Levels of Gene Expression of Immunological Biomarkers in Peri-Implant and Periodontal Tissues
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
- PH group (n = 20): individuals with periodontal health;
- P group (n = 20): individuals with periodontitis;
- PIH group (n = 20): individuals with peri-implant health;
- PI group (n = 20): individuals with peri-implantitis.
2.2. Exclusion and Inclusion Criteria
- Use of antibiotics in the 6 months preceding the study;
- Use of corticosteroids, non-steroidal anti-inflammatory drugs, immunosuppressants, estrogen receptor modulators, or medications that can influence bone metabolism (alendronate, calcitonin, and others) during the 6 months prior to the study;
- Smoker or ex-smoker (previous 5 years);
- Individuals with diabetes, osteoporosis, immune disorders, hepatitis, or other systemic disorders that could compromise the individual’s defense response;
- Pregnant or lactating.
- Bleeding on probing and/or suppuration, with a probing depth (PD) >4 mm; radiographic bone loss greater than 3 mm, with at least 50% of peri-implant bone remaining (otherwise, implant was considered lost);
- Presenting at least one implant-supported prosthesis, using smooth-surface implants (commercially pure titanium), external hexagon and threadable, under function for at least 1 year, affected by peri-implantitis (if the individual had more than one implant affected by peri-implantitis, only one implant was evaluated);
- The absence of mobility, breakage of screws, or loosening of prosthetic components next to implant-supported prostheses, in order to minimize the influence of possible occlusal trauma.
- Minimum 15 teeth, excluding third molars and teeth indicated for extraction;
- Those with periodontitis stage III or IV, grade B or C, presenting at least 30% of the sites having PD and a clinical attachment level (CAL) ≥5 mm.
- Selected individuals with a PD and CAL ≤3 mm at all sites, without BoP, with indication for reconstructive/corrective surgery (PIH group) and gingivectomy or increased clinical crown (PH group).
2.3. Clinical and Radiographic Examination
- Presence (1) or absence (0) of a visible bacterial biofilm;
- Presence (1) or absence (0) of marginal bleeding (MB);
- Presence (1) or absence (0) of bleeding on probing;
- Presence (1) or absence (0) of suppuration (SUP);
- PD (mm)—characterized by the distance from the peri-implant margin or gingival margin to the bottom of the bag;
- CAL (mm)—characterized by the distance from a fixed point previously determined (connector/implant junction or bar in cases of overdentures or cement–enamel junction) to the bottom of the bag.
2.4. Gingival Tissue Sampling and Gene Expression Analysis
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Biomarkers | Sequence | Amplification Profile (Temperature (°C)/Time (s)) | Length of PCR Product (bp) |
---|---|---|---|
IL-6 | 5′ GCAGGACATGACAACTCATC 3′ AAGTTCTGTGCCCAGTGG | 95/10, 56/5, 72/6 | 159 |
IL-1ß | 5′ CACCTTCTTTCCCTTCATCTTTG 3′ GCTTTCAGTTCATATGGACCAG | 95/10, 56/5, 72/7 | 158 |
TNF-α | 5′ CCAGGGACCTCTCTCTAATCA 3′ CTGGTTATCTCTCAGCTCCAC | 95/10, 56/5, 72/7 | 178 |
