This study investigates the impact of smoking on pyroptosis and inflammatory signaling pathways in systemically healthy individuals with various periodontal conditions. The research compares smokers and non-smokers across three clinical categories, resulting in six study groups: Healthy Control, Gingivitis, and Periodontitis. The study specifically evaluates the levels of IL-1beta, IL-18, and NLRP3 through ELISA, and the gene expression of TLR1, TLR4, and TLR6 through RT-PCR, to understand how cigarette smoke modulates innate immune responses in the absence of other systemic diseases.
The aim of this research is to clarify the molecular link between tobacco use and pyroptotic cell death pathways in the pathogenesis of periodontal disease. To eliminate systemic bias, only systemically healthy participants are included. The study design consists of 6 distinct groups based on a 2x3 matrix (Smoking Status: Yes/No × Periodontal Status: Healthy/Gingivitis/Periodontitis). Protein levels of the NLRP3 inflammasome and pro-inflammatory cytokines (IL-1beta, IL-18) are measured in periodontal tissues using the ELISA method. Furthermore, the mRNA expressions of Toll-like receptors (TLR1, TLR4, and TLR6) are analyzed via RT-PCR. These findings will help determine how smoking influences tissue destruction mechanisms specifically through the pyroptosis pathway in different stages of gum disease.
Study Type
OBSERVATIONAL
Enrollment
113
Suleyman Demirel University, Faculty of Dentistry, Department of Periodontology
Isparta, Isparta, Turkey (Türkiye)
Relative mRNA expression levels of TLR1,TLR4 and TLR6
Metric:Fold change (2\^-ΔΔCt method). Measurement of gene expression levels in gingival tissues using the RT-PCR method.
Time frame: Baseline (At the clinical examination)
Protein concerntrations of NLRP3, IL-18 and IL-1β
Metric: Picograms per milliliter (pg/mL). Evaluation of protein concentrations in gingival tissue samples using the ELISA method.
Time frame: Baseline (At the time of clinical examinat
Periodontal Inflamed Surface Area (PISA)
Metric: square millimeters (mm²). Calculation of the total periodontal inflamed surface area to quantify the inflammatory burden.
Time frame: Baseline (At the time of clinical examination)
Periodontal Clinical Measurements (PD and CAL)
Metric: millimeters (mm). Measurements of Probing Depth (PD) and Clinical Attachment Level (CAL) using a periodontal probe.
Time frame: Baseline (At the time of clinical examination)
Periodontal Indices (PI and GI)
Metric: 0-3 numerical scale. Assessment of Plaque Index (PI) and Gingival Index (GI) to evaluate oral hygiene and gingival inflammation.
Time frame: Baseline (At the time of clinical examination)
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