Estimation of the concentration of some biochemical parameters and bacterial profile in patients with periodontitis and its relationship with cardiovascular disease
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Abstract
Background: Concerning the widespread occurrence of hyperlipidemia, a significant risk factor for cardiovascular disease, and unclear findings on the connection between periodontal disease and the levels of lipids in the blood. Aim of the study: This study aimed to isolation different bacterial type from periodontitis patients and evaluated level of lipid profile in the same patients
Material and methods: The study included a collection age group of 90 samples swaps (patient and control), 60 samples from patients with periodontitis attending outpatient clinics and Balad General Hospitalthe sample were collected for different ages between 15-55 years old and both sexes, from july 2023to December 2024. The sample was taken using a sterile cotton swab (transport cotton swab). The blood samples were taking from their arms from (cubital vien), 5cc of venous blood taken from patients & control healthy individual, Samples were cultured directly using the plotting method on culture media suitable for bacterial growth, which included blood agar, MacConkey agar, mannitol salt agar, MSB agar, and chromo agar. The plates were incubated upside down at 37°C for 18–24 days. The bacterial isolates were identified based on physiological tests and biochemical tests.
Result: The present study’s result showed About (60%) showed positive bacterial growth which were Prophyromonas gingivalis (30%), Staph. aureus (16.7%), Strep. pneumonia (11.7%), Staph. epidermidis (10%), Strep. pyogenes, Strep. Viridans, Strep. mutans (8.3% %) for them, and (6.7%) for Enterococcus fecalis that was diagnosed based on biochemical tests, and the diagnosis of some bacterial species was confirmed with the VITEK device., whereas (40%) showed no growth, And there were a high significant differences between the periodontitis patient compared with control group in mean level of cholesterol, HDL and LDL which scored (151.1±42.7, 139.9±41.4, 184.9±25.4) respectively in patient compared with controls (80.0±16.8, 46.2±14.6, 99.1±27.1). While Triglyceride and VLDL showed no differences between studied groups. Conclusion: This study concluded increase cholesterol and low-density lipoprotein in periodontitis patient, While no differences in Triglyceride and VLDL level
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References
[1] COSTALONGA, Massimo; HERZBERG, Mark C. The oral microbiome and the immunobiology of periodontal disease and caries. Immunology letters, 2014; 162.2: 22-38. https://doi.org/10.1016/j.imlet.2014.08.0172 [2] HUSSEIN, Radwa, et al. Comparison between antimicrobial photodynamic therapy and injectable platelet rich fibrin as an adjunct to non-surgical periodontal treatment (a randomized controlled clinical trial with microbiological assessment). Egyptian dental journal, 2022, 68.4: 3273-3283. https://doi.org/10.21608/edj.2022.146616.2175
[3] Goldman L, Bennett JC, editors. Cecil Textbook of Medicine. 21st ed. Philadelphia: WB Saunders Co.; 2000; p. 2299-308.
[4] Lösche W, Karapetow F, Pohl A, Pohl C, Kocher T. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol 2000;27(8):537-41. https://doi.org/10.1034/j.1600-051x.2000.027008537.x
[5] Cutler CW, Shinedling EA, Nunn M, Jotwani R, Kim BO, Nares S, et al. Association
between periodontitis and hyperlipidemia: cause or effect? J Periodontol 1999;70(12):1429-34. https://doi.org/10.1902/jop.1999.70.12.1429 [6] Katz J, Chaushu G, Sharabi Y. On the association between hypercholesterolemia, cardiovascular disease and severe periodontal disease. J Clin Periodontol 2001;28(9):865-8. https://doi.org/10.1034/j.1600-051x.2001.028009865.x [7] HAGH, Leila Golpasand, et al. The association between hyperlipidemia and periodontal infection. Iranian Red Crescent Medical Journal, 2014, 16.12. doi: https://doi.org/10.5812/ircmj.6577 [8] Katz J, Flugelman MY, Goldberg A, Heft M. Association between periodontal pockets and elevated cholesterol and low density lipoprotein cholesterol levels. J Periodontol 2002;73(5):494-500. https://doi.org/10.1902/jop.2002.73.5.49 [9] STAOĞLU, Gülbahar; ERDAL, Emrah. Relationship between risk markers for cardiovascular disease and peri-implant diseases. International Journal of Implant Dentistry, 2020, 6: 1-7. https://doi.org/10.1186/s40729-020-00273-z [10] Vorobyeva, n. a., et al. associations between periodontal microbiota and metabolic markers among the nenets in arctic russia. ekologiya cheloveka (human ecology), 2021, 28.8: 36-41. https://doi.org/10.33396/1728-0869-2021-8-36-41 [11] KIM, Seon-Rye; NAM, Seoul-Hee. Association between periodontal disease and levels of triglyceride and total cholesterol among Korean adults. In: Healthcare. MDPI, 2020. p. 337. https://doi.org/10.3390/healthcare8030337 [12] DI STEFANO, Mattia, et al. Impact of oral microbiome in periodontal health and periodontitis: a critical review on prevention and treatment. International journal of molecular sciences, 2022, 23.9: 5142. https://doi.org/10.3390/ijms23095142 [13] TAHERI, Mohammad, et al. Emerging Role of miRNAs in the Pathogenesis of Periodontitis. Current Stem Cell Research & Therapy, 2024, 19.4: 427-448. https://doi.org/10.2174/1574888X1766622061710382
[14] Zhang H, Zhang Y, Chen X, Li J, Zhang Z, Yu H, Effects of statins on cytokines levels in gingival crevicular fluid and saliva and on clinical periodontal parameters of middle-aged and elderly patients with type 2 diabetes mellitus. PLoS ONE. 2021; 16(1): e0244806. https://doi.org/10.1371/journal. pone.0244806
[15] Chen, Z., Song, J. & Tang, L. Investigation on the association between serum lipid levels and periodontitis: a bidirectional Mendelian randomization analysis. BMC Oral Health 2023;23, 827. https://doi.org/10.1186/s12903-023-03575-x
[16] Mirzaei, A., Shahrestanaki, E., Malmir, H. et al. Association of periodontitis with lipid profile: an updated systematic review and meta-analysis. J Diabetes Metab Disord
2022'21,1377–1393. https://doi.org/10.1007/s40200-022-01071-7 [17] Mikami, Risako, et al. Association between periodontal inflammation and serum lipid profile in a healthy population: A cross‐sectional study. Journal of Periodontal Research, 2021; 56.6:1037-1045. https://doi.org/10.1111/jre.12917 [18] JIA, Ru, et al. Association between lipid metabolism and periodontitis in obese patients: a cross-sectional study. BMC Endocrine Disorders, 2023; 23.1: 119. https://doi.org/10.1186/s12902-023-01366-7
[19] Pirih, F. Q., Monajemzadeh, S., Singh, N., Sinacola, R. S., Shin, J. M., Chen, T., ... & Kapila, Y. Association between metabolic syndrome and periodontitis: The role of lipids, inflammatory cytokines, altered host response, and the microbiome. Periodontology 2021; 87(1), 50-75. https://doi.org/10.1111/prd.12379 [20] AYOOBI, Fatemeh, et al. Dyslipidemia, diabetes and periodontal disease, a cross-sectional study in Rafsanjan, a region in southeast Iran. BMC oral health, 2023, 23.1: 549. https://doi.org/10.1186/s12903-023-03262-x