CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(02): 193-198
DOI: 10.1055/s-0039-1693949
Original Article
Dental Investigation Society

Prolonged Suppressive Effects of Periodontitis on Salivary TFF3 Production

Doosadee Hormdee
1   Division of Periodontology, Department of Oral Biomedical Sciences, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
2   Research Group of Chronic Inflammatory Oral Diseases and Systemic Diseases Associated with Oral Health, Khon Kaen University, Thailand
,
Saengsome Prajaneh
1   Division of Periodontology, Department of Oral Biomedical Sciences, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
,
Amonrujee Kampichai
3   Division of Dentistry, Fang Hospital, Chiang Mai, Thailand
,
Ranuch Tak
4   Faculty of Dentistry, International University, Phnom Penh, Cambodia
,
Ponlatham Chaiyarit
2   Research Group of Chronic Inflammatory Oral Diseases and Systemic Diseases Associated with Oral Health, Khon Kaen University, Thailand
5   Division of Oral Diagnosis, Department of Oral Biomedical Sciences, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
› Author Affiliations
Funding This work was supported by the TRF Mid-Career Research Scholar (RSA5680010) and Khon Kaen University (KKU 600301).
Further Information

Publication History

Publication Date:
29 August 2019 (online)

Abstract

Objective As a follow-up to our previous study that demonstrated decreased salivary trefoil factor family 3 (TFF3) peptide levels in chronic periodontitis patients, this current study aimed to observe the effects of nonsurgical periodontal treatment on salivary TFF3 peptides in patients with periodontal diseases.

Materials and Methods Eighty-seven volunteers that comprised of 30 individuals with healthy periodontium, 31 with gingivitis, and 26 with chronic periodontitis were considered for the study. Prior to periodontal treatment, a general periodontal examination was performed along with collection of saliva samples from each volunteer. Nonsurgical periodontal treatments were provided to patients with gingivitis and periodontitis. Two weeks post-treatment, saliva samples were recollected, and the periodontal status was re-evaluated. Salivary TFF3 concentrations were measured by enzyme-linked immunosorbent assay.

Statistical Analysis Mann–Whitney U test was used when the investigated data were not normally distributed. Chi-squared test was used when dealing with categorical data. Kruskal–Wallis test with post-hoc corrections was used to compare data among the three investigated groups. Two-tailed p < 0.05 was considered as statistically significant.

Results Prior to the periodontal treatment, salivary TFF3 concentrations in patients with gingivitis and periodontitis were significantly lower than those with healthy periodontium. Two weeks post-treatment, increased levels of salivary TFF3 were observed in patients with gingivitis, whereas the concentrations decreased in patients with chronic periodontitis.

Conclusion This study demonstrated the effects of periodontal disease on the production of salivary TFF3 peptides. Interestingly, nonsurgical periodontal treatment also affected the recovery of salivary TFF3 peptides but varied in their outcomes between gingivitis and periodontitis patients.

