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The use of chronic gingivitis as reference status increases the power and odds of periodontitis genetic studies: a proposal based in the exposure concept and clearer resistance and susceptibility phenotypes definition
- Source :
- Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP
- Publication Year :
- 2012
-
Abstract
- Aim Current literature on chronic periodontitis genetics encompasses numerous single nucleotide polymorphisms-focused case–control studies with inconsistent and controversial results, which typically disregards the exposure concept embraced by case–control definition. Herein, we propose a case–control design reappraisal by clear phenotype selection, where chronic gingivitis represents a genetically resistant phenotype/genotype opposing the susceptible cohort. Material and methods The hypothesis was tested in healthy, chronic periodontitis and gingivitis groups through Real-time PCR-based allelic discrimination of classic variants IL1B-3954, IL6-174, TNFA-308, IL10-592 and TLR4-299. Results Observed allele/genotype frequencies characterize the healthy group with an intermediate genetic profile between periodontitis and gingivitis cohorts. When comparing genotype/allele frequencies in periodontitis versus healthy and periodontitis versus gingivitis scenarios, the number of positive associations (2–4) and the degree of association (p and odds ratio values) were significantly increased by the new approach proposed (periodontitis versus gingivitis), suggesting the association of IL1B-3954, TNFA-308, IL10-592 and TLR4-299 with periodontitis risk. Power study was also significantly improved by the new study design proposed when compared to the traditional approach. Conclusions The data presented herein support the use of new case–control study design based on the case–control definition and clear resistance/susceptibility phenotypes selection, which can significantly impact the study power and odds of identification of genetic factors involved in PD.
- Subjects :
- Male
Interleukin-1beta
Genes, Recessive
Biology
POLIMORFISMO
Polymorphism, Single Nucleotide
Gingivitis
Gene Frequency
Reference Values
Genotype
Odds Ratio
medicine
Humans
Genetic Predisposition to Disease
Allele frequency
Genes, Dominant
Periodontitis
Genetics
Models, Genetic
Interleukin-6
Tumor Necrosis Factor-alpha
Case-control study
Odds ratio
Middle Aged
medicine.disease
Chronic periodontitis
Interleukin-10
Genotype frequency
Toll-Like Receptor 4
Research Design
Case-Control Studies
Chronic Disease
Chronic Periodontitis
Multivariate Analysis
Immunology
Periodontics
Female
medicine.symptom
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP
- Accession number :
- edsair.doi.dedup.....69bab91f94409baf2d6ce31a20c7910a