慢性牙周炎和高血压患者降钙素和降钙素原的水平

Özlem Şahin Ata, Cenk Fatih Canakci, Yerda Özkan Karasu
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摘要

摘要目的探讨慢性牙周炎和原发性高血压对血清和唾液中卡通素(CTRP3)和降钙素原(ProCT)水平的影响。方法将60例非吸烟者随机分为4组:原发性高血压(EH)合并慢性牙周炎(CP) 15例(HT+ CP+), EH (HT+ CP-) 15例,CP (HT- CP+) 15例,对照组(HT- CP-) 15例。测定PPD、CAL、PI、GI。所有组均采集血清和唾液样本。电致发光法测定血清和唾液降钙素原(ProCT),酶联免疫吸附法测定碳联素(CTRP3)水平。结果与对照组相比,各组血清和唾液CTRP3水平均显著降低(p<0.0001, p<0.0001)。HT- CP+组血清碳联素(CTRP3)水平明显高于HT+ CP-组(p=0.002)。血清降钙素原(ProCT)浓度在HT- CP-组最低,在HT+ CP+组最高。血清ProCT浓度各组间无显著差异(p=0.110)。各组唾液降钙素原(ProCT)水平均低于检测限。结论个体牙周炎与高血压共存时,由于两种疾病的发病途径相同,可能存在相互不利影响。因此,血清和唾液碳联素(CTRP3)可能在高血压和牙周炎症中发挥作用,并代表着一个新的治疗靶点。
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The levels of cartonectin and procalcitonin in patients with chronic periodontitis and hypertension
Abstract Objectives This study aimed to examine the effects of chronic periodontitis and essential hypertension on serum and salivary cartonectin (CTRP3) and procalcitonin (ProCT) levels. Methods 60 non-smokers were seperated into four groups as; 15 people with essential hypertension (EH) and chronic periodontitis (CP) (HT+ CP+), 15 with EH (HT+ CP-), 15 with CP (HT- CP+), 15 control (HT- CP-). PPD, CAL, PI and GI were measured. All groups had their serum and saliva samples collected. Serum and saliva procalcitonin (ProCT) were measured using an electroluminescence method, and cartonectin (CTRP3) levels were determined by enzyme-linked immunosorbent assay. Results When compared to the control group, serum and saliva cartonectin (CTRP3) levels were considerably lower in all groups (respectively p<0.0001, p<0.0001). The serum cartonectin (CTRP3) levels were substantially higher in the HT- CP+ group than in the HT+ CP- group (p=0.002). Serum procalcitonin (ProCT) concentrations were found to be lowest in the HT- CP- group and highest in the HT+ CP+ group. Serum ProCT concentrations did not vary significantly across groups (p=0.110). Salivary procalcitonin (ProCT) levels were below the detection limit in all groups. Conclusions When periodontitis coexist with hypertension in individuals, they may have adversely affect each other due to the same sathways in the pathogenesis of these two disorders. So we can suggest that, serum and saliva cartonectin (CTRP3) may play a role during hypertension and periodontal inflammation and represent a novel future therapeutic target.
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