Effect of Smoking on the DNA Methylation Profile of the SOCS 1 Gene Promoter in Oral Mucosal Epithelial Cells of Individuals With Chronic Periodontitis (Smokers and Nonsmokers).
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Periodontal Diseases
- Sponsor
- University of Sao Paulo
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Extraction of genomic DNA from oral epithelial cells
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Periodontitis is related to host genetics, constitution of the dental biofilm and environmental factors such as smoking. DNA methylation is a mechanism of genetic expression that can inhibit or silence gene expression. In this way several researchers have been dedicated to study the genetic influence on the susceptibility and / or increased risk to periodontal disease. Studies have reported association between several epigenetic biomarkers with periodontal inflammation. Considering the hypothesis that there is an association between smoking and methylation in genes related to periodontal disease, the objective of this study was to verify the DNA methylation pattern in oral epithelial cells of patients with chronic periodontitis (CP) in the promoter of a specific gene involved in the control of inflammation, as suppressor of cytokine signaling (SOCS) 1 in smokers and nonsmokers patients.
Detailed Description
This was an experimental type study with parallel controls, comparing two groups, a group with consumption of 10 minimum cigarettes per day, with a diagnosis of chronic periodontitis. And another control group were non-smokers with chronic periodontitis. For this, genomic DNA was purified from oral epithelial cells obtained by rinsing with 3% sucrose, for a single time of collection, patients received periodontal treatment after collection and data analysis. The DNA was modified by Sodium bisulfite and the methylation patterns of the DNA were analyzed with the MSPCR technique (Polymerase chain reaction). This study was approved by the Institutional Review Board of the School of Dentistry of Ribeirão Preto (CAAE:57171816.2.0000.5419 ), and all patients need to provide written informed consent.
Investigators
Arthur Belem Novaes Jr
Teacher of Periodontia- Department of Buco Maxillofacial Surgery and Traumatology and Periodontics
University of Sao Paulo
Eligibility Criteria
Inclusion Criteria
- •Chronic Periodontitis carriers - presence of proximal insertion loss ≥5 mm in more than 30% of the teeth present.
- •Periodontal pocket ≥ 5mm
- •Smokers who have smoked 10 or more cigarettes per day for the past five years.
- •No positive history of basic periodontal treatment in the last six months.
Exclusion Criteria
- •Extensive prosthetic involvement.
- •Using anti-inflammatories.
- •Pregnant or nursing.
- •Presence of systemic alterations that compromise host response or require prophylactic medication for treatment.
- •History of constant use of oral antiseptics in the last six months.
Outcomes
Primary Outcomes
Extraction of genomic DNA from oral epithelial cells
Time Frame: Baseline (at the beginning of the study)
Epithelial cells were collected after mouthwash with 5ml dextrose autoclaved 3% and stored under refrigeration at -20ºC. After collection, the samples were taken to the Epigenetics and Reproduction Laboratory of the Department of Genetics of the Medical School of Ribeirão Preto-USP (FMRP-USP) where nucleic acid extraction and molecular analysis were performed. After thawing the saliva, 2ml of each sample collected were transferred separately to eppendorf tubes, for processing. The material was then diluted in 50 μl of cobalt Mili-Q water, incubated at 37 ° C in a water bath for 1 hour and stored in a freezer at -20 ° C. At the end, DNA quality, purity and integrity were measured using a spectrophotometer (NanoDrop 2000-Thermo Scientific), using OD 260/280 and 260/230. Considering ideal values for both reasons, between 1.8 and 2.2.
Secondary Outcomes
- Bleeding on probing (BOP)(Baseline (at the beginning of the study))
- Plaque index (PI)(Baseline (at the beginning of the study))
- Probing pocket depth (PD)(Baseline (at the beginning of the study))