“…In particular, IL-6 is able to stimulate the synthesis of all the acute phase proteins involved in the inflammatory response C-reactive protein, serum amyloid A, fibrinogen, α1-chymotrypsin and haptoglobin [9]. Cyclooxygenase-2 (COX-2) is an enzyme involved in the conversion of arachidonic acid to prostaglandins, with a consequent important role in inflammatory responses, also in the periodontium [10], [11]. COX-2 expression is induced by cytokines [12] and, on the other hand, prostaglandins are important regulators of IL-6 production by gingival fibroblasts [13].…”