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Su Y, Ye L, Hu C, Zhang Y, Liu J, Shao L. Periodontitis as a promoting factor of T2D: current evidence and mechanisms. Int J Oral Sci 2023; 15:25. [PMID: 37321994 DOI: 10.1038/s41368-023-00227-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 04/12/2023] [Accepted: 04/26/2023] [Indexed: 06/17/2023] Open
Abstract
Periodontitis is an infectious disease caused by an imbalance between the local microbiota and host immune response. Epidemiologically, periodontitis is closely related to the occurrence, development, and poor prognosis of T2D and is recognized as a potential risk factor for T2D. In recent years, increasing attention has been given to the role of the virulence factors produced by disorders of the subgingival microbiota in the pathological mechanism of T2D, including islet β-cell dysfunction and insulin resistance (IR). However, the related mechanisms have not been well summarized. This review highlights periodontitis-derived virulence factors, reviews how these stimuli directly or indirectly regulate islet β-cell dysfunction. The mechanisms by which IR is induced in insulin-targeting tissues (the liver, visceral adipose tissue, and skeletal muscle) are explained, clarifying the influence of periodontitis on the occurrence and development of T2D. In addition, the positive effects of periodontal therapy on T2D are overviewed. Finally, the limitations and prospects of the current research are discussed. In summary, periodontitis is worthy of attention as a promoting factor of T2D. Understanding on the effect of disseminated periodontitis-derived virulence factors on the T2D-related tissues and cells may provide new treatment options for reducing the risk of T2D associated with periodontitis.
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Affiliation(s)
- Yuan Su
- Stomatology Center, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, China
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Leilei Ye
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Chen Hu
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Yanli Zhang
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Jia Liu
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Longquan Shao
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China.
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Belardi BE, Mattera MSDLC, Tsosura TVS, Dos Santos RM, Cantiga da Silva C, Tavares Ângelo Cintra L, Chiba FY, Bravo LT, Carvalho NR, Carnevali AC, de Oliveira RAF, Ervolino E, Matsushita DH. Effect of maternal true combined endodontic-periodontal lesion on insulin and inflammatory pathway in adult offspring. J Periodontol 2022; 94:487-497. [PMID: 35994367 DOI: 10.1002/jper.22-0139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 06/29/2022] [Accepted: 08/11/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND Maternal periodontal disease (PED) and apical periodontitis (AP) are associated insulin resistance (IR), increased tumor necrosis factor-α (TNF-α) levels, and alterations in insulin signaling (IS) in the gastrocnemius muscle (GM) of adult offspring. TNF-α stimulates I kappa B kinase (IKK) and c-Jun N-terminal protein kinase (JNK), resulting in IS attenuation. However, studies that investigated the maternal true endodontic-periodontal lesion (EPL) in offspring are scarce, and in this case, the impact could be even higher. This study aimed to evaluate the effects of EPL on the IR, IS, and inflammatory pathways on the offspring GM. METHODS Female Wistar rats were distributed into control, AP, PED, and EPL groups. After 30 days of oral inflammation induction, rats from all groups were allowed to mate with healthy rats. The bodyweight of the offspring was assessed from birth to 75 days of age. After 75 days, the following measurements were performed: glycemia, insulinemia, IR, TNF-α content, and IKKα/β, JNK, pp185 (Tyr), and IRS-1 (Ser) phosphorylation status in the GM. RESULTS Maternal PED and EPL were associated with low birth weights. All maternal oral inflammations promoted IR and IS impairment in the GM and only maternal PED and EPL caused an increase in TNF-α content and IKKα/β phosphorylation status in the GM of offspring. The EPL-o group showed worsening of metabolic changes when compared to offspring of rats with AP or PED. CONCLUSION Association of maternal AP and PED promoted a more pronounced worsening in the health of the adult offspring. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Bianca Elvira Belardi
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Maria Sara de Lima Coutinho Mattera
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Thaís Verônica Saori Tsosura
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Rodrigo Martins Dos Santos
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Cristiane Cantiga da Silva
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (unesp), Araçatuba, Brazil
| | - Luciano Tavares Ângelo Cintra
