Secretory abzyme IgA, enzymes and DNA of oral fluid in chronic periodontitis

O. Korotina, I. Generalov
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Abstract

Catalytic abzyme activity of IgA and corresponding enzymes of oral fluid in patients with chronic periodontitis was studied. The individuals with healthy state of oral cavity were used as controls. Various kinds of proteolytic, oxidoreductase, and DNase activity were investigated; the concentarion of oral fluid DNA was evaluated as well. IgA fractions were isolated from the oral fluids by affinity chromatography on a matrix with polyclonal antibodies against human IgA, Elastase, proteolytic, cathepsin-like and amidase activities were investigated by colorimetric methods. DNase activity was assessed by the rivanol clot test. DNA concentrations in the oral fluid were determined by fluorimetric DNA test with PicoGreen fluorochrome. It has been established that certain kinds of IgA abzyme activities and oral fluid enzymes become substantially elevated following the exacerbations of chronic periodontitis in comparison with healthy controls (p<0.01-0.001). It refers to elastase, peroxidase, cathepsin, and catalase activity of oral cavity. The progression of chronic periodontitis is also characterized by high levels of patients’ DNA contents in oral fluid (p<0.001). For the diagnosis of chronic periodontitis the ROC-analysis of examined laboratory markers found the maximum diagnostic value of oral elastase testing (specificity of the test – 0,97; sensitivity – 0,85).
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慢性牙周炎患者口腔液分泌酶IgA、酶和DNA的变化
研究慢性牙周炎患者口腔液中IgA及相应酶的催化酶活性。以口腔健康者为对照。研究了各种蛋白水解酶、氧化还原酶和dna酶的活性;同时测定口腔液DNA浓度。采用人源IgA多克隆抗体亲和层析法从口腔液中分离IgA组分,用比色法测定弹性酶、蛋白水解酶、组织蛋白酶样酶和酰胺酶活性。用利凡诺凝块试验评估dna酶活性。采用PicoGreen荧光染料荧光法测定口服液中DNA浓度。与健康对照组相比,慢性牙周炎加重后,某些类型的IgA抗体酶活性和口腔液酶显著升高(p<0.01-0.001)。指口腔内弹性酶、过氧化物酶、组织蛋白酶和过氧化氢酶的活性。慢性牙周炎的进展也以患者口腔液中DNA含量高为特征(p<0.001)。对于慢性牙周炎的诊断,对检查的实验室标志物进行roc分析发现,口腔弹性蛋白酶试验的最大诊断价值(特异性为0.97;灵敏度- 0,85)。
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