Messenger RNA Expression and Quantification of L-plastin in Subgingival Tissue Samples of Generalized Severe Chronic Periodontitis Patients with and without Type 2 Diabetes Mellitus
Jaideep Mahendra, Dhana Divya, Muskan Bedi, Little Mahendra
Keywords :
Inflammation, L-plastin, Periodontitis, Proteomes, Type 2 diabetes mellitus
Citation Information :
Mahendra J, Divya D, Bedi M, Mahendra L. Messenger RNA Expression and Quantification of L-plastin in Subgingival Tissue Samples of Generalized Severe Chronic Periodontitis Patients with and without Type 2 Diabetes Mellitus. World J Dent 2023; 14 (4):302-307.
Aim: The aim of this study was to assess the demographic variables and clinical parameters and to quantify the levels of L-plastin in subgingival tissue samples of generalized severe chronic periodontitis subjects with and without type 2 diabetes mellitus.
Materials and methods: The participants in this study were chosen from the Outpatient Department of Periodontology, Meenakshi Ammal Dental College (MADC), Meenakshi Academy of Higher Education and Research (MAHER), Chennai, Tamil Nadu, India. Two groups of 70 participants, each with generalized severe chronic periodontitis, were chosen. A total of 35 people in the group I had generalized, severe chronic periodontitis without any other systemic causes. Group II included people with type 2 diabetes who had generalized severe chronic periodontitis. Age, height, weight, body mass index (BMI), and income were all recorded, as well as periodontal metrics like plaque index, bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment level (CAL). Both groups had subgingival tissue samples taken at the site of the periodontal surgery. The obtained samples were then subjected to molecular analysis, including real-time polymerase chain reaction (RT-PCR) for measuring L-plastin messenger RNA (mRNA) expression and enzyme-linked immunosorbent assay (ELISA) for measuring protein concentration.
Results: The mean income, plaque index, CAL, and the mRNA expression and protein quantification of L-plastin were found to be statistically significant between the groups. On correlating the periodontal parameters with the mRNA expression and protein quantification, plaque index and CAL had a significant correlation with L-plastin in both groups. However, group II showed higher periodontal destruction with the presence of this protein.
Conclusion: The subgingival tissue samples of subjects with generalized severe chronic periodontitis and type 2 diabetes mellitus showed elevated levels of mRNA expression and L-plastin protein quantification, indicating that these molecules were locally involved in the pathogenesis of both periodontitis and type 2 diabetes mellitus. It can be utilized as a biomarker for the early detection of individuals at risk for periodontitis and diabetes mellitus.
Thorstensson H, Hugoson A. Periodontal disease experience in adult long-duration insulin- dependent diabetics. J Clin Periodontol 1993;20(5):352–358. DOI: 10.1111/j.1600-051x.1993.tb00372.x
Wang PL, Ohura K. Porphyromonas gingivalis lipopolysaccharide signaling in gingival fibroblasts–CD14 and toll-like receptors. Crit Rev Oral Biol Med 2002;13(2):132–142. DOI: 10.1177/154411130201300204
Iacopino AM. Periodontitis and diabetes interrelationships: role of inflammation. Ann Periodontol 2001;6(1):125–137. DOI: 10.1902/annals.2001.6.1.125
Mahendra J, Mahendra L, Divya D, et al. Association of epstein-barr virus, cytomegalovirus and lipocalin with periodontitis in type 2 diabetic subjects. Oral Dis 2023;29(3):1163–1171. DOI: 10.1111/odi.14091
Cortelli JR, Pinheiro RMS, Raslan SA, et al. Salivary and microbiological parameters of chronic periodontitis subjects with and without type 2 diabetes mellitus: a case-control study. Rev Odontol UNESP 2014;43(3):196–202. DOI: 10.1590/rou.2014.030
Michalusova I, Trubacova D, Cejnar P, et al. Direct tryptic cleavage in bone tissue followed by LC-MS/MS as a first step towards routine characterization of proteins embedded in alveolar bones. Int J Mass Spectrom 2020;455:116375.
