employee
Astrahan', Astrakhan, Russian Federation
employee
Astrahan', Astrakhan, Russian Federation
employee
Astrahan', Astrakhan, Russian Federation
Stavropol, Russian Federation
GRNTI 76.29 Клиническая медицина
Background. The study of the features of the course and the general links of pathogenesis in patients with chronic generalized periodontitis (CGP) with comorbid pathology is one of the priorities of modern medicine. Objectives ― to assess and analyze the level of apoptosis marker annexin A5 and the value of dental indices in patients with CGP of varying severity without General somatic pathology and against the background of bronchiectatic disease Methods. The study involved 90 patients with present study included varying degrees (light, medium, heavy), which were divided into two groups: patients with no somatic pathology (n=40) and patients with comorbid pathology in the form of bronchoectatic disease (n=50). Somatically healthy individuals with intact periodontal disease (n=40) were examined as a control group. The values of dental indices – PMA, PI, Muhlemann and OHI-s. The level of annexin A5 was determined in the oral fluid by enzyme immunoassay. Results. In patients with CGP revealed a statistically significant higher value of the level of annexin A5 compared with somatically healthy individuals with intact periodontal and statistically significantly higher in patients with more severe periodontitis. At the same time, in patients with comorbid pathology, the level of annexin A5 in patients with CGP with bronchoectatic disease with mild, average and heavy degree of periodontitis is statistically significantly higher than in patients with CGP without somatic pathology. The revealed relationships between the value of dental indices and the level of annexin A5 indicate the influence of the studied marker of apoptosis on the state of periodontal tissues. Moreover, the patients with comorbidity the power value of the identified links more than the present study included patients with no somatic pathology. Conclusion. The obtained data show the influence on the currents present study included the presence of comorbid pathology in the form of bronchoectatic disease and presence of common mutually aggravating link of pathogenesis of apoptosis and the opportunity to use annexin A5 as predictive marker of progression, as the present study included patients with no somatic pathology and in the background bronchoectatic disease.
chronic generalized periodontitis, bronchoectatic disease, comorbidity, dental indices, apoptosis, annexin A5
1. Leont’yeva, E. YU., Bykovskaya, T. YU., Molchanova, A. V. (2017). Komorbidnost’ stomatologicheskoy patologii [Comorbidity of oral pathology]. Glavnyy vrach Yuga Rossii [Chief Physician of the South of Russia], 55, 22-24. (In Russ.)
2. Preshaw, P. M., Alba, A. L., Herrera, D. et al. (2019). Periodontitis and diabetes: a two-way relationship. Diabetologia, 55 (1), 21-31. doihttps://doi.org/10.1007/s00125-011-2342-y
3. Nagayeva, M. O., Miroshnichenko, V.,V. (2017). Rol’ morfo-konstitutsional’nykh faktorov i sistemnoy patologii v razvitii stomatologicheskikh zabolevaniy [The role of morpho-constitutional factors and systemic pathology in the development of dental diseases]. Meditsinskaya nauka i obrazovanie Urala [Medical Science and Education of the Urals], 18 (1), 160-165. (In Russ.)
4. Lertpimonchai, A., Rattanasiri, S., Tamsailom, S. et al. (2019). Periodontitis as the risk factor of chronic kidney disease: Mediation analysis. J Clin Periodontol. 46 (6), 631-639. doi:https://doi.org/10.1111/jcpe.13114.
5. Khumaedi, A. I., Purnamasari, D., Wijaya, I. P. et al. (2019) The relationship of diabetes, periodontitis and cardiovascular disease. Diabetes Metab Syndr. 13 (2), 1675-1678. doi:https://doi.org/10.1016/j.dsx.2019.03.023.
6. Subanova, A. A. (2015). Osobennosti epidemiologii i patogeneza zabolevaniy parodonta (obzor literatury) [Etiology and pathogenesis features of inflammatory periodontal diseases (Review)]. Vestnik KRSU [Bulletin of KRSU], 15 (7), 152-155. (In Russ.)
7. Prathypaty, S. K., Akula, M., Darapla, A. et al. (2019). Prevalence of different forms of periodontitis in patients visiting Government Dental College and Hospital, Hyderabad, since lastdecade: A retrospective study. J Indian Soc Periodontol, 23 (4), 367-370. doi:https://doi.org/10.4103/jisp.jisp_698_18.
8. Volkov, E. A., Malyavin, A. G., Chesnokova, VY. U. (2014). Vliyanie parodontita na tyazhest' techeniya khronicheskoy obstruktivnoy bolezni legkikh [How Periodontitis Influences Severity of Chronic Obstructive Pulmonary Disease]. Doktor.Ru [Doktor.Ru.], 2 (90), 33-39. (In Russ.)
9. Hobbins, S., Chapple, I. L., Sapey, E. et al. (2017). Is periodontitis a comorbidity of COPD or can associations be explained by shared risk factors/behaviors? Int J Chron Obstruct Pulmon Dis, 12, 1339-1349. doi:https://doi.org/10.2147/COPD.S127802.
10. Nazir, M. A. (2017). Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim), 11 (2), 72-80.
11. Lira-Junior, R. ,Figueredo, C. M. (2016) Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions? World J Gastroenterol, 22 (35), 7963-7972. doi:https://doi.org/10.3748/wjg.v22.i35.7963.
