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MMP-8 in Peri-Implantitis: A Cross-Sectional Study on Genetic Polymorphisms and Enzymatic Activation
Ioannis Fragkioudakis1, Christine Kottaridi2, Michalis Paraskeva2
1Department of Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Journal of Periodontal Research
|March 5, 2026
Summary
Matrix metalloproteinase-8 (MMP-8) gene variations and increased MMP-8 expression are linked to peri-implantitis. These findings suggest potential for molecular diagnostics in diagnosing peri-implantitis.
Area of Science:
- Oral biology
- Periodontology
- Molecular diagnostics
Background:
- Peri-implantitis is a prevalent complication of dental implants.
- The molecular mechanisms underlying peri-implantitis pathogenesis are not fully understood.
- Matrix metalloproteinases (MMPs) are implicated in tissue degradation.
Purpose of the Study:
- To investigate the association between MMP-8 gene polymorphism (-799C/T) and peri-implantitis.
- To examine the expression levels of MMP-8 mRNA and protein in peri-implant crevicular fluid (PICF) of patients with peri-implantitis.
- To explore the potential of these molecular factors as diagnostic markers for peri-implantitis.
Main Methods:
- Genotyping for the MMP-8 (-799C/T) polymorphism.
- Quantitative real-time PCR to measure MMP-8 mRNA expression in PICF.
- ELISA or similar assay to quantify active MMP-8 protein levels in PICF.
- Statistical analysis to determine associations between genetic variations, expression levels, and peri-implantitis.
Main Results:
- The MMP-8 (-799C/T) gene polymorphism was found to be independently associated with peri-implantitis.
- Upregulated MMP-8 mRNA expression was observed in the PICF of patients with peri-implantitis.
- Elevated levels of active MMP-8 protein were detected in the PICF of patients with peri-implantitis.
- These molecular factors showed independent associations with the condition.
Conclusions:
- MMP-8 gene polymorphism, upregulated mRNA expression, and elevated active protein levels are linked to peri-implantitis.
- These molecular findings may serve as potential biomarkers for the early diagnosis and management of peri-implantitis.
- Further research is warranted to validate these markers in clinical settings.
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