Role of Macrophage in Inflammation Resolution in Periodontal Patients

NCT ID: NCT01379950

Last Updated: 2011-06-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-08-31

Brief Summary

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There is a growing body of evidence to suggest that the resolution of an inflammatory reaction is an active process. This process requiring signals that turn off early inflammatory stages, as neutrophil infiltration and promote resolution phase, as clearance of apoptotic cells. In this array,the relationship between neutrophils, monocytes, and macrophages is crucial for the concert process.

Macrophages possess a plasticity of phenotype that explains their protective as well as potentially detrimental role in chronic inflammation and tissue injury. Such heterogeneity arises as macrophages differentiate from monocytes and are exposed to specific tissue- and hematopoietic cell-derived stimuli. It is important to be able to identify the different types of macrophages in this setting. Today's literature can distinguish between 3 main phenotypic groups of macrophages. The classically activated M1 macrophages, the alternatively activated-M2 macrophages and the "resolution phase" - rMs macrophages. The third phenotypic macrophage might play a crucial rule in the resolution phase, and is called the "resolving macrophage".

All of those pro-resolving lipid mediators promote the return to tissue homeostasis .

The investigators hypothesis is that in periodontal patients the inflammatory process continues because the process does not reach the resolution phase, and in that milieu, the macrophage might be a key component.

Within the overall concept of periodontal disease as a model for an inflammatory disease with an stoppable inflammatory reaction, the primary aim of the study is to check the macrophage characteristics in periodontal patients and to compare it to healthy people.

Detailed Description

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Conditions

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Periodontitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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periodontitis

patients diagnosed with periodontal disease

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 18 years old and more, male \& female
* generally healthy
* does not take medicine on a regular basis
* has a periodontal disease. control - without a periodontal disease
* no periodontal treatment for at list 6 months prior to his acceptance to the trail
* willing to donate 50 ml of blood twice during the trail
* understands the trail and gave a consent to participate

Exclusion Criteria

* pregnancy or nursing
* chronic use of alcohol
* systemic conditions - diseases, neoplastic lesions in the oral cavity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hadassah Medical Organization

OTHER

Sponsor Role lead

Responsible Party

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Hadassah Medical Organization

Locations

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Periodontal Clinic, Faculty of Dental Medicine, Hebrew University and Hadassah Medical Center

Jerusalem, , Israel

Site Status

Countries

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Israel

Central Contacts

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jacob ekstein, Dr.

Role: CONTACT

00 972 6777826

Facility Contacts

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jacob ekstein, Dr.

Role: primary

00-972-6777826

References

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Bystrom J, Evans I, Newson J, Stables M, Toor I, van Rooijen N, Crawford M, Colville-Nash P, Farrow S, Gilroy DW. Resolution-phase macrophages possess a unique inflammatory phenotype that is controlled by cAMP. Blood. 2008 Nov 15;112(10):4117-27. doi: 10.1182/blood-2007-12-129767. Epub 2008 Sep 8.

Reference Type BACKGROUND
PMID: 18779392 (View on PubMed)

Other Identifiers

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perio1-HMO-CTIL

Identifier Type: -

Identifier Source: org_study_id

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