12. Bazarnyi, V. V., Polushina, L. G., Maksimova, A. Y. et al. (2018). Patogeneticheskoe obosnovanie novykh podkhodov k otsenke sostoyaniya tkaney polosti rta pri khronicheskom generalizovannom parodontite [Pathogenetic justification of new approaches to the assessment of the state of oral cavity in chronic generalized parodontitis]. Problemy stomatologii [Actual problems in dentistry], 14 (4), 14-18. (In Russ.) doi:https://doi.org/10.18481/2077-7566-2018-14-4-14-18.
13. Buryagina, N. V. (2013). Khronicheskaya oral'naya infektsiya na fone ishemicheskoy bolezni serdtsa [Chronic oral infection on a background of an ischemic heart disease]. Fundamental'nye issledovaniya [Fundamental research], 5, 250-255. (In Russ.)
14. Yagnik, K., Mahendra, J., Kurian, V. M. (2019). The Periodontal-Cardiovascular alliance: Evaluation of miRNA-146a in subgingival plaque samples of chronic periodontitis patients with and without coronary heart disease. J Investig Clin Dent., e12442. doi:https://doi.org/10.1111/jicd.12442
15. Isamulaeva, A. Z., Danilina, T. F., Bashkina, O. A. et al. (2011). Izmeneniya sostoyaniya tkaney parodonta u detey s bronkhial'noy astmoy [The changes of paradontosis tissue condition in children with bronchial asthma]. Astrakhanskiy meditsinskiy zhurnal [Astrakhan Medical Journal], 6 (1), 70-72. (In Russ.)
16. Sarkisov, K. A., Polunina, O. S., Bragin, E. A. et al. (2010). Sostoyaniye bazal’nogo krovotoka u bol’nykh khronicheskim parodontitom na fone bronkhial’noy astmy [The condition of basal blood stream in patients with chronic parodontitis on the phone of bronchial asthma]. Astrakhanskiy meditsinskiy zhurnal [Astrakhan Medical Journal], 5 (3), 100-102. (In Russ.)
17. Manosudprasit, A., Kantarci, A., Hasturk, H. et al. (2017). Spontaneous PMN apoptosis in type 2 diabetes and the impact of periodontitis. J Leukoc Biol., 102 (6), 1431-1440. doihttps://doi.org/10.1189/jlb.4A0416-209RR
18. Babenya, A. A. (2015). Osobennosti proyavleniya stomatologicheskoy patologii u lits s zabolevaniyami zheludochno-kishechnogo trakta (Obzor literatury) [Features of manifestation of stomatologic pathology at persons with digestive tract diseases (Review)]. Innovatsii v stomatologii [Innovations in dentistry], 1 (7), 72-75 (In Russ.)
19. Dabiri, D., Halubai, S., Layher, M. et al. (2016) The Role of Apoptotic Factors in Assessing Progression of Periodontal Disease. Int J Dent Oral Sci, 3 (9), 318-325. doihttps://doi.org/10.19070/2377-8075-1600064
20. Listyarifah, D., Al-Samadi, A., Salem, A. et al. (2017). Infection and apoptosis associated with inflammation in period ntitis: An immunohistologic study. Oral Dis., 23 (8), 1144-1154. doi:https://doi.org/10.1111/odi.12711.
21. Song, B., Zhou, T., Yang, W. L. et al. (2017). Programmed cell death in periodontitis: recent advances and future perspectives. Oral Dis, 23 (5), 609-619. doi:https://doi.org/10.1111/odi.12574
22. Figueredo, C. M., Alves, J. C., de Souza Breves Beiler, T. F. C. et al. (2019). Anti-apoptotic traits in gingival tissue from patients with severe generalized chronic periodontitis.J Investig Clin Dent, 10 (3), e12422. doi:https://doi.org/10.1111/jicd.12422
23. Head, T., Dau, P., Duffort, S. et al. (2017). An enhanced bioluminescence-based Annexin V probe for apoptosisdetection in vitro and in vivo. Cell Death Dis, 8 (5), e2826. doi:https://doi.org/10.1038/cddis.2017.141.
24. Demchenko, A. P. (2013). Beyond annexin V: fluorescence response of cellular membranes to apoptosis. Cytotechnology, 65 (2), 157-172. doi:https://doi.org/10.1007/s10616-012-9481-y.
25. Gorbacheva, I. A., Sycheva, Yu. A., Orekhova, L. Yu. (2017). Ispol'zovanie metabolicheskoy terapii v lechenii bol'nykh s sochetannoy patologiey vnutrennikh organov i parodonta [Metabolic therapy for patients with coexisting visceral and periodontal diseases]. Uchenye zapiski SPbGMU im. akad. I. P. Pavlova [The Scientific Notes of IPP-SPSMU], 24 (5), 55-63. doihttps://doi.org/10.24884/1607-4181-2017-24-4-55-63. (In Russ.)
26. Mitronin, A. V., Vavilova, T. P., Zhilkina, O. E. et al. (2011). Otsenka effektivnosti lecheniya khronicheskogo parodontita s primeneniem antimikrobnykh i antioksidantnykh sredstv [Evaluating the effectiveness of the treatment of chronic periodontitis with the use of antimicrobial and antioxidant drugs]. Parodontologiya [Periodontology], 16, 4 (61), 52-56. (In Russ.)