1
|
Radwan-Oczko M, Rybińska A, Mierzwicka A, Duś-Ilnicka I. Salivary Histamine Levels in Patients with Oral Lichen Planus Lesions. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1038. [PMID: 39064467 PMCID: PMC11278918 DOI: 10.3390/medicina60071038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Revised: 06/18/2024] [Accepted: 06/19/2024] [Indexed: 07/28/2024]
Abstract
Background and Objectives: An oral lichen planus (OLP) chronic lesion refers to a group of oral potentially malignant disorders (OPMDs) that still lack a proper understanding from the point of view of relevant biomarkers for diagnostics and prognosis. The aim of the study was to assess the salivary histamine levels in patients with oral lichen planus lesions. Materials and Methods: The study included a group of 76 patients with oral lichen planus. General diseases and medication taken, smoking habits, severity of pain assessed using a visual analogue scale (VAS), oral hygiene status, and duration of OLP were evaluated. ELISA diagnostics for histamines in saliva levels were assessed. Results: The histamine levels in the OLP group were higher (0.468) in comparison with the control group (0.056), without a statistically significant value p = 0.090 (Mann-Whitney U Test). The median age of 76 OLP patients was 63 years (min 22.0-max. 81), with the biological sex being 80.3% females and 15 19.7% males. The average duration of OLP lesion presence was 29.4 months (SD 37.1) and the median value was 14.5 months. The median of the VAS was 3.0. OLP assessment in accordance with the Malhotra methodology showed the highest frequency-30.3% for only two of the point areas involved and 17.1% for three points. Clinical assessment of the different OLP grades, severity, and oral site involvement and the VAS in correlation with histamine salivary levels showed a lack of statistical significance in the investigated population. Conclusions: Undertaking further research could provide further possibilities for searching for general factors in OLP development.
Collapse
Affiliation(s)
- Małgorzata Radwan-Oczko
- Department of Oral Pathology, Wrocław Medical University, ul. Krakowska 26, 50-425 Wrocław, Poland; (M.R.-O.); (A.R.)
| | - Anna Rybińska
- Department of Oral Pathology, Wrocław Medical University, ul. Krakowska 26, 50-425 Wrocław, Poland; (M.R.-O.); (A.R.)
| | - Agata Mierzwicka
- Department of Endocrinology, Diabetology and Isotope Treatment, Wybrzeże L. Pasteura 4, 50-367 Wrocław, Poland;
| | - Irena Duś-Ilnicka
- Department of Oral Pathology, Wrocław Medical University, ul. Krakowska 26, 50-425 Wrocław, Poland; (M.R.-O.); (A.R.)
| |
Collapse
|
2
|
Haririan H, Andrukhov O, Laky M, Rausch-Fan X. Saliva as a Source of Biomarkers for Periodontitis and Periimplantitis. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.687638] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Saliva has the potential to be used as a diagnostic and monitoring tool for various diseases if biomarkers of an adequate sensitivity and specificity could be identified. Several reviews and even meta-analyses have been performed in recent years, which have found some candidate biomarkers for periodontitis, like macrophage inflammatory protein-1 alpha, interleukin-1ß, interleukin-6, matrix metalloproteinase-8, or hemoglobin. However, none of those are currently in use to replace conventional periodontal diagnostics with a periodontal probe. For periimplantitis, to date, heterogeneity of different study protocols and implant types did not permit to discover clear biomarkers, which were able to distinguish between healthy and diseased implants. Few proinflammatory cytokines, similar to periodontitis, have been characterized as adjunct tools to clinical diagnosis. The additional determination of antimicrobial peptides, bone turnover markers, and bacteria could help to enhance sensitivity and specificity in a combined model for periodontitis and periimplantitis. Furthermore, proteomic approaches might be preferred over single biomarker determinations. A global consensus is also needed to harmonize salivary sampling methods as well as procedures of biomarker analysis to ensure future comparability.
