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The use of chronic gingivitis as reference status increases the power and odds of periodontitis genetic studies - A proposal based in the exposure concept and clearer resistance and susceptibility phenotypes definition

Santos, CFD and Vieira, AR (2012) The use of chronic gingivitis as reference status increases the power and odds of periodontitis genetic studies - A proposal based in the exposure concept and clearer resistance and susceptibility phenotypes definition. Journal of Clinical Periodontology, 39 (4). 323 - 332. ISSN 0303-6979

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Abstract

Aim Current literature on chronic periodontitis genetics encompasses numerous single nucleotide polymorphisms-focused case-control studies with inconsistent and controversial results, which typically disregards the exposure concept embraced by case-control definition. Herein, we propose a case-control design reappraisal by clear phenotype selection, where chronic gingivitis represents a genetically resistant phenotype/genotype opposing the susceptible cohort. Material and methods The hypothesis was tested in healthy, chronic periodontitis and gingivitis groups through Real-time PCR-based allelic discrimination of classic variants IL1B-3954, IL6-174, TNFA-308, IL10-592 and TLR4-299. Results Observed allele/genotype frequencies characterize the healthy group with an intermediate genetic profile between periodontitis and gingivitis cohorts. When comparing genotype/allele frequencies in periodontitis versus healthy and periodontitis versus gingivitis scenarios, the number of positive associations (2-4) and the degree of association (p and odds ratio values) were significantly increased by the new approach proposed (periodontitis versus gingivitis), suggesting the association of IL1B-3954, TNFA-308, IL10-592 and TLR4-299 with periodontitis risk. Power study was also significantly improved by the new study design proposed when compared to the traditional approach. Conclusions The data presented herein support the use of new case-control study design based on the case-control definition and clear resistance/susceptibility phenotypes selection, which can significantly impact the study power and odds of identification of genetic factors involved in PD. © 2012 John Wiley & Sons A/S.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Santos, CFD
Vieira, ARalexandre_vieira@pitt.eduARV11
Date: 1 April 2012
Date Type: Publication
Journal or Publication Title: Journal of Clinical Periodontology
Volume: 39
Number: 4
Page Range: 323 - 332
DOI or Unique Handle: 10.1111/j.1600-051x.2012.01859.x
Schools and Programs: School of Dental Medicine > Dental Science
Refereed: Yes
ISSN: 0303-6979
MeSH Headings: Case-Control Studies; Chronic Disease; Chronic Periodontitis--genetics; Female; Gene Frequency; Genes, Dominant; Genes, Recessive; Genetic Predisposition to Disease; Gingivitis--genetics; Humans; Interleukin-10--genetics; Interleukin-1beta--genetics; Interleukin-6--genetics; Male; Middle Aged; Models, Genetic; Multivariate Analysis; Odds Ratio; Polymorphism, Single Nucleotide; Reference Values; Research Design; Toll-Like Receptor 4--genetics; Tumor Necrosis Factor-alpha--genetics
PubMed ID: 22324464
Date Deposited: 24 Sep 2012 19:15
Last Modified: 05 Jan 2019 14:55
URI: http://d-scholarship.pitt.edu/id/eprint/14355

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