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Gülhan R, Eryüksel E, Gülçebi İdriz Oğlu M, Çulpan Y, Toplu A, Kocakaya D, Tigen E, Ertürk Şengel B, Sili U, Olgun Yıldızeli Ş, Balcan MB, Elçi A, Bulut C, Karaalp A, Yananlı HR, Güner AE, Hatipoğlu M, Karakurt S, Korten V, Ratnaraj N, Patsalos P, Ay P, Onat F. Pharmacokinetic characterization of favipiravir in patients with COVID-19. Br J Clin Pharmacol 2022; 88:3516-3522. [PMID: 35014080 DOI: 10.1111/bcp.15227] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 12/17/2021] [Accepted: 12/31/2021] [Indexed: 11/28/2022] Open
Abstract
This prospective observational study describes the pharmacokinetic characteristics of favipiravir in adult patients hospitalized for mild to moderate COVID-19 with a positive RT-PCR test. Favipiravir was administered for 5 days, with a loading dose of 3200 mg and a maintenance dose of 1200 mg/day. Serial blood samples were collected on Day-2 and Day-4 of the therapy. Laboratory findings of the patients (n=21) and in-hospital mortality were recorded. Favipiravir concentrations exhibited substantial variability and a significant decrease during the treatment of COVID-19. The median favipiravir trough concentration (C0-trough ) on Day-2 was 21.26 (IQR, 8.37-30.78) μg/mL whereas it decreased significantly to 1.61 (IQR, 0.00-6.41) μg/mL on Day-4, the area under the concentration versus time curve decreased by 68.5%. Day-2-C0-trough of female patients was higher than male patients. Our findings indicate that favipiravir concentrations show significant variability during the treatment of COVID-19 and therapeutic drug monitoring may be necessary to maintain targeted concentrations.
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Affiliation(s)
- Rezzan Gülhan
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey
| | - Emel Eryüksel
- Department of Pulmonary Medicine and Critical Care, Marmara University School of Medicine, Istanbul, Turkey
| | | | - Yekta Çulpan
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey
| | - Aylin Toplu
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey
| | - Derya Kocakaya
- Department of Pulmonary Medicine and Critical Care, Marmara University School of Medicine, Istanbul, Turkey
| | - Elif Tigen
- Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey
| | - Buket Ertürk Şengel
- Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey
| | - Uluhan Sili
- Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey
| | - Şehnaz Olgun Yıldızeli
- Department of Pulmonary Medicine and Critical Care, Marmara University School of Medicine, Istanbul, Turkey
| | - Mehmet Baran Balcan
- Department of Pulmonary Medicine and Critical Care, Marmara University School of Medicine, Istanbul, Turkey
| | - Abdullah Elçi
- Istanbul Health Directorate Public Health Laboratory-3, Istanbul, Turkey
| | - Cenk Bulut
- Istanbul Health Directorate Public Health Laboratory-3, Istanbul, Turkey
| | - Atila Karaalp
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey
| | - Hasan Raci Yananlı
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey
| | | | | | - Sait Karakurt
- Department of Pulmonary Medicine and Critical Care, Marmara University School of Medicine, Istanbul, Turkey
| | - Volkan Korten
- Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey
| | - Neville Ratnaraj
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, United Kingdom
| | - Philip Patsalos
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, United Kingdom
| | - Pınar Ay
- Department of Public Health, Marmara University School of Medicine, Istanbul, Turkey
| | - Filiz Onat
- Department of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey.,Department of Medical Pharmacology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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Güner AE, Sürmeli A, Kural K, Şahin E, Alkan P, Kocayiğit E, Hatipoğlu M, Birinci Ş, Memişoğlu K, Maral I. First known COVID-19 case and contact tracing efforts in İstanbul, Turkey. Turk J Med Sci 2021; 51:1653-1658. [PMID: 33929142 PMCID: PMC8573937 DOI: 10.3906/sag-2103-30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 04/30/2021] [Indexed: 11/03/2022] Open
Abstract
Background/aim COVID-19 has now become a global pandemic. Understanding the routes of transmission is vital in the mitigation and suppression of the disease. İstanbul has become one of the disease’s epicenters. This study aims to describe the first COVID-19 case and contact tracing efforts around it in İstanbul. Materials and methods The descriptive study was conducted in İstanbul, Turkey. The first COVID-19 cases and those associated with them were investigated with contact tracing, and primary and secondary cases were described. Results The source case was an individual who returned to Turkey from international travel at the beginning of March and tested PCR (–). The index case is the brother of the source case and is considered the first PCR (+) case diagnosed in İstanbul. Contact tracing revealed 23 PCR (+) cases, 14 of which resulted in hospitalization and three deaths. Conclusions This study described cases of the first COVID-19 cluster in İstanbul. Moreover, contact tracing was used in this first cluster. This contributed to contact tracing algorithms in Turkey.
