Role of nuclear factor kappa-B in phenytoin-induced gingival overgrowth

Objective This study investigates the expression of transcription factor nuclear factor‐kappa B (NF‐κB) and its relation to various cellular mediators that act in the pathogenesis of phenytoin‐induced gingival overgrowth. Materials and methods Eighteen epileptic patients had phenytoin‐induced gingiv...

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Veröffentlicht in:Oral diseases 2014-04, Vol.20 (3), p.294-300
Hauptverfasser: Arabaci, T, Köse, O, Kizildağ, A, Albayrak, M, Çiçek, Y, Kara, A
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container_end_page 300
container_issue 3
container_start_page 294
container_title Oral diseases
container_volume 20
creator Arabaci, T
Köse, O
Kizildağ, A
Albayrak, M
Çiçek, Y
Kara, A
description Objective This study investigates the expression of transcription factor nuclear factor‐kappa B (NF‐κB) and its relation to various cellular mediators that act in the pathogenesis of phenytoin‐induced gingival overgrowth. Materials and methods Eighteen epileptic patients had phenytoin‐induced gingival overgrowth (PHT‐GO), 20 patients with plaque‐induced gingivitis (Gingivitis), and 20 periodontally and systemically healthy individuals (Control) were included in this study. The expression of activated NF‐κB subunits (p50 and p65), IL‐1β, TNF‐α and TGFβ‐1 levels were examined in the gingival sections obtained from each participant. Results The results demonstrated a significantly higher expression of p65 in fibroblasts in PHT‐GO group with respect to Gingivitis (P 
doi_str_mv 10.1111/odi.12111
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Materials and methods Eighteen epileptic patients had phenytoin‐induced gingival overgrowth (PHT‐GO), 20 patients with plaque‐induced gingivitis (Gingivitis), and 20 periodontally and systemically healthy individuals (Control) were included in this study. The expression of activated NF‐κB subunits (p50 and p65), IL‐1β, TNF‐α and TGFβ‐1 levels were examined in the gingival sections obtained from each participant. Results The results demonstrated a significantly higher expression of p65 in fibroblasts in PHT‐GO group with respect to Gingivitis (P &lt; 0.05) and control groups (P &lt; 0.01). However, we found no statistically significant differences between PHT‐GO and Gingivitis groups according to the immunohistochemical staining in macrophages (P &gt; 0.05). Immune‐reactive TGFβ‐1 levels in the gingival connective tissue cells were statistically higher in PHT‐GO group with respect to Gingivitis group(P &lt; 0.05). Statistically significant correlations were found between the HI and activated TGFβ‐1 and p65 levels in PHT‐GO group. Conclusion The results of this study showed that NF‐κB is activated in PHT‐related gingival overgrowth. This study may provide a basis for future research into specific NF‐κB inhibition for preventing of the side effects of this drug.</description><identifier>ISSN: 1354-523X</identifier><identifier>EISSN: 1601-0825</identifier><identifier>DOI: 10.1111/odi.12111</identifier><identifier>PMID: 23651365</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anticonvulsants - adverse effects ; Dentistry ; Female ; gingival overgrowth ; Gingival Overgrowth - chemically induced ; Gingivitis - chemically induced ; growth factors ; Gum disease ; Humans ; Male ; NF-kappa B - immunology ; NF-kappa B - physiology ; nuclear factor kappa-B ; Pharmacology ; phenytoin ; Phenytoin - adverse effects ; Side effects ; Young Adult</subject><ispartof>Oral diseases, 2014-04, Vol.20 (3), p.294-300</ispartof><rights>2013 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2013 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2014 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4571-bd7d509f8fbe9a63391cd41d58567bea76f26425087b6a4547aafbb8f850c3d33</citedby><cites>FETCH-LOGICAL-c4571-bd7d509f8fbe9a63391cd41d58567bea76f26425087b6a4547aafbb8f850c3d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fodi.12111$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fodi.12111$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23651365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arabaci, T</creatorcontrib><creatorcontrib>Köse, O</creatorcontrib><creatorcontrib>Kizildağ, A</creatorcontrib><creatorcontrib>Albayrak, M</creatorcontrib><creatorcontrib>Çiçek, Y</creatorcontrib><creatorcontrib>Kara, A</creatorcontrib><title>Role of nuclear factor kappa-B in phenytoin-induced gingival overgrowth</title><title>Oral diseases</title><addtitle>Oral Dis</addtitle><description>Objective This study investigates the expression of transcription factor nuclear factor‐kappa B (NF‐κB) and its relation to various cellular mediators that act in the pathogenesis of phenytoin‐induced gingival overgrowth. Materials and methods Eighteen epileptic patients had phenytoin‐induced gingival overgrowth (PHT‐GO), 20 patients with plaque‐induced gingivitis (Gingivitis), and 20 periodontally and systemically healthy individuals (Control) were included in this study. The expression of activated NF‐κB subunits (p50 and p65), IL‐1β, TNF‐α and TGFβ‐1 levels were examined in the gingival sections obtained from each participant. Results The results demonstrated