Research Article
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Year 2022, Volume: 23 Issue: 4, 482 - 487, 30.12.2022

Abstract

References

  • 1. Eke PI, Borgnakke WS, Genco RJ. Recent epidemiologic trends in periodontitis in the USA. Periodontol 2000 2020; 82: 257-67.
  • 2. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018; 89 Suppl 1: S159-72.
  • 3. Miranda TS, Heluy SL, Cruz DF, da Silva HDP, Feres M, Figueiredo LC, et al. The ratios of pro-inflammatory to anti-inflammatory cytokines in the serum of chronic periodontitis patients with and without type 2 diabetes and/or smoking habit. Clin Oral Investig 2019; 23: 641-50.
  • 4. Miranda TS, Almeida ML, Marins LM, da Silva HDP, Feres M, Duarte PM. Might smoking assuage the pro-inflammatory effect of diabetes in periodontal sites? Oral Dis 2020; 26: 200-12.
  • 5. Kwan Tat S, Padrines M, Théoleyre S, Heymann D, Fortun Y. IL-6, RANKL, TNF-alpha/IL-1: interrelations in bone resorption pathophysiology. Cytokine Growth Factor Rev 2004; 15: 49-60.
  • 6. Kotake S, Udagawa N, Takahashi N, Matsuzaki K, Itoh K, Ishiyama S, et al. IL-17 in synovial fluids from patients with rheumatoid arthritis is a potent stimulator of osteoclastogenesis. J Clin Invest 1999; 103: 1345-52.
  • 7. Beadling C, Slifka MK. Regulation of innate and adaptive immune responses by the related cytokines IL-12, IL-23, and IL-27. Arch Immunol Ther Exp (Warsz) 2006; 54: 15-24.
  • 8. Duarte PM, Santos VR, Dos Santos FA, de Lima Pereira SA, Rodrigues DB, Napimoga MH. Role of smoking and type 2 diabetes in the immunobalance of advanced chronic periodontitis. J Periodontol 2011; 82: 429-38.
  • 9. Silness J, Löe H. Periodontal Disease in Pregnancy. II. Correlation Between Oral Hygiene and Periodontal Condtion. Acta Odontol Scand 1964; 22: 121-35.
  • 10. Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967; 38: 610-16.
  • 11. Persson GR. Periodontal complications with age. Periodontol 2000 2018; 78: 185-94.
  • 12. Shiau HJ, Reynolds MA. Sex differences in destructive periodontal disease: a systematic review. J Periodontol 2010; 81: 1379-89.
  • 13. Graves DT, Ding Z, Yang Y. The impact of diabetes on periodontal diseases. Periodontol 2000 2020; 82: 214-24.
  • 14. Costa FO, Cota LOM. Cumulative smoking exposure and cessation associated with the recurrence of periodontitis in periodontal maintenance therapy: A 6-year follow-up. J Periodontol 2019; 90: 856-65.
  • 15. Becerik S, Öztürk VÖ, Atmaca H, Atilla G, Emingil G. Gingival crevicular fluid and plasma acute-phase cytokine levels in different periodontal diseases. J Periodontol 2012; 83: 1304-13.
  • 16. Erdemir EO, Duran I, Haliloglu S. Effects of smoking on clinical parameters and the gingival crevicular fluid levels of IL-6 and TNF-alpha in patients with chronic periodontitis. J Clin Periodontol 2004; 31: 99-104.
  • 17. Cheng WC, Hughes FJ, Taams LS. The presence, function and regulation of IL-17 and Th17 cells in periodontitis. J Clin Periodontol 2014; 41: 541-9.
  • 18. Mitani A, Niedbala W, Fujimura T, Mogi M, Miyamae S, Higuchi N, et al. Increased expression of interleukin (IL)-35 and IL-17, but not IL-27, in gingival tissues with chronic periodontitis. J Periodontol 2015; 86: 301-9.
  • 19. Buduneli N, Buduneli E, Kütükçüler N. Interleukin-17, RANKL, and osteoprotegerin levels in gingival crevicular fluid from smoking and non-smoking patients with chronic periodontitis during initial periodontal treatment. J Periodontol 2009; 80: 1274-80.
  • 20. Johnson RB, Wood N, Serio FG. Interleukin-11 and IL-17 and the pathogenesis of periodontal disease. J Periodontol 2004; 75: 37-43.
  • 21. Lester SR, Bain JL, Johnson RB, Serio FG. Gingival concentrations of interleukin-23 and -17 at healthy sites and at sites of clinical attachment loss. J Periodontol 2007; 78: 1545-50.

Evaluation of the Relationship between Diabetes and Smoking and IL-6, IL-17 and IL-23 Levels in Individuals with Stage II, IV Periodontitis

Year 2022, Volume: 23 Issue: 4, 482 - 487, 30.12.2022

Abstract

Objective: The purpose of the present investigation was to examine the relationship between diabetes mellitus (DM) and smoking on gingival crevicular fluid (GCF) levels of interleukin (IL)-6, IL-17, and IL-23 in patients with stage II and stage IV periodontitis.
Materials and Methods: Individuals were divided into nine groups according to their periodontal diagnosis, smoking, and DM status: periodontally and systemically healthy individuals (PH-H, n=14), periodontally healthy smokers (PH-S, n=14), periodontally healthy diabetics (PH-D, n=14), systemically healthy individuals with stage II periodontitis (SII-H n=14), smokers with stage II periodontitis (SII-S, n=14), diabetics with stage II periodontitis (SII-D, n=14), systemically healthy individuals with stage IV periodontitis (SIV-H, n=14), smokers with stage IV periodontitis (SIV-S, n=14), and diabetics with stage IV periodontitis (SIV-D, n=14). GCF samples were collected and analyzed.
Results: The mean GCF levels of IL-6, IL-17, and IL-23 in patients with stage IV periodontitis were significantly higher than those in patients with stage II periodontitis and in periodontally healthy individuals.
Conclusion: As the stage of periodontitis increases, the levels of IL-6, IL-17, and IL-23 increase.

