Condition of platelet factor of hemostasis system in pathogenesis of chronic periodontitis progression

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Abstract

Аim. Тo evaluate the structural and functional condition of platelets as a cellular component of the hemostasis system in chronic generalized periodontitis of different severity, and to establish its role in the progression of the disease.

Materials and Мethods. Clinical studies included 83 patients (47 men and 36 women) with chronic generalized periodontitis, comparable in age and sex, divided into three groups according to the severity of the disease: the first group (n=21) – periodontitis of mild severity; the second group (n=36) – moderate degree of severity; the third group (n=26) – severe periodontitis. Methods of the study included evaluation of the structural and functional characteristics of periodontal tissues, general hygienic condition of the oral cavity, the severity of the inflammatory process according to index parameters; study of microcirculation of periodontal tissues, determination of the evidence of oxidative processes in saliva, blood plasma, platelets, study of lipid composition of platelets.

Results. In chronic generalized periodontitis, pathological changes in the lipid composition of platelet membranes (an increase in the percentage of lysophospholipids and free fatty acids) were associated with systemic activation of oxidative processes and of phospholipase enzyme systems, which was accompanied by an increase in their aggregation activity.The degree of increase in the activity of platelets was associated with the severity of microcirculatory disturbances in the periodontal tissues. The condition of the cellular component of the hemostasis system correlated with the severity of the pathological process in the periodontium. In severe degree of chronic periodontitis, structural and functional changes in platelets were maximal.

Conclusion. In chronic periodontitis, the systemic activation of oxidative processes leads to a modification of the lipid composition of platelet membranes, which contributes to increase in their aggregation activity playing an important role in the induction of hypercoagulation, microcirculation disturbances and progression of inflammation in the periodontal tissues.

About the authors

Evgeniya V. Kondyurova

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0001-9586-655X
SPIN-code: 5026-6907
ResearcherId: A-1857-2018

MD, PhD, Associate Professor, Head of the Department of Dentistry of the Medical Institute

Russian Federation, Saransk

Tat`yana I. Vlasova

National Research Mordovia State University

Author for correspondence.
Email: vap.61@yandex.ru
ORCID iD: 0000-0002-2624-6450
SPIN-code: 5314-3771
ResearcherId: Q-9761-2017

MD, PhD, Professor of the Department of Normal and Pathological Physiology of the Medical Institute

Russian Federation, Saransk

Vladimir A. Trofimov

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0003-1294-1417
SPIN-code: 5131-2399
ResearcherId: С-2221-2017

PhD in Biological Sciences, Professor, Head of the Department of Genetics

Russian Federation, Saransk

Aleksey P. Vlasov

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0003-4731-2952
SPIN-code: 7405-5077
ResearcherId: C-3981-2018

MD, PhD, Professor, Head of the Department of Faculty Surgery

Russian Federation, Saransk

Ruslan A. Adamchik

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0002-3483-288X
SPIN-code: 8313-0634
ResearcherId: G-5414-2018

MD, PhD, Assistant of the Department of Dentistry of the Medical Institute

Russian Federation, Saransk

Vladimir V. Akimov

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0002-5579-3517
SPIN-code: 3413-4532
ResearcherId: Р-2453-2019

PhD Applicant of the Department of Dentistry of the Medical Institute

Russian Federation, Saransk

Elena A. Tashina

National Research Mordovia State University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0002-6206-3547
SPIN-code: 5241-1231
ResearcherId: K-6112-2019

PhD-Student of the Department of Faculty Surgery of the Medical Institute

Russian Federation, Saransk

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Supplementary files

Supplementary Files
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2. Fig. 1. Content of malondialdehyde in blood plasma of patients with different degree of severity

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3. Fig. 2. Parameters of activity of POL and activity of phospholipase А2 of platelets of in blood of patients with CGP with different degree of severity

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Copyright (c) 2019 Kondyurova E.V., Vlasova T.I., Trofimov V.A., Vlasov A.P., Adamchik R.A., Akimov V.V., Tashina E.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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