Expression of trefoil factor 2 and 3 and adrenomedullin in chronic periodontitis subjects with coronary heart disease.

BACKGROUND: The current study aims to determine the expression of trefoil factor 2 (TFF2), trefoil factor 3 (TFF3), and adrenomedullin (ADM) in salivary samples of periodontitis patients with and without coronary heart disease (CHD). METHODS: A total of 75 patients were selected based on the inclusion and exclusion criteria and divided into three groups of 25 patients each: generalized periodontitis (GP) only; GP+CHD; and CHD only. Demographic, periodontal, and cardiac parameters were recorded, and unstimulated saliva samples were collected and analyzed for the expression of TFF2, TFF3, and ADM. RESULTS: Among the demographic variables, the means for age, weight, and body mass index were significantly different between the groups on statistical analysis. Plaque index, bleeding on probing, probing pocket depth, clinical attachment level, and the expression of TFF2 were highest in the GP+CHD group, and ADM was highest in the CHD group, with P values of < 0.01 as compared to the other groups. TFF2, TFF3, and ADM were also correlated with the demographic and periodontal parameters. CONCLUSIONS: The study demonstrates significantly elevated levels of TFF2 in CHD and GP patients, and a higher expression of ADM in CHD patients only, suggesting the possibility of an underlying inflammatory mechanism.

The neurotoxic effect of palmyrah (Borassus flabellifer) flour re-visited.

The neurotoxic effect of palmyrah (Borassus flabellifer L.) shoot flour on Wistar rats has been reported previously by Arseculeratne and co-workers. A deficiency in previous studies was an inadequate description of the methodology, especially on the composition and consumption of test and control feed, and weight gain/losses. This study shows that feeds containing 100% and 70% palmyrah flour result in very little or no feed consumption, and deaths reported could have been interpreted as being due to starvation. A mixture of 50% palmyrah flour and 50% standard breeding feed results in the neurotoxic symptoms such as muscle in-coordination, spasms and immobility of hind limbs reported previously (Arseculeratne and coworkers). These neurotoxic symptoms can be eliminated by heating the palmyrah flour at 80 degrees C for 45 min; that is, detoxification. Attempts were made to reproduce the neurotoxic effect by administering two-fold palmyrah flour extractive compared with that contained in the same flour consumed by experimental rats per day. This did not produce a neurotoxic effects (as reported previously while using rats fed on standard breeding feed). It is interpreted that the nutritional status of the diet influences that manifestation of the neurotoxic effect; the effect being suppressed with a nutritious diet. Studies on the blood enzyme levels of rats showed that while alanine aminotransferase was not affected, aspartate aminotransferase was significantly affected by oral administration of organic solvent-free water and methanol:water (1:1) extractives (P = 0.023 and P = 0.0044), respectively. This study shows that while the reported hepatotoxin is not extracted by these solvent systems, there appears to be a tissue non-specific cellular damage reflected at a subclinical level.