PMID- 26581717 OWN - NLM STAT- MEDLINE DCOM- 20190327 LR - 20190327 IS - 1472-6831 (Electronic) IS - 1472-6831 (Linking) VI - 15 DP - 2015 Nov 18 TI - Periodontal CD14 mRNA expression is downregulated in patients with chronic periodontitis and type 2 diabetes. PG - 145 LID - 10.1186/s12903-015-0118-3 [doi] LID - 145 AB - BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) have increased severity of periodontitis. Toll-like receptor (TLR)4, its co-receptors CD14 and MD-2, and adaptor MyD88 play pivotal roles in lipopolysaccharide (LPS)-triggered tissue inflammation and periodontitis. This study investigated the effects of T2DM and periodontitis on TLR4, CD14, MD-2 and MyD88 mRNA expression in surgically removed periodontal tissues. METHODS: Periodontal tissue specimens were collected from 14 patients without periodontitis and T2DM (Group 1), 15 patients with periodontitis alone (Group 2), and 7 patients with both periodontitis and T2DM (Group 3). The mRNA of TLR4, CD14, MD-2 and MyD88 was quantified using real-time PCR and compared between the groups. RESULTS: Statistical analysis showed that periodontal expression of CD14 mRNA was significantly reduced across Groups 1, 2 and 3 (p = 0.02) whereas the mRNA expression of TLR4, MD-2 and MyD88 was not significantly different among the groups. Furthermore, when patients in Groups 1 and 2 were combined (n = 22), the CD14 mRNA expression was significantly lower than that in patients of Group 1 (p = 0.04). CONCLUSIONS: CD14 mRNA expression was downregulated across patients with neither periodontitis nor T2DM, patients with periodontitis alone and patients with both diseases, suggesting that CD14 mRNA expression is associated with a favorable host response or subjected to a negative feedback regulation. FAU - Hedgpeth, Dustin C AU - Hedgpeth DC AD - Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA. dustin.hedgpeth@gmail.com. FAU - Zhang, Xiaoming AU - Zhang X AD - Division of Endocrinology, Diabetes and Medical Genetics, Department of Medicine, College of Medicine, Medical University of South Carolina, 114 Doughty Street, Charleston, SC, 29425, USA. 2226710963@qq.com. FAU - Jin, Junfei AU - Jin J AD - Division of Endocrinology, Diabetes and Medical Genetics, Department of Medicine, College of Medicine, Medical University of South Carolina, 114 Doughty Street, Charleston, SC, 29425, USA. jinj100@yahoo.com. AD - Laboratory of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, 541001, Guangxi, People's Republic of China. jinj100@yahoo.com. FAU - Leite, Renata S AU - Leite RS AD - Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA. leiter@musc.edu. AD - Center for Oral Health Research, James B. Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA. leiter@musc.edu. FAU - Krayer, Joe W AU - Krayer JW AD - Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA. krayer@musc.edu. FAU - Huang, Yan AU - Huang Y AD - Division of Endocrinology, Diabetes and Medical Genetics, Department of Medicine, College of Medicine, Medical University of South Carolina, 114 Doughty Street, Charleston, SC, 29425, USA. huangyan@musc.edu. AD - Ralph H. Johnson VA Medical Center, 114 Doughty Street, Charleston, SC, 29401, USA. huangyan@musc.edu. LA - eng GR - I01 BX000854/BX/BLRD VA/United States GR - R01 DE016353/DE/NIDCR NIH HHS/United States GR - DE016353/DE/NIDCR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20151118 PL - England TA - BMC Oral Health JT - BMC oral health JID - 101088684 RN - 0 (LY96 protein, human) RN - 0 (Lipopolysaccharide Receptors) RN - 0 (Lymphocyte Antigen 96) RN - 0 (MYD88 protein, human) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (RNA, Messenger) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 4) SB - IM MH - *Chronic Periodontitis/complications/metabolism MH - *Diabetes Mellitus, Type 2/complications/metabolism MH - Down-Regulation MH - Humans MH - *Lipopolysaccharide Receptors/metabolism MH - Lymphocyte Antigen 96/metabolism MH - Myeloid Differentiation Factor 88/metabolism MH - RNA, Messenger/metabolism MH - Toll-Like Receptor 4/metabolism PMC - PMC4652420 EDAT- 2015/11/20 06:00 MHDA- 2019/03/28 06:00 PMCR- 2015/11/18 CRDT- 2015/11/20 06:00 PHST- 2015/05/17 00:00 [received] PHST- 2015/10/15 00:00 [accepted] PHST- 2015/11/20 06:00 [entrez] PHST- 2015/11/20 06:00 [pubmed] PHST- 2019/03/28 06:00 [medline] PHST- 2015/11/18 00:00 [pmc-release] AID - 10.1186/s12903-015-0118-3 [pii] AID - 118 [pii] AID - 10.1186/s12903-015-0118-3 [doi] PST - epublish SO - BMC Oral Health. 2015 Nov 18;15:145. doi: 10.1186/s12903-015-0118-3.