Active and alpha-1 proteinase inhibitor complexed leukocyte elastase levels in crevicular fluid from patients with periodontal diseases

J Periodontol. 1997 Mar;68(3):256-61. doi: 10.1902/jop.1997.68.3.256.

Abstract

Human leukocyte elastase is present in large amounts in the crevicular fluid of patients with periodontal disease and was considered as a putative biological marker of the evolution of such diseases. The aim of this work was to measure spectrophotometrically amounts of active elastase (AE) and elastase complexed to alpha 1 proteinase inhibitor (E-alpha 1-PI) in gingival crevicular fluid obtained, from patients suffering from rapidly progressive periodontitis (RPP group) or adult periodontitis (AP group) with different probing depths (3 to 5 mm and > 6 mm). AE and E-alpha 1-PI concentrations were negligible in healthy individuals. AE, but not E-alpha 1-PI, concentration appears to vary significantly with the probing depth in patients suffering either from rapidly progressive or adult periodontitis. No correlations were found between levels of AE and E-alpha 1-PI in the different groups of patients. AE concentration seems to be a marker of periodontal diseases in relation with probing depth.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / analysis
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Gingival Crevicular Fluid / enzymology*
  • Humans
  • Leukocyte Elastase / analysis*
  • Leukocyte Elastase / chemistry
  • Male
  • Middle Aged
  • Periodontal Pocket / enzymology
  • Periodontal Pocket / pathology
  • Periodontitis / enzymology*
  • Periodontitis / pathology
  • Serine Proteinase Inhibitors / analysis*
  • Serine Proteinase Inhibitors / chemistry
  • Spectrophotometry
  • alpha 1-Antitrypsin / analysis*
  • alpha 1-Antitrypsin / chemistry

Substances

  • Biomarkers
  • Serine Proteinase Inhibitors
  • alpha 1-Antitrypsin
  • Leukocyte Elastase