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Affiliation(s)
- Abdullah Emre Güner
- Department of Public Health Services, İstanbul Health Directorate, İstanbul, Turkey
| | - Aral Sürmeli
- Medical Rescue Association of Turkey, İstanbul, Turkey
| | - Kemal Kural
- Department of Public Health Services, İstanbul Health Directorate, İstanbul, Turkey
| | - Esra Şahin
- Department of Public Health Services, İstanbul Health Directorate, İstanbul, Turkey
| | - Perihan Alkan
- Department of Infectious Diseases, Istanbul Health Directorate, İstanbul, Turkey
| | - Erdoğan Kocayiğit
- Department of Public Health Services, İstanbul Health Directorate, İstanbul, Turkey
| | - Mustafa Hatipoğlu
- Department of Public Health Services, İstanbul Health Directorate, İstanbul, Turkey
| | - Şuayip Birinci
- Ministry of Health, Government of Turkey, Ankara, Turkey
| | | | - Işıl Maral
- Department of Public Health, Medeniyet University School of Medicine, İstanbul, Turkey
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Sindel A, Dereci Ö, Hatipoğlu M, Altay MA, Özalp Ö, Öztürk A. The effects of irrigation volume to the heat generation during implant surgery. Med Oral Patol Oral Cir Bucal 2017. [PMID: 28624839 PMCID: PMC5549525 DOI: 10.4317/medoral.21880] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background To evaluate the effects of the amount of irrigation on heat generated during implant site preparation. Material and Methods Ten freshly dissected sheep mandibles were sectioned into 30 equal bone blocks and transferred into a heat-controlled water tank. Implant socket preparations were performed with four consecutive drills. Temperature measurements were performed with a thermocouple inserted into the bone immediately before the preparation and after the drilling using three different physiologic saline irrigation set-ups: 1- No irrigation, 2- 12 ml/min and 3- 30 ml/min irrigation volume. The temperature differences between three different irrigation set-ups for implant drills 1, 2, 3 and 4, and the temperature differences between the drills for three different irrigation set-ups were separately compared. Results The temperature difference of no irrigation group was significantly higher than 12 ml/min and 30 ml/min groups for all four drills (p<0.05), whereas no statistically significant difference was found between 12 ml/min and 30 ml/min irrigation groups. (P >0.05) The temperature difference of drill 1 is significantly higher than drills 2, 3 and 4 for no irrigation group. (P <0.05) The temperature differences of drill 1, 2 and 3 were significantly higher than the temperature difference of drill 4 for 12 ml/min irrigation group. (p<0.05). Conclusions The heat generated during drilling is not directly proportional to the coolant volume. Given that certain amount of irrigation is applied, implant sites can be prepared safely without the need for additional irrigation, which may result in reduced visibility of the surgical site and therefore a suboptimal surgery. Key words:Dental implants, irrigation, heat generation, drilling.
