J Periodontal Implant Sci.  2014 Jun;44(3):141-146. 10.5051/jpis.2014.44.3.141.

Receptor activator of nuclear factor kappa-B gene polymorphisms in Iranian periodontitis and peri-implantitis patients

Affiliations
  • 1Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • 2Department of Periodontics, School of Dentistry, International Branch, Shahid Beheshti University of Medical Sciences, Tehran, Iran. za_baghani@yahoo.com
  • 3Private Practice, Mashhad, Iran.

Abstract

PURPOSE
Peri-implantitis and periodontitis are inflammatory and infectious diseases of implant and tooth-supporting tissues. Recently, the role of gene polymorphisms of immune response components in the relevant pathogenesis has been investigated. The present study was the first to evaluate the relationship between two known single nucleotide polymorphisms (SNPs) of the receptor activator of nuclear factor kappa-beta (RANK) gene (rs3018362 and rs35211496) in chronic periodontitis and peri-implantitis patients in an Iranian population.
METHODS
Eighty-one periodontally healthy patients, 38 patients with peri-implantitis, and 74 patients with chronic periodontitis were enrolled in this study. DNA was extracted from blood arm vein samples by using Miller's salting out technique according to the manufacturer's instructions given in the extraction kit. The concentration of DNA samples was measured using a spectrophotometer. The genetic polymorphisms of the RANK gene were evaluated using a competitive allele specific polymerase chain reaction (KBioscience allele specific PCR) technique. Differences in the frequencies of genotypes and alleles in the diseased and healthy groups were analyzed using chi-squared statistical tests (P<0.05).
RESULTS
Analysis of rs35211496 revealed statistically significant differences in the expression of the TT, TC, and CC genotypes among the three groups (P=0.00). No statistically significant difference was detected in this respect between the control group and the chronic periodontitis group. The expression of the GG, GA, and AA genotypes and allele frequencies (rs3018362) showed no statistically significant difference among the three groups (P=0.21).
CONCLUSIONS
The results of this study indicate that the CC genotype of the rs35211496 RANK gene polymorphism was significantly associated with peri-implantitis and may be considered a genetic determinant for peri-implantitis, but this needs to be confirmed by further studies in other populations.

Keyword

Genetic polymorphism; Peri-implantitis; Periodontitis; Receptor activator of nuclear factor-kappa B

MeSH Terms

Alleles
Arm
Chronic Periodontitis
Communicable Diseases
DNA
Gene Frequency
Genotype
Humans
Peri-Implantitis*
Periodontitis*
Polymerase Chain Reaction
Polymorphism, Genetic
Polymorphism, Single Nucleotide
Receptor Activator of Nuclear Factor-kappa B
Veins
DNA
Receptor Activator of Nuclear Factor-kappa B

