PMID- 15898940 OWN - NLM STAT- MEDLINE DCOM- 20050725 LR - 20220409 IS - 0022-3492 (Print) IS - 0022-3492 (Linking) VI - 76 IP - 5 DP - 2005 May TI - Interleukin-18 concentrations and the pathogenesis of periodontal disease. PG - 785-90 AB - BACKGROUND: Interleukin-18 (IL-18) is reported as an important regulatory cytokine in non-oral inflammation. Our objective was to compare the concentrations of IL-18 within diseased and healthy human gingiva with concentrations of other T(H)1 and T(H)2 cytokines to determine possible effects of IL-18 on gingival inflammation. METHODS: Gingival biopsies were obtained prior to routine tooth extraction. Gingiva was grouped by the depth of the adjacent gingival sulcus: < or =3 healthy (featuring no bleeding on probing) and > or =3 mm diseased (featuring bleeding on probing). Diseased gingiva was subdivided into 3, 4 to 6 and >6 mm groups. Gingival interleukin (IL)-2, IL-4, IL-6, IL-10, IL-12, IL-18, and interferon (IFN)-gamma concentrations were assessed by enzyme linked immunosorbent assay (ELISA). Data were compared by factorial analysis of variance and the Pearson's correlation test. RESULTS: Concentrations of IL-2, IL-4, IL-6, IL-10, IL-18, and IFN-gamma adjacent to 4 to 6 mm diseased sites were greater than adjacent to < or =3 mm healthy sites (P <0.001). IL-12 concentrations were lower within diseased than within healthy gingiva (P <0.001). IL-6 and IL-18 concentrations were greater adjacent to >6 mm sites compared to healthy sites (P <0.001); the concentrations of the other cytokines (except IL-12) were similar to healthy sites. IL-6 and IL-18 concentrations were positively correlated, and IFN-gamma and IL-12 negatively correlated, with the adjacent gingival sulcular depth. CONCLUSIONS: Periodontal inflammation may not successfully resolve because of accumulation of IL-6 and IL-18, and decreased concentrations of IL-12, within diseased gingiva. Because of the highly significant correlation between IL-18 concentration and gingival sulcular depth, IL-18 may be a useful target for either preventive or palliative therapy for periodontitis. FAU - Johnson, R B AU - Johnson RB AD - Department of Periodontics and Preventive Sciences, University of Mississipi Medical Center, Jackson, MS 39216, USA. rjohnson@sod.unsmed.edu FAU - Serio, F G AU - Serio FG LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Biomarkers) RN - 0 (Interleukin-18) RN - 0 (Interleukins) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Biomarkers/analysis MH - Female MH - Gingiva/*immunology MH - Humans MH - Interferon-gamma/*analysis MH - Interleukin-18/*analysis MH - Interleukins/analysis MH - Male MH - Middle Aged MH - Periodontal Diseases/*immunology MH - Periodontal Pocket/immunology EDAT- 2005/05/19 09:00 MHDA- 2005/07/26 09:00 CRDT- 2005/05/19 09:00 PHST- 2005/05/19 09:00 [pubmed] PHST- 2005/07/26 09:00 [medline] PHST- 2005/05/19 09:00 [entrez] AID - 10.1902/jop.2005.76.5.785 [doi] PST - ppublish SO - J Periodontol. 2005 May;76(5):785-90. doi: 10.1902/jop.2005.76.5.785.