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (unesp), Araçatuba, Brazil
| | - Fernando Yamamoto Chiba
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (unesp), Araçatuba, Brazil
| | - Lara Teschi Bravo
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (unesp), Araçatuba, Brazil
| | - Nubia Ramos Carvalho
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Ana Carolina Carnevali
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Renan Akira Fujii de Oliveira
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (unesp), Araçatuba, Brazil
| | - Edilson Ervolino
- Institute of Biosciences, Botucatu, Brazil and Department of Basic Sciences, Division of Histology, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Doris Hissako Matsushita
- Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas-SBFis, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
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Starzyńska A, Wychowański P, Nowak M, Sobocki BK, Jereczek-Fossa BA, Słupecka-Ziemilska M. Association between Maternal Periodontitis and Development of Systematic Diseases in Offspring. Int J Mol Sci 2022; 23:2473. [PMID: 35269617 PMCID: PMC8910384 DOI: 10.3390/ijms23052473] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 02/18/2022] [Accepted: 02/20/2022] [Indexed: 12/24/2022] Open
Abstract
Periodontal disease (PD) is one of the most common oral conditions affecting both youths and adults. There are some research works suggesting a high incidence of PD in pregnant women. As an inflammatory disease of bacterial origin, PD may result in the activation of the pathways affecting the course and the pregnancy outcome. The authors, based on the literature review, try to answer the PICO question: Does maternal periodontitis (exposure) influence the incidence of complications rates in pregnancy and the development of systemic diseases in childhood and adult offspring (outcome) in the humans of any race (population) compared to the offspring of mothers with healthy periodontium (comparison)? The authors try to describe the molecular pathways and mechanisms of these interdependencies. There is some evidence that maternal periodontitis may affect the pregnancy course and outcome, resulting in preeclampsia, preterm delivery, vulvovaginitis and low birth weight. It can be suggested that maternal periodontitis may affect offspring epigenome and result in some health consequences in their adult life.
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Affiliation(s)
- Anna Starzyńska
- Department of Oral Surgery, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland;
| | - Piotr Wychowański
- Department of Oral Surgery, Medical University of Warsaw, 6 Binieckiego Street, 02-097 Warsaw, Poland;
- Specialized Private Implantology Clinic Wychowanski Stomatologia, 9/33 Rakowiecka Street, 02-517 Warsaw, Poland
| | - Maciej Nowak
- Department of Periodontology and Oral Diseases, Medical University of Warsaw, 6 Binieckiego Street, 02-097 Warsaw, Poland;
| | - Bartosz Kamil Sobocki
- Department of Oral Surgery, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland;
| | - Barbara Alicja Jereczek-Fossa
- Department of Oncology and Hemato-Oncology, University of Milan, 7 Festa del Perdono Street, 20-112 Milan, Italy;
- Division of Radiotherapy, IEO European Institute of Oncology, IRCCS, 435 Ripamonti Street, 20-141 Milan, Italy
| | - Monika Słupecka-Ziemilska
- Department of Human Epigenetics, Mossakowski Medical Research Institute, Polish Academy of Sciences, 5 Pawińskiego Street, 02-106 Warsaw, Poland;
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Tsosura TVS, Mattera MSDLC, Chiba FY, Carnevali ACN, Belardi BE, Dos Santos RM, Cintra LTA, Lopes FL, Scaramele NF, Matsushita DH. Effect of maternal apical periodontitis on the final step of insulin signalling and inflammatory pathway in the adult male offspring of rats. Int Endod J 2021; 54:2113-2124. [PMID: 34389996 DOI: 10.1111/iej.13610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 08/11/2021] [Indexed: 11/28/2022]
Abstract
AIM To evaluate the final step of insulin signalling, inflammatory pathway (related to the inhibition of insulin signalling), peroxisome proliferator-activated receptor-gamma coactivator 1α (PGC-1α) protein content and DNA methylation in the Slc2a4 gene promoter region in the skeletal muscle of adult male offspring of rats with apical periodontitis (AP) in a single tooth or in four teeth. METHODOLOGY Female Wistar rats were distributed into three groups: a control group, a group with one tooth with AP and a group with four teeth with AP. Thirty days after induction of AP, female rats from all groups were mated with healthy male rats. When male offspring reached 75 days of age, the following analyses were performed in the gastrocnemius muscle (GM): insulin-stimulated Akt serine and threonine phosphorylation status; NF-κB p50 and p65 subunits phosphorylation status; GLUT4, TNF-α and PGC-1α protein