Periodontal disease is the most common cause of
tooth loss in humans, is an inflammatory disease initiated by oral microbial biofilm. Given the involvement of the inflammatory pathway in this type of pathology, the main pharmacological strategy for the treatment of
periodontitis, is the inhibition of the inflammatory process in order to prevent tissue destruction and
bone resorption, a condition associated with a painful state. To do this, the best class of drugs are Non-steroidal anti-inflammatory drugs (
NSAIDs), however, the presence of side effects, especially at the gastrointestinal tract, limits their use for long-term
therapy. Recently, some evidence shows that derivatives of
NSAIDs capable of releasing
hydrogen sulphide exhibit lower collateral effects, particularly at the gastric level. In fact, H2S is an endogenous
gaseous mediator with a cytoprotective role at the gastric level. In this study, we have compared the protective effects of
ketoprofen with ATB-352, a
hydrogen sulfide-releasing derivative of
ketoprofen, in an experimental model of
periodontitis in rat.
Periodontitis was induced by a single intragingival injection of 1 μl LPS (10 μg/μl), Our results show that 14 h after intragingival injection of LPS, there was a high tissue damage associated with
bone resorption, and in gingivomucosal tissues there was a significant expression of
NF-kb p65 and pro-inflammatory
cytokine as well as a higher expression of COX-2 and iNOS, activation of the apoptotic process, and also increased levels of
NGF expression, often associated with a higher nociceptive perception. Treatment with ATB-352 at the dose of 20mg\kg, was able to reduce the inflammatory process associated with intragingival LPS injection and also had a positive effect on
bone resorption and tissue damage.