Localisation of citrullinated and carbamylated proteins in inflamed gingival tissues from rheumatoid arthritis patients
Document Type
Article
Publication Date
3-1-2021
Abstract
Objectives It has been proposed that citrullination and carbamylation occur in the inflamed periodontium and could be the plausible mechanisms for the generation of antigens involved in the development and progression of RA. The purpose of this study was to determine the presence and location of citrullinated and carbamylated proteins in the gingival tissues and compare their abundance in periodontitis (PD) patients with or without RA. Materials and methods Gingival tissue samples of healthy (n = 5), PD with RA (n = 5) and PD without RA (n = 5) were collected. Specimens were formalin fixed, paraffin embedded and sectioned at 4 mu m. The tissue sections were analysed for the presence of citrullinated and carbamylated proteins by immunohistochemistry. Semi-quantitative analysis was performed to quantify and compare the protein abundance between groups. Results The number of cells containing citrullinated and carbamylated proteins with higher intensity was markedly increased in gingival tissues from PD with or without RA in comparison with healthy controls. Conclusion Inflamed gingival tissue is a potential source of citrullinated and carbamylated proteins other than synovial tissues. The extent to which the local accumulation of these proteins contributes to the pathogenesis of RA needs further elucidation.
Keywords
Periodontitis, Rheumatoid arthritis, Citrullination, Carbamylation, Immunohistochemistry
Divisions
OralMaxillofacialSurgery
Funders
Dental Postgraduate Research Grant University of Malaya [DPRG/27/17],Frontier Research Grant University of Malaya [FG040-17AFR]
Publication Title
Clinical Oral Investigations
Volume
25
Issue
3
Publisher
Springer
Publisher Location
TIERGARTENSTRASSE 17, D-69121 HEIDELBERG, GERMANY