content by Western blotting; GLUT4 and TNF-α gene expression by real-time polymerase chain reaction (PCR); and DNA methylation in the Slc2a4 gene promoter region by restriction digestion and real-time PCR. Analysis of variance was performed, followed by Tukey's post hoc test. p values <.05 were considered to be statistically significant. RESULTS Maternal AP in four teeth decreased insulin-stimulated Akt serine and threonine phosphorylation status, reduced GLUT4 gene expression and its protein content, and increased NF-κB p50 and p65 subunits phosphorylation status in the GM of adult offspring. There were no alterations in the parameters analysed in the GM of adult offspring of rats with AP in a single tooth. In addition, maternal AP did not affect TNF-α gene expression and its protein content, PGC-1α protein content and DNA methylation in the Slc2a4 gene promoter region in the GM of adult offspring. CONCLUSIONS Maternal AP in four teeth was associated with impairment in the final step of insulin signalling in the GM of adult male offspring in rats. An increase in NF-κB activity may be involved in this decrease in insulin signalling. This study demonstrates the impact of maternal AP on the health of offspring, demonstrating the importance of maintaining adequate maternal oral health to prevent diseases in adult offspring in rats.
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Affiliation(s)
- Thaís Verônica Saori Tsosura
- Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil.,Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | | | - Fernando Yamamoto Chiba
- Department of Preventive and Restorative Dental, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | | | - Bianca Elvira Belardi
- Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil.,Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Rodrigo Martins Dos Santos
- Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil.,Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Luciano Tavares Angelo Cintra
- Department of Preventive and Restorative Dental, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Flávia Lombardi Lopes
- Department of Production and Animal Health, School of Veterinary Medicine, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Natália Francisco Scaramele
- Department of Production and Animal Health, School of Veterinary Medicine, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Doris Hissako Matsushita
- Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil.,Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
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Tsosura TVS, Dos Santos RM, Chaves Neto AH, Chiba FY, Carnevali ACN, Mattera MSDLC, Belardi BE, Cintra LTÂ, da Silva Machado NE, Matsushita DH. Maternal Apical Periodontitis Increases Insulin Resistance and Modulates the Antioxidant Defense System in the Gastrocnemius Muscle of Adult Offspring. J Endod 2021; 47:1126-1131. [PMID: 33864881 DOI: 10.1016/j.joen.2021.04.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/08/2021] [Accepted: 04/05/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Maternal apical periodontitis (AP) is associated with insulin resistance (IR) in adult offspring. Oxidative stress has been linked to IR. This study investigated insulin sensitivity (IS) and oxidative stress in the gastrocnemius muscle (GM) of adult offspring of rats with AP. METHODS Fifteen female Wistar rats were distributed into a control group, a group with 1 tooth with AP, and a group with 4 teeth with AP. Thirty days after AP induction, female rats were mated with healthy male rats. When male offspring reached 75 days of age, glycemia, insulinemia, and IS were determined. In the GM, the oxidative damage products (thiobarbituric acid reactive substances and carbonyl protein) and activities of enzymatic (superoxide dismutase, catalase, and glutathione peroxidase) and nonenzymatic (glutathione and total antioxidant capacity) antioxidants were quantified. Analysis of variance was performed followed by the Tukey post hoc test (P < .05). RESULTS Maternal AP was associated with decreased IS and changes in antioxidant activities (reduced superoxide dismutase and increased catalase, glutathione peroxidase, and glutathione) and decreased thiobarbituric acid reactive substance concentration in the GM of their adult offspring. However, maternal AP does not appear to affect glycemia, carbonyl protein concentration, and the nonenzymatic total antioxidant capacity in the GM of this offspring. CONCLUSIONS Maternal AP modulates the antioxidant defense system in the GM of their adult offspring, attenuating lipid peroxidation in this tissue. This reflects part of an adaptive response of the offspring to the stimulation of the maternal chronic oral inflammatory process in which the organism acts by decreasing oxidative tissue damage in the postnatal stage. The present study improves knowledge about the impact of maternal oral inflammation on healthy offspring.
