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Efficacy of subantimicrobial-dose doxycycline against nitrosative stress in chronic periodontitis

  
@article{APS6820,
	author = {Alina Elena Pârvu and Sandu Florin Alb and Alexandra Crăciun and Marian Aurel Taulescu},
	title = {Efficacy of subantimicrobial-dose doxycycline against nitrosative stress in chronic periodontitis},
	journal = {Acta Pharmacologica Sinica},
	volume = {34},
	number = {2},
	year = {2016},
	keywords = {},
	abstract = {Alina Elena PÂRVU1, *, Sandu Florin ALB2, Alexandra CRĂCIUN3, Marian Aurel TAULESCU4
1Department of Pathophysiology, Faculty of Medicine, University of Medicine and Pharmacy “Iuliu Haţieganu,” Cluj-Napoca 400012, Romania; 2Department of Periodontology, Faculty of Medical Dentistry, University of Medicine and Pharmacy “Iuliu Haţieganum,” Cluj-Napoca 400012, Romania; 3Department of Biochemistry, Faculty of Medicine, University of Medicine and Pharmacy “Iuliu Haţieganu,” Cluj-Napoca 400012, Romania; 4Department of Pathology, Faculty of Veterinary Medicine, University of Agricultural and Veterinary Sciences, Cluj-Napoca 400372, Romania
 
Aim: To evaluate the effectiveness of subantimicrobial-dose doxycycline (SDD) as an adjunct to scaling and root planing (SRP) treatment against the nitrosative stress of moderate to advanced chronic periodontitis.

Methods: Adults with untreated chronic periodontitis (n=174) were randomly administered SRP+SDD (n=87) (20 mg of doxycycline twice daily) or SRP+placebo (n=87) treatment for 3 months.  At baseline and after 3 months, the probing depths (PD), bleeding on probing (BOP) and clinical attachment level (CAL) were measured, and a gingivomucosal biopsy was collected to assay the induction of nitric oxide synthase (iNOS) and 3-nitrotyrosine (3NT), and blood was collected to assay for total nitrites and nitrates (NOx) and 3NT. 

Results: Compared to baseline, at the completion of treatment, significant decreases in the levels of tissue iNOS and 3NT and serum NOx and 3NT were observed in both groups.  SRP+SDD yielded a greater reduction in the gingivomucosal and serum nitrosative stress markers than did SRP+placebo.  PD, BOP, and CAL reduction were correlated with the nitrosative stress parameters.

Conclusion: On a short-term basis, SDD therapy may be used as an adjunct to SRP treatment against nitrosative stress in moderate to advanced chronic periodontitis.

 
Keywords: nitric oxide; nitrosative stress; chronic periodontitis; scaling and root planing treatment; doxycycline; stomatology
 
This work was financially supported by the Ministry of Education, Research and Youth, CNCSIS grant PNII-IDEI 1273/2008.  We would like to thank Synevo Romania SRL for providing the blood samples and Mihaela BANCIU for editing the text.
* To whom correspondence should be addressed.
E-mail parvualinaelena@yahoo.com
Received 2012-04-09    Accepted 2012-08-06},
	issn = {1745-7254},	url = {http://www.chinaphar.com/article/view/6820}
}