A1 Refereed original research article in a scientific journal

Salivary and serum levels of neutrophil proteases in periodontitis and rheumatoid arthritis




AuthorsYilmaz Dogukan, Niskanen Katariina, Gonullu Emel, Tervahartiala Taina, Gursoy Ulvi K, Sorsa Timo

PublisherWILEY

Publication year2023

JournalOral Diseases

Journal name in sourceORAL DISEASES

Journal acronymORAL DIS

Number of pages9

ISSN1354-523X

DOIhttps://doi.org/10.1111/odi.14574

Web address https://doi.org/10.1111/odi.14574

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/179504938


Abstract
Objective: The aim was to profile serum and salivary levels of active-matrix metalloproteinase (aMMP)-8, tissue inhibitor MMP (TIMP)-1, aMMP-8/TIMP-1 ratio, total MMP (tMMP)-9, tMMP-9/TIMP-1 ratio, myeloperoxidase (MPO), and human neutrophil elastase (HNE) in periodontitis and rheumatoid arthritis (RA).Materials and Methods: Rheumatoid arthritis patients with periodontitis (RA + P, n = 26), periodontally healthy RA patients (RA, n = 23), systemically healthy periodontitis patients (P, n = 24), and controls (C, n = 24) were included. aMMP-8 levels were determined by a time-resolved immunofluorescence assay (IFMA), TIMP-1, tMMP-9, MPO, and HNE levels were measured by enzyme-linked immunosorbent (ELISA) assays.Results: Higher salivary aMMP-8 (p < 0.001), aMMP-8/TIMP-1 ratio (p = 0.043), tMMP-9 (p = 0.011), tMMP-9/TIMP-1 ratio (p = 0.022), MPO (p = 0.026) and HNE (p < 0.001) levels were detected in P relative to the controls. Salivary TIMP-1 was increased in RA patients regardless of periodontal status (RA + P vs. P: p = 0.038; RA vs. C: p = 0.020). Serum neutrophil proteases were increased in RA groups (RA + P, RA) compared to systemically healthy groups (P, C) (p < 0.05).Conclusions: Serum levels of neutrophil proteases were increased in RA study groups; however rheumatologic status seemingly does not affect salivary levels of these proteins.

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