Öztürk VÖ, Emingil G, Osterwalder V, et al. The actin-bundling protein L-plastin: a novel local inflammatory marker associated with periodontitis. J Periodontal Res 2015;50(3):337–346. DOI: 10.1111/jre.12212
Ma T, Sadashivaiah K, Chellaiah MA, et al. Regulation of sealing ring formation by L-plastin and cortactin in osteoclasts. J Bio Chem 2010;285(39):29911–29924. DOI: 10.1074/jbc.M109.099697
Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci 2017;11(2):72–80.
Rosa N, Correia MJ, Arrais JP, et al. The landscape of protein biomarkers proposed for periodontal disease: markers with functional meaning. BioMed Res Int 2014;2014:569632. DOI: 10.1155/2014/569632
Wu Y, Shu R, Luo LJ, et al. Initial comparison of proteomic profiles of whole unstimulated saliva obtained from generalized aggressive periodontitis patients and healthy control subjects. J Periodontal Res 2009;44(5):636–644. DOI: 10.1111/j.1600-0765.2008.01172.x
Tonetti MS, Claffey N. Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European workshop in periodontology. J Clin Periodontol 2005;32(6):210–213. DOI: 10.1111/j.1600-051X.2005.00822.x.
Agardh E, Allebeck P, Hallqvist J, et al. Type 2 diabetes incidence and socioeconomic position: a systematic review and meta-analysis. Int J of Epidemiol 2011;40(3):804–818. DOI: 10.1093/ije/dyr029
Abaas R. Periodontal health and biochemical study on saliva and gingival crevicular fluid among diabetics and non-diabetics. J Bagh coll Dentistry 2006;20(1):52–57.
Kudva P, Tabasum ST, Garg N. Evaluation of clinical and metabolic changes after non surgical periodontal treatment of type 2 diabetes mellitus patients: a clinic biochemical study. J Indian Soc Periodontol 2010;14(4):257–262. DOI: 10.4103/0972-124X.76933
Sabah V, Jabir AS, AI-Ghurabi BH. A comparative study on serum leptin and adiponectin levels in periodontitis patients with and without diabetes mellitus type2. Int J Sci Res 2012;3(5):1–4. DOI: 10.15373/22778179
Poplawska KA, Szelachowska M. Association between type 2 diabetes and periodontal health. Adv Med Sci 2014;59(1):126–131.
Katagiri S, Nitta H, Nagasawa T, et al. Effect of glycemic control on periodontitis in type 2 diabetic patients with periodontal disease. J Diabetes Investig 2013;4(3):320–325. DOI: 10.1111/jdi.12026
Campus G, Salem A, Uzzau S, et al. Diabetes and periodontal disease: a case-control study. J Periodontol 2005;76(3):418–425. DOI: 10.1902/jop.2005.76.3.418
Schmittgen TD, Livak KJ. Analyzing real-time PCR data by the comparative C(T) method. Nat Protoc 2008;3(6):1101–1108. DOI: 10.1038/nprot.2008.73
Shinomiya H. Plastin family of actin-bundling proteins: its functions in leukocytes, neurons, intestines, and cancer. Int J Cell Biol 2012;2012:213492. DOI: 10.1155/2012/213492
Arpin M, Friederich E, Algrain M, et al. Functional differences between L- and T-plastin isoforms. J Cell Biol 1994;127(6 Pt 2):1995–2008. DOI: 10.1083/jcb.127.6.1995
Chan P, Simon-Chazottes D, Mattei MG, et al. Comparative mapping of lipocalin genes in human and mouse: the four genes for complement C8 gamma chain, prostaglandin-D-synthase, oncogene-24p3, and progestagen-associated endometrial protein map to HSA9 and MMU2. Genomics 1994;23(1):145–150. DOI: 10.1006/geno.1994.1470