Periodontitis is a prevalent oral inflammatory disease
that can
result in tooth loss and is closely linked to type 2 diabetes (T2D).
In this study, we analyzed the salivary proteome and intact N-glycopeptides (IGPs) of individuals with mild-moderate,
severe, aggressive periodontitis, and periodontitis with T2D, including
those treated with antidiabetic drugs, to identify specific signatures
associated with the disease. Our results revealed that salivary proteins
and glycoproteins were altered in all periodontitis groups (PRIDE
ID: 1–20230612–72345), with fucose- and sialic acid-containing N-glycans showing the greatest increase. Additionally, differentially
expressed proteins were classified into 9 clusters, including those
that were increased in all periodontitis groups and those that were
only altered in certain types of periodontitis. Interestingly, treatment
with antidiabetic drugs reversed many of the changes observed in the
salivary proteome and IGPs in T2D-related periodontitis, suggesting
a potential therapeutic approach for managing periodontitis in patients
with T2D. Consistent with MS/MS results, the expression of salivary
IGHA2 and Fucα1–3/6GlcNAc (AAL) was significantly increased
in MP. These findings provide new insights into the pathogenesis of
periodontitis and highlight the potential of salivary biomarkers for
diagnosis, prognosis, and monitoring of disease progression and treatment
response.