Association of salivary levels of DNA sensing inflammasomes AIM2, IFI16, and cytokine IL18 with periodontitis and diabetes

J Periodontol. 2024 Feb;95(2):114-124. doi: 10.1002/JPER.23-0184. Epub 2023 Aug 12.

Abstract

Background: Aberrant deoxyribonucleic acid (DNA) contributes to inflammasome orchestrated progression of chronic inflammatory diseases like diabetes and periodontitis. The purpose of the present study was to estimate salivary levels of DNA sensing inflammasomes, absent in melanoma 2 (AIM2), interferon γ inducible protein (IFI16), and cytokine interleukin 18 (IL18) in individuals with periodontitis, diabetes, and healthy controls and interpret its association with periodontal and diabetic parameters.

Methods: Salivary levels of AIM2, IFI16, and IL18 were estimated by enzyme linked immunosorbent assay (ELISA) in a total of 120 individuals (n = 30 in each group), namely, healthy (Group 1), periodontitis (Group 2), diabetes (Group 3), and diabetes with periodontitis (Group 4). Correlations of inflammasome levels and periodontal clinical parameters-plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), and periodontal inflamed surface area (PISA) were performed. Multiple regression was carried out to predict AIM2 and IFI16 with various independent variables.

Results: The mean salivary levels of AIM2, IFI16, and IL18 were highest in diabetes with periodontitis (Group 4) and least in healthy (Group 1) and statistically significant between the groups (p = 0.000). Significant positive correlation between clinical periodontal parameters and AIM2, IFI16, and IL18 was present (p ≤ 0.05). Multiple regression showed glycated hemoglobin (HbA1C) (p = 0.002), GI (p = 0.016), PISA (p = 0.002), and CAL (p = 0.004) were significant predictors of AIM2, while HbA1C (p = 0.012), PISA (p = 0.003), and CAL (p = 0.007) predicted IFI16.

Conclusion: The results of the present study showed higher levels of AIM2, IFI16, and IL18 in saliva of individuals with diabetes and periodontitis. HbA1C, PISA, and CAL were significant independent predictors of salivary AIM2 and IFI16 levels.

Keywords: diabetes mellitus; human AIM2 protein; human IFI16 protein; inflammasomes; interleukin 18; periodontitis.

MeSH terms

  • Cytokines
  • DNA
  • DNA-Binding Proteins
  • Diabetes Mellitus*
  • Glycated Hemoglobin
  • Humans
  • Inflammasomes
  • Interleukin-18
  • Melanoma*
  • Nuclear Proteins
  • Periodontitis*
  • Phosphoproteins

Substances

  • AIM2 protein, human
  • Cytokines
  • DNA
  • DNA-Binding Proteins
  • Glycated Hemoglobin
  • IFI16 protein, human
  • Inflammasomes
  • Interleukin-18
  • Nuclear Proteins
  • Phosphoproteins
  • IL18 protein, human