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C-reactive protein, a disintegrin and metalloproteinase 17 protein, and cathepsin D in chronic periodontitis with type 2 diabetes mellitu

Oral Biology Research 2019³â 43±Ç 3È£ p.169 ~ 179
Moon Keung-Ky, ±è¿ë°Ç, ¼­Á¶¿µ, ÀÌÀç¸ñ,
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 ( Moon Keung-Ky ) - Kyungpook National University School of Dentistry Department of Periodontology
±è¿ë°Ç ( Kim Yong-Gun ) - Kyungpook National University School of Dentistry Department of Periodontology
¼­Á¶¿µ ( Suh Jo-Young ) - Kyungpook National University School of Dentistry Department of Periodontology
ÀÌÀç¸ñ ( Lee Jae-Mok ) - Kyungpook National University School of Dentistry Department of Periodontology

Abstract


The purpose of this study was to compare and quantify the expression of C-reactive protein (CRP), a disintegrin and metalloproteinase 17 (ADAM17) protein, and cathepsin D in the gingival tissues of patients with type 2 diabetes mellitus (DM) with those in healthy adults with chronic periodontitis. Gingival tissue samples were obtained during periodontal surgery or tooth extraction. Depending on the patient¡¯s systemic condition and clinical criteria of gingiva, each gingival sample was divided into three groups. Group 1 (n=12) included clinically healthy gingiva without bleeding and no evidence of bone resorption or periodontal pockets. Group 2 (n=12) included inflamed gingiva from patients with chronic periodontitis. Group 3 (n=12) included inflamed gingiva from patients with chronic periodontitis associated with type 2 DM. Tissue samples were prepared and analyzed using Western blotting. The relative quantifications of CRP, ADAM17 protein, and cathepsin D were performed with a densitometer, and the results were statistically analyzed by one-way analysis of variance followed by Tukey test. The expression levels of CRP, ADAM17 protein, and cathepsin D increased in groups 2 and 3 compared with those in group 1. The differences among three groups were statistically significant ( p <0.05). In conclusion, this study demonstrated that the expression levels of CRP, ADAM17 protein and cathepsin D might act as inflammatory markers in periodontal inflamed tissue. It can be assumed that CRP, ADAM17 protein, and cathepsin D are partly involved in the progression of periodontal inflammation associated with type 2 DM.

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ADAM17 protein; Cathepsin D; Chronic periodontitis; C-reactive protein; Diabetes mellitus

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