PMID- 35861756 OWN - NLM STAT- MEDLINE DCOM- 20221110 LR - 20221110 IS - 1436-3771 (Electronic) IS - 1432-6981 (Linking) VI - 26 IP - 11 DP - 2022 Nov TI - Relationship between chronic periodontitis and inflammatory cytokines in patients undergoing maintenance hemodialysis. PG - 6699-6709 LID - 10.1007/s00784-022-04629-0 [doi] AB - OBJECTIVES: To investigate the correlation between serum and gingival crevicular fluid (GCF) levels of inflammatory cytokines and the association with periodontal parameters in patients with maintenance hemodialysis (MHD) and healthy control. MATERIALS AND METHODS: Patients who were undergoing MHD were enrolled as the MHD group. Healthy individuals who underwent oral examination were selected as the control group after matching for the MHD group. All participants underwent a full-mouth periodontal evaluation, and the levels of eight inflammatory cytokines, including IL-1beta, IL-17, IL-6, IL-8, and tumor necrosis factor-alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1), matrix metalloproteinase-8 (MMP-8), and C-reactive protein (CRP), in the GCF and serum were measured. RESULTS: A total of 63 MHD patients and 75 healthy persons were included. The prevalence of moderate/severe periodontitis was significantly higher in the MHD group than in the control group (88.9 vs. 66.7%, P < 0.05). The GCF levels of CRP, TNF-alpha, MCP-1, and MMP-8 were higher in patients in the MHD group with moderate/severe periodontitis than in the control group (P < 0.05). Serum CRP, MCP-1, TNF-alpha, and MMP-8 levels were positively correlated with the GCF CRP levels (P < 0.05). The GCF and serum CRP levels were positively correlated with the periodontal clinical parameters (P < 0.05). CONCLUSIONS: Serum CRP, MCP-1, TNF-alpha, and MMP-8 may relate with the GCF CRP levels. The GCF and serum CRP levels correlated positively with the periodontal clinical parameters, including the VPI, PPD, and CAL, indicating that CRP may play an important role between periodontitis and ESRD. CLINICAL RELEVANCE: The present study indicated that GCF and serum CRP levels correlated positively with the periodontal clinical parameters, and the CRP levels may be selected as an indicator to evaluate the severity of inflammation and the effectiveness, prognosis of periodontal treatment in ESRD patients. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Lu, Haixia AU - Lu H AD - Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, 639 Zhizaoju Road, Shanghai, China. FAU - Wu, Hongyu AU - Wu H AD - Department of Endodontics, Shanghai Stomatological Hospital, Fudan University; Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, 356 Beijingdong Road, Shanghai, China. FAU - Yang, Yuanmeng AU - Yang Y AD - Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, 639 Zhizaoju Road, Shanghai, China. FAU - Feng, Xiping AU - Feng X AD - Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, 639 Zhizaoju Road, Shanghai, China. FAU - Ma, Xiaoxin AU - Ma X AD - Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, 639 Zhizaoju Road, Shanghai, China. FAU - Xie, Yingxin AU - Xie Y AD - Department of Nephrology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, China. FAU - Xie, Danshu AU - Xie D AD - Department of Nephrology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, China. FAU - Wang, Wenji AU - Wang W AD - Department of Nephrology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, China. FAU - Lo, Edward Chin Man AU - Lo ECM AD - Dental Public Health, Faculty of Dentistry, University of Hong Kong, 34 Hospital Road, Hong Kong, China. FAU - Ye, Wei AU - Ye W AUID- ORCID: 0000-0001-8001-2834 AD - Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, 639 Zhizaoju Road, Shanghai, China. jyyewei@163.com. LA - eng GR - 2019-I2M-5-037/CAMS Innovation Fund for Medical Sciences/ GR - 19MC1910600/Shanghai Clinical Research Center for Oral Diseases/ GR - 201918069/Clinical Research Program of ninth People's Hospital, Shanghai JiaoTong University School of Medicine/ GR - 201940041/General Project of the Shanghai Municipal Health Committee/ GR - SHDC2020CR5015/Clinical Research Plan of SHDC/ PT - Journal Article DEP - 20220721 PL - Germany TA - Clin Oral Investig JT - Clinical oral investigations JID - 9707115 RN - EC 3.4.24.34 (Matrix Metalloproteinase 8) RN - 0 (Cytokines) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) MH - Humans MH - *Chronic Periodontitis/therapy MH - Matrix Metalloproteinase 8 MH - Cytokines MH - Tumor Necrosis Factor-alpha/analysis MH - Gingival Crevicular Fluid/chemistry MH - C-Reactive Protein/analysis MH - Renal Dialysis MH - *Kidney Failure, Chronic/therapy OTO - NOTNLM OT - End-stage renal disease OT - Gingival crevicular fluid OT - Inflammatory cytokines OT - Maintenance hemodialysis OT - Periodontitis EDAT- 2022/07/22 06:00 MHDA- 2022/11/11 06:00 CRDT- 2022/07/21 11:03 PHST- 2022/03/18 00:00 [received] PHST- 2022/07/12 00:00 [accepted] PHST- 2022/07/22 06:00 [pubmed] PHST- 2022/11/11 06:00 [medline] PHST- 2022/07/21 11:03 [entrez] AID - 10.1007/s00784-022-04629-0 [pii] AID - 10.1007/s00784-022-04629-0 [doi] PST - ppublish SO - Clin Oral Investig. 2022 Nov;26(11):6699-6709. doi: 10.1007/s00784-022-04629-0. Epub 2022 Jul 21.