PMID- 23649513 OWN - NLM STAT- MEDLINE DCOM- 20140422 LR - 20211021 IS - 1573-2576 (Electronic) IS - 0360-3997 (Linking) VI - 36 IP - 5 DP - 2013 Oct TI - Host modulation in rheumatoid arthritis patients with TNF blockers significantly decreases biochemical parameters in periodontitis. PG - 1171-7 LID - 10.1007/s10753-013-9652-9 [doi] AB - The aim of this study was to evaluate the effects of host modulation therapy on periodontal and biochemical parameters. Sixteen rheumatoid arthritis patients newly scheduled for anti-tumour necrosis factor (TNF) therapy were screened for 30 days. Periodontal parameters (clinical attachment level, probing pocket depth, bleeding on probing, plaque index and gingival index) as well as salivary and gingival crevicular fluid (GCF), interleukin (IL)-1beta, IL-8 and monocyte chemoattractant protein-1 (MCP-1) levels of the patients were evaluated at baseline and on the 30th day of therapy. GCF volume, IL-1beta and IL-8 levels (p = 0.007, p = 0.017 and p = 0.009, respectively) of the periodontitis patients significantly decreased. Although there was a decrease in all these parameters in healthy patients, it was below statistical significance. Salivary IL-8 and MCP-1 levels significantly decreased in periodontitis patients (p = 0.028 and p = 0.013, respectively), but IL-1beta levels remained unchanged. These results suggest that TNF blockers may significantly modify host response in terms of biochemical parameters of the periodontium and may mask significant associations such as those reported between periodontitis and rheumatoid arthritis. FAU - Ustun, Kemal AU - Ustun K AD - Department of Periodontology, Faculty of Dentistry, Gaziantep University, 27310, Gaziantep, Turkey, k_ustun@yahoo.com. FAU - Erciyas, Kamile AU - Erciyas K FAU - Kisacik, Bunyamin AU - Kisacik B FAU - Sezer, Ufuk AU - Sezer U FAU - Pehlivan, Yavuz AU - Pehlivan Y FAU - Oztuzcu, Serdar AU - Oztuzcu S FAU - Gundogar, Hasan AU - Gundogar H FAU - Onat, Ahmet Mesut AU - Onat AM LA - eng PT - Journal Article PL - United States TA - Inflammation JT - Inflammation JID - 7600105 RN - 0 (CCL2 protein, human) RN - 0 (CXCL8 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-8) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Arthritis, Rheumatoid/*metabolism MH - Chemokine CCL2/metabolism MH - Dental Plaque Index MH - Female MH - Gingival Crevicular Fluid/metabolism MH - Humans MH - Inflammation/metabolism/*therapy MH - Interleukin-1beta/metabolism MH - Interleukin-8/metabolism MH - Male MH - Middle Aged MH - Periodontal Index MH - Periodontitis/metabolism/*therapy MH - Periodontium/chemistry MH - Saliva/metabolism MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors MH - Young Adult EDAT- 2013/05/08 06:00 MHDA- 2014/04/23 06:00 CRDT- 2013/05/08 06:00 PHST- 2013/05/08 06:00 [entrez] PHST- 2013/05/08 06:00 [pubmed] PHST- 2014/04/23 06:00 [medline] AID - 10.1007/s10753-013-9652-9 [doi] PST - ppublish SO - Inflammation. 2013 Oct;36(5):1171-7. doi: 10.1007/s10753-013-9652-9.