Expression of Salivary Matrix Metalloproteinase-3 in Periodontitis Patients
DOI:
https://doi.org/10.36283/ziun-pjmd14-2/012Keywords:
Matrix Metalloproteinase , Periodontitis , Extracellular Matrix , SalivaAbstract
Background: Periodontitis is a chronic inflammatory disease characterized by the destruction of supporting oral tissues. The condition involves unique host responses within the oral environment including the production of selected matrix metalloproteinases (MMPs) and certain inflammatory mediators that take part in tissue remodeling. The study aimed to evaluate MMP-3 expression levels in saliva samples collected from healthy and diseased subjects.
Methods: 82 study participants were enrolled in this case-control study through convenience sampling technique from the Periodontology OPD of the Ziauddin College of Dentistry, Karachi, Pakistan from January 2023 to 2024. Participants were divided into cases and controls depending on their clinical periodontal status. Saliva samples were collected from all participants using the Passive Drool Method. Analysis of collected samples was performed through ELISA Assay Method to determine quantitative expression levels of MMP-3. SPSS software version 24 was used to run T-test and Mann-Whitney Test for two group comparisons. Correlation analysis of MMP-3 protein expression levels with periodontal parameters was performed by Pearson’s Correlation. ROC curve was produced to determine the best cut-off value using Youden’s Index with 0.05 level of significance.
Results: Salivary expression levels of MMP-3 was significantly higher in periodontitis patients when compared to controls. MMP-3 expression was positively correlated with periodontal parameters including periodontal pocket depth, clinical attachment loss, bleeding on probing, and plaque score.
Conclusion: MMP-3 was strongly associated with periodontitis and its expression levels could be implicated to determine disease progression.
References
Kim SJ, Lee SH, Quang BD, Tran TT, Kim YG, Ko J, et al. Avenanthramide-C Shows Potential to Alleviate Gingival Inflammation and Alveolar Bone Loss in Experimental Periodontitis. Mol Cells. 2023;46(10):627-36. DOI: 10.14348/molcells.2023.0109
Checchi V, Maravic T, Bellini P, Generali L, Consolo U, Breschi L, et al. The Role of Matrix Metalloproteinases in Periodontal Disease. Int J Environ Res Public Health. 2020;17(14). DOI: 10.3390/ijerph17144923
Leppilahti JM, Ahonen MM, Hernández M, Munjal S, Netuschil L, Uitto VJ, et al. Oral rinse MMP-8 point-of-care immuno test identifies patients with strong periodontal inflammatory burden. Oral Dis. 2011;17(1):115-22. DOI: 10.1111/j.1601-0825.2010.01716.x
Kasnak G, Yılmaz M, Ünsal RBK, Polat NG, Fıratlı E. Evaluation of Gene Polymorphism and Gingival Crevicular Fluid Levels of Matrix Metalloproteinase-3 in a Group of Turkish Periodontitis Patients. Pathogens. 2021;10(10):1260. DOI: 10.3390/pathogens10101260
Cabral-Pacheco GA, Garza-Veloz I, Castruita-De la Rosa C, Ramirez-Acuña JM, Perez-Romero BA, Guerrero-Rodriguez JF, et al. The Roles of Matrix Metalloproteinases and Their Inhibitors in Human Diseases. Int J Mol Sci. 2020;21(24). DOI: 10.3390/ijms21249739
Atanasova T, Stankova T, Bivolarska A, Vlaykova T. Matrix Metalloproteinases in Oral Health-Special Attention on MMP-8. Biomedicines. 2023;11(6). DOI: 10.3390/biomedicines11061514
Franco C, Patricia HR, Timo S, Claudia B, Marcela H. Matrix Metalloproteinases as Regulators of Periodontal Inflammation. Int J Mol Sci. 2017;18(2). DOI: 10.3390/ijms18020440
Aji NRAS, Yucel-Lindberg T, Räisänen IT, Kuula H, Nieminen MT, Mc Crudden MTC, et al. In Vivo Regulation of Active Matrix Metalloproteinase-8 (aMMP-8) in Periodontitis: From Transcriptomics to Real-Time Online Diagnostics and Treatment Monitoring. Diagnostics. 2024;14(10):1011. DOI: 10.3390/diagnostics14101011
Kim H-N. Changes in salivary matrix metalloproteinase-3, -8, and -9 concentrations after 6 weeks of non-surgical periodontal therapy. BMC Oral Health. 2022;22(1):175. DOI: 10.1186/s12903-022-02185-3
Anshida VP, Kumari RA, Murthy CS, Samuel A. Extracellular matrix degradation by host matrix metalloproteinases in restorative dentistry and endodontics: An overview. J Oral Maxillofac Pathol. 2020;24(2):352-60. DOI: 10.4103/jomfp.JOMFP_34_20
Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89 Suppl 1:S159-s72. DOI: 10.1002/JPER.18-0006
Al-Rawi NH, Al-Marzooq F, Al-Nuaimi AS, Hachim MY, Hamoudi R. Salivary microRNA 155, 146a/b and 203: A pilot study for potentially non-invasive diagnostic biomarkers of periodontitis and diabetes mellitus. PLoS One. 2020;15(8):e0237004. DOI: 10.1371/journal.pone.0237004
Haque MM, Yerex K, Kelekis-Cholakis A, Duan K. Advances in novel therapeutic approaches for periodontal diseases. BMC Oral Health. 2022;22(1):492. DOI: 10.1186/s12903-022-02530-6
Nasiri K, Masoumi SM, Amini S, Goudarzi M, Tafreshi SM, Bagheri A, et al. Recent advances in metal nanoparticles to treat periodontitis. J Nanobiotechnology. 2023;21(1):283. DOI: 10.1186/s12951-023-02042-7
Zhang F, Liu E, Radaic A, Yu X, Yang S, Yu C, et al. Diagnostic potential and future directions of matrix metalloproteinases as biomarkers in gingival crevicular fluid of oral and systemic diseases. International Journal of Biological Macromolecules. 2021;188:180-96. DOI: 10.1016/j.ijbiomac.2021.07.165
Prachi GP, Pangarikar AB, Devarathnamma MV, Asapalli S, Guttiganur N, Devanoorkar A. Estimation of gingival crevicular fluid matrix metalloproteinase-3 levels in chronic periodontitis before and after scaling and root planing: A clinicobiochemical study. The Saint's International Dental Journal. 2022;6(2):38-43. DOI: 10.4103/sidj.sidj_10_22
Astolfi CM, Shinohara AL, da Silva RA, Santos MC, Line SR, de Souza AP. Genetic polymorphisms in the MMP-1 and MMP-3 gene may contribute to chronic periodontitis in a Brazilian population. J Clin Periodontol. 2006;33(10):699-703. DOI: 10.1111/j.1600-051X.2012.01902.x
Razavi P, Rezaee SA, Akhondian S, Asgari N, Fatemi K, Mohajertehran F. Matrix Metalloproteinase-3 but Not Matrix Metalloproteinase-9, Implicated in the Manifestation of Chronic Periodontitis. Rep Biochem Mol Biol. 2023;11(4):656-62. DOI: 10.52547/rbmb.11.4.656
Kasnak G, Yılmaz M, Ünsal RBK, Polat NG, Fıratlı E. Evaluation of Gene Polymorphism and Gingival Crevicular Fluid Levels of Matrix Metalloproteinase-3 in a Group of Turkish Periodontitis Patients. Pathogens. 2021;10(10):1260. DOI:10.3390/pathogens10101260
Elgezawi M, Haridy R, Almas K, Abdalla MA, Omar O, Abuohashish H, et al. Matrix Metalloproteinases in Dental and Periodontal Tissues and Their Current Inhibitors: Developmental, Degradational and Pathological Aspects. International Journal of Molecular Sciences. 2022;23(16):8929. DOI: 10.3390/ijms23168929
Dolińska E, Skurska A, Pietruska M, Dymicka-Piekarska V, Milewski R, Sculean A. Effect of nonsurgical periodontal therapy with additional photodynamic therapy on the level of MMP-9 and TIMP-1 in GCF in chronic periodontitis patients-a preliminary pilot study. Advances in Medical Sciences. 2024;69(2):362-7. DOI: 10.1016/j.advms.2024.07.009
Khuda, F.; Anuar, N.N.M.; Baharin, B.; Nasruddin, N.S.; Khuda, F.; Anuar, N.; Baharin, B.; Nasruddin, N. A mini review on the associations of matrix metalloproteinases (MMPs)-1,-8,-13 with periodontal disease. AIMS Mol. Sci. 2021, 8, 13–31. DOI: 10.3934/molsci.2021002
Kim HD, Kim S, Jeon S, Kim SJ, Cho HJ, Choi YN. Diagnostic and Prognostic ability of salivary MMP-9 and S100A8 for periodontitis. J Clin Periodontol. 2020;47(10):1191-200. DOI: 10.1111/jcpe.13349
Radzki D, Negri A, Kusiak A, Obuchowski M. Matrix Metalloproteinases in the Periodontium—Vital in Tissue Turnover and Unfortunate in Periodontitis. International Journal of Molecular Sciences. 2024;25(5):2763. DOI: 10.3390/ijms25052763
Yilmaz M, Kasnak G, Polat NG, Topcuoglu NE, KüLekci G, Firatli E. Pathogen profile and MMP-3 levels in areas with varied attachment loss in generalized aggressive and chronic periodontitis. Cent Eur J Immunol. 2019;44(4):440-6. DOI: 10.5114/ceji.2019.92806

Downloads
Published
Issue
Section
License
Copyright (c) 2025 Pakistan Journal of Medicine and Dentistry

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access article distributed under the terms of the CreativeCommons Attribution License (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/