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The effect of insulin resistance on periodontal regeneration

Research Project

Project/Area Number 16K20666
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Periodontology
Research InstitutionTokyo Medical and Dental University

Principal Investigator

Mizutani Koji  東京医科歯科大学, 大学院医歯学総合研究科, 助教 (60451910)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords歯周病 / 糖尿病 / インスリン抵抗性 / エナメルタンパク質 / 歯周組織再生 / 再生療法 / 歯周組織再生療法 / 歯学
Outline of Final Research Achievements

The present study aimed to investigate the periodontal regenerative effect of enamel matrix derivative (EMD) in diabetes. Thirty-six rats were assigned to streptozotocin-induced diabetes or control (non-diabetic) groups. Three-wall intrabony defects were surgically generated in the bilateral maxilla molar, followed by application of EMD or saline. Primary wound closure and defect fill were evaluated via histomorphological analysis and micro-computed tomography. mRNA expression levels of inflammatory and angiogenic factors in the defects were quantified via real-time polymerase chain reaction. Gingival fibroblasts were isolated from control animals and cultured in high-glucose (HG) or control medium. Newly formed bone and cementum were significantly increased at EMD-treated sites in diabetic rats than at EMD-untreated sites in control rats. EMD might promote periodontal tissue regeneration via Akt/VEGF signaling, even in a diabetic condition.

Academic Significance and Societal Importance of the Research Achievements

本研究により、歯周組織におけるインスリン抵抗性の詳細が明らかにされれば、未だ十分な解明がなされていない歯周炎と肥満・糖尿病の関連性を説明するメカニズムの一つになりうる。さらに、糖尿病患者における歯周病の悪化や治療効果の低さが、従来の説明によるだけでなく、糖尿合併症の血管障害のとしての側面に起因している可能性が明確となれば、今後増加が予測されている、糖尿病を有する歯周病患者の治療に有効な新たなアプローチの開発につながる。そのような背景の中で、歯周組織再生療法が高血糖状態の患者に対してどのように効果を持つか検討できれば、臨床上の意義は大きいと考えられる。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (8 results)

All 2019 2018 2017

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 3 results) Presentation (4 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Correction: Periodontal regenerative effect of enamel matrix derivative in diabetes2019

    • Author(s)
      Takeda Kohei、Mizutani Koji、Matsuura Takanori、Kido Daisuke、Mikami Risako、Noda Masahiro、Buranasin Prima、Sasaki Yoshiyuki、Izumi Yuichi
    • Journal Title

      PLOS ONE

      Volume: 14 Issue: 6 Pages: e0218798-e0218798

    • DOI

      10.1371/journal.pone.0218798

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] High glucose-induced oxidative stress impairs proliferation and migration of human gingival fibroblasts2018

    • Author(s)
      Buranasin Prima、Mizutani Koji、Iwasaki Kengo、Pawaputanon Na Mahasarakham Chantida、Kido Daisuke、Takeda Kohei、Izumi Yuichi
    • Journal Title

      PLOS ONE

      Volume: 13 Issue: 8 Pages: e0201855-e0201855

    • DOI

      10.1371/journal.pone.0201855

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Periodontal regenerative effect of enamel matrix derivative in diabetes2018

    • Author(s)
      Takeda Kohei、Mizutani Koji、Matsuura Takanori、Kido Daisuke、Mikami Risako、Noda Masahiro、Buranasin Prima、Sasaki Yoshiyuki、Izumi Yuichi
    • Journal Title

      PLOS ONE

      Volume: 13 Issue: 11 Pages: e0207201-e0207201

    • DOI

      10.1371/journal.pone.0207201

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of diabetes on gingival wound healing via oxidative stress2017

    • Author(s)
      Kido Daisuke、Mizutani Koji、Takeda Kohei、Mikami Risako、Matsuura Takanori、Iwasaki Kengo、Izumi Yuichi
    • Journal Title

      PLOS ONE

      Volume: 12 Issue: 12 Pages: e0189601-e0189601

    • DOI

      10.1371/journal.pone.0189601

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Periodontal regenerative effect of enamel matrix derivative in diabetes2019

    • Author(s)
      Kohei Takeda, Koji Mizutani, Takanori Matsuura, Daisuke Kido 1, Risako Mikami, Masahiro Noda, Prima Buranasin, Yoshiyuki Sasaki, Yuichi Izumi
    • Organizer
      IADR/AADR/CADR General Session & Exhibition
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] INSULIN RESISTANCE IMPROVEMENT WITH PERIODONTAL TREATMENT IN TYPE - 2 DIABETIC PATIENTS WITH LOCALIZED, SEVERE CHRONIC PERIODONTITIS2019

    • Author(s)
      Daisuke Kido, Koji Mizutani, Yuichi Izumi, Hiroshi Nitta
    • Organizer
      American Academy of Periodontology 105th ANNUAL MEETING
    • Related Report
      2019 Annual Research Report
  • [Presentation] Insulin resistance causes impaired gingival wound healing in diabetic rats2017

    • Author(s)
      Daisuke Kido, Koji Mizutani, Kohei Takeda, Takanori Matsuura, Yuichi Izumi
    • Organizer
      2017 IADR/AADR/CADR General Session & Exhibition
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2017-03-22
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 糖尿病ラットにおけるエナメルマトリックスタンパク質の再生効果への影響2017

    • Author(s)
      武田浩平,水谷幸嗣,松浦孝典,野田昌宏, 城戸大輔,三上理沙子,和泉雄一
    • Organizer
      日本歯科保存学会2017年度秋季学術大会
    • Related Report
      2017 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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