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dc.contributor.authorStorjord, Elin
dc.contributor.authorAirila-Månsson, Stella
dc.contributor.authorKarlsen, Katarzyna
dc.contributor.authorMadsen, Martin Ragnar Skjerve
dc.contributor.authorDahl, Jim André
dc.contributor.authorLandsem, Anne
dc.contributor.authorFure, Hilde
dc.contributor.authorLudviksen, Judith K
dc.contributor.authorFjøse, Johannes Østrem
dc.contributor.authorDickey, Amy K.
dc.contributor.authorKarlsen, Bård Ove
dc.contributor.authorNielsen, Erik Waage
dc.contributor.authorMollnes, Tom Eirik
dc.contributor.authorBrekke, Ole Lars
dc.date.accessioned2022-12-05T13:39:39Z
dc.date.available2022-12-05T13:39:39Z
dc.date.issued2022-08-19
dc.description.abstractIn the inherited metabolic disorder acute intermittent porphyria (AIP), high sugar intake prevents porphyric attacks due to the glucose effect and the following high insulin levels that may lower AIP disease activity. Insulin resistance is a known risk factor for periodontitis and sugar changes diabetogenic hormones and affects dental health. We hypothesized differences in homeostasis model assessment (HOMA) scores for insulin resistance in AIP cases vs. controls and in those with periodontitis. Our aim was to systematically study dental health in AIP as poor dental health was previously only described in case reports. Further, we aimed to examine if poor dental health and kidney failure might worsen AIP as chronic inflammation and kidney failure might increase disease activity. In 47 AIP cases and 47 matched controls, X-rays and physical examination of clinical attachment loss (CAL), probing pocket depth (PPD), and decayed missing filled teeth (DMFT) were performed. Dietary intake was evaluated through a diet logbook. Plasma cytokines and diabetogenic hormones were measured using multiplex technology and urine porphobilinogen and kidney and liver function by routine methods. An excel spreadsheet from the University of Oxford was used to estimate HOMA scores; beta cell function, HOMA%B (%B), insulin sensitivity, HOMA%S (%S), and insulin resistance HOMA-IR (IR), based on glucose and plasma (P) C-peptide. The Wilcoxon matched-pairs signed rank test, the Mann–Whitney U-test, and Spearman’s nonparametric correlation were used. Insulin (p = 0.007) and C-peptide (p = 0.006) were higher in the AIP cases with periodontitis versus those without. In AIP patients, the liver fibrosis index 4 correlated with DMFT (p < 0.001) and CAL ≥4 mm (p = 0.006); the estimated glomerular filtration rate correlated with DMFT (p < 0.001) and CAL ≥4 mm (p = 0.02). CAL ≥4 mm was correlated with chemokine ligand 11 and interleukin (IL)-13 (p = 0.04 for both), and PPD >5 mm was correlated with plasminogen activator inhibitor-1 (p = 0.003) and complement component 3 (p = 0.02). In conclusion, dental health in AIP cases was correlated with insulin resistance, inflammatory markers, and biomarkers of kidney and liver function, demonstrating that organ damage in the kidney and liver are associated with poorer dental health.en_US
dc.identifier.citationStorjord, Airila-Månsson, Karlsen, Madsen, Dahl, Landsem, Fure, Ludviksen, Fjøse, Dickey, Karlsen, Nielsen, Mollnes, Brekke. Dental and Periodontal Health in Acute Intermittent Porphyria. Life. 2022;12(8)en_US
dc.identifier.cristinIDFRIDAID 2058328
dc.identifier.doi10.3390/life12081270
dc.identifier.issn2075-1729
dc.identifier.urihttps://hdl.handle.net/10037/27697
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.journalLife
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleDental and Periodontal Health in Acute Intermittent Porphyriaen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)