Crevicular fluid glutathione levels in periodontitis and the effect of non-surgical therapy.
OBJECTIVE
To quantify reduced and oxidized glutathione (GSH and GSSG) levels in gingival crevicular fluid (GCF) of periodontitis patients pre-therapy (versus periodontally healthy controls) and ascertain whether successful non-surgical therapy alters glutathione levels.


METHODS
Thirty-second GCF samples (6/subject) were collected on Periopaper() strips from starved, non-smokers (n=20; mean age 43.6 years) with chronic periodontitis, before and 3 months after non-surgical therapy, and periodontally healthy, age- and gender-matched controls (n=20). GSH and GSSG levels were determined using reversed-phase high-performance liquid chromatography with fluorescence detection.


RESULTS
Lower concentrations of GSH (p<0.01) and GSSG (p<0.05) were detected in GCF from patients (pre- and post-therapy) than controls and treatment had no significant effect. Amounts per 30-second sample did not differ between patients and controls. However, the amount of GSSG per 30-second sample decreased in patients after therapy (p<0.05). Consequently, therapy increased the GSH:GSSG ratio (p<0.05) in patients compared with the controls (p=0.8).


CONCLUSIONS
These data demonstrate high concentrations of GSH within GCF, which are compromised in chronic periodontitis. While therapy does not appear to fully restore GSH concentrations in GCF, it does restore the redox balance (GSH:GSSG ratio), suggesting that the abnormal redox balance arises secondary to oxidative stress resulting from periodontal inflammation.
Grant
Melissa M
MM
Periodontology Research Group, School of Dentistry, University of Birmingham, Birmingham, UK.
Brock
Gareth R
GR
Matthews
John B
JB
Chapple
Iain L C
IL
D000328:Adult; D016301:Alveolar Bone Loss / Q000378:metabolism / Q000628:therapy; D016022:Case-Control Studies; D055113:Chronic Periodontitis / Q000378:metabolism* / Q000628:therapy; D012534:Dental Scaling; D005260:Female; D005500:Follow-Up Studies; D005883:Gingival Crevicular Fluid / Q000737:chemistry*; D005884:Gingival Hemorrhage / Q000378:metabolism / Q000628:therapy; D005978:Glutathione / Q000032:analysis*; D019803:Glutathione Disulfide / Q000032:analysis; D006801:Humans; D008297:Male; D010084:Oxidation-Reduction; D017622:Periodontal Attachment Loss / Q000378:metabolism / Q000628:therapy; D010514:Periodontal Pocket / Q000378:metabolism / Q000628:therapy; D016745:Root Planing; D013357:Subgingival Curettage
D005978:Glutathione; D019803:Glutathione Disulfide