a significantly higher expression of p65 in fibroblasts in PHT‐GO group with respect to Gingivitis (P &lt; 0.05) and control groups (P &lt; 0.01). However, we found no statistically significant differences between PHT‐GO and Gingivitis groups according to the immunohistochemical staining in macrophages (P &gt; 0.05). Immune‐reactive TGFβ‐1 levels in the gingival connective tissue cells were statistically higher in PHT‐GO group with respect to Gingivitis group(P &lt; 0.05). Statistically significant correlations were found between the HI and activated TGFβ‐1 and p65 levels in PHT‐GO group. Conclusion The results of this study showed that NF‐κB is activated in PHT‐related gingival overgrowth. This study may provide a basis for future research into specific NF‐κB inhibition for preventing of the side effects of this drug.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anticonvulsants - adverse effects</subject><subject>Dentistry</subject><subject>Female</subject><subject>gingival overgrowth</subject><subject>Gingival Overgrowth - chemically induced</subject><subject>Gingivitis - chemically induced</subject><subject>growth factors</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Male</subject><subject>NF-kappa B - immunology</subject><subject>NF-kappa B - physiology</subject><subject>nuclear factor kappa-B</subject><subject>Pharmacology</subject><subject>phenytoin</subject><subject>Phenytoin - adverse effects</subject><subject>Side effects</subject><subject>Young Adult</subject><issn>1354-523X</issn><issn>1601-0825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kF9LwzAUxYMo_pk--AWk4Is-VJOmSdpHp24OREWUiS8hbZIZ7ZqatNN9ezM3fRC8cLn34XcOhwPAPoInKMypleYEJeFbA9uIQhTDLCHr4cckjUmCn7bAjvevECKW42QTbCWYEhR2GwzvbaUiq6O6KyslXKRF2VoXvYmmEXE_MnXUvKh63lpTx6aWXalkNDH1xMxEFdmZchNnP9qXXbChReXV3ur2wOPg8uH8Kr6-HY7Oz67jMiUMxYVkksBcZ7pQuaAY56iUKZIkI5QVSjCqE5omBGasoCIlKRNCF0WmMwJLLDHugaOlb-Pse6d8y6fGl6qqRK1s5zkK0oU-JQE9_IO-2s7VId2CYillOMsDdbykSme9d0rzxpmpcHOOIF-0y0O7_LvdwB6sHLtiquQv-VNnAE6XwIep1Px_J357MfqxjJcK41v1-asQ7o2HfIzw8c2Q9-nN3fN4kHGKvwASGJFz</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Arabaci, T</creator><creator>Köse, O</creator><creator>Kizildağ, A</creator><creator>Albayrak, M</creator><creator>Çiçek, Y</creator><creator>Kara, A</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Role of nuclear factor kappa-B in phenytoin-induced gingival overgrowth</title><author>Arabaci, T ; Köse, O ; Kizildağ, A ; Albayrak, M ; Çiçek, Y ; Kara, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4571-bd7d509f8fbe9a63391cd41d58567bea76f26425087b6a4547aafbb8f850c3d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants - adverse effects</topic><topic>Dentistry</topic><topic>Female</topic><topic>gingival overgrowth</topic><topic>Gingival Overgrowth - chemically induced</topic><topic>Gingivitis - chemically induced</topic><topic>growth factors</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Male</topic><topic>NF-kappa B - immunology</topic><topic>NF-kappa B - physiology</topic><topic>nuclear factor kappa-B</topic><topic>Pharmacology</topic><topic>phenytoin</topic><topic>Phenytoin - adverse effects</topic><topic>Side effects</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arabaci, T</creatorcontrib><creatorcontrib>Köse, O</creatorcontrib><creatorcontrib>Kizildağ, A</creatorcontrib><creatorcontrib>Albayrak, M</creatorcontrib><creatorcontrib>Çiçek, Y</creatorcontrib><creatorcontrib>Kara, A</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Oral diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arabaci, T</au><au>Köse, O</au><au>Kizildağ, A</au><au>Albayrak, M</au><au>Çiçek, Y</au><au>Kara, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of nuclear factor kappa-B in phenytoin-induced gingival overgrowth</atitle><jtitle>Oral diseases</jtitle><addtitle>Oral Dis</addtitle><date>2014-04</date><risdate>2014</risdate><volume>20</volume><issue>3</issue><spage>294</spage><epage>300</epage><pages>294-300</pages><issn>1354-523X</issn><eissn>1601-0825</eissn><abstract>Objective This study investigates the expression of transcription factor nuclear factor‐kappa B (NF‐κB) and its relation to various cellular mediators that act in the pathogenesis of phenytoin‐induced gingival overgrowth. 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Statistically significant correlations were found between the HI and activated TGFβ‐1 and p65 levels in PHT‐GO group. Conclusion The results of this study showed that NF‐κB is activated in PHT‐related gingival overgrowth. This study may provide a basis for future research into specific NF‐κB inhibition for preventing of the side effects of this drug.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>23651365</pmid><doi>10.1111/odi.12111</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Anticonvulsants - adverse effects
Dentistry
Female
gingival overgrowth
Gingival Overgrowth - chemically induced
Gingivitis - chemically induced
growth factors
Gum disease
Humans
Male
NF-kappa B - immunology
NF-kappa B - physiology
nuclear factor kappa-B
Pharmacology
phenytoin
Phenytoin - adverse effects
Side effects
Young Adult
title Role of nuclear factor kappa-B in phenytoin-induced gingival overgrowth
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