Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/S1807-25772013000200010
Revista de Odontologia da UNESP
Original Article

Investigation of the Epstein-Barr virus in patients with chronic periodontitis

Investigação do vírus Epstein-Barr em pacientes com Periodontite Crônica

Farias, Cleysiane Gonçalves; Vinagre, Nicole Patrícia de Lima; Amanajás, Thalita de Almeida; Laurentino, Rogério Valois; Machado, Luiz Fernando Almeida; Amoras-Alves, Ana Claudia Braga

Downloads: 0
Views: 1151

Abstract

In recent years, a growing number of studies have suggested the participation of the herpes virus in periodontal disease. Objective: this study investigates the relationship between the presence of the Epstein-Barr herpes virus and periodontal infection in patients with chronic periodontitis. Methodology: subgingival biofilm samples were collected of subgingival sites with probing depths of 4 mm to 6 mm, and ≥ 7 of 28 patients with chronic periodontitis. The control group consisted of 16 healthy subjects without clinical evidence of chronic periodontitis. Additionally, clinical parameters of probing depth, attachment level and Bleeding index were recorded. Result: the results showed averages of 2 mm probing depth, 1, 7 mm attachment level and 0.3 % bleeding on probing. Investigation of the herpes virus in the subgingival biofilm of the groups was performed using polymerase chain reaction with species-specific primer. Results of viral analysis indicated the absence of EBV in all subgingival samples analyzed. Conclusion: these results found no relationship between the presence of the Epstein-Barr herpes virus and chronic periodontitis.

Keywords

Chronic periodontitis, viruses, herpesvirus 4, human, ethiology.

Resumo

Nos últimos anos, um número crescente de estudos sugere a participação dos herpesvírus na doença periodontal. Objetivo: Este trabalho investiga a relação entre a presença do herpesvírus Epstein-Barr (EBV) e a infecção periodontal em pacientes com periodontite crônica. Metodologia: Foram coletadas amostras de biofilme subgengival de sítios com profundidades de sondagem de 4 a 6 mm e ≥ 7 mm, de 28 pacientes com periodontite crônica. Como controles, foram incluídos 16 indivíduos, sistemicamente saudáveis e sem doença periodontal. Adicionalmente, parâmetros clínicos de profundidade de sondagem (PS), nível clínico de inserção (NCI) e índice de sangramento à sondagem (SS) foram registrados. Resultado: Os resultados demonstraram médias de 2,7 mm PS, 1,7 mm NCI e 0,3% dos sítios apresentaram SS. A investigação do EBV no biofilme subgengival dos grupos foi realizada por meio da reação em cadeia da polimerase com primer espécie-específico. Os resultados da análise viral indicaram ausência de EBV em todas as amostras subgengivais analisadas. Conclusão: A partir destes resultados, não foi encontrada relação entre a presença do herpesvírus Epstein-Barr e a periodontite crônica.

Palavras-chave

Periodontite crônica, vírus, herpesvírus humano 4, etiologia.

References



1. Newman MG, Nisengard RJ. Microbiologia oral e imunologia. 2ª ed. Rio de Janeiro: Guanabara Koogan; 1997.

2. Haffajee AD, Socransky SS. Microbiology and immunology of periodontal disease. Periodontol 2000. 1994;5:78-111. http://dx.doi.org/10.1111/j.1600-0757.1994.tb00020.x

3. Kubar A, Saygun I, Ozdemir A, Yapar M, Slots J. Real time polymerase chain reaction quantification of human Cytomegalovirus and Epstein-Barr virus in periodontal pockets and the adjacent gingiva of periodontitis lesions. J Periodontal Res. 2005;40(2):97-104. PMid:15733143. http://dx.doi.org/10.1111/j.1600-0765.2005.00770.x

4. Page RC, Sturdivant EC. Noninflammatory destructive periodontal disease (NDPD). Periodontol 2000. 2002; 30: 24–39. http://dx.doi.org/10.1034/j.1600-0757.2002.03003.x

5. Brogden, KA, Guthmiller, JM, editors. Polymicrobial diseases. Washington: ASM Press; 2002.

6. Slots J, Sabeti M, Simon JH. Herpesviruses in periapical pathosis: an etiopathogenic relationship? Oral Surg. 2003; 96: 27–31.

7. Cappuyns I, Gugerli P, Mombelli A. Viruses in periodontal disease - a review. Oral Dis. 2005; 11(4): 219–29. PMid:15984953. http://dx.doi.org/10.1111/j.1601-0825.2005.01123.x

8. Knipe D.M, Howley P.M. Fields virology. 4ª ed. Philadelphia: Lippencott,Williams & Wilkins; 2001.

9. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999; 4: 1-6. PMid:10863370. http://dx.doi.org/10.1902/annals.1999.4.1.1

10. Armitage GC. Periodontal diagnoses and classification of periodontal diseases. Periodontology 2000. 2004; 34: 9-21. http://dx.doi.org/10.1046/j.0906-6713.2002.003421.x

11. Imbronito AV, Grande SR, Freitas NM, Okuda O, Lotufo RF, Nunes FD. Detection of Epstein-Barr vírus and human cytomegalovirus in blood and oral samples: comparison of three sampling methods. J Oral Sci. 2008; 50(1): 25-31. http://dx.doi.org/10.2334/josnusd.50.25