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Affiliation(s)
- Thaís Verônica Saori Tsosura
- Department of Basic Sciences, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil; Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
| | - Rodrigo Martins Dos Santos
- Department of Basic Sciences, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil; Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Antonio Hernandes Chaves Neto
- Department of Basic Sciences, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil; Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Fernando Yamamoto Chiba
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | | | | | - Bianca Elvira Belardi
- Department of Basic Sciences, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil; Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Luciano Tavares Ângelo Cintra
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | | | - Doris Hissako Matsushita
- Department of Basic Sciences, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil; Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas (PPGMCF)/Sociedade Brasileira de Fisiologia (SBFis), São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
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Tsosura TVS, Chiba FY, Mattera MSLC, Pereira RF, Cintra LTA, Conti LC, Santos RMD, Mateus JHP, Garbin CAS, Sumida DH. Maternal apical periodontitis is associated with insulin resistance in adult offspring. Int Endod J 2019; 52:1040-1050. [DOI: 10.1111/iej.13096] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 02/11/2019] [Indexed: 12/19/2022]
Affiliation(s)
- T. V. S. Tsosura
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - F. Y. Chiba
- Department of Children and Social DentistrySchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - M. S. L. C. Mattera
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - R. F. Pereira
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - L. T. A. Cintra
- Department of Restorative Dentistry School of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - L. C. Conti
- Department of Restorative Dentistry School of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - R. M. dos Santos
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - J. H. P. Mateus
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - C. A. S. Garbin
- Department of Children and Social DentistrySchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
| | - D. H. Sumida
- Department of Basic Sciences Multicenter Postgraduate Program in Physiological Sciences SBFisSchool of Dentistry São Paulo State University (UNESP) Araçatuba Brazil
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Mattera MSDLC, Chiba FY, Lopes FL, Tsosura TVS, Peres MA, Brito VGB, Oliveira SHP, Pereira RF, Marani F, dos Santos RM, Belardi BE, Tessarin GWL, Benites ML, Ervolino E, Heimann JC, Sumida DH. Effect of maternal periodontitis on GLUT4 and inflammatory pathway in adult offspring. J Periodontol 2019; 90:884-893. [DOI: 10.1002/jper.18-0568] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 01/02/2019] [Accepted: 01/08/2019] [Indexed: 01/04/2023]
Affiliation(s)
- Maria Sara de Lima Coutinho Mattera
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Fernando Yamamoto Chiba
- Department of Child and Social DentistrySchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | | | - Thaís Verônica Saori Tsosura
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Maria Angelica Peres
- Department of Internal MedicineLaboratory of Experimental Hypertension, School of Medicine, University of São Paulo São Paulo Brazil
| | - Victor Gustavo Balera Brito
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Sandra Helena Penha Oliveira
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Renato Felipe Pereira
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Fernando Marani
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Rodrigo Martins dos Santos
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Bianca Elvira Belardi
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Gestter Willian Lattari Tessarin
- Institute of BiosciencesSão Paulo State University (UNESP) Botucatu Brazil
- Department of Basic SciencesDivision of HistologyDental School of AracatubaUNESP‐Univ Estadual Paulista Araçatuba Brazil
| | - Mariana Lopes Benites
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
| | - Edilson Ervolino
- Institute of BiosciencesSão Paulo State University (UNESP) Botucatu Brazil
- Department of Basic SciencesDivision of HistologyDental School of AracatubaUNESP‐Univ Estadual Paulista Araçatuba Brazil
| | - Joel Claudio Heimann
- Department of Internal MedicineLaboratory of Experimental Hypertension, School of Medicine, University of São Paulo São Paulo Brazil
| | - Doris Hissako Sumida
- Multicenter Post‐Graduate Program in Physiological Sciences (SBFis)Department of Basic SciencesSchool of DentistrySão Paulo State University (UNESP) Araçatuba Brazil
