Induction of collagenolytic MMP-8 and -9 tissue destruction cascade in mouth by head and neck cancer radiotherapy: a cohort study

dc.contributor.authorBrandt, Ella
dc.contributor.authorKeskin, Mutlu
dc.contributor.authorRaisanen, Ismo
dc.contributor.authorTervahartiala, Taina
dc.contributor.authorMakitie, Antti
dc.contributor.authorHarmankaya, İlknur
dc.contributor.authorKaraçetin, Didem
dc.contributor.authorHagström, Jaana
dc.contributor.authorRautava, Jaana
dc.contributor.authorSorsa, Timo
dc.date.accessioned2024-02-20T11:58:12Z
dc.date.available2024-02-20T11:58:12Z
dc.date.issued2023en_US
dc.departmentMeslek Yüksekokulları, Sağlık Hizmetleri Meslek Yüksekokulu, Ağız ve Diş Sağlığı Programıen_US
dc.description.abstractThe effect of head and neck cancer (HNC) radiotherapy (RT) on biomarkers is not known but there is a lot of potential for gaining more precise cancer treatments and less side effects. This cohort study investigated the levels and molecular forms of the matrix metalloproteinase (MMP) -8 and -9, tissue inhibitor of metalloproteinase (TIMP)-1, myeloperoxidase (MPO) and interleukin (IL)-6 in mouth-rinse samples as well as the clinical periodontal status in HNC patients (n = 21) receiving RT. Complete periodontal examinations were performed pre-RT and one month after RT. Mouth-rinse samples (pre-RT, after six weeks of RT and one month after RT) were assayed using a point-of-care-kit (PerioSafe®/ORALyzer® (Dentognostics GmbH, Jena, Germany)) for active MMP-8 and ELISA analysis for total MMP-8 and -9, MPO, TIMP-1, and IL-6 levels. Molecular forms of MMP-9 were assessed by gelatinolytic zymography and MMP-8 by western immunoblot. Significant changes were observed between the three time points in the mean levels of active and total MMP-8, active MMP-9, and IL-6. Their levels increased during the RT and decreased after the RT period. The aMMP-8 levels stayed elevated even one month after RT compared to the pre-RT. Clinical attachment loss, probing depths, and bleeding on probing were increased between pre- and post-calculations in periodontal status. Elevated inflammatory biomarker levels together with clinical recordings strongly suggest that RT eventually increases the risk to the periodontal tissue destruction by inducing the active proteolytical MMP-cascade, and especially by prolonged activity of collagenolytic aMMP-8. Eventually, the aMMP-8 point-of-care mouth-rinse test could be an easy, early detection tool for estimating the risk for periodontal damage by the destructive MMP-cascade in HNC patients with RT treatment.en_US
dc.identifier.citationBrandt, E., Keskin, M., Räisänen, I. T., Tervahartiala, T., Mäkitie, A., Harmankaya, İ., Karaçetin, D.& Sorsa, T. (2023). Induction of collagenolytic MMP-8 and -9 tissue destruction cascade in mouth by head and neck cancer radiotherapy: a cohort study. Biomedicines, 12(1), 27. 10.3390/biomedicines12010027en_US
dc.identifier.issn2227-9059
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85183406941
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12939/4593
dc.identifier.volume12en_US
dc.identifier.wosWOS:001149027000001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKeskin, Mutlu
dc.language.isoen
dc.relation.ispartofBiomedicines
dc.relation.isversionof10.3390/biomedicines12010027en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHead and neck canceren_US
dc.subjectRadiotherapyen_US
dc.subjectBiomarkeren_US
dc.subjectMatrix metalloproteinaseen_US
dc.subjectaMMP-8en_US
dc.subjectPeriodontitisen_US
dc.titleInduction of collagenolytic MMP-8 and -9 tissue destruction cascade in mouth by head and neck cancer radiotherapy: a cohort study
dc.typeArticle

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