einstein (São Paulo). 26/Feb/2024;22:eAO0396.
New immunological aspects of peri-implantitis
DOI: 10.31744/einstein_journal/2024AO0396
Highlights
Higher levels of HIF-1α in patients with peri-implantitis occurred possibly due to persistent hypoxia triggered by inflammation.
Tissue hypoxia in peri-implantitis induced increase in HIF-1α consequently increased VEGF and angiogenesis, contributing to the persistence of inflammation.
ABSTRACT
Objective:
This study aimed to compare the levels of HIF1-α, VEGF, TNF-α, and IL-10 in the periimplant crevicular fluid of patients with and without peri-implantitis.
Methods:
Forty patients, comprising 16 with and 24 without peri-implantitis were selected.
Results:
Patients with peri-implantitis exhibited significantly higher HIF-1α levels than those without peri-implantitis (p=0.0005). TNF-α revealed significant positive correlations with IL-10 (p=0.0008) and VEGF (p=0.0246), whereas HIF-1α and IL-10 levels (p=0.0041) demonstrated a negative and significative correlation in the peri-implantitis group.
Conclusion:
This study, for the first time demonstrates the balance of HIF-1α, TNFα, IL-10, and VEGF in peri-implantitis. It shows an elevated HIF-1α levels in patients with peri-implantitis, which could have stemmed from persistent inflammation- triggered hypoxia. Furthermore, the positive correlation between TNF-α and VEGF suggests intensified proinflammatory activity in peri-implantitis. Nevertheless, further studies are essential to understand these immune dynamics in peri-implantitis.
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