PMID- 31480733 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 8 IP - 9 DP - 2019 Sep 2 TI - Elevated Systemic L-Kynurenine/L-Tryptophan Ratio and Increased IL-1 Beta and Chemokine (CX3CL1, MCP-1) Proinflammatory Mediators in Patients with Long-Term Titanium Dental Implants. LID - 10.3390/jcm8091368 [doi] LID - 1368 AB - Titanium is the mean biocompatible metal found in dental titanium alloys (Ti-6Al-4V). The safety of certain dental biomaterial amalgams has been questioned in patients. The levels of several systemic cytokines (interleukin (IL)-1 beta, IL-4: pg/mL) and chemokines (monocyte chemoattractant protein-1 (MCP-1), soluble fractalkine (CX3CL1: pg/mL) were determined using ELISA and compared between these study groups. The study included 30 controls without dental materials (cont), 57 patients with long-term titanium dental implants plus amalgams (A + I group) as well as 55 patients with long-term dental amalgam alone (A group). All patients (except controls) have had dental titanium implants (Ti-6Al-4V) and/or amalgams for at least 10 years (average: 15 years). We evaluated whether systemic levels of cytokines/chemokines, kyn/L-trp ratio and aromatic amino acid levels (HPLC: mM/L, Phe, L-Trp, His, Treo) could be altered in patients with long-term dental titanium and/or amalgams. These systemic markers were evaluated in 142 patients. The A + I group had higher L-Kynurenine/L-Tryptophan ratios than patients with long-term dental amalgam fillings alone (A). In addition, levels of IL-1 Beta cytokine, CX3CL1 and MCP-1 chemokines were higher in the A + I group than in the A group (A). The increased L-kyn/L-trp ratio and MCP-1 and fractalkine receptor (CX3CR1) elevations could suggest enhanced chemotactic responses by these chemokines in the A + I group. FAU - Merino, Jose Joaquin AU - Merino JJ AD - Departamento de Farmacologia, Farmacognosia y Botanica, Facultad de Farmacia, Universidad Complutense de Madrid (U.C.M), c/Plaza Ramon y Cajal s/n, 28040 Madrid, Spain. info@jjmerino.com. AD - Centro CIROM, Centro de Implantologia y Rehabilitacion Oral Multidisciplinaria, 30001 Murcia, Spain. info@jjmerino.com. FAU - Cabana-Munoz, Maria Eugenia AU - Cabana-Munoz ME AD - Centro CIROM, Centro de Implantologia y Rehabilitacion Oral Multidisciplinaria, 30001 Murcia, Spain. FAU - Toledano Gasca, Adolfo AU - Toledano Gasca A AD - Department of Neuroanatomy, Instituto Cajal (CSIC), 28040 Madrid, Spain. FAU - Garcimartin, Alba AU - Garcimartin A AD - Departamento de Farmacologia, Farmacognosia y Botanica, Facultad de Farmacia, Universidad Complutense de Madrid (U.C.M), c/Plaza Ramon y Cajal s/n, 28040 Madrid, Spain. FAU - Benedi, Juana AU - Benedi J AD - Departamento de Farmacologia, Farmacognosia y Botanica, Facultad de Farmacia, Universidad Complutense de Madrid (U.C.M), c/Plaza Ramon y Cajal s/n, 28040 Madrid, Spain. FAU - Camacho-Alonso, Fabio AU - Camacho-Alonso F AD - Faculty of Medicine, University of Murcia, 30100 Murcia, Spain. FAU - Parmigiani-Izquierdo, Jose Maria AU - Parmigiani-Izquierdo JM AD - Centro CIROM, Centro de Implantologia y Rehabilitacion Oral Multidisciplinaria, 30001 Murcia, Spain. LA - eng PT - Journal Article DEP - 20190902 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC6780981 OTO - NOTNLM OT - CX3CL1 (fractalkine) OT - His OT - IDO OT - L-Kyn/L-Trp OT - amino acids OT - chemokines OT - chemotaxis OT - cytokines OT - dentistry and medical toxicology OT - inflammation OT - kynurenine pathways OT - melatonin OT - titanium dental implants and dental amalgam fillings OT - tryptophan (L-Trp), cytokines COIS- The authors declare no conflict of interest. EDAT- 2019/09/05 06:00 MHDA- 2019/09/05 06:01 PMCR- 2019/09/02 CRDT- 2019/09/05 06:00 PHST- 2019/08/13 00:00 [received] PHST- 2019/08/27 00:00 [revised] PHST- 2019/08/28 00:00 [accepted] PHST- 2019/09/05 06:00 [entrez] PHST- 2019/09/05 06:00 [pubmed] PHST- 2019/09/05 06:01 [medline] PHST- 2019/09/02 00:00 [pmc-release] AID - jcm8091368 [pii] AID - jcm-08-01368 [pii] AID - 10.3390/jcm8091368 [doi] PST - epublish SO - J Clin Med. 2019 Sep 2;8(9):1368. doi: 10.3390/jcm8091368.