12. Krigar DM, Kaltschmitt J, Krieger JK, Eickholz P. Two subgingival plaque sampling strategies used with RNA-probes. J Periodontol. 2007; 78: 72-8. PMid:17199542. http://dx.doi.org/10.1902/jop.2007.060236

13. Cascorbi I, Gerloff T, Johne A, Meisel C, Hoffmeyer S, Schwab M, et al. Frequency of single nucleotide polymorphisms in the P-glycoprotein drug transporter MDR1 gene in white subjects. Clin Pharmacol Ther. 2001; 69: 169-74. PMid:11240981. http://dx.doi.org/10.1067/mcp.2001.114164

14. Telenti A, Marshsll WF, Smith TF. Detection of Epstein-Barr virus by polymerase chain reaction. J Clin Microbiol. 1990; 28 (10): 2187–90. PMid:2172284 PMCid:268144.

15. Nibali L, Atkinson C, Griffiths P, Darbar U, Rakmanee T, Suvan J, et al. Low prevalence of subgingival viruses in periodontitis patients. J Clin Periodontol. 2009; 36 (11): 28-32. PMid:19811582. http://dx.doi.org/10.1111/j.1600-051X.2009.01476.x

16. Ling LJ, Ho CC, Wu CY, Chen YT, Hung SL. Association between human herpesviruses and the severity of periodontitis. J Periodontol. 2004;75(11): 1479-85. PMid:15633324. http://dx.doi.org/10.1902/jop.2004.75.11.1479

17. Saygun I, Sahin S, Ozdemir A, Kurtis B, Yapar M, Kubar A, et al. Detection of human viruses in patients with chronic periodontitis and the relationship between viruses and clinical parameters. J Periodontol. 2002; 73(12): 37-43. PMid:12546093. http://dx.doi.org/10.1902/jop.2002.73.12.1437

18. Cassai E, Galvan N, Trombelli L, Rotola A. HHV-6, HHV-7 and HHV-8 in gingival biopsies in chronic adult periodontitis patients. A case-control study. J Clin Periodontol. 2003; 30 (3): 184-91. PMid:12631175. http://dx.doi.org/10.1034/j.1600-051X.2003.00220.x

19. Slots J, Contreras A. Herpesviruses: a unifying causative factor in periodontitis?. Oral Microbiol Immunol. 2000; 15 (5): 277-80. http://dx.doi.org/10.1034/j.1399-302x.2000.150501.x

20. Parra B, Slots J. Detection of human viruses in periodontal pockets using polymerase chain reaction. Oral Microbiol Immunol. 1996; 5(11): 289–93. http://dx.doi.org/10.1111/j.1399-302X.1996.tb00183.x

21. Watanabe SA, Correia-Silva JF, Horta MCR, Costa JE, Gomes RS. EBV-1 and HCMV in agressive periodontitis in Brazilian patients. Braz Oral Res. 2007; 21(4):336-41. http://dx.doi.org/10.1590/S1806-83242007000400010

22. Kubar A, Saygun I, Ozdemir A, Yapar M, Slots J. Real time polymerase chain reaction quantification of human Cytomegalovirus and Epstein-Barr virus in periodontal pockets and the adjacent gingiva of periodontitis lesions. J Periodontal Res. 2005; 40 (2): 97-104. PMid:15733143. http://dx.doi.org/10.1111/j.1600-0765.2005.00770.x

23. Bilichodmath S, Mangalekar SB, Sharma DC, Prabhakar AK, Reddy SB, Kalburgi NB, et al. Herpesviruses in chronic and aggressive periodontitis patients in an Indian population. J Oral Sci. 2009; 51(1): 79-86. http://dx.doi.org/10.2334/josnusd.51.79

24. Grande SR, Imbronito AV, Okuda OS, Lotufo RFM, Magalhães MHG, Nunes FD. Herpes viruses in periodontal compromised sites: comparison between HIV-positive and -negative patients. J Clin Periodontol. 2008; 35: 838–45. PMid:18727655. http://dx.doi.org/10.1111/j.1600-051X.2008.01307.x

25. Contreras A, Falkler WA Jr, Enwonwu CO, Idigbe EO, Savage KO, Afolabi MB, et al. Human Herpesviridae in acute necrotizing ulcerative gingivitis in children in Nigeria. Oral Microbiol Immunol. 1997; 12(5): 259-65. http://dx.doi.org/10.1111/j.1399-302X.1997.tb00389.x

26. Michalowicz BS, Ronderos M, Camara-Silva R, Contreras A. Human herpesviruses and Porphyromonas gingivalis are associaates with juvenile periodontitis. J Periodontol. 2000; 71 (6): 81-8. PMid:10914802. http://dx.doi.org/10.1902/jop.2000.71.6.981

27. Contreras A, Slots J, Herpesviruses in human periodontal disease. J Periodontal Res. 2000; 35: 3-16. PMid:10791704. http://dx.doi.org/10.1034/j.1600-0765.2000.035001003.x

28. Ogawa Y, Fujita H, Matsuoka H, Komatsubara J, Hori T, Kaneko N, et al. Isolation of herpes simplex virus from patients with periodontal disease. Nippon Shishubyo Gakkai Kaishi. 1982; 24(4): 594-600. http://dx.doi.org/10.2329/perio.24.594
588019537f8c9d0a098b50d0 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections