Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study

Chronic apical abscess (CAA) is a lesion of apical periodontitis mostly characterized by areas of liquefactive necrosis with disintegrating polymorphonuclear neutrophils surrounded by macrophages. Its presence leads to local bacterial infection, systemic inflammatory response, pain, and swelling. Th...

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Main Authors: Noemi Montis, Elisabetta Cotti, Antonio Noto, Claudia Fattuoni, Luigi Barberini
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2019/3162063
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author Noemi Montis
Elisabetta Cotti
Antonio Noto
Claudia Fattuoni
Luigi Barberini
author_facet Noemi Montis
Elisabetta Cotti
Antonio Noto
Claudia Fattuoni
Luigi Barberini
author_sort Noemi Montis
collection DOAJ
description Chronic apical abscess (CAA) is a lesion of apical periodontitis mostly characterized by areas of liquefactive necrosis with disintegrating polymorphonuclear neutrophils surrounded by macrophages. Its presence leads to local bacterial infection, systemic inflammatory response, pain, and swelling. The use of a novel approach for the study of CAA, such as metabolomics, seems to be important since it has proved to be a powerful tool for biomarkers discovery which could give novel molecular insight on CAA. So, the aim of this study was to verify the possibility to identify the metabolic fingerprint of CAA through the analysis of saliva samples. Nineteen patients were selected for this study: eleven patients affected by CAA with a sinus tract constituted the study group whereas eight patients without clinical and radiographic signs of CAA formed the healthy control group. Saliva samples were collected from each subject and immediately frozen at −80°C. Metabolomic profiles were obtained using a gas chromatography/mass spectrometry instrument. Subsequently, in order to compare the two groups, a multivariate statistical model was built that resulted to be statistically significant. The class of metabolites characterizing the CAA patients was closely related to the bacterial catabolism, tissue necrosis, and presence of a sinus tract. These preliminary results, for the first time, indicate that saliva samples analyzed by means of GC/MS metabolomics may be useful for identifying the presence of CAA, leading to new insights into this disease.
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spelling doaj-art-f8e96ed098644721b2f54b26962d91e12025-02-03T01:03:21ZengWileyThe Scientific World Journal2356-61401537-744X2019-01-01201910.1155/2019/31620633162063Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot StudyNoemi Montis0Elisabetta Cotti1Antonio Noto2Claudia Fattuoni3Luigi Barberini4Department of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, ItalyDepartment of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, ItalyDepartment of Chemical and Geological Sciences, University of Cagliari, Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, ItalyChronic apical abscess (CAA) is a lesion of apical periodontitis mostly characterized by areas of liquefactive necrosis with disintegrating polymorphonuclear neutrophils surrounded by macrophages. Its presence leads to local bacterial infection, systemic inflammatory response, pain, and swelling. The use of a novel approach for the study of CAA, such as metabolomics, seems to be important since it has proved to be a powerful tool for biomarkers discovery which could give novel molecular insight on CAA. So, the aim of this study was to verify the possibility to identify the metabolic fingerprint of CAA through the analysis of saliva samples. Nineteen patients were selected for this study: eleven patients affected by CAA with a sinus tract constituted the study group whereas eight patients without clinical and radiographic signs of CAA formed the healthy control group. Saliva samples were collected from each subject and immediately frozen at −80°C. Metabolomic profiles were obtained using a gas chromatography/mass spectrometry instrument. Subsequently, in order to compare the two groups, a multivariate statistical model was built that resulted to be statistically significant. The class of metabolites characterizing the CAA patients was closely related to the bacterial catabolism, tissue necrosis, and presence of a sinus tract. These preliminary results, for the first time, indicate that saliva samples analyzed by means of GC/MS metabolomics may be useful for identifying the presence of CAA, leading to new insights into this disease.http://dx.doi.org/10.1155/2019/3162063
spellingShingle Noemi Montis
Elisabetta Cotti
Antonio Noto
Claudia Fattuoni
Luigi Barberini
Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
The Scientific World Journal
title Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
title_full Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
title_fullStr Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
title_full_unstemmed Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
title_short Salivary Metabolomics Fingerprint of Chronic Apical Abscess with Sinus Tract: A Pilot Study
title_sort salivary metabolomics fingerprint of chronic apical abscess with sinus tract a pilot study
url http://dx.doi.org/10.1155/2019/3162063
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