Assessment of complement cleavage in gingival fluid during experimental gingivitis in man

MR Patters, CE Niekrash… - Journal of clinical …, 1989 - Wiley Online Library
MR Patters, CE Niekrash, NP Lang
Journal of clinical periodontology, 1989Wiley Online Library
The cleavage of complement may be an important immunopathologic mechanism in the
development of gingival inflammation. Utilizing the experimental gingivitis model, cleavage
of C3, C4 and B was assessed in gingival fluid following abstention from oral hygiene. 4
male dental students performed stringent oral hygiene measures until the gingival index
approached 0, then refrained from any oral hygiene for 21 days. Gingival fluid, sampled with
filter paper strips from the mesial surface of all maxillary premolars at 0, 7, 14, and 21 days …
Abstract
The cleavage of complement may be an important immunopathologic mechanism in the development of gingival inflammation. Utilizing the experimental gingivitis model, cleavage of C3, C4 and B was assessed in gingival fluid following abstention from oral hygiene. 4 male dental students performed stringent oral hygiene measures until the gingival index approached 0, then refrained from any oral hygiene for 21 days. Gingival fluid, sampled with filter paper strips from the mesial surface of all maxillary premolars at 0, 7, 14, and 21 days, was assayed for C3, C4 and B cleavage by multilayer crossed‐immunoelectrophoresis. Clinical indices were assessed following gingivat fluid sampling. The subjects, who were plaque‐free (PI=0) at the beginning of the study, showed significant plaque accumulation at day 21 (87% of sites with PI ≥ 2). Approximately 90% of the sites were free from clinical inflammation (GI = 0) at the start, but gingivitis increased with time such that 25% of the sites had GI scores of 2 at day 21. Bleeding on probing to the base of the pocket was not observed at day 0, but was observed at 62% of sites by day 21. Statistical analyses showed that all 3 indices significantly increased with time. The %C3 cleavage increased from a mean of 24% at day 0, to 35%, 45% and then 57% at days 7, 14 and 21, respectively, and both days 14 and 21 demonstrated significantly greater C3 conversion than that seen at day 0. The Spearman rank‐order correlation coefficient for %C3 conversion versus time was p‐0.52, significant at the p < 0.0001 level. B cleavage to Bb was commonly seen, but C4 cleavage to C4c was never observed. Thus, during experimental gingivitis, %C3 cleavage significantly increased with plaque accumulation and resultant gingivitis, correlating with gingivitis at p= 0.64. These results suggest that cleavage of complement may be an important factor in the initiation of gingival inflammation.
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