Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease

<i>Background</i>: Periodontal disease is a chronic inflammatory condition affecting the supporting tissues of the teeth. Early diagnosis is crucial for preventing severe complications. This study investigates and compares the utility of two salivary biomarkers, interleukin-1 beta (IL-1β...

Full description

Saved in:
Bibliographic Details
Main Authors: Liliana Sachelarie, Corina Laura Stefanescu, Rodica Maria Murineanu, Mircea Grigorian, Agripina Zaharia, Ioana Scrobota, Loredana Liliana Hurjui
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/61/4/760
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849714976199016448
author Liliana Sachelarie
Corina Laura Stefanescu
Rodica Maria Murineanu
Mircea Grigorian
Agripina Zaharia
Ioana Scrobota
Loredana Liliana Hurjui
author_facet Liliana Sachelarie
Corina Laura Stefanescu
Rodica Maria Murineanu
Mircea Grigorian
Agripina Zaharia
Ioana Scrobota
Loredana Liliana Hurjui
author_sort Liliana Sachelarie
collection DOAJ
description <i>Background</i>: Periodontal disease is a chronic inflammatory condition affecting the supporting tissues of the teeth. Early diagnosis is crucial for preventing severe complications. This study investigates and compares the utility of two salivary biomarkers, interleukin-1 beta (IL-1β) and matrix metalloproteinase-8 (MMP-8), in the early detection and staging of periodontal disease. <i>Methods</i>: This study included 189 patients, all of whom were evaluated both clinically and biologically. Each participant provided unstimulated saliva samples, which were analyzed using ELISA methods to quantify IL-1β and MMP-8 levels. Clinical periodontal data, including probing depth (3.9 ± 0.6 mm), clinical attachment loss (3.4 ± 0.6 mm), and Plaque Index (2.35 ± 0.55), were collected for all subjects. Biomarker concentrations were then correlated with these clinical parameters and with disease severity, classified according to the 2018 EFP/AAP criteria. <i>Results</i>: IL-1β levels (210 ± 95 pg/mL) were strongly associated with early gingival inflammation, while MMP-8 levels (185 ± 140 ng/mL) correlated with periodontal tissue destruction (<i>p</i> < 0.01). MMP-8 showed a higher sensitivity for diagnosing advanced stages (<i>p</i> = 0.002), whereas IL-1β was more effective in detecting early inflammatory changes (<i>p</i> = 0.01). Logistic regression identified MMP-8 as a significant predictor of advanced disease (coefficient 0.85, <i>p</i> < 0.001) and IL-1β as an indicator of early inflammation (coefficient 0.25, <i>p</i> = 0.02). <i>Conclusions</i>: Both biomarkers are valuable tools for the diagnosis and staging of periodontal disease. MMP-8 is relevant for identifying advanced cases, while IL-1β supports early detection. Their combined use may enhance diagnostic accuracy and guide personalized periodontal care.
format Article
id doaj-art-33d3ead34ba343a9b842e270420afd12
institution DOAJ
issn 1010-660X
1648-9144
language English
publishDate 2025-04-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj-art-33d3ead34ba343a9b842e270420afd122025-08-20T03:13:32ZengMDPI AGMedicina1010-660X1648-91442025-04-0161476010.3390/medicina61040760Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal DiseaseLiliana Sachelarie0Corina Laura Stefanescu1Rodica Maria Murineanu2Mircea Grigorian3Agripina Zaharia4Ioana Scrobota5Loredana Liliana Hurjui6Department of Preclinical Discipline, Faculty of Dental Medicine, Apollonia University, 700511 Iasi, RomaniaFaculty of Medicine and Pharmacy, University Ovidius, 900527 Constanta, RomaniaFaculty of Medicine and Pharmacy, University Ovidius, 900527 Constanta, RomaniaFaculty of Medicine and Pharmacy, University Ovidius, 900527 Constanta, RomaniaFaculty of Medicine and Pharmacy, University Ovidius, 900527 Constanta, RomaniaDepartment of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, 10 1st December Street, 410073 Oradea, RomaniaDepartment of Morpho-Functional Sciences II, Discipline of Physiology, “Grigore T. Popa” University of Medicine and Pharmacy, University Street 16, 700115 Iasi, Romania<i>Background</i>: Periodontal disease is a chronic inflammatory condition affecting the supporting tissues of the teeth. Early diagnosis is crucial for preventing severe complications. This study investigates and compares the utility of two salivary biomarkers, interleukin-1 beta (IL-1β) and matrix metalloproteinase-8 (MMP-8), in the early detection and staging of periodontal disease. <i>Methods</i>: This study included 189 patients, all of whom were evaluated both clinically and biologically. Each participant provided unstimulated saliva samples, which were analyzed using ELISA methods to quantify IL-1β and MMP-8 levels. Clinical periodontal data, including probing depth (3.9 ± 0.6 mm), clinical attachment loss (3.4 ± 0.6 mm), and Plaque Index (2.35 ± 0.55), were collected for all subjects. Biomarker concentrations were then correlated with these clinical parameters and with disease severity, classified according to the 2018 EFP/AAP criteria. <i>Results</i>: IL-1β levels (210 ± 95 pg/mL) were strongly associated with early gingival inflammation, while MMP-8 levels (185 ± 140 ng/mL) correlated with periodontal tissue destruction (<i>p</i> < 0.01). MMP-8 showed a higher sensitivity for diagnosing advanced stages (<i>p</i> = 0.002), whereas IL-1β was more effective in detecting early inflammatory changes (<i>p</i> = 0.01). Logistic regression identified MMP-8 as a significant predictor of advanced disease (coefficient 0.85, <i>p</i> < 0.001) and IL-1β as an indicator of early inflammation (coefficient 0.25, <i>p</i> = 0.02). <i>Conclusions</i>: Both biomarkers are valuable tools for the diagnosis and staging of periodontal disease. MMP-8 is relevant for identifying advanced cases, while IL-1β supports early detection. Their combined use may enhance diagnostic accuracy and guide personalized periodontal care.https://www.mdpi.com/1648-9144/61/4/760salivary biomarkersgingival inflammationperiodontal disease
spellingShingle Liliana Sachelarie
Corina Laura Stefanescu
Rodica Maria Murineanu
Mircea Grigorian
Agripina Zaharia
Ioana Scrobota
Loredana Liliana Hurjui
Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
Medicina
salivary biomarkers
gingival inflammation
periodontal disease
title Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
title_full Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
title_fullStr Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
title_full_unstemmed Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
title_short Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease
title_sort role of salivary biomarkers il 1β and mmp 8 in early detection and staging of periodontal disease
topic salivary biomarkers
gingival inflammation
periodontal disease
url https://www.mdpi.com/1648-9144/61/4/760
work_keys_str_mv AT lilianasachelarie roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT corinalaurastefanescu roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT rodicamariamurineanu roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT mirceagrigorian roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT agripinazaharia roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT ioanascrobota roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease
AT loredanalilianahurjui roleofsalivarybiomarkersil1bandmmp8inearlydetectionandstagingofperiodontaldisease