High risk human papillomavirus in the periodontium : A case control study
Journal name: Journal of Indian Society of Periodontology
Original article title: High risk human papillomavirus in the periodontium : A case control study
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Anna Shipilova, Manjunath Mundoor Dayakar, Dinesh Gupta
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: High risk human papillomavirus in the periodontium : A case control study
Year: 2017 | Doi: 10.4103/jisp.jisp_56
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Human papilloma viruses (HPVs) are small DNA viruses with an established presence in periodontal pockets and gingival sulcus. High-risk HPVs are notably associated with head and neck carcinomas, leading researchers to investigate the periodontium as a potential reservoir for these viruses. The study aimed to detect HPV in individuals with localized chronic periodontitis and compare the presence of HPV E6 and E7 mRNA in patients with periodontal issues against those with clinically healthy gums. By employing methods such as in situ hybridization and flow cytometry, the research intended to elucidate the relationship between periodontal health, HPV, and oral cancers.
Detection of HPV in Periodontium
The results indicated a significant presence of HPV E6/E7 mRNA in samples collected from periodontal pockets and gingival sulci, with 42.3% of all 90 samples testing positive for the HPV components. Among cases with localized chronic periodontitis, 15 of 30 pocket samples were found to contain E6/E7 mRNA, affirming the hypothesis that the periodontium could serve as a reservoir for HPV. Interestingly, a correlation was established between the detection of HPV and the emergence of periodontal disease symptoms, reinforcing the notion that chronic periodontitis may facilitate HPV persistence, potentially linking it to the development of head and neck cancers.
Conclusion
The findings underline the potential role of the periodontium as a reservoir for high-risk HPV, suggesting that individuals with chronic periodontitis could be at increased risk for oral malignancies. The study highlights the importance of further research to explore this association, particularly in prospective studies to validate the established connections between periodontal disease, HPV presence, and oral cancer risk. Understanding these links may lead to improved screening and therapeutic strategies within the dental field, emphasizing the need for integrated approaches in oral health management.
FAQ section (important questions/answers):
What is the main aim of this study about HPV?
The study aims to detect Human Papilloma Virus (HPV) in periodontal pockets of patients with localized chronic periodontitis, quantify E6 and E7 mRNA, and evaluate if periodontal tissue serves as a reservoir for HPV.
What methods were used to collect and analyze samples?
Samples were collected from periodontal pockets and gingival sulcus. They were sent in storage media for analysis of E6/E7 mRNA using in situ hybridization and flow cytometry.
What significant findings were reported regarding HPV and periodontium?
The study found HPV E6/E7 mRNA in both cases and controls, suggesting that periodontal tissues may act as reservoirs for HPV, indicating a potential link between periodontitis and head and neck cancer.
What statistical methods were utilized in this study?
Statistical analysis included mean, percentage calculations, and Chi-Square tests, with a significance level set at a p-value of less than 0.05.
What conclusions were drawn regarding HPV's role in oral health?
The presence of HPV E6/E7 mRNA in periodontal tissues supports the hypothesis of a relationship between HPV, periodontitis, and potential development of head and neck cancers, warranting further research.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “High risk human papillomavirus in the periodontium : A case control study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The study presents a crucial examination of the link between human papillomavirus (HPV) and periodontal disease, exploring HPV's role as a potential risk factor for head and neck cancers. It follows a case-control design that investigates HPV presence in patients with localized chronic periodontitis and periodontally healthy individuals.
2) Disease:
The text discusses periodontal disease, characterized by inflammation of the gums and supporting structures of the teeth. This multifactorial disease involves bacteria and potentially viruses, such as HPV, which may complicate its pathogenesis and influence the severity or onset of oral and systemic health issues, including cancers.
3) Table:
While the word 'table' is not explicitly mentioned in the provided text, it could relate indirectly to the data representation methods typically used in research. Tables often display and summarize key findings, like statistical distributions or sample characteristics, which are essential in evaluating study outcomes and conclusions.
4) Cancer:
The link between HPV and cancer, specifically head and neck carcinomas, is a focal point of the discussion. The study suggests that HPV's presence in periodontal tissues may create a synergy with chronic periodontitis, raising concerns about its role in the pathogenesis of oral malignancies.
5) Relative:
This term may refer to establishing relationships between variables or findings during the study. Understanding the relative prevalence of HPV E6/E7 mRNA in different sample types helps elucidate its potential association with periodontitis severity and its implications for cancer risk in patients.
6) Nature:
In the context of the study, 'nature' may pertain to the biological characteristics and interactions among microorganisms, including HPV, and how they contribute to the etiology of periodontal disease. It could also encompass the nature of the disease itself, highlighting its multifactorial and inflammatory aspects.
