A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis

Background: Previous studies have revealed the potential diagnostic utility of aMMP-8, an active form of MMP-8, in periodontal and peri-implant diseases. While non-invasive point-of-care (PoC) chairside aMMP-8 tests have shown promise in this regard, there is a dearth of literature on the evaluation...

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Main Authors: Mutlu Keskin, Juulia Rintamarttunen, Emre Gülçiçek, Ismo T. Räisänen, Shipra Gupta, Taina Tervahartiala, Tommi Pätilä, Timo Sorsa
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/13/5/903
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author Mutlu Keskin
Juulia Rintamarttunen
Emre Gülçiçek
Ismo T. Räisänen
Shipra Gupta
Taina Tervahartiala
Tommi Pätilä
Timo Sorsa
author_facet Mutlu Keskin
Juulia Rintamarttunen
Emre Gülçiçek
Ismo T. Räisänen
Shipra Gupta
Taina Tervahartiala
Tommi Pätilä
Timo Sorsa
author_sort Mutlu Keskin
collection DOAJ
description Background: Previous studies have revealed the potential diagnostic utility of aMMP-8, an active form of MMP-8, in periodontal and peri-implant diseases. While non-invasive point-of-care (PoC) chairside aMMP-8 tests have shown promise in this regard, there is a dearth of literature on the evaluation of treatment response using these tests. The present study aimed to investigate treatment-related changes in aMMP-8 levels in individuals with Stage III/IV—Grade C periodontitis compared to a healthy control group, using a quantitative chairside PoC aMMP-8 test, and to determine its correlation with clinical parameters. Methods: The study included 27 adult patients (13 smoker, 14 non-smoker) with stage III/IV-grade C periodontitis and 25 healthy adult subjects. Clinical periodontal measurements, real-time PoC aMMP-8, IFMA aMMP-8, and Western immunoblot analyses were performed before and 1 month after anti-infective scaling and root planing periodontal treatment. Time 0 measurements were taken from the healthy control group to test the consistency of the diagnostic test. Results: Both PoC aMMP-8 and IFMA aMMP-8 tests showed a statistically significant decrease in aMMP-8 levels and improvement in periodontal clinical parameters following treatment (<i>p</i> < 0.05). The PoC aMMP-8 test had high diagnostic sensitivity (85.2%) and specificity (100.0%) for periodontitis and was not affected by smoking (<i>p</i> > 0.05). Treatment also reduced MMP-8 immunoreactivity and activation as demonstrated by Western immunoblot analysis. Conclusion: The PoC aMMP-8 test shows promise as a useful tool for the real-time diagnosis and monitoring of periodontal therapy.
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spelling doaj.art-fcb9cc9e07094e90bc73213a19ab6b5d2023-11-17T07:29:45ZengMDPI AGDiagnostics2075-44182023-02-0113590310.3390/diagnostics13050903A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with PeriodontitisMutlu Keskin0Juulia Rintamarttunen1Emre Gülçiçek2Ismo T. Räisänen3Shipra Gupta4Taina Tervahartiala5Tommi Pätilä6Timo Sorsa7Oral and Dental Health Department, Altınbaş University, Istanbul 34140, TurkeyDepartment of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, FinlandFulya Oral and Dental Health Clinic, Tekirdağ 59030, TurkeyDepartment of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, FinlandOral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh 160012, IndiaDepartment of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, FinlandDepartment of Pediatric Surgery, Children’s Hospital University, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, FinlandDepartment of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, FinlandBackground: Previous studies have revealed the potential diagnostic utility of aMMP-8, an active form of MMP-8, in periodontal and peri-implant diseases. While non-invasive point-of-care (PoC) chairside aMMP-8 tests have shown promise in this regard, there is a dearth of literature on the evaluation of treatment response using these tests. The present study aimed to investigate treatment-related changes in aMMP-8 levels in individuals with Stage III/IV—Grade C periodontitis compared to a healthy control group, using a quantitative chairside PoC aMMP-8 test, and to determine its correlation with clinical parameters. Methods: The study included 27 adult patients (13 smoker, 14 non-smoker) with stage III/IV-grade C periodontitis and 25 healthy adult subjects. Clinical periodontal measurements, real-time PoC aMMP-8, IFMA aMMP-8, and Western immunoblot analyses were performed before and 1 month after anti-infective scaling and root planing periodontal treatment. Time 0 measurements were taken from the healthy control group to test the consistency of the diagnostic test. Results: Both PoC aMMP-8 and IFMA aMMP-8 tests showed a statistically significant decrease in aMMP-8 levels and improvement in periodontal clinical parameters following treatment (<i>p</i> < 0.05). The PoC aMMP-8 test had high diagnostic sensitivity (85.2%) and specificity (100.0%) for periodontitis and was not affected by smoking (<i>p</i> > 0.05). Treatment also reduced MMP-8 immunoreactivity and activation as demonstrated by Western immunoblot analysis. Conclusion: The PoC aMMP-8 test shows promise as a useful tool for the real-time diagnosis and monitoring of periodontal therapy.https://www.mdpi.com/2075-4418/13/5/903periodontal diseasesdiagnosismatrix metalloproteinase(s)periodontitisinflammation
spellingShingle Mutlu Keskin
Juulia Rintamarttunen
Emre Gülçiçek
Ismo T. Räisänen
Shipra Gupta
Taina Tervahartiala
Tommi Pätilä
Timo Sorsa
A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
Diagnostics
periodontal diseases
diagnosis
matrix metalloproteinase(s)
periodontitis
inflammation
title A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
title_full A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
title_fullStr A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
title_full_unstemmed A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
title_short A Comparative Analysis of Treatment-Related Changes in the Diagnostic Biomarker Active Metalloproteinase-8 Levels in Patients with Periodontitis
title_sort comparative analysis of treatment related changes in the diagnostic biomarker active metalloproteinase 8 levels in patients with periodontitis
topic periodontal diseases
diagnosis
matrix metalloproteinase(s)
periodontitis
inflammation
url https://www.mdpi.com/2075-4418/13/5/903
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