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The Bidirectional Biological Interaction Between Periodontal Disease and Diabetes Mellitus

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (20 October 2024) | Viewed by 6881

Special Issue Editors


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Guest Editor
Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, School of Dentistry at Araraquara, Sao Paulo State University–UNESP, Araraquara 16015-050, SP, Brazil
Interests: periodontal disease; dental implants; human genetics; diabetes; inflammation

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Guest Editor
Department of Diagnostic and Surgery, School of Dentistry at Araraquara, University Estadual Paulista-UNESP, Araraquara, São Paulo 14801-903, Brazil
Interests: nanoparticles; wound healing; inorganic nanoparticles; drug delivery systems
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Special Issue Information

Dear Colleagues,

There is growing evidence that diabetes mellitus (DM) has a significant impact on the pathogenesis of oral conditions, such as periodontal disease (PD) and apical periodontitis, increasing their risk and severity. PD is a chronic inflammatory condition associated with dysbiotic dental biofilm, which activates the host immune response and causes alveolar bone destruction and collagen degradation. The host immune response is modified by diabetes and might play a causative role in bacteria-induced tissue damage. On the other hand, persistent local infections, such as periodontitis, could induce or perpetuate low-grade chronic systemic inflammation, which may contribute to altered glycemic metabolism, eventually leading to a hyperglycemic state and diabetic complications. Altered glycemic metabolism can enhance the release of proinflammatory cytokines, increasing the risk of local and systemic complications. Understanding the influence of DM on inflammatory bone resorption and its impact on the quality of life of affected patients is crucial for successful management and treatment. Therefore, additional research is required to clarify how the interconnection among different factors, such as the microbiome, genome, inflammasome, proteome, and others, might influence the pathogenesis of these conditions.

All levels of scientific evidence (in vitro, preclinical, observational—cross-sectional or prospective—studies, and randomized clinical trials) will be considered. Meta-analyses, review articles, and systematic reviews are also welcome.

Potential topics include, but are not limited to, the following:

  • Potential role of the oral microbiome on the bidirectional relationship between diabetes and periodontal disease or apical periodontitis;
  • Mechanisms and pathways related to the bidirectional relationship between diabetes and periodontal disease or apical periodontitis;
  • Assessing both oral and systemic outcomes for prevention and treatment strategies for managing comorbidities;
  • Common biomarkers for screening these diseases alone or together;
  • Evidence of the strength of the association between diabetes and periodontal disease or apical periodontitis.

Dr. Raquel M. Scarel-Caminaga
Dr. Rafael Scaf De Molon
Guest Editors

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Keywords

  • diabetes mellitus

  • diabetes complications
  • periodontitis
  • periodontal disease
  • etiology
  • pathogenesis
  • genetic pleiotropy
  • animal model
  • bone
  • microbiome
  • inflammation

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Published Papers (3 papers)