Collapse
|
3
|
Silva H. Tobacco Use and Periodontal Disease-The Role of Microvascular Dysfunction. BIOLOGY 2021; 10:441. [PMID: 34067557 PMCID: PMC8156280 DOI: 10.3390/biology10050441] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 05/05/2021] [Accepted: 05/07/2021] [Indexed: 12/30/2022]
Abstract
Periodontal disease consists in highly prevalent wide-ranging inflammatory conditions that affect the supporting apparatus of teeth. Tobacco use is the most important risk factor for periodontal disease as it increases disease severity and periodontal surgery complications. Tobacco use is harmful for the vasculature by causing microvascular dysfunction, which is known to negatively affect periodontal disease. To the author's knowledge this paper is the first comprehensive review on the mechanisms by which tobacco use affects oral microcirculation and impacts the pathophysiology of periodontal disease. In healthy subjects, acute nicotine administration or tobacco use (smoking/smokeless forms) increases the blood flow in the oral mucosa due to local irritation and increased blood pressure, which overcome neural- and endocrine-mediated vasoconstriction. Chronic tobacco smokers display an increased gingival microvascular density, which is attributed to an increased capillary recruitment, however, these microcirculatory units show higher tortuosity and lower caliber. These morphological changes, together with the repetitive vasoconstrictive insults, contribute to lower gingival perfusion in chronic smokers and do not completely regress upon smoking cessation. In periodontal disease there is considerable gingival inflammation and angiogenesis in non-smokers which, in chronic smokers, are considerably suppressed, in part due to local immune suppression and oxidative stress. Tobacco exposure, irrespective of the form of use, causes long-term microvascular dysfunction that increases the risk of complications due to the natural disease course or secondary therapeutic strategies.
Collapse
Affiliation(s)
- Henrique Silva
- Informetrics Research Group, Ton Duc Thang University, Ho Chi Minh City 758307, Vietnam;
- Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City 758307, Vietnam
| |
Collapse
|
4
|
Mairal Lerga T, Jauset-Rubio M, Skouridou V, Bashammakh AS, El-Shahawi MS, Alyoubi AO, O'Sullivan CK. High Affinity Aptamer for the Detection of the Biogenic Amine Histamine. Anal Chem 2019; 91:7104-7111. [PMID: 31042376 DOI: 10.1021/acs.analchem.9b00075] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The importance of histamine in various physiological functions and its involvement in allergenic responses make this small molecule one of the most studied biogenic amines. Even though a variety of chromatography-based methods have been described for its analytical determination, the disadvantages they present in terms of cost, analysis time, and low portability limit their suitability for in situ routine testing. In this work, we sought to identify histamine-binding aptamers that could then be exploited for the development of rapid, facile, and sensitive assays for histamine detection suitable for point-of-need analysis. A classic SELEX process was designed employing magnetic beads for target immobilization and the selection was completed after ten rounds. Following Next Generation Sequencing of the last selection rounds from both positive and counter selection magnetic beads, several sequences were identified and initially screened using an apta-PCR affinity assay (APAA). Structural and functional characterization of the candidates resulted in the identification of the H2 aptamer. The high binding affinity of the H2 aptamer to histamine was validated using four independent assays ( KD of 3-34 nM). Finally, the H2 aptamer was used for the development of a magnetic beads-based competitive assay for the detection of histamine in both buffer and synthetic urine, achieving very low limits of detection of 18 pM and 76 pM, respectively, while no matrix effects were observed. These results highlight the suitability of the strategy followed for identifying small molecule-binding aptamers and the compatibility of the selected H2 aptamer with the analysis of biological samples, thus facilitating the development of point-of-care devices for routine testing. Ongoing work is focused on extending the application of the H2 aptamer to the detection of spoilage in meat, fish, and beverages, as well as evaluating the affinity of truncated forms of the aptamer.
Collapse
Affiliation(s)
- Teresa Mairal Lerga
- Nanobiotechnology & Bioanalysis Group, INTERFIBIO Consolidated Research Group, Departament d'Enginyeria Quimica , Universitat Rovira I Virgili , Avinguda Paı̈sos Catalans 26 , 43007 Tarragona , Spain
| | - Miriam Jauset-Rubio
- Nanobiotechnology & Bioanalysis Group, INTERFIBIO Consolidated Research Group, Departament d'Enginyeria Quimica , Universitat Rovira I Virgili , Avinguda Paı̈sos Catalans 26 , 43007 Tarragona , Spain
| | - Vasso Skouridou
- Nanobiotechnology & Bioanalysis Group, INTERFIBIO Consolidated Research Group, Departament d'Enginyeria Quimica , Universitat Rovira I Virgili , Avinguda Paı̈sos Catalans 26 , 43007 Tarragona , Spain
| | - Abdulaziz S Bashammakh
- Department of Chemistry, Faculty of Science , King Abdulaziz University , P.O. Box 80203, 21589 Jeddah , Saudi Arabia
| | - Mohammad S El-Shahawi
- Department of Chemistry, Faculty of Science , King Abdulaziz University , P.O. Box 80203, 21589 Jeddah , Saudi Arabia
| | - Abdulrahman O Alyoubi
