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龈沟液、唾液和血清中的牙周状况与阿朴脂蛋白水平之间存在关联吗?

Is there a relationship between periodontal conditions and asprosin levels in gingival crevicular fluid, saliva and serum?

作者信息

Tutuş Sedat, Tanık Abdulsamet, Arpağ Osman Fatih, Önderci Muhittin

机构信息

Kücükcekmece Oral and Dental Health Hospital, İstanbul, Turkey.

Department of Periodontology, Faculty of Dentistry, Adıyaman University, Adıyaman, Turkey.

出版信息

BMC Oral Health. 2025 Apr 29;25(1):651. doi: 10.1186/s12903-025-06014-1.

Abstract

OBJECTIVES

This study aimed to investigate the presence of asprosin hormone in the biological fluids of patients with periodontal inflammation and compare it to those with periodontal healthy.

MATERIALS AND METHODS

Seventy-five individuals between the ages of 18 to 45, 25 periodontal healthy, 25 with gingivitis, and 25 with periodontitis, were included in the study. Gingival crevicular fluid (GCF), blood serum and saliva were obtained from individuals in each group. Tumour necrosis factor-alpha (TNF-α) and asprosin levels in these fluids were determined using the ELISA. Clinical periodontal measurements were recorded and body mass index was calculated. One-way ANOVA and Bonferroni tests were performed for statistical analysis. Spearman test was used to evaluate correlations. The significance level was determined as p < 0.05.

RESULTS

Body mass index values were not different between the groups (p = 0.446). Clinical periodontal measurements were significantly higher in the periodontitis group. Concentrations of TNF-α in GCF, serum and saliva increased significantly in patients with gingivitis and periodontitis (p < 0.001). The higher TNF-α levels were obtained in patients with periodontitis than in individuals with gingivitis (p = 0.001). While asprosin levels were found to be significantly higher in patients with gingivitis and periodontitis (p < 0.001), no significant difference was observed between both groups (p > 0.05). GCF-asprosin levels were positively correlated with the concentrations in serum and saliva in all individuals included in the study (p < 0.05).

CONCLUSION

The periodontal inflammation caused an increase in asprosin hormone in gingival crevicular fluid independently of the type of periodontal disease.

TRIAL REGISTRATION

This study is registered with number of "NCT06627972" in ClinicalTrials.gov website from the date of October 3, 2024.

摘要

目的

本研究旨在调查牙周炎患者生物体液中是否存在阿朴脂蛋白,并将其与牙周健康者进行比较。

材料与方法

本研究纳入了75名年龄在18至45岁之间的个体,其中25名为牙周健康者,25名为牙龈炎患者,25名为牙周炎患者。从每组个体中获取龈沟液(GCF)、血清和唾液。使用酶联免疫吸附测定法(ELISA)测定这些体液中肿瘤坏死因子-α(TNF-α)和阿朴脂蛋白水平。记录临床牙周测量数据并计算体重指数。进行单因素方差分析和Bonferroni检验以进行统计分析。使用Spearman检验评估相关性。显著性水平确定为p < 0.05。

结果

各组之间的体重指数值无差异(p = 0.446)。牙周炎组的临床牙周测量值显著更高。牙龈炎和牙周炎患者的GCF、血清和唾液中TNF-α浓度显著升高(p < 0.001)。牙周炎患者的TNF-α水平高于牙龈炎患者(p = 0.001)。虽然发现牙龈炎和牙周炎患者的阿朴脂蛋白水平显著更高(p < 0.001),但两组之间未观察到显著差异(p > 0.05)。在本研究纳入的所有个体中,GCF-阿朴脂蛋白水平与血清和唾液中的浓度呈正相关(p < 0.05)。

结论

牙周炎炎症导致龈沟液中阿朴脂蛋白激素增加,与牙周疾病类型无关。

试验注册

本研究于2024年10月3日在ClinicalTrials.gov网站上注册,注册号为“NCT06627972”。

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