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Affiliation(s)
- A Sindel
- Dumlupinar Bulvari Akdeniz, Üniversitesi Diş Hekimliği Fakültesi Ağiz, Diş ve Çene Cerrahisi Bölümü 07058, Antalya, Türkiye,
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Karayilmaz H, Gungor OE, Yalcin H, Hatipoğlu M. Oro-dental characteristics of three siblings with Papillon–Lefevre syndrome. Niger J Clin Pract 2017; 20:256-260. [DOI: 10.4103/1119-3077.181365] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Karagöz E, Selek MB, Aydın E, Hatipoğlu M, Turhan V, Acar A, Öncül O, Görenek L. Recurrent toxocariasis due to chronic urticaria and successful treatment with prolonged albendazole therapy. Turkiye Parazitol Derg 2015; 39:83-5. [PMID: 25917592 DOI: 10.5152/tpd.2015.3285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Toxocariasis is a worldwide human helminthiasis, especially seen in temperate and tropical climate regions around the world. The diagnosis of this disease is performed on the basis of clinical symptoms and laboratory findings. Albendazole is one of the treatment choices for toxocariasis, with a currently recommended regimen of 10 mg/kg/day in two doses (400 mg twice daily) for 5 days. However, there is no precise consensus about the duration of the treatment. In this article, we report a case of toxocariasis; the patient visited our infectious disease polyclinic with complaints of long-term itching and urticarial skin lesions that were resistant to routine treatment and that recurred. Then, recurrent disease was resolved and skin lesions were diminished after prolonged albendazole therapy.
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Affiliation(s)
- Ergenekon Karagöz
- Department of Infectious, Diseases and Microbiology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey.
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Karagöz E, Ulçay A, Hatipoğlu M, Turhan V. [Tuberculosis and tularemia as part of the differential diagnosis in cervical lymphadenitis]. MIKROBIYOL BUL 2014; 48:707-8. [PMID: 25492666 DOI: 10.5578/mb.7657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We have read with interest the recently published article entitled "Investigation of the presence of Mycobacterium tuberculosis in the lymph node aspirates of the suspected tularemia lymphadenitis cases" by Albayrak et al. published in Mikrobiyol Bul 2014; 48(1): 129-34. They concluded that tuberculous lymphadenitis (TCL) should be kept in mind in suspected tularemia cases and those patients should also be investigated simultaneously for the presence of TCL. With reference to data provided by the Ministry of Health in Turkey, the number of reported cases of pulmonary tuberculosis in comparison to previous years is currently on decline whereas a gradual increase in extra-pulmonary (specifically cervical TCL) cases has been observed. Besides, as one of the most common causes of cervical lymphadenitis, we are witnessing a marked increase in granulomatous infections which have been part of the evaluated cases of oropharyngeal tularemia in Turkey. In fact, differentiation of the two types of lymphadenitis can be confusing on the basis of clinical and histopathological findings. Thus, investigating the presence of M.tuberculosis in cervical lymph node aspirates of tularemia suspected cases is a vital contribution, specifically in a geographical region that is considered endemic for both diseases. We would therefore like to note the importance of this study and thank the authors for their comprehensive contribution. Contrary to what is noted in the study, cervical lymphadenitis due to acute tonsillopharyngitis unresponsive to penicillin and its derivatives, has been regarded as cervical TCL due to their histopathological appearance and have been treated unnecessarily with long-term antituberculous drugs. There are some publications from Turkey indicating the detection of Francisella tularensis antibodies and nucleic acids in the patients who were histologically diagnosed as TCL. In situations where the exact etiology of cervical lymphadenitis is not determined, treatment is delayed, disease duration is prolonged and patients are forced into visiting multiple physicians and hospitals. In this case uneccessary protocols such as lymph node excision and various surgical procedures are performed to rule out the presence of commonly encountered malignancies like lymphoma. On the other hand, lymph node suppuration is more commonly seen among these group of patients. As a conclusion, tularemia and TCL should be kept in mind as different endemic entities in widespread geographical regions such as Turkey. In particular, early serological and microbiological investigations should be performed for early diagnosis and appropriate treatment in such patients.
