LL-37 and hBD-2 in the gingival crevicular fluid of smokers and nonsmokers with periodontitis

Alessandra Barreto Lopes, N. H. Colombo, N. Z. Assem, M. A. A. Nuernberg, V. Garcia, C. Duque, L. Theodoro
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Abstract

Abstract Introduction The association between smoking and periodontal diseases has been described in clinical and epidemiological studies. Objective The aim of this study was to compare the LL-37 and human β-defensin-2 (hBD-2) levels in crevicular fluid of patients with generalized periodontitis in smokers (S) and nonsmokers (NS). Material and method A total of 35 patients with generalized periodontitis stages III and IV, 15 NS (11 female, 4 male) and 20 S (7 female and 13 male), were included in the study. The evaluated clinical parameters were bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL). Enzyme-linked immunosorbent assays were performed to quantify the LL-37 and hBD-2 levels in the gingival crevicular fluid of these patients. The results were analyzed statistically with the level of significance set at 5%. Result In relation to periodontal clinical parameters, no statistically significant difference was observed for BOP and PD between groups S and NS. There was a higher CAL in the S group than in the NS group (p = 0.0095). There was no statistically significant difference between the levels of LL-37 and hBD-2 when comparing groups S and NS (p>0.05). Conclusion It was concluded that smokers have a higher clinical attachment loss than nonsmokers, but that smoking did not influence the levels of LL-37 and hBD-2 in the gingival crevicular fluid in periodontitis.
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牙周炎吸烟者和非吸烟者龈沟液中LL-37和hBD-2的含量
临床和流行病学研究已经描述了吸烟与牙周病之间的关系。目的比较吸烟者(S)和非吸烟者(NS)广泛性牙周炎患者沟液中LL-37和人β-防御素-2 (hBD-2)水平。材料与方法本研究共纳入35例III期和IV期广泛性牙周炎患者,其中NS 15例(女11例,男4例),S 20例(女7例,男13例)。评估的临床参数为探查出血(BOP)、探查深度(PD)和临床附着水平(CAL)。采用酶联免疫吸附法测定这些患者龈沟液中LL-37和hBD-2的水平。结果进行统计学分析,显著性水平设为5%。结果在牙周临床参数方面,S组与NS组BOP、PD差异无统计学意义。S组CAL高于NS组(p = 0.0095)。S组与NS组比较,LL-37、hBD-2水平差异无统计学意义(p < 0.05)。结论吸烟对牙周炎患者牙龈沟液中LL-37和hBD-2的表达无明显影响,但吸烟对牙周炎患者临床附着丧失的影响高于非吸烟者。
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