PMID- 28836285 OWN - NLM STAT- MEDLINE DCOM- 20180820 LR - 20180820 IS - 1600-051X (Electronic) IS - 0303-6979 (Linking) VI - 44 IP - 12 DP - 2017 Dec TI - Periodontal treatment modulates gene expression of endothelial progenitor cells in diabetic patients. PG - 1253-1263 LID - 10.1111/jcpe.12806 [doi] AB - BACKGROUND: Periodontitis is closely linked with type 2 diabetes mellitus (T2DM) and endothelial dysfunction. This study investigated the effects of periodontal treatment on immuno-inflammatory gene expression of endothelial progenitor cells (EPCs) in diabetic patients. METHODS: Eighteen T2DM patients with moderate to severe chronic periodontitis were randomly assigned to the Treatment group with oral hygiene instruction (OHI), scaling and root debridement (n = 11), and Control group (n = 7) with OHI alone. Peripheral blood samples were taken for biochemical analysis and culture of EPCs at baseline and 6 months after the treatment. PCR array-based profiling of 84 Toll-like receptor signalling-related genes in EPCs was firstly assessed for four randomly selected patients from the Treatment group. The differentially expressed genes were then further validated by qPCR in both groups. RESULTS: All subjects in the Treatment group significantly improved their periodontal conditions. Among the 84 genes tested, IL-6 and IL-8 transcripts were significantly downregulated with over twofold change after the treatment, and this observation was further validated by qPCR in all subjects from both groups (p < .05). CONCLUSION: This preliminary study suggests that periodontal treatment may contribute to a notable reduction in immuno-inflammatory gene expression measured by IL-6 and IL-8 transcripts in EPCs. CI - (c) 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Wang, Yi AU - Wang Y AD - Discipline of Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. FAU - Liu, Hin Nam AU - Liu HN AD - Discipline of Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. FAU - Zhen, Zhe AU - Zhen Z AD - Division of Cardiology, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Yiu, Kai Hang AU - Yiu KH AD - Division of Cardiology, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Tse, Hung Fat AU - Tse HF AD - Division of Cardiology, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Pelekos, George AU - Pelekos G AD - Discipline of Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. FAU - Tonetti, Maurizio AU - Tonetti M AD - Discipline of Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. FAU - Jin, Lijian AU - Jin L AUID- ORCID: 0000-0002-5340-9710 AD - Discipline of Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. LA - eng PT - Journal Article DEP - 20171024 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Cell Culture Techniques MH - Child MH - Chronic Periodontitis/blood/immunology/*therapy MH - Dental Plaque Index MH - Dental Scaling MH - Diabetes Mellitus, Type 2/blood/*complications MH - Endothelial Progenitor Cells/*metabolism MH - Female MH - *Gene Expression MH - Hong Kong MH - Humans MH - Inflammation/*genetics/immunology MH - Interleukin-6/blood/metabolism MH - Interleukin-8/blood/metabolism MH - Male MH - Middle Aged MH - Oral Hygiene MH - Periodontal Index MH - Periodontal Pocket/classification MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - endothelial progenitor cell OT - gene expression OT - inflammation OT - periodontitis OT - type 2 diabetes EDAT- 2017/08/25 06:00 MHDA- 2018/08/21 06:00 CRDT- 2017/08/25 06:00 PHST- 2017/08/18 00:00 [accepted] PHST- 2017/08/25 06:00 [pubmed] PHST- 2018/08/21 06:00 [medline] PHST- 2017/08/25 06:00 [entrez] AID - 10.1111/jcpe.12806 [doi] PST - ppublish SO - J Clin Periodontol. 2017 Dec;44(12):1253-1263. doi: 10.1111/jcpe.12806. Epub 2017 Oct 24.