Title A Nested Case-Control Study of the Relationship between Salivary Inflammatory Mediators, Periodontal Parameters, and Preterm Birth in a Chinese Population
Authors Wu, Min
Ye, Chanjuan
Li, Huijun
Yang, Xiuqiao
Zhu, Sujun
Zhou, Fangming
Hao, Ying
Chen, Shaowu
Jiang, Shaoyun
Affiliation South Med Univ, Dept Stomatol, Affiliated Shenzhen Matern & Child Healthcare Hosp, Shenzhen 518048, Peoples R China
South Med Univ, Dept Obstet & Gynecol, Affiliated Shenzhen Matern & Child Healthcare Hosp, Shenzhen 518048, Peoples R China
South Med Univ, Clin Lab, Affiliated Shenzhen Matern & Child Healthcare Hosp, Shenzhen 518048, Peoples R China
Peking Univ, Stomatol Ctr, Guangdong Prov Engn Res Ctr Oral Dis Diag & Treatm, Guangdong Prov High Level Clin Key Specialty,Shenz, Shenzhen 518056, Peoples R China
Keywords PREGNANCY
WOMEN
8-HYDROXYDEOXYGUANOSINE
ASSOCIATION
EXPRESSION
CYTOKINES
MARKER
FLUID
Issue Date 18-Aug-2022
Publisher BIOMED RESEARCH INTERNATIONAL
Abstract Background. To explore whether salivary inflammatory mediators and periodontal indices at different gestational stages can be taken as indicators of preterm birth (PTB). Methods. This nested case-control study enrolled systemically healthy pregnant women at 9 to 36 weeks of gestation. Periodontal indices were measured at the enrollment date, and interleukin-1 beta (IL-1 beta), IL-6, tumor necrosis factor (TNF-alpha), prostaglandin E2 (PGE2), and 8-hydroxy-deoxyguanosine (8-OHdG) in the saliva were determined by enzyme-linked immunosorbent assay (ELISA). The birth outcome was recorded. Results. PTB occurred in 26 women. A total of 104 matched women with full-term birth (FTB) were used as controls. The PTB women enrolled at 24-28 gestational weeks displayed a significantly greater bleeding index (BI), probing pocket depth (PD), PD & GE;4 mm sites (%), saliva-TNF-alpha, and saliva-PGE2 (P < 0.05). BI and PGE2 in the saliva were found to be positively associated with PTB (OR=4.79,P=0.048,95%CI=1.014 to 22.628; OR=1.07,P=0.04,95%CI=1.004 to 1.135, respectively). The areas under the receiver operating characteristic curve (ROC) of BI and saliva-PGE2 were 0.82 and 0.78, respectively, and that of the combined detection was 0.91, which was larger than either marker alone, although the differences were not significant (P > 0.05). Conclusions. The combination of BI and PGE2 in saliva at 24-28 gestational weeks could be a predictor of PTB in asymptomatic women. However, the results should be further explored with larger sample size.
URI http://hdl.handle.net/20.500.11897/654127
ISSN 2314-6133
DOI 10.1155/2022/8629680
Indexed SCI(E)
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