Impact of Matrix Metalloproteinase-9 during Periodontitis and Cardiovascular Diseases.

Gaetano Isola, Alessandro Polizzi, Vincenzo Ronsivalle, Angela Alibrandi, Giuseppe Palazzo, Antonino Lo Giudice

Molecules (Basel, Switzerland) 2021 Mar 22

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Matrix metalloproteinase-9 (MMP-9) has been shown to play a key role in endothelial function and perhaps pivotal in the correlation between periodontal disease and cardiovascular disease (CVD). For the study, the impact of MMP-9 of periodontitis and CVD on serum and saliva concentrations was analyzed. For the study patients with periodontitis (n = 31), CVD (n = 31), periodontitis + CVD (n = 31), and healthy patients (n = 31) were enrolled. Clinical and demographic characteristics as well as serum and salivary MMP-9 were evaluated. MMP-9 concentrations in serum and saliva were statistically elevated in patients with CVD (p < 0.01) and in patients with periodontitis plus CVD (p < 0.001) compared to patients with periodontitis and healthy subjects. Multivariate regression analysis showed that c-reactive protein (hs-CRP) was the only significant predictor for MMP-9 serum (p < 0.001), whereas hs-CRP (p < 0.001) and total cholesterol (p = 0.029) were the statistically significant salivary MMP-9 predictors. This study evidenced that patients with CVD and periodontitis + CVD presented elevated MMP-9 concentrations in serum and saliva compared to patients with periodontitis and healthy subjects. Furthermore, hs-CRP was a negative predictor of serum and salivary MMP-9.

Citation

Gaetano Isola, Alessandro Polizzi, Vincenzo Ronsivalle, Angela Alibrandi, Giuseppe Palazzo, Antonino Lo Giudice. Impact of Matrix Metalloproteinase-9 during Periodontitis and Cardiovascular Diseases. Molecules (Basel, Switzerland). 2021 Mar 22;26(6)