Periodontal disease may induce liver fibrosis in an experimental study on Wistar rats.

liver fibrosis matrix metalloproteinase 8 oxidative stress periodontal disease

Journal

Journal of periodontology
ISSN: 1943-3670
Titre abrégé: J Periodontol
Pays: United States
ID NLM: 8000345

Informations de publication

Date de publication:
08 2019
Historique:
received: 03 10 2018
revised: 05 12 2018
accepted: 31 12 2018
pubmed: 29 1 2019
medline: 9 4 2020
entrez: 29 1 2019
Statut: ppublish

Résumé

The aim was to assess the effects of periodontal disease in promoting liver fibrosis in a rat model of ligature-induced periodontitis. Twenty-four Wistar rats were divided into four groups: control (CTRL), experimental periodontitis group at day 7 (PER7), at day 14 (PER14), at day 21 (PER21). Experimental periodontitis was induced by the placement of a silk ligature around mandibular incisors. The following parameters were assessed: gingival index, tooth mobility; liver status, and portal vein caliber by ultrasound examination; bone retraction, bone mineral density (BMD), bone volume/tissue volume (BV/TV) by micro-CT analysis; aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT); oxidative stress (malondialdehyde [MDA], reduced glutathione/oxidative glutathione ratio [GSH/GSSG]), and matrix metalloproteinase-8 (MMP-8) levels; and histopathological evaluation of periodontal and liver tissues. Periodontal parameters showed the development of periodontitis in experimental groups. Micro-CT results indicates an increase of bone retraction and BMD values and a decrease of BV/TV value in PER groups. Liver fibrosis could not be diagnosed with ultrasound examination in any of the groups. Elevated levels of ASAT and ALAT in PER groups compared with CTRL group were found. MDA have indicated elevated levels and a decrease of GSH/GSSG ratio in PER group compared with the CTRL group. Levels of MMP-8 have indicated high values in PER21 compared with the other groups. Histological analysis of the periodontal and liver tissues sustains the link between periodontal and hepatic injury. This study demonstrates a positive correlation between periodontal lesions and liver disease. Periodontitis may be an independent risk factor for liver fibrosis.

Sections du résumé

BACKGROUND
The aim was to assess the effects of periodontal disease in promoting liver fibrosis in a rat model of ligature-induced periodontitis.
METHODS
Twenty-four Wistar rats were divided into four groups: control (CTRL), experimental periodontitis group at day 7 (PER7), at day 14 (PER14), at day 21 (PER21). Experimental periodontitis was induced by the placement of a silk ligature around mandibular incisors. The following parameters were assessed: gingival index, tooth mobility; liver status, and portal vein caliber by ultrasound examination; bone retraction, bone mineral density (BMD), bone volume/tissue volume (BV/TV) by micro-CT analysis; aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT); oxidative stress (malondialdehyde [MDA], reduced glutathione/oxidative glutathione ratio [GSH/GSSG]), and matrix metalloproteinase-8 (MMP-8) levels; and histopathological evaluation of periodontal and liver tissues.
RESULTS
Periodontal parameters showed the development of periodontitis in experimental groups. Micro-CT results indicates an increase of bone retraction and BMD values and a decrease of BV/TV value in PER groups. Liver fibrosis could not be diagnosed with ultrasound examination in any of the groups. Elevated levels of ASAT and ALAT in PER groups compared with CTRL group were found. MDA have indicated elevated levels and a decrease of GSH/GSSG ratio in PER group compared with the CTRL group. Levels of MMP-8 have indicated high values in PER21 compared with the other groups. Histological analysis of the periodontal and liver tissues sustains the link between periodontal and hepatic injury.
CONCLUSION
This study demonstrates a positive correlation between periodontal lesions and liver disease. Periodontitis may be an independent risk factor for liver fibrosis.

Identifiants

pubmed: 30689209
doi: 10.1002/JPER.18-0585
doi:

Substances chimiques

Malondialdehyde 4Y8F71G49Q

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

911-919

Informations de copyright

© 2019 American Academy of Periodontology.

Auteurs

Alexandru Mester (A)

Department of Oral Rehabilitation, Oral Health and Dental Office Management, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Lidia Ciobanu (L)

Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Marian Taulescu (M)

Department of Pathology, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.

Dragos Apostu (D)

Department of Orthopedics and Traumatology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Ondine Lucaciu (O)

Department of Oral Rehabilitation, Oral Health and Dental Office Management, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Gabriela Adriana Filip (GA)

Department of Physiology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Vasile Feldrihan (V)

Department of Allergology and Immunology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Emilia Licarete (E)

Molecular Biology Centre, Institute for Interdisciplinary Research in Bio-Nano-Sciences, Babes-Bolyai University, Cluj-Napoca, Romania.

Aranka Ilea (A)

Department of Oral Rehabilitation, Oral Health and Dental Office Management, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Andra Piciu (A)

Department of Medical Oncology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Daniel Oltean-Dan (D)

Department of Orthopedics and Traumatology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Iuliu Scurtu (I)

Department of Internal Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.

Cristian Berce (C)

Animal Facility, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Radu Septimiu Campian (RS)

Department of Oral Rehabilitation, Oral Health and Dental Office Management, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

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Classifications MeSH