PMID- 26604959 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151125 LR - 20200930 IS - 1735-3327 (Print) IS - 2008-0255 (Electronic) IS - 1735-3327 (Linking) VI - 12 IP - 5 DP - 2015 Sep-Oct TI - Inflammatory markers in gingival crevicular fluid of periodontitis patients with type 2 diabetes mellitus according to glycemic control: A pilot study. PG - 449-55 AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) and periodontitis are inflammatory conditions with a bidirectional association. This pilot study aimed to evaluate whether T2DM and glycemic control interfere in inflammatory markers profiles in gingival crevicular fluid (GCF) in periodontitis patients. MATERIALS AND METHODS: Fourteen diabetic periodontitis patients were enrolled in this study, seven with adequate glycemic control (glycated hemoglobin [HbA1c] <8.0%) (DMA + P) and seven with inadequate control (HbA1c >/=8.0%) (DMI + P). Seven chronic periodontitis patients without diabetes formed the control group (P). GCF was obtained from diseased sites (probing depth >6 mm) of an entirely hemiarch, pooled and cytokines levels determined using multiplex beads immunoassay. Clinical periodontal parameters were analyzed by Mann-Whitney test and levels of cytokines by Kruskal-Wallis and Dunn's multiple comparison tests with confidence level of 95% (P < 0.05). RESULTS: Cytokines profile of GCF obtained from deep periodontal pockets presented high levels of inflammatory cytokines, and there were no statistical differences between levels of interleukin-6 (IL-6), IL-8 and tumor necrosis factor-alpha according to presence of diabetes or percentage of HbA1c among the groups, despite groups with T2DM and periodontitis exhibit higher levels of PD. CONCLUSION: Within the limitations of this study, inflammatory mediators in GCF are dependent to the local response and do not correlate with the diabetic status. FAU - Longo, Priscila Larcher AU - Longo PL AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Artese, Hilana Paula Carilo AU - Artese HP AD - Department of Stomatology, Division of Periodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. FAU - Horliana, Anna Carolina Ratto Tempestini AU - Horliana AC AD - Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University, Sao Paulo, Brazil. FAU - Gomes, Giovane Hisse AU - Gomes GH AD - Department of Stomatology, Division of Periodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. FAU - Romito, Giuseppe Alexandre AU - Romito GA AD - Department of Stomatology, Division of Periodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. FAU - Dib, Sergio Atala AU - Dib SA AD - Department of Endocrinology, School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil. FAU - Mayer, Marcia Pinto Alves AU - Mayer MP AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. LA - eng PT - Journal Article PL - Iran TA - Dent Res J (Isfahan) JT - Dental research journal JID - 101471186 PMC - PMC4630709 OTO - NOTNLM OT - Cytokines OT - diabetes mellitus OT - gingival crevicular fluid OT - inflammation OT - periodontitis EDAT- 2015/11/26 06:00 MHDA- 2015/11/26 06:01 PMCR- 2015/09/01 CRDT- 2015/11/26 06:00 PHST- 2015/11/26 06:00 [entrez] PHST- 2015/11/26 06:00 [pubmed] PHST- 2015/11/26 06:01 [medline] PHST- 2015/09/01 00:00 [pmc-release] AID - DRJ-12-449 [pii] AID - 10.4103/1735-3327.166193 [doi] PST - ppublish SO - Dent Res J (Isfahan). 2015 Sep-Oct;12(5):449-55. doi: 10.4103/1735-3327.166193.