侵袭性牙周炎患者与健康人群龈沟液中白细胞介素-12水平的比较

Marwa Mohamed Sidahmed, N. Hashim
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摘要

目的:侵袭性牙周炎(AgP)是苏丹人群中较为普遍的一种牙周病。这种疾病通常影响年轻人,如果不及早发现,可能导致牙齿脱落,导致昂贵和长期的牙周治疗。直到今天,还没有可靠的检测工具,因此只有在牙周组织已经发生损失后才能确诊。白细胞介素-12 (IL-2)具有促炎和免疫调节作用,并与其他炎性疾病如类风湿关节炎的发病机制有关。然而,在苏丹人口中没有进行广泛的研究。因此,本研究的目的是测量和比较AgP患者和无牙周炎的健康受试者龈沟液(GCF)中IL-12的水平。材料与方法本研究招募30例AgP患者和30例健康对照者。牙周参数包括探诊出血(BOP)、牙周袋深度(PPD)和临床附着水平(CAL)。测量GCF中IL-12的水平。结果共入组60例,女性占83%,男性占17%。本研究结果显示,AgP组GCF中IL-12水平略有升高,平均值为(60.7),健康组平均值为(52.7);但差异无统计学意义(p值= 0.120)。此外,AgP组的白细胞介素水平与牙周参数之间无统计学意义的相关性,但有轻微升高。BOP、PPD和CAL的p值分别为0.369、0.985和0.797。结论AgP患者GCF中IL-12水平的轻微升高和附着丧失部位的轻微升高提示该细胞因子可能在AgP发病过程中起作用。需要更多的研究来确定这种细胞因子在AgP中的确切作用。
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Assessment of the Level of Interleukin-12 in Gingival Crevicular Fluid of a Group of Patients with Aggressive Periodontitis and a Group of Healthy Subjects
Objective Aggressive periodontitis (AgP) is a type of periodontal disease that is relatively prevalent among Sudanese population. The disease generally affects younger individuals and might lead to tooth loss if undetected early, leading to costly and long periodontal treatment. Until today, no reliable detection tool is present, so diagnosis is confirmed only after periodontal tissue loss has already occurred. Interleukin-12 (IL-2) has both proinflammatory and immune-regulatory effects and it has been implicated in the pathogenesis of other inflammatory diseases such as rheumatoid arthritis. However, it was not studied extensively in Sudanese population. Therefore, the aim of this study was to measure and compare the level of IL-12 in the gingival crevicular fluid (GCF) of patients with AgP and healthy subjects without periodontitis. Materials and Methods In this study, 30 patients with AgP and 30 healthy subjects were recruited. The periodontal parameters included bleeding on probing (BOP), periodontal pocket depth (PPD), and clinical attachment level (CAL). GCF levels of IL-12 were measured. Results A total of 60 participants were enrolled in this study with female predominance of 83% and males comprising 17%. The results of this study showed slight elevation in the level of IL-12 in the GCF in AgP group with a mean value of (60.7) and a mean value of (52.7) in the healthy subjects group; however, the difference was not statistically significant (p-value = 0.120). Also, no statistically significant correlation was found between the level of this interleukin and periodontal parameters with slight elevation in AgP group. The p-value for BOP, PPD, and CAL was 0.369, 0.985, and 0.797, respectively. Conclusion The slight increase in the level of IL-12 in GCF of AgP patient and slight elevation in sites with attachment loss suggest a possible role of this cytokine in the pathogenesis of AgP. More studies are required to determine the exact role of this cytokine in AgP.
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