MMP-1 | 5′ AGCTGCTTACGAATTTGCC 3′ GCAGCATCGATATGCTTCAC | 95/10, 55/10, 72/7 | 136 |
MMP-2 | 5′ CGCAGATGCCTGGAATG 3′ GTCGGATTTGATGCTTCCAAAC | 95/10, 55/10, 72/7 | 151 |
MMP-8 | 5′ CTAGACAGTACCCTTGGCC 3′ CTGCAAAGACCCTGGTAAG | 95/10, 55/10, 72/7 | 154 |
MMP-9 | 5′ GCTACCACCTCGAACTTTGAC 3′ CTCAGTGAAGCGGTACATAGG | 95/10, 56/10, 72/7 | 162 |
TIMP-1 | 5′ CAGACCACCTTATACCAGCG 3′ CCAGCAATGAGAAACTCCTC | 95/10, 55/10, 72/7 | 145 |
TIMP-2 | 5′ CTGGGAGGGTATCCAGGAATC 3′ CACCATACAGGAAGCGAAC | 95/10, 56/10, 72/7 | 169 |
GAPDH | 5′ CTGAGTACGTCGTGGAGTC 3′ TGATGATCTTGAGGCTGTTGTC | 95/10, 56/10, 72/7 | 187 |
Parameters | Groups | |||
---|---|---|---|---|
PH | P | PIH | PI | |
Gender (M/F) * | 09/11 | 10/10 | 10/10 | 8/12 |
Age (years) | 41.6 ± 4.4 | 43.2 ± 7.1 | 42.7 ± 4.3 | 44.8 ± 3.9 |
% of sites with visible plaque | 31.7 ± 12.8 A | 57.5 ± 12.3 B | 34.2 ± 13.7 A | 50.3 ± 10.8 B |
% of sites with MB | 7.3 ± 2.8 A | 51.8 ± 8.3 B | 5.2 ± 2.2 A | 48.7 ± 9.1 B |
% of sites with BoP | 14.7 ± 5.5 A | 72.9 ± 16.1 B | 12.1 ±5.1 A | 82.3 ± 17.3 B |
PD (mm) | 2.2 ± 0.3 A | 3.74 ± 0.7 B | 2.6 ± 0.8 A | 5.5 ± 1.2 B |
CAL (mm) | 2.3 ± 0.4 A | 4.23 ± 0.8 B | 2.7 ± 0.3 A | 5.8 ± 1.3 B |
% of sites with suppuration | 0.00 ± 0.0 A | 2.7 ± 0.9 B | 0.00 ± 0.0 A | 3.1 ± 0.1 B |
Biomarkers | Groups | |||
---|---|---|---|---|
PH | P | PIH | PI | |
IL-1ß | 0.0 ± 0.0 B | 0.0 ± 0.01 B | 0.0 ± 0.0 B | 0.2 ± 0.4 A |
IL-6 | 0.1 ± 0.2 A | 2.3 ± 4.1 B | 0.2 ± 0.1 A | 7.8 ± 1.7 B |
TNF-α | 0.1 ± 0.2 | 1.9 ± 4.7 | 0.0 ± 0.1 | 1.3 ± 3.9 |
MMP-1 | 1.4 ± 4.3 | 1.30 + 0.10 | 0.90 + 0.10 | 1.20 + 0.20 |
MMP-2 | 4.7 ± 0.3 | 5.9 + 0.1 | 4.9 + 0.1 | 6.2 + 0.2 |
MMP-8 | 0.2 ± 0.1 | 0.4 ± 0.1 | 0.1 + 0.1 | 0.3 + 0.2 |
MMP-9 | 0.6 ± 0.1 | 3.4 ± 0.9 | 2.3 ± 5.3 | 3.7 ± 0.6 |
TIMP-1 | 6.8 + 0.1 | 8.6 + 0.1 | 6.6 + 0.2 | 8.1 + 0.3 |
TIMP-2 | 0.7 ± 0.1 | 2.0 ± 5.30 | 0.5 + 0.2 | 1.3 ± 0.3 |
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Figueiredo, L.C.; Bueno-Silva, B.; Nogueira, C.F.P.; Valadares, L.C.; Garcia, K.M.M.; Filho, G.C.d.L.; Milanello, L.; Esteves, F.M.; Shibli, J.A.; Miranda, T.S. Levels of Gene Expression of Immunological Biomarkers in Peri-Implant and Periodontal Tissues. Int. J. Environ. Res. Public Health 2020, 17, 9100. https://doi.org/10.3390/ijerph17239100
Figueiredo LC, Bueno-Silva B, Nogueira CFP, Valadares LC, Garcia KMM, Filho GCdL, Milanello L, Esteves FM, Shibli JA, Miranda TS. Levels of Gene Expression of Immunological Biomarkers in Peri-Implant and Periodontal Tissues. International Journal of Environmental Research and Public Health. 2020; 17(23):9100. https://doi.org/10.3390/ijerph17239100
Chicago/Turabian StyleFigueiredo, Luciene Cristina, Bruno Bueno-Silva, Cristiana Fernandes Plutarco Nogueira, Leonardo Carneiro Valadares, Katia Marina Morilla Garcia, Givelton Coimbra da Luz Filho, Luciano Milanello, Felipe Machado Esteves, Jamil Awad Shibli, and Tamires Szeremeske Miranda. 2020. "Levels of Gene Expression of Immunological Biomarkers in Peri-Implant and Periodontal Tissues" International Journal of Environmental Research and Public Health 17, no. 23: 9100. https://doi.org/10.3390/ijerph17239100