Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study

Introduction: Periodontitis is a chronic inflammatory condition in which oxidative stress plays a major role in its pathogenesis. The redox balance in the body acts as a defense system to counter this stress. The Peroxiredoxin (Prx)– Sulfiredoxin (Srx) antioxidant system is one such mechanism, found...

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Main Authors: Disha Dixit, Shalini Kaushal, Nand Lal, Ranjana Singh, Umesh Pratap Verma, Anjani Kumar Pathak
Format: Article
Language:English
Published: Elsevier 2025-11-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S221242682500199X
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author Disha Dixit
Shalini Kaushal
Nand Lal
Ranjana Singh
Umesh Pratap Verma
Anjani Kumar Pathak
author_facet Disha Dixit
Shalini Kaushal
Nand Lal
Ranjana Singh
Umesh Pratap Verma
Anjani Kumar Pathak
author_sort Disha Dixit
collection DOAJ
description Introduction: Periodontitis is a chronic inflammatory condition in which oxidative stress plays a major role in its pathogenesis. The redox balance in the body acts as a defense system to counter this stress. The Peroxiredoxin (Prx)– Sulfiredoxin (Srx) antioxidant system is one such mechanism, found to be active in many systemic inflammatory diseases, including periodontitis. This study aims to compare the levels of Srx in Gingival Crevicular Fluid (GCF) of healthy and periodontally compromised patients after Non-surgical Periodontal Therapy (NSPT). Methods: A total of 40 participants were divided into two groups: Group I included systemically and periodontally healthy individuals (control group), while Group II included patients diagnosed with chronic periodontitis (case group). Both groups received NSPT and were reassessed after three months. Clinical parameters such as Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), and Clinical Attachment Loss (CAL) were recorded and GCF samples were collected to measure Srx levels using the Enzyme-Linked Immunosorbent Assay (ELISA) at baseline and after three months. Results: Srx levels significantly reduced after therapy in both groups. In Group I, levels decreased from 0.505 ± 0.20 ng/ml to 0.301 ± 0.13 ng/ml (p = 0.005). In Group II, levels decreased from 0.532 ± 0.23 ng/ml to 0.366 ± 0.10 ng/ml (p = 0.004). All clinical parameters also showed significant improvement at three months. Conclusion: Srx levels decreased significantly after NSPT, suggesting its role as a potential biochemical marker to evaluate treatment outcomes. Further studies with larger samples and longer follow-ups are needed to confirm its diagnostic and prognostic value in periodontal therapy.
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spelling doaj-art-dde0c470b28a41bb9c5a728f52a3aca32025-08-22T04:56:17ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-11-011561373137710.1016/j.jobcr.2025.08.020Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control studyDisha Dixit0Shalini Kaushal1Nand Lal2Ranjana Singh3Umesh Pratap Verma4Anjani Kumar Pathak5Department of Periodontology, Faculty of Dental Sciences, King George Medical University, U.P., Lucknow, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George Medical University, U.P., Lucknow, India; Corresponding author. Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, U.P., Lucknow, 226003, India.Department of Periodontology, Faculty of Dental Sciences, King George Medical University, U.P., Lucknow, IndiaDepartment of Biochemistry, King George's Medical University, U.P., Lucknow, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George Medical University, U.P., Lucknow, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George Medical University, U.P., Lucknow, IndiaIntroduction: Periodontitis is a chronic inflammatory condition in which oxidative stress plays a major role in its pathogenesis. The redox balance in the body acts as a defense system to counter this stress. The Peroxiredoxin (Prx)– Sulfiredoxin (Srx) antioxidant system is one such mechanism, found to be active in many systemic inflammatory diseases, including periodontitis. This study aims to compare the levels of Srx in Gingival Crevicular Fluid (GCF) of healthy and periodontally compromised patients after Non-surgical Periodontal Therapy (NSPT). Methods: A total of 40 participants were divided into two groups: Group I included systemically and periodontally healthy individuals (control group), while Group II included patients diagnosed with chronic periodontitis (case group). Both groups received NSPT and were reassessed after three months. Clinical parameters such as Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), and Clinical Attachment Loss (CAL) were recorded and GCF samples were collected to measure Srx levels using the Enzyme-Linked Immunosorbent Assay (ELISA) at baseline and after three months. Results: Srx levels significantly reduced after therapy in both groups. In Group I, levels decreased from 0.505 ± 0.20 ng/ml to 0.301 ± 0.13 ng/ml (p = 0.005). In Group II, levels decreased from 0.532 ± 0.23 ng/ml to 0.366 ± 0.10 ng/ml (p = 0.004). All clinical parameters also showed significant improvement at three months. Conclusion: Srx levels decreased significantly after NSPT, suggesting its role as a potential biochemical marker to evaluate treatment outcomes. Further studies with larger samples and longer follow-ups are needed to confirm its diagnostic and prognostic value in periodontal therapy.http://www.sciencedirect.com/science/article/pii/S221242682500199XSulfiredoxinPeroxiredoxinSrx levels in GCFAntioxidant in GCFBiochemical marker in GCF
spellingShingle Disha Dixit
Shalini Kaushal
Nand Lal
Ranjana Singh
Umesh Pratap Verma
Anjani Kumar Pathak
Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
Journal of Oral Biology and Craniofacial Research
Sulfiredoxin
Peroxiredoxin
Srx levels in GCF
Antioxidant in GCF
Biochemical marker in GCF
title Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
title_full Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
title_fullStr Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
title_full_unstemmed Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
title_short Sulfiredoxin levels in gingival crevicular fluid: A new antioxidant defence system- case control study
title_sort sulfiredoxin levels in gingival crevicular fluid a new antioxidant defence system case control study
topic Sulfiredoxin
Peroxiredoxin
Srx levels in GCF
Antioxidant in GCF
Biochemical marker in GCF
url http://www.sciencedirect.com/science/article/pii/S221242682500199X
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AT nandlal sulfiredoxinlevelsingingivalcrevicularfluidanewantioxidantdefencesystemcasecontrolstudy
AT ranjanasingh sulfiredoxinlevelsingingivalcrevicularfluidanewantioxidantdefencesystemcasecontrolstudy
AT umeshpratapverma sulfiredoxinlevelsingingivalcrevicularfluidanewantioxidantdefencesystemcasecontrolstudy
AT anjanikumarpathak sulfiredoxinlevelsingingivalcrevicularfluidanewantioxidantdefencesystemcasecontrolstudy