Evaluation of MRNA Expression of the Transcription Factors of Th1 and Th2 Subsets (T-bet and GATA-3) in Periodontal Health and Disease - A Pilot Study in South Indian Population
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Background: Based on their respective pro- or anti-inflammatory cytokine profiles, the Th1/Th2 paradigm explains pathogenic mechanisms involved in periodontal disease. Establishment of Th1 and Th2 subsets from a naive T-cell precursor depends on transcriptional regulation. The aim of this study was to compare the expression of master transcription factor regulators T-bet and GATA-3, respectively, to indicate the predominance of Th1 and Th2 subsets in the presence and absence of periodontal disease.
Materials And Methods: A gingival tissue biopsy sample was obtained from each of 10 severe periodontitis patients (>5 mm attachment loss) and 10 periodontally healthy patients (no attachment loss). Biopsies were immediately processed by real-time reverse transcriptase polymerase chain reaction and the difference in mRNA expression of T-bet and GATA-3 was assessed for each group.
Results: The mRNA expression of T-bet was marginally increased about 1.31-fold in disease, while the GATA-3 levels showed a significant decrease of 4.39-fold in disease.
Conclusion: The advanced periodontal lesions lack Th2 cells, which produce anti-inflammatory cytokines. The biopsies were therefore dominated by Th1 cells, which activate macrophages and osteoclasts.
Cytokine levels in gingival tissues as an indicator to understand periodontal disease severity.
Balu P, Balakrishna Pillai A, Mariappan V, Ramalingam S Curr Res Immunol. 2024; 5:100080.
PMID: 39026560 PMC: 11254528. DOI: 10.1016/j.crimmu.2024.100080.
Jimenez C, Fernandez J, Aroca M, Bordagaray M, Pellegrini E, Contador J Int J Mol Sci. 2023; 24(21).
PMID: 37958576 PMC: 10650793. DOI: 10.3390/ijms242115592.