PMID- 25327309 OWN - NLM STAT- MEDLINE DCOM- 20160607 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 7 IP - 5 DP - 2015 Sep TI - Salivary interleukin-17 and tumor necrosis factor-alpha in relation to periodontitis and glycemic status in type 2 diabetes mellitus. PG - 681-8 LID - 10.1111/1753-0407.12228 [doi] AB - BACKGROUND: Poorly-controlled glycemic status in type 2 diabetes mellitus (T2DM) is suggested to play a role in the periodontal inflammatory process by aggregating the local cytokine response. Our objectives were to profile salivary interleukin (IL)-17 and tumor necrosis factor (TNF)-alpha levels in subjects with T2DM and to examine their relevance for the periodontal health status and glycemic control levels. METHODS: Unstimulated whole saliva samples, together with full-mouth periodontal recordings (plaque index [PI], bleeding on probing [BOP %], gingival index [GI], probing pocket depth [PPD], and clinical attachment level [CAL]), were collected from 123 subjects with T2DM. Additionally, demographic and general health parameters, including fasting blood glucose, glycated hemoglobin (HbA1c), were collected. Salivary IL-17 and TNF-alpha concentrations were analyzed using the Luminex(R)-xMAP technique. RESULTS: Subjects with poorly-controlled T2DM (HbA1c >/= 7) had elevated serum triglyceride (P < 0.001) concentration as well as elevated scores of BOP % (P = 0.014), PI (P = 0.048), GI (P = 0.033), and CAL (P = 0.003) in comparison to those of well-controlled T2DM (HbA1c < 7). When the subjects with detectable salivary IL-17 were categorized in tertiles, the scores of PPD and BOP%, and salivary TNF-alpha concentrations were significantly elevated in the highest (P = 0.007, P = 0.002 and P < 0.001, respectively) and middle (P = 0.052, P = 0.022, and P = 0.003, respectively) tertiles compared to subjects with non-detectable salivary IL-17. The adjusted association between PPD measurements and salivary IL-17 concentrations was significant (P = 0.008). CONCLUSIONS: Poorly-controlled glycemic status relates to the severity of periodontal disease in T2DM. The association between PPD and IL-17 in saliva, however, is independent from the effect of glycemic status. CI - (c) 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd. FAU - Gursoy, Ulvi Kahraman AU - Gursoy UK AD - Institute of Dentistry, University of Turku, Turku, Finland. FAU - Yildiz Ciftlikli, Sinem AU - Yildiz Ciftlikli S AD - Faculty of Dentistry, University of Marmara, Istanbul, Turkey. FAU - Kononen, Eija AU - Kononen E AD - Institute of Dentistry, University of Turku, Turku, Finland. FAU - Gursoy, Mervi AU - Gursoy M AD - Institute of Dentistry, University of Turku, Turku, Finland. FAU - Dogan, Basak AU - Dogan B AD - Faculty of Dentistry, University of Marmara, Istanbul, Turkey. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141223 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Interleukin-17) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Blood Glucose/*metabolism MH - Diabetes Mellitus, Type 2/complications/drug therapy/*metabolism MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Interleukin-17/*analysis MH - Male MH - Middle Aged MH - Periodontitis/complications/*metabolism MH - Saliva/*chemistry MH - Tumor Necrosis Factor-alpha/*analysis OTO - NOTNLM OT - interleukin-17 OT - periodontal disease OT - saliva OT - tumor necrosis factor-alpha OT - type 2 diabetes mellitus OT - 关键词:白细胞介素-17,牙周病,唾液,肿瘤坏死因子-alpha,2型糖尿病< EDAT- 2014/10/21 06:00 MHDA- 2016/06/09 06:00 CRDT- 2014/10/21 06:00 PHST- 2014/05/17 00:00 [received] PHST- 2014/09/09 00:00 [revised] PHST- 2014/09/24 00:00 [accepted] PHST- 2014/10/21 06:00 [entrez] PHST- 2014/10/21 06:00 [pubmed] PHST- 2016/06/09 06:00 [medline] AID - 10.1111/1753-0407.12228 [doi] PST - ppublish SO - J Diabetes. 2015 Sep;7(5):681-8. doi: 10.1111/1753-0407.12228. Epub 2014 Dec 23.