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Santos RMD, Marani F, Chiba FY, Mattera MSDLC, Tsosura TVS, Tessarin GWL, Pereira RF, Belardi BE, Pinheiro BCES, Sumida DH. Melatonin promotes reduction in TNF levels and improves the lipid profile and insulin sensitivity in pinealectomized rats with periodontal disease. Life Sci 2018; 213:32-39. [PMID: 30321542 DOI: 10.1016/j.lfs.2018.09.056] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 09/25/2018] [Accepted: 09/28/2018] [Indexed: 02/04/2023]
Abstract
AIM This study aimed to investigate the effects of melatonin (ME) on insulin resistance (IR) and signaling (IS), proinflammatory cytokine levels, and lipid profiles in pinealectomyzed (PNX) rats with periodontal disease (PD). MAIN METHODS One hundred and forty-four rats (age = 40 days) were distributed into 8 groups: 1) control (CN); 2) PD only; 3) PNX only; 4) PNX and PD (PNXPD); 5) CN treated with ME (CNM); 6) PD treated with ME (PDM); 7) PNX treated with ME(PNXM); 8) PNX and PD treated with ME(PNXPDM). The PNX groups were subjected to pinealectomy at 40 and at 60 days of age. The animals were then subjected to PD induction in the mandibular first molars. After PD induction, the ME replacement therapy (MERT-5 mg/kg body weight) was performed using water for 28 days. After this period, the plasma concentration of glucose, insulin, TNF, IL-6, triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol, and VLDL-cholesterol and the HOMA-IR index were determined. Akt serine phosphorylation status in the white adipose tissue, gastrocnemius muscle, and rat liver were also evaluated. KEY FINDINGS PD, PNX, and PNXPD groups showed an increase in IR with elevated plasma levels of insulin and TNF compared to CN group. PNX and PNXPD groups presented alteration in lipid profile compared to CN group. MERT improved all of the analyzed parameters. No difference was observed in the IS among different groups. SIGNIFICANCE The results suggest that MERT efficiently prevents IR, improves lipid profile, and increases plasma levels of insulin and TNF in PD and PNX rats.
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Affiliation(s)
- Rodrigo Martins Dos Santos
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Fernando Marani
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Fernando Yamamoto Chiba
- Preventive and Social Dentistry Post-Graduation Program School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Maria Sara de Lima Coutinho Mattera
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Thais Verônica Saori Tsosura
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Gestter Willian Lattari Tessarin
- Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil; Institute of Biosciences of Botucatu, São Paulo State University, Botucatu, São Paulo, Brazil
| | - Renato Felipe Pereira
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Bianca Elvira Belardi
- Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Beatriz Costa E Silva Pinheiro
- Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Doris Hissako Sumida
- Programa de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFis, Brazil; Department of Basic Sciences, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
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9
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Dar-Odeh NS, Aleithan FA, Alnazzawi AA, Al-Shayyab MH, Abu-Hammad SO, Abu-Hammad OA. Factors affecting oral health determinants in female university students: a cross-sectional survey in Saudi Arabia. Int J Adolesc Med Health 2017; 32:/j/ijamh.ahead-of-print/ijamh-2017-0084/ijamh-2017-0084.xml. [PMID: 28782348 DOI: 10.1515/ijamh-2017-0084] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 06/08/2017] [Indexed: 06/07/2023]
Abstract
Objective This study aims at investigating factors affecting oral health patterns, attitudes and health risk behaviors among female university students. Methods An online questionnaire was distributed to female university students in Al Madinah in the western region of Saudi Arabia. Students were requested to answer questions on demographic data, oral hygiene practices, dental attendance, smoking history, practice of sports and body weight and height. Results Two hundred and fourteen students participated with age range of 18-31 years (mean = 21.64 ± 1.72 years). Oral hygiene habits were reported by a percentage of 97.2%, 34.6%, 30.8% and 19.2% who used a tooth brush, dental floss, mouthwash, and a miswak (a teeth cleaning twig made from the Salvadora persica tree), respectively. The only factor that was significantly associated with a good oral hygiene level was a university major of non-healthcare specialties (p = 0.009). Conclusion It is concluded that female university students use various oral hygiene methods, however, dental attendance is poor and a number of health risk factors are noticed like smoking, lack of practicing sport and unhealthy body mass index (BMI).
