Aims-We investigated the effects of periodontal therapy on gene expression of peripheral blood monocytes.Methods-Fifteen patients with periodontitis gave blood samples at four time points: 1 week before periodontal treatment (#1), at treatment initiation (baseline, #2), 6-week (#3) and 10-week postbaseline (#4). At baseline and 10 weeks, periodontal status was recorded and subgingival plaque samples were obtained. Periodontal therapy (periodontal surgery and extractions without adjunctive antibiotics) was completed within 6 weeks. At each time point, serum concentrations of 19 biomarkers were determined. Peripheral blood monocytes were purified, RNA was extracted, reverse-transcribed, labelled and hybridized with AffymetrixU133Plus2.0 chips. Expression profiles were analysed using linear random-effects models. Further analysis of gene ontology terms summarized the expression patterns into biologically relevant categories. Differential expression of selected genes was confirmed by real-time reverse transcriptase-polymerase chain reaction in a subset of patients.Address: Panos N. Papapanou Division of Periodontics Section of Oral and Diagnostic Sciences College of Dental Medicine Columbia University 630 W 168th Street PH-7-E-110 New York NY 10032 USA E-mail: E-mail: pp192@columbia.edu.
Conflict of interest and source of fundingThe authors declare that they have no conflict of interests.
Supplementary materialThe following material is available for this article online: Fig. S1. Dendrogram for hierarchical clustering of expression profiles for all patient samples. Data for the top 500 probe sets showing interactions between patient and treatment were used as input for average linkage hierarchical clustering. Samples for several patients corresponding to post-treatment time points cluster together. This result supports the idea that there is a relatively coherent response in some patients that we refer to as top responders in the main text, especially in patients 35, 36 and 40. Fig. S2. Visualization of the pairwise correlations of the expression profiles for each sample in the study. Data from all probe sets was used as input. Darker colors indicate lower correlations (correlations less that 0.75 would be shown as black, see scale bar). This figure indicates that a subset of samples exhibit substantially lower correlations with other samples. These largely correspond to post-treatment time points from patients identified as "top responders", for example samples from patients 40, 36, 35 and 45. This material is available as part of the online article from: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1600-051X.2007.01113.x (This link will take you to the article abstract)Publisher's Disclaimer: Please note: Blackwell Publishing is not responsible for the content or func-tionality of any supplementary materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Results-Treatment resulted in a substantial improvement in clin...