PMID- 31980002 OWN - NLM STAT- MEDLINE DCOM- 20200806 LR - 20221207 IS - 1502-3850 (Electronic) IS - 0001-6357 (Linking) VI - 78 IP - 5 DP - 2020 Jul TI - Salivary human beta-defensins and cathelicidin levels in relation to periodontitis and type 2 diabetes mellitus. PG - 327-331 LID - 10.1080/00016357.2020.1715471 [doi] AB - Objective: Type 2 diabetes mellitus (T2DM) is a well-defined risk factor of periodontitis and it can affect expression of human beta-defensins (hBDs) and cathelicidin (LL-37) as well. The aim of the present study was to evaluate the impact of periodontitis and T2DM on salivary concentrations of these antimicrobial peptides.Material and methods: Unstimulated saliva samples, together with full-mouth periodontal recordings were collected from 92 individuals with periodontitis (63 with T2DM and 21 smokers) and 86 periodontally healthy controls (58 with T2DM and 21 smokers). Salivary hBD-1, -2, -3, LL-37, and advanced glycalization end products (AGE) concentrations were measured by enzyme-linked immunosorbent assay.Results: Among the periodontitis patients, T2DM group demonstrated lower levels of hBD-1 (p = .006), hBD-2 (p < .001) and hBD-3 (p < .001), and higher levels of LL-37 (p < .001) compared to systemically healthy controls. When only periodontally healthy controls were included into the analysis, higher hBD-1 (p = .002) and LL-37 (p < .001) levels were found in T2DM patients in comparison to systemically healthy controls. Salivary LL-37 levels were associated with HbA1c and periodontitis, while hBD-2, hBD-3 and levels associated only with HbA1c.Conclusion: In the limits of this study, hyperglycaemia can be proposed as a regulator of salivary hBD and cathelicidin levels. Periodontitis, on the other hand, affects only salivary LL-37 levels. FAU - Yilmaz, Dogukan AU - Yilmaz D AD - Department of Periodontology, Faculty of Dentistry, Sakarya University, Sakarya, Turkey. FAU - Topcu, Ali Orkun AU - Topcu AO AD - Private Practice, Ankara, Turkey. FAU - Akcay, Emine Ulku AU - Akcay EU AD - Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey. FAU - Altindis, Mustafa AU - Altindis M AD - Department of Infectious Disease and Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey. FAU - Gursoy, Ulvi Kahraman AU - Gursoy UK AD - Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland. LA - eng PT - Journal Article DEP - 20200124 PL - Sweden TA - Acta Odontol Scand JT - Acta odontologica Scandinavica JID - 0370344 RN - 0 (Antimicrobial Cationic Peptides) RN - 0 (Glycated Hemoglobin A) RN - 0 (beta-Defensins) RN - 0 (hemoglobin A1c protein, human) RN - 0 (Cathelicidins) SB - IM MH - Adult MH - Antimicrobial Cationic Peptides/blood/*metabolism MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/complications MH - Glycated Hemoglobin MH - Humans MH - Middle Aged MH - Periodontitis/*blood/microbiology/therapy MH - Saliva/*chemistry/metabolism MH - beta-Defensins/*blood/metabolism MH - Cathelicidins OTO - NOTNLM OT - Antimicrobial peptides OT - diabetes mellitus OT - periodontitis OT - saliva EDAT- 2020/01/26 06:00 MHDA- 2020/08/07 06:00 CRDT- 2020/01/26 06:00 PHST- 2020/01/26 06:00 [pubmed] PHST- 2020/08/07 06:00 [medline] PHST- 2020/01/26 06:00 [entrez] AID - 10.1080/00016357.2020.1715471 [doi] PST - ppublish SO - Acta Odontol Scand. 2020 Jul;78(5):327-331. doi: 10.1080/00016357.2020.1715471. Epub 2020 Jan 24.