Analysis of Neutrophil Response in Chronic Periodontitis

NCT01233765 | Completed

• 1 other identifier: RG_10-077
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Recent scientific evidence suggests that the main defence cell of the body (neutrophil) behaves in a different manner in patients with gum disease; namely how they interact with bacteria and their role in defence systems of the body. This study proposes to examine these responses in periodontitis patients and healthy controls. The proposed study will include patients undergoing periodontal (gum) treatment who will be matched to periodontally healthy controls. Blood, gingival crevicular (gum) fluid and clinical measures will be collected both pre- and post-therapy to measure differences in cell behaviour both before, and following routine therapy. Blood samples will be used to isolate peripheral blood neutrophils prior to analysis of their responses to different bacterial stimuli including oxygen radical, cytokine and extracellular trap release. Gingival Crevicular Fluid samples will be used to measure different biochemical markers that result from the production of Neutrophil Extracellular Traps (NETs). Routine clinical measures will be taken both pre- and post-therapy as a measure of treatment response. Patient volunteers undergoing treatment will be asked to donate a total of four small samples of tissue from the gums whilst they are already anaesthetised for routine treatment. These will be approximately the size of a needle head (2mm2mm) and used to examine NET formation within the tissues and related processes. This will provide novel in-vivo data regarding this recently discovered method of neutrophil defence in innate immunity. This proposal represents a novel study aimed at improving our current understanding of why inflammatory periodontitis develops in some patients but not others, as well as providing pointers to causal/noncausal relationships between periodontitis and important systemic conditions such as diabetes and rheumatoid arthritis. Ultimately, novel treatment approaches and primary prevention (for periodontitis) or secondary prevention (for systemic disease) strategies may emerge.

Conditions

Chronic Periodontitis

Keywords

Periodontitis; Neutrophil; Inflammation

Outcome Measures

Primary Outcomes (1)

• Principal Research Question

  Do leukocyte (neutrophil) responses differ between patients diagnosed with periodontitis compared to matched healthy controls, and what is the effect of standard periodontal treatment and stabilisation on this response?

  Three months for each matched patient and control

Secondary Outcomes (1)

• Secondary Research Question

  Three months for each matched patient and control

Study Arms (2)

Control volunteers with periodontal health

Control volunteers with periodontal health

Patient volunteers with chronic periodontitis

Patient volunteers with chronic periodontitis

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will comprise 20 competent adult volunteers (\>18 years old) recruited from patients attending for clinical examination following referral for a specialist opinion for periodontal disease, and will be recruited on the basis of clinical need. In addition, 20 periodontally-healthy controls will be recruited from staff or students of the School of Dentistry and Biomaterials and Birmingham Dental Hospital.

You may qualify if:

• Be aged 18 or over
• Have a minimum of 20 teeth
• Have chronic periodontitis or otherwise healthy volunteers (controls)
• Be capable of giving informed consent themselves and are able and willing to participate in the study

You may not qualify if:

• Patients with aggressive disease
• Mouthwash use
• Special dietary needs (e.g. coeliac)
• Patients with physical or mental disability
• Pregnant women or those breastfeeding
• Patients whose medical history may place them at risk of complications from periodontal therapy (e.g. warfarinised volunteers)
• Patients taking long term anti-microbial or anti-inflammatory drugs
• Patients unable or unwilling to provide informed consent
• Taking dietary supplements (e.g. multivitamins, antioxidants, fish oils)
• Shows unwillingness, inability or lack of motivation to carry out the study procedures, or cannot conform to the protocol
• A course of antibiotic or anti-inflammatory therapy currently or in the previous 3 months
• Current orthodontic treatment (e.g. wearing braces or orthodontic devices)
• Currently participating in another dental trial
• Diabetics
• Smokers or have smoked up to within 5 years

Sponsors & Collaborators

• Birmingham Community Healthcare NHS: lead
• University of Birmingham: collaborator

Study Sites (1)

University of Birmingham School of Dentistry

Birmingham, West Midlands, B4 6NN, United Kingdom

Location

MeSH Terms

Conditions

Chronic Periodontitis; Periodontitis; Inflammation

Condition Hierarchy (Ancestors)

Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor (PI)

Study Record Dates

• First Submitted: November 2, 2010
• First Posted: November 3, 2010
• Study Start: September 1, 2011
• Primary Completion: June 1, 2015
• Study Completion: July 1, 2015
• Last Updated: February 14, 2017

Record last verified: 2017-02

Locations

GB (1)