Abstract | OBJECTIVES: Etiological periodontal therapy is effective in reducing cyclosporin A-induced gingival overgrowth, but a high variability among subjects has been observed. This study aimed to evaluate the role of polymorphisms in PAI-1 and A BCB1 genes on the course of this side effect following periodontal therapy. METHOD AND MATERIALS: Forty-five transplant patients were subjected to nonsurgical periodontal therapy and evaluated for hypertrophy index, probing depths, bleeding, and plaque scores at baseline, and after 3 and 6 months. A BCB1 (C3435T and G2677T) and PAI-1 (4G/5G) polymorphisms were studied with polymerase chain reaction-restriction fragment length polymorphism and allele-specific polymerase chain reaction respectively. RESULTS: All the monitored periodontal indexes decreased significantly during the six months. Modeling of hypertrophy index by linearmixed- effect models (allowing non-normal distribution of the outcome variable hypertrophy index) resulted in the selection as the most significant model, of the one comprising the independent variables: time, C 3435T genotype, and their interaction term. This model indicated that C 3435T-mutated patients had significantly higher baseline hypertrophy index values (90% Markov chain Monte C arlo empirical confidence intervals: 5.08, 30.00). The decrease in hypertrophy index values over time showed a trend toward being faster in mutated than nonmutated patients (interaction time: C 3435T nonmutated, 90% Markov chain Monte C arlo empirical confidence interval: -11.08, -0.40). When hypertrophy index values were normalized, the significance and trend were lost. No effect of the A BCB1 G2677T and PAI-1 4G/5G polymorphisms was observed. CONCLUSION: These preliminary results suggest that C 3435T polymorphism is a genetic factor that could influence the course of cyclosporin A-induced gingival overgrowth in transplant patients subjected to periodontal therapy.
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Authors | Sara De Iudicibus, Gabriele Stocco, Gaetano Castronovo, Camillo Pico, Roberto Racano, Massimo Borelli, Lorenzo Bevilacqua, Roberto Di Lenarda, Fiora Bartoli, Giuliana Decorti |
Journal | Quintessence international (Berlin, Germany : 1985)
(Quintessence Int)
Vol. 44
Issue 3
Pg. 249-60
(Mar 2013)
ISSN: 1936-7163 [Electronic] Germany |
PMID | 23444206
(Publication Type: Journal Article)
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Chemical References |
- ABCB1 protein, human
- ATP Binding Cassette Transporter, Subfamily B
- ATP Binding Cassette Transporter, Subfamily B, Member 1
- Immunosuppressive Agents
- Plasminogen Activator Inhibitor 1
- Cyclosporine
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Topics |
- ATP Binding Cassette Transporter, Subfamily B
- ATP Binding Cassette Transporter, Subfamily B, Member 1
(genetics)
- Adult
- Aged
- Allografts
- Cyclosporine
(adverse effects)
- Female
- Gingival Overgrowth
(chemically induced, genetics, therapy)
- Humans
- Immunosuppressive Agents
(adverse effects)
- Linear Models
- Male
- Markov Chains
- Middle Aged
- Mutation
- Organ Transplantation
- Plasminogen Activator Inhibitor 1
(genetics)
- Polymerase Chain Reaction
(methods)
- Polymorphism, Genetic
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