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Affiliation(s)
- Najla S Dar-Odeh
- College of Dentistry, Taibah University, Al Madina Al Munawarah, Saudi Arabia
- Faculty of Dentistry, University of Jordan, Amman, Jordan, Phone: 00966/592231888
| | | | - Ahmad A Alnazzawi
- College of Dentistry, Taibah University, Al Madina Al Munawarah, Saudi Arabia
| | | | | | - Osama A Abu-Hammad
- College of Dentistry, Taibah University, Al Madina Al Munawarah, Saudi Arabia
- Faculty of Dentistry, University of Jordan, Amman, Jordan
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10
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El Khateeb SM, Abu-Hammad O, Fadel H, Dar-Odeh N. A Retrospective Analysis of Radiographic Jaw Findings in Young Women; Prevalence and Predictors. J Int Soc Prev Community Dent 2017; 7:22-27. [PMID: 28316945 PMCID: PMC5343679 DOI: 10.4103/2231-0762.200707] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 12/23/2016] [Indexed: 12/20/2022] Open
Abstract
AIMS AND OBJECTIVES To determine the prevalence and types of jaw pathologic findings as detected in panoramic radiographs of a sample of young women attending a teaching hospital in Al Madinah Al Munawarah, Saudi Arabia, and to determine the most important factors that predict the occurrence of jaw pathologic findings. MATERIALS AND METHODS The electronic clinical files of a representative sample of female patients who attended the outpatient dental clinics were retrieved. Patients were aged 18 to 25 years. Types of pathologic radiographic jaw findings and their prevalence were determined through screening of panoramic radiographs. Data were analyzed using the statistical analysis software [SPSS version 21 (IBM Corp.)]. Multiple linear regression was used to explore the significance of some types of dental lesions as predictor variables for the occurrence of jaw pathologic findings. RESULTS A total of 190 patients (mean age, 22.4 ± 2.46 years) were included in the study. Periapical lesions, retained roots, and alveolar bone loss were detected in 53.6%, 24.8%, and 17.4% of the participants, respectively. Other odontogenic abnormalities such as supernumerary and impacted teeth (6.4% and 33.7%, respectively) were also detected. Patients' age was found to be a good predictor for alveolar bone loss and number of periapical lesions (P ≤ 0.05). CONCLUSIONS A high prevalence of periapical lesions, retained roots, and alveolar bone loss was found among a sample of young female dental attendees, as shown by their panoramic radiographs. Further studies are needed to explore potential risk factors for such a noticeable trend of poor oral health, and the needed strategies to counteract this trend.
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Affiliation(s)
- Sara M. El Khateeb
- Department of Oral Medicine, Periodontology, Diagnosis and Oral Radiology, Ain Shams University, Cairo, Egypt
- Department of Basic and Clinical Oral Sciences, Taibah University Dental College and Hospital, Al Madinah Al Munawarah, Saudi Arabia
| | - Osama Abu-Hammad
- Department of Removable Prosthodontics, Faculty of Dentistry, University of Jordan, Amman, Jordan
- Department of Substitutive Dental Sciences, Taibah University Dental College and Hospital, Al Madinah Al Munawarah, Saudi Arabia
| | - Hani Fadel
- Department of Preventive Dental Sciences, Taibah University Dental College and Hospital, Al Madinah Al Munawarah, Saudi Arabia
| | - Najla Dar-Odeh
- Department of Basic and Clinical Oral Sciences, Taibah University Dental College and Hospital, Al Madinah Al Munawarah, Saudi Arabia
- Department of Oral Surgery, Oral Medicine and Periodontics, Faculty of Dentistry, Amman, Jordan
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