Literature DB >> 27761387

Efficacy of azithromycin and metronidazole combined therapy on rats' gingival overgrowth induced by cyclosporine-A: An experimental animal study.

Mohammed Ali Elkabir1, Rehab R El-Zehery2, Mohamed I Mourad3, Omar Soliman4, Mohamed E Helal2, Ali K Refai5, Mohammed E Grawish6.   

Abstract

AIMS: To evaluate the therapeutic efficacy of azithromycin (azm) and/or metronidazole (mtz) on the histopathological features of rats' gingival overgrowth (GO) induced by cyclosporine-A (CsA) in an animal model.
METHODS: Ninety male albino rats were divided randomly into six equal groups. The rats of group I received corn oil via gastric feeding for 7 weeks. Group II rats were administered CsA for the same period. Groups III, IV, and V rats received CsA for 6 weeks and simultaneously in the 7th week received a monotherapy of placebo gel, azm suspension, mtz gel, respectively. Group VI rats were handled as groups III, IV, and V and instead received a combined therapy of azm suspension, and mtz gel. Rats were euthanized at the end of the experiment and routine tissue processing was carried out. The obtained specimens were stained with H&E, TGF-β, MMP-1, and IL-6 antibodies.
RESULTS: One-way MANOVA test for TGF-β, MMP-1, and IL-6 revealed an overall significant difference between the different groups (P = 0.000). LSD post hoc test for multiple comparisons of TGF-β revealed nonsignificant difference between groups I and VI and between groups IV and V. Nonsignificant difference was found between groups II and III considering the amount of MMP-1 immune expression. In addition, nonsignificant difference was found between groups V and VI regarding the amount of immune expression for IL-6.
CONCLUSION: Combined therapy of azm suspension and mtz gel significantly improved the histopathological features of CsA-induced GO better than a monotherapy of azm suspension or mtz gel.

Entities:  

Keywords:  Azithromycin; Cyclosporin-A; IL-6; MMP-1; TGF-β

Year:  2016        PMID: 27761387      PMCID: PMC5064977          DOI: 10.1016/j.jobcr.2016.03.003

Source DB:  PubMed          Journal:  J Oral Biol Craniofac Res        ISSN: 2212-4268


  28 in total

1.  Oral metronidazole does not improve cyclosporine A-induced gingival hyperplasia.

Authors:  C Aufricht; E L Hogan; R B Ettenger
Journal:  Pediatr Nephrol       Date:  1997-10       Impact factor: 3.714

2.  Regulation of gingival fibroblast interleukin-6 secretion by cyclosporine A.

Authors:  R S Morton; A I Dongari-Bagtzoglou
Journal:  J Periodontol       Date:  1999-12       Impact factor: 6.993

3.  Topical metronidazole application in recall patients. Long-term results.

Authors:  M Stelzel; L Flores-de-Jacoby
Journal:  J Clin Periodontol       Date:  1997-12       Impact factor: 8.728

4.  Improvement in cyclosporine-associated gingival hyperplasia with azithromycin therapy.

Authors:  E Wahlstrom; J U Zamora; S Teichman
Journal:  N Engl J Med       Date:  1995-03-16       Impact factor: 91.245

Review 5.  Cyclosporin-induced gingival overgrowth in children.

Authors:  G Wright; R R Welbury; M T Hosey
Journal:  Int J Paediatr Dent       Date:  2005-11       Impact factor: 3.455

6.  Gingival overgrowth in renal transplant recipients: a study concerning prevalence, severity, periodontal, and predisposing factors.

Authors:  R B Lima; V Benini; Y A S Sens
Journal:  Transplant Proc       Date:  2008-06       Impact factor: 1.066

7.  Trial of metronidazole vs. azithromycin for treatment of cyclosporine-induced gingival overgrowth.

Authors:  Deepa H Chand; Joseph Quattrocchi; Stacy A Poe; Geza T Terezhalmy; C Frederic Strife; Robert J Cunningham
Journal:  Pediatr Transplant       Date:  2004-02

8.  Mechanism of azithromycin treatment on gingival overgrowth.

Authors:  J-Y Kim; S-H Park; K-S Cho; H-J Kim; C-K Lee; K-K Park; S-H Choi; W-Y Chung
Journal:  J Dent Res       Date:  2008-11       Impact factor: 6.116

9.  Is periodontal health a predictor of drug-induced gingival overgrowth? A cross-sectional study.

Authors:  Ruchi Banthia; Santosh Gupta; Priyank Banthia; Pallavi Singh; Sapna Raje; Navkiran Kaur
Journal:  Dent Res J (Isfahan)       Date:  2014-09

Review 10.  Gingival overgrowth and drug association: a review.

Authors:  M B Mishra; Z Y Khan; Shanu Mishra
Journal:  Indian J Med Sci       Date:  2011-02
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