- Department of Chemistry, Faculty of Science , King Abdulaziz University , P.O. Box 80203, 21589 Jeddah , Saudi Arabia
| | - Ciara K O'Sullivan
- Nanobiotechnology & Bioanalysis Group, INTERFIBIO Consolidated Research Group, Departament d'Enginyeria Quimica , Universitat Rovira I Virgili , Avinguda Paı̈sos Catalans 26 , 43007 Tarragona , Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA) , Passeig Lluís Companys 23 , 08010 Barcelona , Spain
| |
Collapse
|
5
|
Zhang T, Andrukhov O, Haririan H, Müller-Kern M, Liu S, Liu Z, Rausch-Fan X. Total Antioxidant Capacity and Total Oxidant Status in Saliva of Periodontitis Patients in Relation to Bacterial Load. Front Cell Infect Microbiol 2016; 5:97. [PMID: 26779448 PMCID: PMC4702083 DOI: 10.3389/fcimb.2015.00097] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 12/09/2015] [Indexed: 12/13/2022] Open
Abstract
The detection of salivary biomarkers has a potential application in early diagnosis and monitoring of periodontal inflammation. However, searching sensitive salivary biomarkers for periodontitis is still ongoing. Oxidative stress is supposed to play an important role in periodontitis progression and tissue destruction. In this cross-sectional study, we investigated total antioxidant capacity (TAC) and total oxidant status (TOS) in saliva of periodontitis patients compared to healthy controls and their relationship with periodontopathic bacteria and periodontal disease severity. Unstimulated saliva was collected from 45 patients with generalized severe periodontitis and 37 healthy individuals and the TAC/TOS were measured. In addition, salivary levels of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, and Fusobacterium nucleatum in saliva were measured. Salivary TAC was lower in periodontitis patients compared to healthy controls. Moreover, a significant negative correlation of salivary TAC with clinical attachment loss was observed in periodontitis patients. No significant difference in the salivary TOS was observed between periodontitis patients and healthy controls. Bacterial load was enhanced in periodontitis patients and exhibited correlation with periodontal disease severity but not with salivary TAC/TOS. Our data suggest that changes in antioxidant capacity in periodontitis patients are not associated with increased bacterial load and are probably due to a dysregulated immune response.
Collapse
Affiliation(s)
- Taowen Zhang
- Department of Science and Education, Yantai Stomatological Hospital, Binzhou Medical UniversityYantai, China; Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of ViennaVienna, Austria
| | - Oleh Andrukhov
- Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna Vienna, Austria
| | - Hady Haririan
- Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna Vienna, Austria
| | - Michael Müller-Kern
- Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna Vienna, Austria
| | - Shutai Liu
- Department of Science and Education, Yantai Stomatological Hospital, Binzhou Medical University Yantai, China
| | - Zhonghao Liu
- Department of Science and Education, Yantai Stomatological Hospital, Binzhou Medical University Yantai, China
| | - Xiaohui Rausch-Fan
- Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna Vienna, Austria
| |
Collapse
|
6
|
Bertl K, Schoiber A, Haririan H, Laky M, Steiner I, Rausch WD, Andrukhov O, Rausch-Fan X. Non-surgical periodontal therapy influences salivary melatonin levels. Clin Oral Investig 2012; 17:1219-25. [PMID: 22847856 DOI: 10.1007/s00784-012-0801-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Accepted: 07/19/2012] [Indexed: 01/15/2023]
Abstract
OBJECTIVES Melatonin is a hormone, which is involved in the control of the circadian rhythm, but also acts as an antioxidant and immune modulator. Previous studies reported decreased salivary and serum melatonin levels in periodontitis. This prospective cohort trial assessed the effect of non-surgical periodontal therapy on melatonin levels. METHODS Salivary and serum samples of 60 participants (30 patients suffering from a severe generalized form of periodontitis, 30 healthy controls) were collected at baseline and 19 samples of periodontitis patients after treatment. Salivary and serum melatonin levels were determined by a commercially available ELISA kit and serum C-reactive protein (CRP) by a routine laboratory test. RESULTS At baseline, periodontitis patients showed significantly increased serum CRP values and significantly decreased salivary melatonin levels compared to the control group. Clinical periodontal parameters significantly correlated with salivary melatonin levels and serum CRP. Periodontal therapy resulted in a recovery of the decreased salivary melatonin levels and a negative correlation was detected for the changes of salivary melatonin and the inflammatory parameter bleeding on probing. Serum melatonin levels showed no significant differences. CONCLUSIONS Salivary melatonin levels recovered after periodontal therapy and correlated with a decrease of local periodontal inflammation. This may imply the local involvement of melatonin in the pathogenesis of periodontitis due to its antioxidant abilities. However, the exact role of melatonin in periodontal disease remains to be investigated in future trials. CLINICAL RELEVANCE The present results suggest salivary melatonin as a risk indicator for the severity of periodontal disease.
Collapse
Affiliation(s)
- Kristina Bertl
- Division of Oral Surgery, Bernhard Gottlieb School of Dentistry, Medical University of Vienna, Austria, Vienna, Austria
| | | | | | | | | | | | | | | |
Collapse
|