 
  • References

  • 1 Hoffmann W. TFF peptides. In: Kastin AJ. ed. Handbook of Biologically Active Peptides. Elsevier; 2013: 1338-1345
  • 2 Muskett FW, May FE, Westley BR, Feeney J. Solution structure of the disulfide-linked dimer of human intestinal trefoil factor (TFF3): the intermolecular orientation and interactions are markedly different from those of other dimeric trefoil proteins. Biochemistry 2003; 42 (51) 15139-15147
  • 3 Madsen J, Nielsen O, Tornøe I, Thim L, Holmskov U. Tissue localization of human trefoil factors 1, 2, and 3. J Histochem Cytochem 2007; 55 (05) 505-513
  • 4 Samson MH, Chaiyarit P, Nortvig H, Vestergaard EM, Ernst E, Nexo E. Trefoil factor family peptides in human saliva and cyclical cervical mucus. Method evaluation and results on healthy individuals. Clin Chem Lab Med 2011; 49 (05) 861-868
  • 5 Marchbank T, Playford RJ. Trefoil factor family peptides enhance cell migration by increasing cellular osmotic permeability and aquaporin 3 levels. FASEB J 2018; 32 (02) 1017-1024
  • 6 Schulze U, Hampel U, Sel S. et al. Trefoil factor family peptide 3 (TFF3) is upregulated under experimental conditions similar to dry eye disease and supports corneal wound healing effects in vitro. Invest Ophthalmol Vis Sci 2014; 55 (05) 3037-3042
  • 7 Shi L, Zhou PH, Xi JL, Yu HG, Zhang BH. Recombinant human trefoil factor 3 ameliorates bowel injury: its anti-inflammatory effect on experimental necrotizing enterocolitis. Int J Pept 2014; 2014: 634135
  • 8 Barrera GJ, Sanchez G, Gonzalez JE. Trefoil factor 3 isolated from human breast milk downregulates cytokines (IL8 and IL6) and promotes human beta defensin (hBD2 and hBD4) expression in intestinal epithelial cells HT-29. Bosn J Basic Med Sci 2012; 12 (04) 256-264
  • 9 Teng X, Xu LF, Zhou P, Sun HW, Sun M. Effects of trefoil peptide 3 on expression of TNF-. α., TLR4, and NF-kappaB in trinitrobenzene sulphonic acid induced colitis mice. Inflammation 2009; 32 (02) 120-129
  • 10 Dossinger V, Kayademir T, Blin N, Gött P. Down-regulation of TFF expression in gastrointestinal cell lines by cytokines and nuclear factors. Cell Physiol Biochem 2002; 12 (04) 197-206
  • 11 Aihara E, Engevik KA, Montrose MH. Trefoil factor peptides and gastrointestinal function. Annu Rev Physiol 2017; 79: 357-380
  • 12 Chaiyarit P, Klanrit P, Photipakdee P, Subarnbhesaj A, Giraud AS. Increased immunoexpression of trefoil factors in salivary gland tumors. Clin Oral Investig 2014; 18 (04) 1305-1312
  • 13 Chaiyarit P, Utrawichian A, Leelayuwat C. et al. Investigation of trefoil factor expression in saliva and oral mucosal tissues of patients with oral squamous cell carcinoma. Clin Oral Investig 2012; 16 (06) 1549-1556
  • 14 Chaiyarit P, Chayasadom A, Wara-Aswapati N. et al. Trefoil factors in saliva and gingival tissues of patients with chronic periodontitis. J Periodontol 2012; 83 (09) 1129-1138
  • 15 Devine DA, High AS, Owen PJ, Poulsom R, Bonass WA. Trefoil factor expression in normal and diseased human salivary glands. Hum Pathol 2000; 31 (04) 509-515
  • 16 Kutta H, May J, Jaehne M, Münscher A, Paulsen FP. Antimicrobial defence mechanisms of the human parotid duct. J Anat 2006; 208 (05) 609-619
  • 17 Storesund T, Schreurs O, Messelt EB, Kolltveit KM, Schenck K. Trefoil factor family 3 expression in the oral cavity. Eur J Oral Sci 2009; 117 (06) 636-643
  • 18 Chaiyarit P, Jaresitthikunchai J, Phaonakrop N, Roytrakul S, Potempa B, Potempa J. Proteolytic effects of gingipains on trefoil factor family peptides. Clin Oral Investig 2018; 22 (02) 1009-1018
  • 19 Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999; 4 (01) 1-6
  • 20 Khummuang S, Phanphrom W, Laopajon W, Kasinrerk W, Chaiyarit P, Pata S. Production of monoclonal antibodies against human trefoil factor 3 and development of a modified-sandwich ELISA for detection of trefoil factor 3 homodimer in saliva. Biol Proced Online 2017; 19: 14-1920
  • 21 Romano F, Bongiovanni L, Bianco L. et al. Biomarker levels in gingival crevicular fluid of generalized aggressive periodontitis patients after non-surgical periodontal treatment. Clin Oral Investig 2018; 22 (02) 1083-1092
  • 22 Heitz-Mayfield LJA, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol 2002; 29 (Suppl. 03) 92-102 discussion 160–162
  • 23 Eberhard J, Jervøe-Storm PM, Needleman I, Worthington H, Jepsen S. Full-mouth treatment concepts for chronic periodontitis: a systematic review. J Clin Periodontol 2008; 35 (07) 591-604
  • 24 Nakamura-Kiyama M, Ono K, Masuda W. et al. Changes of salivary functions in experimental periodontitis model rats. Arch Oral Biol 2014; 59 (02) 125-132
  • 25 Nayar G, Gauna A, Chukkapalli S, Velsko I, Kesavalu L, Cha S. Polymicrobial infection alter inflammatory microRNA in rat salivary glands during periodontal disease. Anaerobe 2016; 38: 70-75
  • 26 Önder C, Kurgan Ş, Altıngöz SM. et al. Impact of non-surgical periodontal therapy on saliva and serum levels of markers of oxidative stress. Clin Oral Investig 2017; 21 (06) 1961-1969
  • 27 Tabari ZA, Azadmehr A, Nohekhan A, Naddafpour N, Ghaedi FB. Salivary visfatin concentrations in patients with chronic periodontitis. J Periodontol 2014; 85 (08) 1081-1085
  • 28 Hendek MK, Erdemir EO, Kisa U, Ozcan G. Effect of initial periodontal therapy on oxidative stress markers in gingival crevicular fluid, saliva, and serum in smokers and non-smokers with chronic periodontitis. J Periodontol 2015; 86 (02) 273-282
  • 29 Novakovic N, Todorovic T, Rakic M. et al. Salivary antioxidants as periodontal biomarkers in evaluation of tissue status and treatment outcome. J Periodontal Res 2014; 49 (01) 129-136
  • 30 Bertl K, Schoiber A, Haririan H. et al. Non-surgical periodontal therapy influences salivary melatonin levels. Clin Oral Investig 2013; 17 (04) 1219-1225
  • 31 Türer ÇC, Durmuş D, Balli U, Güven B. Effect of non-surgical periodontal treatment on gingival crevicular fluid and serum endocan, vascular endothelial growth factor-A, and tumor necrosis factor-alpha levels. J Periodontol 2017; 88 (05) 493-501
  • 32 Peterson DE, Barker NP, Akhmadullina LI. et al. Phase II, randomized, double-blind, placebo-controlled study of recombinant human intestinal trefoil factor oral spray for prevention of oral mucositis in patients with colorectal cancer who are receiving fluorouracil-based chemotherapy. J Clin Oncol 2009; 27 (26) 4333-4338