Cell Derived Microparticles in Gingival Crevicular Fluid from Periodontitis Patients with Type 2 Diabetes

Carlos Marcelo Figueredo1, Ronaldo Lira1, Manuela Rubim Sete1

  • 1Department of Periodontology, School of Dentistry, UERJ - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Brazilian Dental Journal
|December 7, 2017
PubMed

Insights

Neutrophil and platelet microparticles are present in gingival crevicular fluid of patients with severe periodontitis and type 2 diabetes. This finding may offer new insights into periodontal disease pathogenesis and inflammation.

Area of Science:

  • Periodontology
  • Immunology
  • Endocrinology

Background:

  • Cell-derived microparticles (MPs) are implicated in inflammation.
  • The specific role of MPs in periodontal disease pathogenesis, especially when aggravated by type 2 diabetes, is not well understood.

Purpose of the Study:

  • To detect neutrophil (CD66b+) and platelet (CD41b+) derived microparticles in gingival crevicular fluid.
  • To investigate the presence of these microparticles in individuals with severe periodontitis and type 2 diabetes.

Main Methods:

  • Gingival crevicular fluid was collected from deep and shallow sites in twelve patients with severe periodontitis and type 2 diabetes.
  • Microparticles (< 1 µm) were quantified using flow cytometry.
  • Surface markers CD66b (neutrophil-derived) and CD41b (platelet-derived) were used for identification.

Main Results:

  • All samples tested positive for neutrophil-derived MPs (CD66b+) and platelet-derived MPs (CD41b+).
  • Median levels of CD66b+ MPs were 3,677.0 MP/µL in deep sites and 2,644.9 MP/µL in shallow sites.
  • Median levels of CD41b+ MPs were 520.7 MP/µL in deep sites and 371.2 MP/µL in shallow sites.
  • No significant difference in MP levels was observed between deep and shallow sites (p>0.05).

Conclusions:

  • Neutrophil and platelet-derived microparticles are present in the gingival crevicular fluid of individuals with severe periodontitis and type 2 diabetes.
  • These findings contribute to understanding the role of microparticles in the inflammatory processes associated with this condition.