Disturbance of nitric oxide synthase constitutive isoforms expression as a pathogenetic factor of complications development after tooth extraction in experimental diabetes mellitus

Authors

  • K. S. Hanchev Zaporizhzhia State Medical University, Ukraine,
  • A. V. Abramov Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2310-1237.2018.2.141407

Keywords:

nitric oxide synthase, tooth extraction complications, experimental diabetes mellitus, rats

Abstract

The role of constitutive NOS isoforms (endothelial and neuronal) in pathogenesis of complications development and repair processes disturbances in periodontium after tooth extraction in experimental diabetes mellitus is not studied completely.

The aim of work – to find out the features of constitutive NOS isoforms (endothelial and neuronal) indices alterations in periodontal tissue of rats with experimental streptozotocin-induced diabetes mellitus on different terms  (1st , 7th  and 14th day) after mandibular 1st molar extraction.

Materials and methods. Immunohistochemical study of endothelial and neuronal NOS isoforms expression indices (content, concentration, area of immunoreactive material distribution) in periodontium tissue was conducted on 120 male rats 8–10 months-old (8 experimental groups).

Results. In rats with experimental diabetes mellitus (EDM) without tooth extraction content and concentration of both constitutive NOS isoforms in periodontium were lower than in control group of animals. The extraction of tooth in rats with EDM resulted in significant increase of all indices of both isoforms expression in comparison with EDM rats without tooth extraction.

On the 7th day after tooth extraction nNOS content and area of distribution was also increased by 24.3 % and 14.2 % respectively, and concentration decreased by 58.3 %. Indices of eNOS were not reliably changed in comparison with the 1st day after tooth extraction.

On the 14th day after tooth extraction in rats with EDM, a significant decrease in all the indices of expression of constitutive NOS was observed, moreover, the concentration and area of nNOS distribution and the content, concentration and area of eNOS become significantly lower than in the corresponding control group.

Conclusions. In rats with EDM in periodontal tissues the content and concentration of NOS constitutive isoforms are reduced. Extraction of the tooth in the animal with EDM leads to a moderate increase in the content and concentration of nNOS and eNOS from the 1st to the 7th day. On the 14th day after the extraction, the expression indices of both isoforms decrease lower than in the corresponding control groups, that indicates a low content of endothelial and neuronal isoforms in the periodontium of rats with EDM and probably plays an important role in the pathogenesis of long-term complications development after surgery along with violation of repair processes.

 

 

 

 

References

Khmil, Е. (2013). Kharakterystyka stanu mistsevoho imunitetu rotovoi porozhnyny pry khronichnomy retsydyvuiuchomy aftoznomy stomatyti u pidlitkiv z tsukrovym diabetom [Characterization of the state of the local immunity of the oral cavity with chronic recurrent aphthozus stomatitis in adolescents with diabetes]. Visnyk problem biolohii i medytsyny, 1(2(99), 306–308. [in Ukrainian].

Engebretson, S., & Kocher, T. (2013). Evidence that periodontal treatment improves diabetes outcomes: a systematic review and meta-analysis. Journal of Periodontology, 84(4s), 1527–1534. doi: 10.1902/jop.2013.1340017.

Stancic, A., Jankovic, A., Korac, A., Buzadzic, B., Otasevic, V., & Korac, B. (2018). The role of nitric oxide in diabetic skin (patho)physiology. Mech Ageing Dev., 172, 21–29. doi: 10.1016/j.mad.2017.08.018.

Kolesnik, Y., & Abramov, A. (2005). Neyroendokrynye i immunnye mehanizmy razvitiya saharnogo diabeta [Neuroendocrine and immune mechanisms of the development of diabetes mellitus]. Pathologia, 2(3), 20–23. [in Russian].

Halafyan, A. A. (2014). Sovremennye statisticheskie metody medicinskikh issledovanij [Modern statistical methods of medical research]. Moscow. [in Russian].

Van Dyke, T., & van Winkelhoff, A. (2013). Infection and inflammatory mechanisms. Journal of clinical periodontology, 40(14), S1–7. doi: 10.1111/jcpe.12088.

Grigoryan, K., Barer, G., Grigoryan, O., Mel`nichenko, G., & Dedov, I. (2006). Sovremennye aspecty patogeneza u bol`nykh sakharnym diabetom [Modern aspects of the pathogenesis of periodontitis in patients with diabetes mellitus]. Sakharnyj diabet, 2, 64–68. [in Russian].

Shi, Y., & Vanhoutte, P. M. (2017). Macro- and microvascular endothelial dysfunction in diabetes. J Diabetes., 9(5), 434–449. doi: 10.1111/1753-0407.12521.

Stavniichuk, R., Shevalye, H., Lupachyk, S., Obrosov, A., Groves, J. T., Obrosova, I. G., & Yorek, M.A. (2014). Peroxynitrite and protein nitration in the pathogenesis of diabetic peripheral neuropathy. Diabetes Metab Res Rev., 30(8), 669–78. doi: 10.1002/dmrr.2549.

Ishioka, M., Ishizuka, Y., Shintani, S., Yanagisawa, T., Inoue, T., Sasaki, J., & Watanabe, H. (2014). Expression profiles of NOS isoforms in gingiva of nNOS knockout mice. Tissue And Cell, 46(2), 122–126. doi: 10.1016/j.tice.2013.12.003.

Costa, E., Rezende, B., Cortes, S., & Lemos, V. (2016). Neuronal Nitric Oxide Synthase in Vascular Physiology and Diseases. Frontiers In Physiology, 7, 206 doi: 10.3389/fphys.2016.00206

Thippeswamy, T., McKay, J. S., Quinn, J. P., & Morris, R. (2006). Nitric oxide, a biological double-faced janus--is this good or bad?. Histology and histopathology, 21(4), 445–458. doi: 10.14670/HH-21.445.

Fomichev, E. V., Poroysky, S. V., Kirpichnikov, M. V., & Yarygina, E. N. (2014). Sovremennaya koncepciya lechenіya gnojno-vospalitel`nykh zabolevanij lica i shei u bol`nykh sakharnym diabetom [Modern conception of treating purulent inflammatory diseases of the face and neck region in patients with diabetes mellitus]. Volgogradskij nauchno-medicinskij zhurnal, 3, 35–40. [in Russian].

Iordanishvili, A. K., Soldatova, L. N., Pereverzev, V. S., Zhmud, M. V., & Zhmud, O. N. (2017). Stomatologycheskoye zdorov`e detey, stradajuschih saharnym diabetom I tipa i puti ego ulutshenia [Dental health in children with type 1 diabetes mellitus and ways of its improvement]. Rosijskij vestnik perionatologii i pediatrii, 63(1), 121–126. [in Russian]. doi: 10.21508/1027-4065-2017-62-1-121-126.

How to Cite

1.
Hanchev KS, Abramov AV. Disturbance of nitric oxide synthase constitutive isoforms expression as a pathogenetic factor of complications development after tooth extraction in experimental diabetes mellitus. Pathologia [Internet]. 2018Sep.12 [cited 2024Nov.23];(2). Available from: http://pat.zsmu.edu.ua/article/view/141407

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Section

Original research