Volume 43, Issue 10 pp. 807-815
Epidemiology (Cohort Study or Case-Control Study)

Salivary antimicrobial defensins in pregnancy

Mervi Gürsoy

Corresponding Author

Mervi Gürsoy

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland

Address:

Mervi Gürsoy

Department of Periodontology

Institute of Dentistry

University of Turku

Lemminkäisenkatu 2, FI-20520 Turku

Finland

E-mail: [email protected]

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Ulvi K. Gürsoy

Ulvi K. Gürsoy

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland

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Anna Liukkonen

Anna Liukkonen

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland

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Tommi Kauko

Tommi Kauko

Department of Biostatistics, University of Turku, Turku, Finland

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Saara Penkkala

Saara Penkkala

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland

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Eija Könönen

Eija Könönen

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland

Oral Health Care, Welfare Division, City of Turku, Turku, Finland

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First published: 18 May 2016
Citations: 18

Conflict of interest and source of funding statement

The authors declare no financial or commercial conflict of interest.

This work was supported by grants from the Finnish Dental Society Apollonia (MG, AL).

Abstract

Aim

Susceptibility to and severity of gingival inflammation are enhanced during pregnancy; however, regulation of oral innate immune response, including antimicrobial peptides, during pregnancy is still unknown. We analysed salivary levels of human beta-defensin (hBD)-1, -2, -3, and human neutrophil peptide (HNP)-1 in pregnant women, and related those to their periodontal status.

Material and Methods

In this cohort study, 30 generally healthy, non-smoking Caucasian women without periodontitis were followed at three time points during pregnancy and twice post-partum. The non-pregnant group consisted of 24 women, who were examined three times at the following months. At each visit, periodontal status was recorded and stimulated saliva samples were collected. Salivary estradiol, progesterone, and defensin concentrations were measured by ELISA assays.

Results

After adjusting for visible plaque and gingival bleeding, reduced salivary concentrations of hBD-1, hBD-2, and HNP-1 were found especially during the third trimester, whereas hBD-3 concentrations did not change during pregnancy and post-partum visits. Weak associations were observed between salivary defensin and hormone concentrations and clinical parameters.

Conclusion

There seems to be an independent regulation cascade for each antimicrobial defensin in the oral cavity during pregnancy, despite of the similarities between these antimicrobial peptides.

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