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Affiliation(s)
| | | | - Mustafa Hatipoğlu
- Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
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Affiliation(s)
- Ergenekon Karagoz
- Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital, Istanbul, Turkey
- Correspondence: Ergenekon Karagoz, GATA Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology Üsküdar/Istanbul ()
| | - Mustafa Hatipoğlu
- Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital, Istanbul, Turkey
| | - Vedat Turhan
- Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital, Istanbul, Turkey
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Köseoğlu S, Hatipoğlu M, Sağlam M, Enhoş Ş, Esen HH. Interleukin-33 could play an important role in the pathogenesis of periodontitis. J Periodontal Res 2014; 50:525-34. [DOI: 10.1111/jre.12235] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2014] [Indexed: 12/22/2022]
Affiliation(s)
- S. Köseoğlu
- Department of Periodontology; Faculty of Dentistry; İzmir Katip Çelebi University; İzmir Turkey
| | - M. Hatipoğlu
- Department of Periodontology; Faculty of Dentistry; Akdeniz University; Antalya Turkey
| | - M. Sağlam
- Department of Periodontology; Faculty of Dentistry; İzmir Katip Çelebi University; İzmir Turkey
| | - Ş. Enhoş
- Department of Periodontology; Faculty of Dentistry; İzmir Katip Çelebi University; İzmir Turkey
| | - H. H. Esen
- Department of Pathology; School of Medicine; Necmettin Erbakan University; Konya Turkey
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Hatipoğlu M, Ulçay A, Turhan V, Karagöz E, Erdem H, Acar A, Oncül O, Görenek L. [Two imported and relapsed of Plasmodium vivax malaria cases and primaquine prophylaxis]. Turkiye Parazitol Derg 2014; 38:120-3. [PMID: 25016120 DOI: 10.5152/tpd.2014.3159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Malaria is a worldwide infection causing serious health and financial problems. Turkey is in the elimination phase, and malaria cases have been observed in patients who have come from abroad recently. In this study, 2 relapsed Plasmodium vivax (Pv) cases that returned from Afghanistan to our country at least 6 months ago were presented. The first case had received irregular chemoprophylaxis during travel, 6 months after returning to Turkey occurred malaria clinic. The second case had not received chemoprophlaxis during his travel, and he had experienced 2 previous episodes of malaria. He had used inappropriate anti-malarial drugs before returning to Turkey. Two separate incubation periods for P. vivax and P. ovale have been described. One of them is defined as late infection, or relapse, which is maturation of dormant bacilli in the liver, known as the hypnozoite stage. We thought that relapses of Pv infection could result from activation of hypnozoites in these cases. These 2 cases were treated with chloroquine and primaquine. The purpose of presenting these 2 cases is that primaquine should be considered for primer prophylaxis in short travels, especially after traveling to endemic areas, and the patient's relapse should be considered.
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Affiliation(s)
- Mustafa Hatipoğlu
- Gülhane Askeri Tıp Akademisi, Haydarpaşa Eğitim Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Servisi, İstanbul, Türkiye.
