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Article: Relationship between chronic periodontitis and inflammatory cytokines in patients undergoing maintenance hemodialysis

TitleRelationship between chronic periodontitis and inflammatory cytokines in patients undergoing maintenance hemodialysis
Authors
KeywordsEnd-stage renal disease
Gingival crevicular fluid
Inflammatory cytokines
Maintenance hemodialysis
Periodontitis
Issue Date21-Jul-2022
PublisherSpringer
Citation
Clinical Oral Investigations, 2022, v. 26, n. 11, p. 6699-6709 How to Cite?
Abstract

Objectives

To investigate the correlation between serum and gingival crevicular fluid (GCF) levels of inflammatory cytokines and the association with periodontal parameters in patients with maintenance hemodialysis (MHD) and healthy control.

Materials and methods

Patients who were undergoing MHD were enrolled as the MHD group. Healthy individuals who underwent oral examination were selected as the control group after matching for the MHD group. All participants underwent a full-mouth periodontal evaluation, and the levels of eight inflammatory cytokines, including IL-1β, IL-17, IL-6, IL-8, and tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), matrix metalloproteinase-8 (MMP-8), and C-reactive protein (CRP), in the GCF and serum were measured.

Results

A total of 63 MHD patients and 75 healthy persons were included. The prevalence of moderate/severe periodontitis was significantly higher in the MHD group than in the control group (88.9 vs. 66.7%, P < 0.05). The GCF levels of CRP, TNF-α, MCP-1, and MMP-8 were higher in patients in the MHD group with moderate/severe periodontitis than in the control group (P < 0.05). Serum CRP, MCP-1, TNF-α, and MMP-8 levels were positively correlated with the GCF CRP levels (P < 0.05). The GCF and serum CRP levels were positively correlated with the periodontal clinical parameters (P < 0.05).

Conclusions

Serum CRP, MCP-1, TNF-α, and MMP-8 may relate with the GCF CRP levels. The GCF and serum CRP levels correlated positively with the periodontal clinical parameters, including the VPI, PPD, and CAL, indicating that CRP may play an important role between periodontitis and ESRD.

Clinical relevance

The present study indicated that GCF and serum CRP levels correlated positively with the periodontal clinical parameters, and the CRP levels may be selected as an indicator to evaluate the severity of inflammation and the effectiveness, prognosis of periodontal treatment in ESRD patients.


Persistent Identifierhttp://hdl.handle.net/10722/333905
ISSN
2023 Impact Factor: 3.1
2023 SCImago Journal Rankings: 0.942
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLu, H-
dc.contributor.authorWu, H-
dc.contributor.authorYang, Y-
dc.contributor.authorFeng, X-
dc.contributor.authorMa, X-
dc.contributor.authorXie, Y-
dc.contributor.authorXie, D-
dc.contributor.authorWang, W-
dc.contributor.authorLo, ECM-
dc.contributor.authorYe, W-
dc.date.accessioned2023-10-06T08:40:06Z-
dc.date.available2023-10-06T08:40:06Z-
dc.date.issued2022-07-21-
dc.identifier.citationClinical Oral Investigations, 2022, v. 26, n. 11, p. 6699-6709-
dc.identifier.issn1432-6981-
dc.identifier.urihttp://hdl.handle.net/10722/333905-
dc.description.abstract<h3>Objectives</h3><p>To investigate the correlation between serum and gingival crevicular fluid (GCF) levels of inflammatory cytokines and the association with periodontal parameters in patients with maintenance hemodialysis (MHD) and healthy control.</p><h3>Materials and methods</h3><p>Patients who were undergoing MHD were enrolled as the MHD group. Healthy individuals who underwent oral examination were selected as the control group after matching for the MHD group. All participants underwent a full-mouth periodontal evaluation, and the levels of eight inflammatory cytokines, including IL-1β, IL-17, IL-6, IL-8, and tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), matrix metalloproteinase-8 (MMP-8), and C-reactive protein (CRP), in the GCF and serum were measured.</p><h3>Results</h3><p>A total of 63 MHD patients and 75 healthy persons were included. The prevalence of moderate/severe periodontitis was significantly higher in the MHD group than in the control group (88.9 vs. 66.7%, <em>P</em> < 0.05). The GCF levels of CRP, TNF-α, MCP-1, and MMP-8 were higher in patients in the MHD group with moderate/severe periodontitis than in the control group (<em>P</em> < 0.05). Serum CRP, MCP-1, TNF-α, and MMP-8 levels were positively correlated with the GCF CRP levels (<em>P</em> < 0.05). The GCF and serum CRP levels were positively correlated with the periodontal clinical parameters (<em>P</em> < 0.05).</p><h3>Conclusions</h3><p>Serum CRP, MCP-1, TNF-α, and MMP-8 may relate with the GCF CRP levels. The GCF and serum CRP levels correlated positively with the periodontal clinical parameters, including the VPI, PPD, and CAL, indicating that CRP may play an important role between periodontitis and ESRD.</p><h3>Clinical relevance</h3><p>The present study indicated that GCF and serum CRP levels correlated positively with the periodontal clinical parameters, and the CRP levels may be selected as an indicator to evaluate the severity of inflammation and the effectiveness, prognosis of periodontal treatment in ESRD patients.</p>-
dc.languageeng-
dc.publisherSpringer-
dc.relation.ispartofClinical Oral Investigations-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectEnd-stage renal disease-
dc.subjectGingival crevicular fluid-
dc.subjectInflammatory cytokines-
dc.subjectMaintenance hemodialysis-
dc.subjectPeriodontitis-
dc.titleRelationship between chronic periodontitis and inflammatory cytokines in patients undergoing maintenance hemodialysis-
dc.typeArticle-
dc.identifier.doi10.1007/s00784-022-04629-0-
dc.identifier.scopuseid_2-s2.0-85134511418-
dc.identifier.volume26-
dc.identifier.issue11-
dc.identifier.spage6699-
dc.identifier.epage6709-
dc.identifier.eissn1436-3771-
dc.identifier.isiWOS:000828442500001-
dc.identifier.issnl1432-6981-

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