Accordingly, the inhibition of Bcl-2 in individuals without periodontitis may be one of the underlying mechanisms that prevent these individuals from developing the disease. A recent report that evaluated individuals with similar clinical characteristics  revealed that HmuY induced delayed apoptosis, as evidenced by the fact that cultivated cells stimulated with this recombinant protein presented concomitant labeling with annexin V and propidium iodide. Conclusions
Decreased Bcl-2 expression in CD3+ T cells was also shown to be a preliminary indicator of a mechanism that may be capable of preventing some individuals from developing CP, i.e., the cells that undergo apoptosis do not consequently selleck inhibitor produce elevated levels of proinflammatory mediators, which are responsible for tissue degradation. The absence or delay in the apoptosis process may play an important role in the survival of PBMCs in CP patients ABT 737 in addition to possibly prolonging the chronic form of this disease. Methods A total of 18 patients with CP and 21 control eFT-508 concentration subjects without periodontitis (NP) were recruited between 2009
and 2010 at the Municipal Specialized Dentistry Center (Salvador, Bahia) and from the College of Dentistry at the Federal University of Bahia. The following exclusion criteria were established: presence of diabetes, cardiovascular disease, pregnancy, auto-immune disease, tobacco use, prior periodontal treatment, use of anti-inflammatory drugs within two months prior to inclusion and/or antibiotic drug use less than six months before inclusion. Arachidonate 15-lipoxygenase Informed written consent was obtained from all study subjects in accordance with guidelines established by the Brazilian Health Council. The present study was approved by the Institutional Review Board of the Climério de Oliveira Maternity Hospital (Protocol no. 053/2010). Periodontal examination was performed by a single, previously calibrated examiner (P.C.C.F.) (kappa inter-examiner agreement value = 0.932) using a Williams periodontal probe (Hu Friedy, Chicago, IL, USA). Investigated criteria included bleeding on probing (BOP), clinical attachment level (CAL) and probing depth (PD) at six sites for each tooth. Patients met the established criteria
for periodontitis when the following conditions were satisfied: four or more teeth with one or more sites presenting probing depths ≥ 4 mm with a clinical attachment loss ≥ 3 mm and bleeding on probing present at the same site . The chronic character of disease was evaluated in accordance with guidelines established by the American Academy of Periodontology . Crude extract from P. gingivalis ATCC 33277 wild-type strain was obtained as previously described  and prepared for use at a final concentration of 0.5 μg/mL. The P. gingivalis HmuY polypeptide lacking the first 25 residues (NCBI accession no. CAM 31898) was overexpressed using pHmuY11 plasmid and Escherichia coli ER2566 cells (New England Biolabs, MA, USA), then purified from a soluble fraction of E.