7) Sign:
The word 'sign' often relates to indicators or markers in research, such as clinical signs of disease or laboratory markers for HPV presence. In this case, the presence of E6/E7 mRNA above a certain threshold is considered significant for interpreting the potential risk of malignancy.
8) Viru:
Although 'Viru' seems like a truncation, it likely pertains to 'virus,' specifically to the study's main focus, HPV. Understanding the viral mechanisms contributes to grasping how HPV infection may interact with periodontal disease and elevate the risk for cancers related to the head and neck.
9) Male:
Gender stratification is crucial in health studies as it affects susceptibility to conditions such as periodontal disease and HPV infection. The study includes a male demographic and analyzes potential differences in HPV prevalence and clinical outcomes between male and female subjects, underscoring the role of gender in health research.
10) New Delhi:
New Delhi is the study's geographic context, implicating the local population's oral health and the prevalence of periodontal disease and HPV infections. Understanding the regional health dynamics can inform broader implications for public health strategies, awareness, and interventions specific to this urban Indian population.
11) Inflammation:
Inflammation is a core response in periodontal disease, reflecting the host's reaction to microbial invasion. This inflammatory process facilitates the study's investigation into how viral infections, particularly HPV, may manipulate or exacerbate inflammatory pathways contributing to periodontal damage and potential malignancies.
12) Observation:
Observation is critical in clinical research, forming the basis for hypothesis generation and data collection. The study's findings are drawn from careful observation of HPV presence and its correlation with periodontal health, underlying the importance of empirical evidence in establishing disease associations.
13) Discussion:
The discussion section of the study helps interpret the results, linking them to existing research. It emphasizes the implications of HPV in head and neck cancers and explores the potential relationships between periodontal disease, viral presence, and clinical outcomes in affected populations.
14) Substance:
In this context, 'substance' may refer to the biological materials or viral products analyzed in the study, such as E6/E7 mRNA. The detection of significant viral substances in tissues helps in assessing the pathogenic mechanisms involved in disease processes and potential links to cancer.
15) Dividing:
Dividing relates to how the study categorizes or segments subjects, possibly referring to the differentiation between case and control groups. This stratification is essential for analyzing varying disease associations and outcomes based on specific criteria, such as periodontal health status.
16) Account:
The term 'account' can relate to the recording and analysis of data collected during the study. It plays a role in documenting findings that contribute to the broader understanding of HPV's presence in periodontal disease and its potential implications for oral health.
17) Medium:
The term 'medium' could refer to the carrier media used for sample preservation and analysis in the study. Appropriate medium selection is crucial for maintaining the integrity of samples for accurate HPV detection and mRNA analysis, ensuring reliable research outcomes.
18) Delhi:
Delhi is significant as the location of the study, contributing cultural and environmental considerations into the research context. Variability in oral health among different populations in Delhi can affect the prevalence of periodontal diseases and HPV, influencing healthcare insights and interventions.
19) India:
India signifies the broader setting of the research, emphasizing the need for localized studies addressing oral health challenges in diverse populations. Understanding the implications of HPV and periodontal disease within the Indian context informs effective public health policies and clinical strategies.
20) Chand:
Chand refers to the name associated with a location or person relevant to the study, likely the address for the diagnostic laboratory involved. Location details may hold relevance in assessing regional healthcare access and quality in the research area's scientific community.
21) Jacob:
Jacob is likely a reference to a researcher or author cited in the study, contributing to understanding the context surrounding the research findings. Previous studies by Jacob may provide a comparative basis for evaluating the study's results and implications for further inquiries.
22) Food:
While food isn't directly addressed in the text, it can imply dietary factors influencing periodontal disease progression and the immune response to infections like HPV. Understanding dietary habits could yield insights into improving oral health and reducing disease risks in vulnerable populations.
23) Drug:
The term 'drug' may pertain to the exclusion of patients on antiviral treatments from the study, focusing its findings on individuals without such influences. Understanding the implications of drug exposure is essential for accurately interpreting the relationship between HPV and periodontal disease.
24) Life:
In this context, 'life' could denote the broader implications of the study findings on public health and individual well-being. The relationship between oral health, HPV, and systemic diseases provides insights into how improving periodontal health can enhance overall quality of life.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘High risk human papillomavirus in the periodontium : A case control study’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Statistical analysis, Oral mucosa, Oral cancer, Case-control study, Carcinogenesis, Flow cytometry, Health disparities, Periodontal pocket, Gingival sulcus, In situ hybridization, Head and neck carcinoma.