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Research

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14 pages, 2620 KiB  
Article
Er:YAG Laser Alleviates Inflammaging in Diabetes-Associated Periodontitis via Activation CTBP1-AS2/miR-155/SIRT1 Axis
by Min Yee Ng, Cheng-Chia Yu, Szu-Han Chen, Yi-Wen Liao and Taichen Lin
Int. J. Mol. Sci. 2024, 25(4), 2116; https://doi.org/10.3390/ijms25042116 - 9 Feb 2024
Cited by 3 | Viewed by 1580
Abstract
Periodontitis is a significant health concern for individuals with diabetes mellitus (DM), characterized by inflammation and periodontium loss. Hyperglycaemia in DM exacerbates susceptibility to periodontitis by inducing inflammaging in the host immune system. The use of erbium-doped yttrium–aluminum–garnet laser (ErL) in periodontitis treatment [...] Read more.
Periodontitis is a significant health concern for individuals with diabetes mellitus (DM), characterized by inflammation and periodontium loss. Hyperglycaemia in DM exacerbates susceptibility to periodontitis by inducing inflammaging in the host immune system. The use of erbium-doped yttrium–aluminum–garnet laser (ErL) in periodontitis treatment has gained attention, but its impact on diabetic-associated periodontitis (DP) and underlying mechanisms remain unclear. In this study, we simulated DP by exposing human periodontal ligament fibroblasts (PDLFs) to advanced glycation end products (AGEs) and lipopolysaccharides from P. gingivalis (Pg-LPS). Subsequently, we evaluated the impact of ErL on the cells’ wound healing and assessed their inflammaging markers. ErL treatment promoted wound healing and suppressed inflammaging activities, including cell senescence, IL-6 secretion, and p65 phosphorylation. Moreover, the laser-targeted cells were observed to have upregulated expression of CTBP1-AS2, which, when overexpressed, enhanced wound healing ability and repressed inflammaging. Moreover, bioinformatic analysis revealed that CTBP1-AS2 acted as a sponge for miR155 and upregulated SIRT1. In conclusion, ErL demonstrated the ability to improve wound healing and mitigate inflammaging in diabetic periodontal tissue through the CTBP1-AS2/miR-155/SIRT1 axis. Targeting this axis could represent a promising therapeutic approach for preventing periodontitis in individuals with DM. Full article
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17 pages, 1154 KiB  
Article
Evidence Linking PPARG Genetic Variants with Periodontitis and Type 2 Diabetes Mellitus in a Brazilian Population
by Thamiris Cirelli, Ingra G. Nicchio, Diego G. Bussaneli, Bárbara R. Silva, Rafael Nepomuceno, Silvana R. P. Orrico, Joni A. Cirelli, Letícia H. Theodoro, Silvana P. Barros and Raquel M. Scarel-Caminaga
Int. J. Mol. Sci. 2023, 24(7), 6760; https://doi.org/10.3390/ijms24076760 - 5 Apr 2023
Cited by 5 | Viewed by 2521
Abstract
The peroxisome proliferator-activated receptor gamma (PPARG) gene encodes a transcription factor involved in the regulation of complex metabolic and inflammatory diseases. We investigated whether single nucleotide polymorphisms (SNPs) and haplotypes of the PPARG gene could contribute with susceptibility to develop periodontitis [...] Read more.
The peroxisome proliferator-activated receptor gamma (PPARG) gene encodes a transcription factor involved in the regulation of complex metabolic and inflammatory diseases. We investigated whether single nucleotide polymorphisms (SNPs) and haplotypes of the PPARG gene could contribute with susceptibility to develop periodontitis alone or together with type 2 diabetes mellitus (T2DM). Moreover, we evaluated the gene–phenotype association by assessing the subjects’ biochemical and periodontal parameters, and the expression of PPARG and other immune response–related genes. We examined 345 subjects with a healthy periodontium and without T2DM, 349 subjects with moderate or severe periodontitis but without T2DM, and 202 subjects with moderate or severe periodontitis and T2DM. PPARG SNPs rs12495364, rs1801282, rs1373640, and rs1151999 were investigated. Multiple logistic regressions adjusted for age, sex, and smoking status showed that individuals carrying rs1151999-GG had a 64% lower chance of developing periodontitis together with T2DM. The CCGT haplotype increased the risk of developing periodontitis together with T2DM. The rs1151999-GG and rs12495364-TC were associated with reduced risk of obesity, periodontitis, elevated triglycerides, and elevated glycated hemoglobin, but there was no association with gene expression. Polymorphisms of the PPARG gene were associated with developing periodontitis together with T2DM, and with obesity, lipid, glycemic, and periodontal characteristics. Full article
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Review

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17 pages, 993 KiB  
Review
Pathogenic Mechanisms That May Link Periodontal Disease and Type 2 Diabetes Mellitus—The Role of Oxidative Stress
by Jelena Mirnic, Milanko Djuric, Snezana Brkic, Ivana Gusic, Marija Stojilkovic, Ana Tadic and Tanja Veljovic
Int. J. Mol. Sci. 2024, 25(18), 9806; https://doi.org/10.3390/ijms25189806 - 11 Sep 2024
Cited by 4 | Viewed by 2050
Abstract
Given the posited role of oxidative stress in the pathogenesis of both periodontitis and type 2 diabetes mellitus (T2DM), it may also serve as a link between these highly prevalent chronic inflammatory diseases. This view is supported by an ample body of evidence [...] Read more.
Given the posited role of oxidative stress in the pathogenesis of both periodontitis and type 2 diabetes mellitus (T2DM), it may also serve as a link between these highly prevalent chronic inflammatory diseases. This view is supported by an ample body of evidence indicating that the severity and progression of periodontitis is in part driven by diabetes, while periodontal infection may hinder the attainment of adequate glycemic control in diabetic patients. Thus, this review focuses on the potential synergistic interactions along the oxidative stress–inflammation pathway characterizing both conditions. Because periodontitis and T2DM share the same risk factors and compromise patients’ quality of life, to develop effective strategies for combatting both conditions, their mutual influence needs to be explored. Full article
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