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Salivary levels of specialized pro‐resolving lipid mediators as indicators of periodontal health/disease status
Author(s) -
TobónArroyave Sergio Iván,
IsazaGuzmán Diana María,
GómezOrtega Juliana,
FlórezAlzate Angye Alexandra
Publication year - 2019
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.13173
Subject(s) - medicine , periodontitis , logistic regression , confounding , bleeding on probing , disease , saliva , periodontal disease , aggressive periodontitis , gastroenterology
Aim This cross‐sectional case–control study aimed to determine if salivary levels of lipoxin A4 (LXA4), protectin D1 (PD1), resolvin E1 (RvE1) and maresin 1 (MaR1) might constitute a reflection of periodontal health/disease status. Materials and methods One hundred and two periodontitis patients and 61 healthy controls were recruited. Periodontal clinical status was determined by criteria based on full‐mouth clinico‐radiographical data. Salivary concentration of the analytes was calculated by enzyme‐linked immunosorbent assay. The association between the biomarkers with disease status was assessed individually and adjusted for confounding using multivariate binary logistic regression models. Results Significantly decreased LXA4 and increased PD1/MaR1 salivary levels were detected in periodontitis patients in comparison with healthy controls. However, no significant differences were observed for RvE1 levels between clinical groups. Clinical parameters such as probing depth, clinical attachment loss and extent were negatively correlated with LXA4, positively correlated with PD1/MaR1 and not correlated with RvE1 salivary levels. Logistic regression analyses revealed a strong/independent association of LXA4, PD1 and MaR1 salivary levels regarding disease status. Interaction effects between demographic predictor variables and salivary concentration of LXA4, PD1 and MaR1 were also identified. Conclusion The results of this study demonstrated a strong/independent association between reduced LXA4 and increased PD1/MaR1 salivary levels with periodontitis suggesting an imbalance in the specialized pro‐resolving lipid mediators (SPMs) in periodontal disease.