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Cytokines in gingival crevicular fluid in elderly rheumatoid arthritis patients in a population-based cross-sectional study: RANTES was associated with periodontitis
Lund University, SWE.
University of Washington, SWE.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-0992-2362
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-4312-2246
2021 (English)In: Journal of Periodontal Research, ISSN 0022-3484, E-ISSN 1600-0765, Vol. 56, no 5, p. 907-916Article in journal (Refereed) Published
Abstract [en]

Objective: We studied cytokines in gingival crevicular fluid (GCF) in a cross-sectional population-based cohort of rheumatoid arthritis (RA) patients ≥61 years of age with and without a diagnosis of periodontitis. Background data: Earlier studies on cytokines in GCF in RA patients have not given clear results. Methods: In a population-based cross-sectional study of patients ≥61 years of age, 233 RA patients were identified. 132 (57%) dentate RA patients participated. All participants received rheumatological and dental examinations, and had a panoramic radiograph taken. GCF was sampled on each patient. Interleukins 1-β (IL-1β), IL-4, IL-6, IL-10, IL-17A, tumor necrosis factor alpha (TNF-α), interferon gamma (IFN-γ), and chemokines RANTES/CCL5, eotaxin and monocyte chemoattractant protein (MCP-1) were analyzed in GCF. These cytokines were stratified for periodontitis, age, gender, body mass index (BMI), smoking, and anti-cyclic citrullinated protein (anti-CCP) status. Binary logistic regression analyses with periodontitis as outcome were performed adjusting for the above mentioned confounding factors including anti-rheumatic medication, disease duration and the cytokine in question. Results: Periodontitis was diagnosed in 80/132 (61%) of study participants. The 110 RA patients not participating were older, had a higher mean erythrocyte sedimentation rate (ESR), had a higher mean DAS28ESR (Disease Activity Score 28 using ESR) and were less often on biologic treatment. Only RANTES was associated with periodontitis (p =.049, OR 1.001, 95% CI 1.000–1.002) in the binary logistic regression analyses. Conclusion: In this population-based elderly RA cohort, neither pro-inflammatory nor anti-inflammatory cytokines in GCF were clearly associated with a diagnosis of periodontitis. © 2021 The Authors. Journal of Periodontal Research published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Blackwell Munksgaard , 2021. Vol. 56, no 5, p. 907-916
Keywords [en]
cytokines, gingival crevicular fluid, periodontitis, rheumatoid arthritis
National Category
Rheumatology and Autoimmunity Dentistry
Identifiers
URN: urn:nbn:se:bth-21420DOI: 10.1111/jre.12887ISI: 000647324300001Scopus ID: 2-s2.0-85105232771OAI: oai:DiVA.org:bth-21420DiVA, id: diva2:1556509
Funder
The Crafoord FoundationSwedish Rheumatism Association
Note

open access

Available from: 2021-05-21 Created: 2021-05-21 Last updated: 2022-01-11Bibliographically approved

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Renvert, StefanSanmartin Berglund, Johan

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