Reference

1. Genco RJ. Current view of risk factors for periodontal diseases. J Periodontol. 1996; 67:10 Suppl. 1041–1049.
Article
2. Offenbacher S. Periodontal diseases: pathogenesis. Ann Periodontol. 1996; 1:821–878.
Article
3. Lacey DL, Boyle WJ, Simonet WS, Kostenuik PJ, Dougall WC, Sullivan JK, et al. Bench to bedside: elucidation of the OPG-RANK-RANKL pathway and the development of denosumab. Nat Rev Drug Discov. 2012; 11:401–419.
Article
4. Eriksen EF. Cellular mechanisms of bone remodeling. Rev Endocr Metab Disord. 2010; 11:219–227.
Article
5. Soedarsono N, Rabello D, Kamei H, Fuma D, Ishihara Y, Suzuki M, et al. Evaluation of RANK/RANKL/OPG gene polymorphisms in aggressive periodontitis. J Periodontal Res. 2006; 41:397–404.
Article
6. Wagner J, Kaminski WE, Aslanidis C, Moder D, Hiller KA, Christgau M, et al. Prevalence of OPG and IL-1 gene polymorphisms in chronic periodontitis. J Clin Periodontol. 2007; 34:823–827.
Article
7. Arikan F, Buduneli N, Kutukculer N. Osteoprotegerin levels in peri-implant crevicular fluid. Clin Oral Implants Res. 2008; 19:283–288.
Article
8. Sarlati F, Sattari M, Gazar AG, Rafsenjani AN. Receptor activator of nuclear factor kappa B ligand (RANKL) levels in peri-implant crevicular fluid. Iran J Immunol. 2010; 7:226–233.
9. Guncu GN, Akman AC, Gunday S, Yamalık N, Berker E. Effect of inflammation on cytokine levels and bone remodelling markers in peri-implant sulcus fluid: a preliminary report. Cytokine. 2012; 59:313–316.
Article
10. Albagha OM, Visconti MR, Alonso N, Langston AL, Cundy T, Dargie R, et al. Genome-wide association study identifies variants at CSF1, OPTN and TNFRSF11A as genetic risk factors for Paget\'s disease of bone. Nat Genet. 2010; 42:520–524.
Article
11. Styrkarsdottir U, Halldorsson BV, Gretarsdottir S, Gudbjartsson DF, Walters GB, Ingvarsson T, et al. Multiple genetic loci for bone mineral density and fractures. N Engl J Med. 2008; 358:2355–2365.
Article
12. Dharmarajan S, Gund P, Phadnis S, Lohade S, Lalwani A, Kar A. Treatment decisions and usage of clotting factor concentrate by a cohort of Indian haemophilia patients. Haemophilia. 2012; 18:e27–e29.
Article
13. Chung PY, Beyens G, Riches PL, Van Wesenbeeck L, de Freitas F, Jennes K, et al. Genetic variation in the TNFRSF11A geneencoding RANK is associated with susceptibility to Paget's disease of bone. J Bone Miner Res. 2010; 25:2592–2605.
Article
14. Hoffmann SC, Stanley EM, Darrin Cox E, Craighead N, DiMercurio BS, Koziol DE, et al. Association of cytokine polymorphic inheritance and in vitro cytokine production in anti-CD3/CD28-stimulated peripheral blood lymphocytes. Transplantation. 2001; 72:1444–1450.
Article
15. Ainamo J, Bay I. Periodontal indexes for and in practice. Tandlaegebladet. 1976; 80:149–152.
16. Quirynen M, De Soete M, van Steenberghe D. Infectious risks for oral implants: a review of the literature. Clin Oral Implants Res. 2002; 13:1–19.
Article
17. Kadkhodazadeh M, Amid R. Evaluation of peri-implant tissue health using a scoring system. J Implant Adv Clin Dent. 2012; 4:51–57.
18. Ebadian AR, Kadkhodazadeh M, Zarnegarnia P, Dahlen G. Bacterial analysis of peri-implantitis and chronic periodontitis in Iranian subjects. Acta Med Iran. 2012; 50:486–492.
19. Konermann A, Stabenow D, Knolle PA, Held SA, Deschner J, Jager A. Regulatory role of periodontal ligament fibroblasts for innate immune cell function and differentiation. Innate Immun. 2012; 18:745–752.
Article
20. Wohlfahrt JC, Wu T, Hodges JS, Hinrichs JE, Michalowicz BS. No association between selected candidate gene polymorphisms and severe chronic periodontitis. J Periodontol. 2006; 77:426–436.
Article
21. Park OJ, Shin SY, Choi Y, Kim MH, Chung CP, Ku Y, et al. The association of osteoprotegerin gene polymorphisms with periodontitis. Oral Dis. 2008; 14:440–444.
Article
22. Lee YH, Woo JH, Choi SJ, Ji JD, Song GG. Associations between osteoprotegerin polymorphisms and bone mineral density: a meta-analysis. Mol Biol Rep. 2010; 37:227–234.
Article
23. Goode A, Layfield R. Recent advances in understanding the molecular basis of Paget disease of bone. J Clin Pathol. 2010; 63:199–203.
Article
24. Chen Y, Xiong DH, Yang TL, Yang F, Jiang H, Zhang F, et al. Variations in RANK gene are associated with adult height in Caucasians. Am J Hum Biol. 2007; 19:559–565.
Article
25. Fan R, Sun B, Zhang CF, Lu YL, Xuan W, Wang QQ, et al. Receptor activator of nuclear factor kappa B ligand and osteoprotegerin expression in chronic apical periodontitis: possible association with inflammatory cells. Chin Med J (Engl). 2011; 124:2162–2166.
26. Kadkhodazadeh M, Ebadian AR, Gholami GA, Khosravi A, Tabari ZA. Analysis of RANKL gene polymorphism (rs9533156 and rs2277438) in Iranian patients with chronic periodontitis and periimplantitis. Arch Oral Biol. 2013; 58:530–536.
Article
Full Text Links
  • JPIS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr