Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease

Objective. To investigate oxidative stress (OS) and histological changes that occur in the periodontium of subjects with type 2 diabetes mellitus without signs of periodontal disease and to establish if oxidative stress is a possible link between diabetes mellitus and periodontal changes. Materials...

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Main Authors: Adriana Monea, Tibor Mezei, Sorin Popsor, Monica Monea
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/917631
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author Adriana Monea
Tibor Mezei
Sorin Popsor
Monica Monea
author_facet Adriana Monea
Tibor Mezei
Sorin Popsor
Monica Monea
author_sort Adriana Monea
collection DOAJ
description Objective. To investigate oxidative stress (OS) and histological changes that occur in the periodontium of subjects with type 2 diabetes mellitus without signs of periodontal disease and to establish if oxidative stress is a possible link between diabetes mellitus and periodontal changes. Materials and Methods. Tissue samples from ten adult patients with type 2 diabetes mellitus (T2D) and eight healthy adults were harvested. The specimens were examined by microscope using standard hematoxylin-eosin stain, at various magnifications, and investigated for tissue levels of malondialdehyde (MDA) and glutathione (GSH). Results. Our results showed that periodontal tissues in patients with T2D present significant inflammation, affecting both epithelial and connective tissues. Mean MDA tissue levels were 3.578 ± 0.60 SD in diabetics versus 0.406 ± 0.27 SD in controls (P < 0.0001), while mean GSH tissue levels were 2.48 ± 1.02 SD in diabetics versus 9.7875 ± 2.42 SD in controls (P < 0.0001). Conclusion. Diabetic subjects had higher MDA levels in their periodontal tissues, suggesting an increased lipid peroxidation in T2D, and decreased GSH tissue levels, suggesting an alteration of the local antioxidant defense mechanism. These results are in concordance with the histological changes that we found in periodontal tissues of diabetic subjects, confirming the hypothesis of OS implication, as a correlation between periodontal disease incidence and T2D.
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issn 1687-8337
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spelling doaj-art-566852ccbb8d4d7186554d21815762ae2025-02-03T06:04:55ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/917631917631Oxidative Stress: A Link between Diabetes Mellitus and Periodontal DiseaseAdriana Monea0Tibor Mezei1Sorin Popsor2Monica Monea3Department of Odontology and Periodontology, Faculty of Dental Medicine, University of Medicine and Pharmacy Târgu Mureș, 38 Gheorghe Marinescu Street, 540114 Târgu Mureș, RomaniaDepartment of Morphopathology, Faculty of Medicine, University of Medicine and Pharmacy Târgu Mureș, 38 Gheorghe Marinescu Street, 540114 Târgu Mureș, RomaniaDepartment of Prosthetics and Oral Rehabilitation, Faculty of Dental Medicine, University of Medicine and Pharmacy Târgu Mureș, 38 Gheorghe Marinescu Street, 540114 Târgu Mureș, RomaniaDepartment of Odontology and Periodontology, Faculty of Dental Medicine, University of Medicine and Pharmacy Târgu Mureș, 38 Gheorghe Marinescu Street, 540114 Târgu Mureș, RomaniaObjective. To investigate oxidative stress (OS) and histological changes that occur in the periodontium of subjects with type 2 diabetes mellitus without signs of periodontal disease and to establish if oxidative stress is a possible link between diabetes mellitus and periodontal changes. Materials and Methods. Tissue samples from ten adult patients with type 2 diabetes mellitus (T2D) and eight healthy adults were harvested. The specimens were examined by microscope using standard hematoxylin-eosin stain, at various magnifications, and investigated for tissue levels of malondialdehyde (MDA) and glutathione (GSH). Results. Our results showed that periodontal tissues in patients with T2D present significant inflammation, affecting both epithelial and connective tissues. Mean MDA tissue levels were 3.578 ± 0.60 SD in diabetics versus 0.406 ± 0.27 SD in controls (P < 0.0001), while mean GSH tissue levels were 2.48 ± 1.02 SD in diabetics versus 9.7875 ± 2.42 SD in controls (P < 0.0001). Conclusion. Diabetic subjects had higher MDA levels in their periodontal tissues, suggesting an increased lipid peroxidation in T2D, and decreased GSH tissue levels, suggesting an alteration of the local antioxidant defense mechanism. These results are in concordance with the histological changes that we found in periodontal tissues of diabetic subjects, confirming the hypothesis of OS implication, as a correlation between periodontal disease incidence and T2D.http://dx.doi.org/10.1155/2014/917631
spellingShingle Adriana Monea
Tibor Mezei
Sorin Popsor
Monica Monea
Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
International Journal of Endocrinology
title Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
title_full Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
title_fullStr Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
title_full_unstemmed Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
title_short Oxidative Stress: A Link between Diabetes Mellitus and Periodontal Disease
title_sort oxidative stress a link between diabetes mellitus and periodontal disease
url http://dx.doi.org/10.1155/2014/917631
work_keys_str_mv AT adrianamonea oxidativestressalinkbetweendiabetesmellitusandperiodontaldisease
AT tibormezei oxidativestressalinkbetweendiabetesmellitusandperiodontaldisease
AT sorinpopsor oxidativestressalinkbetweendiabetesmellitusandperiodontaldisease
AT monicamonea oxidativestressalinkbetweendiabetesmellitusandperiodontaldisease