PMID- 32256092 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 13 DP - 2020 TI - Antioxidant and Anti-Inflammatory Properties of Melatonin in Patients with Type 2 Diabetes Mellitus with Periodontal Disease Under Non-Surgical Periodontal Therapy: A Double-Blind, Placebo-Controlled Trial. PG - 753-761 LID - 10.2147/DMSO.S242208 [doi] AB - BACKGROUND AND AIM: The imbalance between pro-oxidant and antioxidant systems often leads to further oxidative damage in the pathogenesis of both diabetes and periodontal disease. This study aimed to investigate the antioxidant and anti-inflammatory properties of melatonin in type 2 diabetes mellitus (T2DM) patients with periodontal disease (PD) under non-surgical periodontal therapy (NSPT). MATERIALS AND METHODS: In this double-blind clinical trial study, 50 T2DM patients with PD were randomly allocated to intervention and control groups and received 250 mg/day (2 tablets) either melatonin or placebo 1 h before bedtime for 8 weeks. The NSPT was performed for all patients in both groups at the beginning of the study. The serum levels of interleukin-1b (IL-1b), malondialdehyde (MDA), total antioxidant capacity (TAC), superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) were measured pre- and post-intervention. RESULTS: Supplementation with melatonin in adjunct to NSPT significantly increased the serum levels of TAC, SOD, CAT, and GPx in the intervention group (P = 0.02, 0.008, 0.004 and 0.004, respectively). The mean changes of SOD, CAT, and GPx were significantly (P = 0.02, 0.04 and 0.04, respectively) greater in the intervention group compared with the control group. Also, after adjusting for confounding factors, the results did not change in terms of significance (P < 0.05). After the intervention, serum levels of MDA and IL-1b were significantly reduced in the intervention group (P < 0.001 and P = 0.008, respectively). The intervention group exhibited lower mean changes of MDA compared with the control group, and these changes were statistically significant (P = 0.008). In addition, after adjusting for confounding factors, the results did not change in terms of significance. CONCLUSION: The adjunctive effects of melatonin and NSPT may improve inflammatory and antioxidant parameters in T2DM patients with PD. CI - (c) 2020 Zare Javid et al. FAU - Zare Javid, Ahmad AU - Zare Javid A AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AD - Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Hosseini, Seyed Ahmad AU - Hosseini SA AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AD - Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Gholinezhad, Hassan AU - Gholinezhad H AD - Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Moradi, Leila AU - Moradi L AD - Health Research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Haghighi-Zadeh, Mohammad Hosein AU - Haghighi-Zadeh MH AD - Department of Biostatistics, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Bazyar, Hadi AU - Bazyar H AUID- ORCID: 0000-0002-1627-7122 AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AD - Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. LA - eng PT - Journal Article DEP - 20200318 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC7090208 OTO - NOTNLM OT - antioxidant enzymes OT - inflammatory markers OT - melatonin OT - periodontal disease OT - type 2 diabetes mellitus COIS- The authors have declared that they have no conflicts of interest in this work. EDAT- 2020/04/08 06:00 MHDA- 2020/04/08 06:01 PMCR- 2020/03/18 CRDT- 2020/04/08 06:00 PHST- 2019/12/13 00:00 [received] PHST- 2020/03/10 00:00 [accepted] PHST- 2020/04/08 06:00 [entrez] PHST- 2020/04/08 06:00 [pubmed] PHST- 2020/04/08 06:01 [medline] PHST- 2020/03/18 00:00 [pmc-release] AID - 242208 [pii] AID - 10.2147/DMSO.S242208 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2020 Mar 18;13:753-761. doi: 10.2147/DMSO.S242208. eCollection 2020.