Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels

Purpose: Chronic periodontitis (CP) and Type 2 diabetes mellitus (T2DM) are chronic diseases affecting the humans and have interrelationship in their pathogenesis. Monitoring the progress with biomarker in these disease is important from treatment outcome point of view. We investigated the associati...

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Main Authors: Somil Saxena, Ranganath Venugopal, Rachana Chandrayan Rao, Monal B. Yuwanati, Harshita Awasthi, Megha Jain
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426820301287
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author Somil Saxena
Ranganath Venugopal
Rachana Chandrayan Rao
Monal B. Yuwanati
Harshita Awasthi
Megha Jain
author_facet Somil Saxena
Ranganath Venugopal
Rachana Chandrayan Rao
Monal B. Yuwanati
Harshita Awasthi
Megha Jain
author_sort Somil Saxena
collection DOAJ
description Purpose: Chronic periodontitis (CP) and Type 2 diabetes mellitus (T2DM) are chronic diseases affecting the humans and have interrelationship in their pathogenesis. Monitoring the progress with biomarker in these disease is important from treatment outcome point of view. We investigated the association of salivary developmental endothelial locus-1 (Del-1) and interleukin-17 (IL-17) levels in CP and T2DM. Methods: Saliva was collected from 17 healthy and 68 patients (divided into 4 groups based on presence or absence of CP and T2DM). Periodontal parameters were recorded at the time of visit. Del-1 and IL-17 levels in unstimulated salivary samples were determined using enzyme-linked immunosorbent assay. Results: Study found the lower levels of salivary Del-1 and higher levels of IL-17 in CP (2.23 ± 2.10 ng/mL, 56.54 ± 19.79 ng/mL), CCDM ((1.97 ± 1.36 ng/mL, 74.74 ± 17.79 ng/mL) and CUDM (1.02 ± 0.52 ng/mL, 63.84 ± 24.72 ng/mL) as compared to healthy individuals (6.54 ± 2.07; 24.47 ± 8.23 ng/mL) (p < 0.001). Del-1 and IL-17 levels were correlating with inflammatory state in CP and presence of T2DM aggravate the severity of disease in CP. An inverse correlation between salivary Del-1 &amp; IL-17 levels was also seen. Furthermore, we also observed that the combination of T2DM and CP (CCDM and CUDM) increases the salivary IL-17 levels and decreases Del-1 levels. Conclusions: There is an upregulation of salivary IL-17 and downregulation of salivary Del-1 with increase in severity of periodontal disease as well as T2DM. Furthermore, the presence of T2DM in chronic periodontitis patients can aggravate the inflammation related periodontal destruction.
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spelling doaj-art-ea1cd491f0154ac89ef157896854e9a52025-08-20T02:02:02ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682020-10-0110452953410.1016/j.jobcr.2020.08.013Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levelsSomil Saxena0Ranganath Venugopal1Rachana Chandrayan Rao2Monal B. Yuwanati3Harshita Awasthi4Megha Jain5People's College of Dental Sciences and Research Centre, People's University, Bhopal, IndiaAECS Maaruti College of Dental Sciences and Research Centre, Bangalore, IndiaAECS Maaruti College of Dental Sciences and Research Centre, Bangalore, IndiaPeople's College of Dental Sciences and Research Centre, People's University, Bhopal, India; Corresponding author. Department of Oral Pathology and Microbiology, People's College of Dental Science and Research Centre, Bhanpur, Bhopal, 462037, India.AECS Maaruti College of Dental Sciences and Research Centre, Bangalore, IndiaPeople's College of Dental Sciences and Research Centre, People's University, Bhopal, IndiaPurpose: Chronic periodontitis (CP) and Type 2 diabetes mellitus (T2DM) are chronic diseases affecting the humans and have interrelationship in their pathogenesis. Monitoring the progress with biomarker in these disease is important from treatment outcome point of view. We investigated the association of salivary developmental endothelial locus-1 (Del-1) and interleukin-17 (IL-17) levels in CP and T2DM. Methods: Saliva was collected from 17 healthy and 68 patients (divided into 4 groups based on presence or absence of CP and T2DM). Periodontal parameters were recorded at the time of visit. Del-1 and IL-17 levels in unstimulated salivary samples were determined using enzyme-linked immunosorbent assay. Results: Study found the lower levels of salivary Del-1 and higher levels of IL-17 in CP (2.23 ± 2.10 ng/mL, 56.54 ± 19.79 ng/mL), CCDM ((1.97 ± 1.36 ng/mL, 74.74 ± 17.79 ng/mL) and CUDM (1.02 ± 0.52 ng/mL, 63.84 ± 24.72 ng/mL) as compared to healthy individuals (6.54 ± 2.07; 24.47 ± 8.23 ng/mL) (p < 0.001). Del-1 and IL-17 levels were correlating with inflammatory state in CP and presence of T2DM aggravate the severity of disease in CP. An inverse correlation between salivary Del-1 &amp; IL-17 levels was also seen. Furthermore, we also observed that the combination of T2DM and CP (CCDM and CUDM) increases the salivary IL-17 levels and decreases Del-1 levels. Conclusions: There is an upregulation of salivary IL-17 and downregulation of salivary Del-1 with increase in severity of periodontal disease as well as T2DM. Furthermore, the presence of T2DM in chronic periodontitis patients can aggravate the inflammation related periodontal destruction.http://www.sciencedirect.com/science/article/pii/S2212426820301287Salivary biomarkerChronic periodontitisDevelopmental endothelial locusl-1 proteinInterleukin-17Type 2 Diabetes mellitus
spellingShingle Somil Saxena
Ranganath Venugopal
Rachana Chandrayan Rao
Monal B. Yuwanati
Harshita Awasthi
Megha Jain
Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
Journal of Oral Biology and Craniofacial Research
Salivary biomarker
Chronic periodontitis
Developmental endothelial locusl-1 protein
Interleukin-17
Type 2 Diabetes mellitus
title Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
title_full Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
title_fullStr Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
title_full_unstemmed Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
title_short Association of chronic periodontitis and type 2 diabetes mellitus with salivary Del-1 and IL-17 levels
title_sort association of chronic periodontitis and type 2 diabetes mellitus with salivary del 1 and il 17 levels
topic Salivary biomarker
Chronic periodontitis
Developmental endothelial locusl-1 protein
Interleukin-17
Type 2 Diabetes mellitus
url http://www.sciencedirect.com/science/article/pii/S2212426820301287
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