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10
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Karagöz E, Hatipoğlu M, Turhan V. Letter to the Editor: Middle East respiratory syndrome coronavirus (MERS-CoV) in dromedary camels: are dromedary camels a reservoir for MERS-CoV? Euro Surveill 2014; 19. [DOI: 10.2807/1560-7917.es2014.19.20.20810] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- E Karagöz
- GATA Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - M Hatipoğlu
- GATA Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - V Turhan
- GATA Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
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Hatipoğlu M, Turhan V. [Notice of first NDM-1 expressing isolates in Turkey and the use of modified Hodge test]. MIKROBIYOL BUL 2014; 48:188-189. [PMID: 24506731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We read the article entitled "Investigation of the presence of New Delhi metallo- beta-lactamase-1 (NDM-1) by PCR in carbapenem-resistant gram-negative isolates" by Yanık et al. [Mikrobiyol Bul 2013; 47(2):382], with a great interest. Today, gram-negative enteric bacteria expressing NDM-1 are spreading rapidly all over the world and this is of great concern when increasing carbapenem resistance is considered. Yanık et al. reported that there were no NDM-1 positive isolates in their study involving a part of Turkey. It is well-known that the most sensitive indicator related to carbapenem resistance is ertapenem resistance [Perçin et al. Mikrobiyol Bul 2012; 46(4):546]. In their study Yanık et al. used imipenem, meropenem or doripenem instead of ertapenem resistance for screening carbapenem resistance. Thus, carbapenem-resistant strains might be unnoticed in their study. They also used Modified Hodge Test (MHT) for the investigation of carbapenem resistance in the second stage of their study. MHT is known to have a low sensitivity as a screening test for NDM-1 positive strains. To increase its sensitivity, ZnSO4 should be added to the culture medium [Girlich et al. J Clin Microbiol 2012; 50(2):477]. However, this issue was not specified in Yanık et al's study. Thus, this may be another possible cause of failure to detect NDM-1 expressing strains. Yanık et al. reported in their study that NDM-1-producing isolates were not detected in Turkey. However, very recently, four NDM-1 isolates which were not associated with importation from abroad, were reported in a study from Turkey [Alp et al. J Hosp Infect 2013; 84(2):178] and this was the first report of domestic NDM-1 secreting strains in Turkey. In conclusion, there is a need in our country to a carbapenem group antibiotic investigate the presence of NDM-1 positive strains. The use of ertapenem for screening carbapenem resistance and also adding ZnSO4 to MHT for the detection of NDM-1 strains are of great importance.
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Affiliation(s)
- Mustafa Hatipoğlu
- GATA Haydarpasa Training Hospital, Department of Infectious Disease and Clinical Microbiology, Istanbul, Turkey.
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12
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Sağlam M, Hatipoğlu M, Köseoğlu S, Esen HH, Kelebek S. Boric acid inhibits alveolar bone loss in rats by affecting RANKL and osteoprotegerin expression. J Periodontal Res 2013; 49:472-9. [PMID: 24033134 DOI: 10.1111/jre.12126] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2013] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVE The goal of the present study was to evaluate the effects of systemic boric acid on the levels of expression of RANKL and osteoprotegerin (OPG) and on histopathologic and histometric changes in a rat periodontitis model. MATERIAL AND METHODS Twenty-four Wistar rats were divided into three groups of eight animals each: nonligated (NL); ligature only (LO); and ligature plus treatment with boric acid (BA) (3 mg/kg per day for 11 d). A 4/0 silk suture was placed in a subgingival position around the mandibular right first molars; after 11 d the rats were killed, and alveolar bone loss in the first molars was histometrically determined. Periodontal tissues were examined histopathologically to assess the differences among the study groups. RANKL and OPG were detected immunohistochemically. RESULTS Alveolar bone loss was significantly higher in the LO group than in the BA and NL groups (p < 0.05). The number of inflammatory infiltrate and osteoclasts in the LO group was significantly higher than that in the NL and BA groups (p < 0.05). The numbers of osteoblasts in LO and BA groups were significantly higher compared with NL group (p < 0.05). There were significantly more RANKL-positive cells in the LO group than in the BA and NL groups (p < 0.05). There was a higher number of OPG-positive cells in the BA group than in the LO and NL groups (p < 0.05). CONCLUSION The present study shows that systemic administration of boric acid may reduce alveolar bone loss by affecting the RANKL/OPG balance in periodontal disease in rats.
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Affiliation(s)
- M Sağlam
- Department of Periodontology, School of Dentistry, Izmir Katip Celebi University, Izmir, Turkey
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