade B (S3GB) periodontitis, 20 gingivitis, and 20 periodontally healthy were enrolled. Clinical periodontal parameters were recorded and GCF Galectin-3 and IL-1β total amounts were measured by ELISA. Receiver operating characteristics curve was used for estimating the area under the curve (AUC).

RESULTS

Galectin-3 and IL-1β were detected in all participants. Both periodontitis groups had significantly higher GCF Galectin-3 total amounts than periodontally healthy controls (p <0.05). S3GC periodontitis group had also significantly higher GCF Galectin-3 levels than gingivitis group (p <0.05). GCF IL-1β levels in periodontitis groups were higher than gingivitis and periodontally healthy groups (p <0.05). Galectin-3 exhibited an AUC value of 0.89 with 95% sensitivity to discriminate S3GC periodontitis from periodontal health, an AUC value of 0.87 with 80% sensitivity to discriminate S3GC periodontitis versus gingivitis, while an AUC value of 0.85 with 95% sensitivity to discriminate S3GB periodontitis from healthy controls.

CONCLUSIONS

GCF Galectin-3 levels are involved in the pathogenesis of periodontal diseases. Galectin-3 showed excellent diagnostic performances to discriminate S3GB and S3GC periodontitis from periodontal health and gingivitis.

CLINICAL RELEVANCE

The present findings suggest that GCF Galectin-3 levels may be useful in the diagnosis of the periodontal diseases.

摘要

目的

本研究旨在评估不同等级(C 和 B)牙周炎 3 期患者龈沟液(GCF)半乳糖凝集素-3(Galectin-3)和白细胞介素-1β(IL-β)水平,并探讨其在牙周病诊断中的判别效率。

材料和方法

共纳入 80 名系统健康且不吸烟的个体,其中 20 名牙周炎 3 期 C 级(S3GC)患者、20 名牙周炎 3 期 B 级(S3GB)患者、20 名牙龈炎患者和 20 名牙周健康者。记录临床牙周参数,并通过 ELISA 测定 GCF 半乳糖凝集素-3 和 IL-1β总量。使用受试者工作特征曲线估计曲线下面积(AUC)。

结果

所有参与者均检测到 Galectin-3 和 IL-1β。与牙周健康对照组相比,两组牙周炎患者的 GCF 半乳糖凝集素-3 总量均显著升高(p<0.05)。S3GC 牙周炎组的 GCF 半乳糖凝集素-3 水平也显著高于牙龈炎组(p<0.05)。牙周炎组的 GCF IL-1β水平均高于牙龈炎和牙周健康组(p<0.05)。Galectin-3 用于区分 S3GC 牙周炎与牙周健康时,AUC 值为 0.89,灵敏度为 95%;用于区分 S3GC 牙周炎与牙龈炎时,AUC 值为 0.87,灵敏度为 80%;用于区分 S3GB 牙周炎与健康对照组时,AUC 值为 0.85,灵敏度为 95%。

结论

GCF 半乳糖凝集素-3 水平参与牙周病的发病机制。Galectin-3 对区分 S3GB 和 S3GC 牙周炎与牙周健康和牙龈炎具有良好的诊断性能。

临床意义

本研究结果表明,GCF 半乳糖凝集素-3 水平可能有助于牙周病的诊断。

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