References

  • 1. Eke PI, Borgnakke WS, Genco RJ. Recent epidemiologic trends in periodontitis in the USA. Periodontol 2000 2020; 82: 257-67.
  • 2. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018; 89 Suppl 1: S159-72.
  • 3. Miranda TS, Heluy SL, Cruz DF, da Silva HDP, Feres M, Figueiredo LC, et al. The ratios of pro-inflammatory to anti-inflammatory cytokines in the serum of chronic periodontitis patients with and without type 2 diabetes and/or smoking habit. Clin Oral Investig 2019; 23: 641-50.
  • 4. Miranda TS, Almeida ML, Marins LM, da Silva HDP, Feres M, Duarte PM. Might smoking assuage the pro-inflammatory effect of diabetes in periodontal sites? Oral Dis 2020; 26: 200-12.
  • 5. Kwan Tat S, Padrines M, Théoleyre S, Heymann D, Fortun Y. IL-6, RANKL, TNF-alpha/IL-1: interrelations in bone resorption pathophysiology. Cytokine Growth Factor Rev 2004; 15: 49-60.
  • 6. Kotake S, Udagawa N, Takahashi N, Matsuzaki K, Itoh K, Ishiyama S, et al. IL-17 in synovial fluids from patients with rheumatoid arthritis is a potent stimulator of osteoclastogenesis. J Clin Invest 1999; 103: 1345-52.
  • 7. Beadling C, Slifka MK. Regulation of innate and adaptive immune responses by the related cytokines IL-12, IL-23, and IL-27. Arch Immunol Ther Exp (Warsz) 2006; 54: 15-24.
  • 8. Duarte PM, Santos VR, Dos Santos FA, de Lima Pereira SA, Rodrigues DB, Napimoga MH. Role of smoking and type 2 diabetes in the immunobalance of advanced chronic periodontitis. J Periodontol 2011; 82: 429-38.
  • 9. Silness J, Löe H. Periodontal Disease in Pregnancy. II. Correlation Between Oral Hygiene and Periodontal Condtion. Acta Odontol Scand 1964; 22: 121-35.
  • 10. Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967; 38: 610-16.
  • 11. Persson GR. Periodontal complications with age. Periodontol 2000 2018; 78: 185-94.
  • 12. Shiau HJ, Reynolds MA. Sex differences in destructive periodontal disease: a systematic review. J Periodontol 2010; 81: 1379-89.
  • 13. Graves DT, Ding Z, Yang Y. The impact of diabetes on periodontal diseases. Periodontol 2000 2020; 82: 214-24.
  • 14. Costa FO, Cota LOM. Cumulative smoking exposure and cessation associated with the recurrence of periodontitis in periodontal maintenance therapy: A 6-year follow-up. J Periodontol 2019; 90: 856-65.
  • 15. Becerik S, Öztürk VÖ, Atmaca H, Atilla G, Emingil G. Gingival crevicular fluid and plasma acute-phase cytokine levels in different periodontal diseases. J Periodontol 2012; 83: 1304-13.
  • 16. Erdemir EO, Duran I, Haliloglu S. Effects of smoking on clinical parameters and the gingival crevicular fluid levels of IL-6 and TNF-alpha in patients with chronic periodontitis. J Clin Periodontol 2004; 31: 99-104.
  • 17. Cheng WC, Hughes FJ, Taams LS. The presence, function and regulation of IL-17 and Th17 cells in periodontitis. J Clin Periodontol 2014; 41: 541-9.
  • 18. Mitani A, Niedbala W, Fujimura T, Mogi M, Miyamae S, Higuchi N, et al. Increased expression of interleukin (IL)-35 and IL-17, but not IL-27, in gingival tissues with chronic periodontitis. J Periodontol 2015; 86: 301-9.
  • 19. Buduneli N, Buduneli E, Kütükçüler N. Interleukin-17, RANKL, and osteoprotegerin levels in gingival crevicular fluid from smoking and non-smoking patients with chronic periodontitis during initial periodontal treatment. J Periodontol 2009; 80: 1274-80.
  • 20. Johnson RB, Wood N, Serio FG. Interleukin-11 and IL-17 and the pathogenesis of periodontal disease. J Periodontol 2004; 75: 37-43.
  • 21. Lester SR, Bain JL, Johnson RB, Serio FG. Gingival concentrations of interleukin-23 and -17 at healthy sites and at sites of clinical attachment loss. J Periodontol 2007; 78: 1545-50.
There are 21 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Research Article
Authors

Umut Yiğit

Fatih Karaaslan

Ahu Dikilitaş

Publication Date December 30, 2022
Published in Issue Year 2022 Volume: 23 Issue: 4

Cite

EndNote Yiğit U, Karaaslan F, Dikilitaş A (December 1, 2022) Evaluation of the Relationship between Diabetes and Smoking and IL-6, IL-17 and IL-23 Levels in Individuals with Stage II, IV Periodontitis. Meandros Medical And Dental Journal 23 4 482–487.