World Journal of Dentistry

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VOLUME 15 , ISSUE 7 ( July, 2024 ) > List of Articles

ORIGINAL RESEARCH

Expression of Serum and Salivary Levels of Obestatin in Periodontitis Patients with and without Iron Deficiency Anemia

Srijanani Santhanakrishnan, Geetha Ari, Sathish Rajendran, Jaideep Mahendra, Ambalavanan Namasivayam

Keywords : Anemia, Gut hormones, Periomedicine, Periodontal diseases

Citation Information : Santhanakrishnan S, Ari G, Rajendran S, Mahendra J, Namasivayam A. Expression of Serum and Salivary Levels of Obestatin in Periodontitis Patients with and without Iron Deficiency Anemia. World J Dent 2024; 15 (7):625-629.

DOI: 10.5005/jp-journals-10015-2454

License: CC BY-NC 4.0

Published Online: 04-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim and background: To evaluate and correlate the serum and salivary obestatin levels in periodontitis patients with and without iron deficiency anemia (IDA). Materials and methods: A total of 30 patients needed for this study were recruited from the Institutional Outpatient Department of Periodontology and were divided into three groups—group periodontitis (P) had 10 patients with only periodontitis, group IDA had 10 patients with only IDA, and group iron deficiency anemia + periodontitis (IDA + P) had 10 patients with both periodontitis and IDA. After recording the periodontal parameters, the serum and saliva samples were collected, and the obestatin levels were estimated using an enzyme-linked immunosorbent assay (ELISA) kit. Results: Group IDA + P, when compared to group IDA and group P, showed higher mean values of plaque index (PI), modified gingival index (MGI), probing depth (PD) and clinical attachment levels (CALs). In comparison with the other two groups, in patients with periodontitis in group P, serum and salivary obestatin mean values were increased. A statistically significant strong positive Spearman correlation between the serum and salivary levels of obestatin, as well as between PD and CALs, was found. Conclusion: Our findings are suggestive that the serum and salivary levels of obestatin could serve as a potential biomarker of IDA and periodontal disease. Thus, further research is needed to explore the underlying mechanism and understand the relationship between this marker and periodontitis. Clinical significance: In patients with periodontitis and IDA, the serum and salivary obestatin levels could serve as potential biomarkers, thus indicating the progression of these chronic diseases.


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  1. Kinane DF. Causation and pathogenesis of periodontal disease. Periodontol 2000 2001;25(1):8–20. DOI: 10.1034/j.1600-0757.2001.22250102.x
  2. Martínez-García M, Hernández-Lemus E. Periodontal inflammation and systemic diseases: an overview. Front Physiol 2021;12:709438. DOI: 10.3389/fphys.2021.709438
  3. Wallace DF. The regulation of iron absorption and homeostasis. Clin Biochem Rev 2016;37(2):51–62.
  4. Lacquaniti A, Donato V, Chirico V, et al. Obestatin: an interesting but controversial gut hormone. Ann Nutr Metab 2011;59(2–4):193–199. DOI: 10.1159/000334106
  5. Cowan E, Burch KJ, Green BD, et al. Obestatin as a key regulator of metabolism and cardiovascular function with emerging therapeutic potential for diabetes. Br J Pharmacol 2016;173(14):2165–2181. DOI: 10.1111/bph.13502
  6. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38(6):610–616. DOI: 10.1902/jop.1967.38.6.610
  7. Lobene RR, Weatherford T, Ross NM, et al. A modified gingival index for use in clinical trials. Clin Prev Dent 1986;8(1):3–6.
  8. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005;366(9499):1809–1820. DOI: 10.1016/S0140-6736(05)67728-8
  9. Lainson PA, Brady PP, Fraleigh CM. Anemia, a systemic cause of periodontal disease? J Periodontol 1968;39(1):35–38. DOI: 10.1902/jop.1968.39.1.35
  10. Chawla TN, Kapoor KK, Teotia SP, et al. Anaemia and periodontal disease–a correlative study. J Indian Dent Assoc 1971;43(4):67–78.
  11. Balendran S, Forsyth C. Non-anaemic iron deficiency. Aust Prescr 2021;44(6):193–196. DOI: 10.18773/austprescr.2021.052
  12. Chakraborty S, Tewari S, Sharma RK, et al. Effect of non-surgical periodontal therapy on serum ferritin levels: an interventional study. J Periodontol 2014;85(5):688–696. DOI: 10.1902/jop.2013.130107
  13. Ghrayeb H, Elias M, Nashashibi J, et al. Appetite and ghrelin levels in iron deficiency anemia and the effect of parenteral iron therapy: a longitudinal study. PLoS One 2020;15(6):e0234209. DOI: 10.1371/journal.pone.0234209
  14. Arredondo M, Núñez MT. Iron and copper metabolism. Mol Aspects Med 2005;26(4-5):313–327. DOI: 10.1016/j.mam.2005.07.010
  15. Ozbay Y, Aydin S, Dagli AF, et al. Obestatin is present in saliva: Alterations in obestatin and ghrelin levels of saliva and serum in ischemic heart disease. J Biochem Mol Biol 2008;41(1):55–61. DOI: 10.5483/bmbrep.2008.41.1.055
  16. Aydin S, Halifeoglu I, Ozercan IH, et al. A comparison of leptin and ghrelin levels in plasma and saliva of young healthy subjects. Peptides 2005;26(4):647–652. DOI: 10.1016/j.peptides.2004.11.008
  17. Prodam F, Cadario F, Bellone S, et al. Obestatin levels are associated with C-peptide and antiinsulin antibodies at the onset, whereas unacylated and acylated ghrelin levels are not predictive of long-term metabolic control in children with type 1 diabetes. J Clin Endocrinol Metab 2014;99(4):E599–E607. DOI: 10.1210/jc.2013-3294
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