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Salivary TNF-α, FoxO-1, and SIRT-1 Levels in Periodontitis and Smoking

Salivary TNF-α, FoxO-1, and SIRT-1 Levels in Smokers and Non-Smokers With Stage III Periodontitis: A Case-Control Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07764549
Enrollment
80
Registered
2026-08-14
Start date
2025-10-24
Completion date
2026-05-24
Last updated
2026-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Periodontitis (Stage 3), Smoking ( Cigarette)

Keywords

Periodontitis, Smoking, Saliva, TNF- alpha, FoxO-1, SIRT-1, Oxidative stress, Biomarkers, Inflammation

Brief summary

This study examines whether smoking and gum disease (periodontitis) are linked to changes in three biological markers found in saliva: TNF-α, FoxO-1, and SIRT-1. These markers are involved in inflammation and the body's response to stress. Eighty adults took part in the study, divided into four groups: healthy non-smokers, non-smokers with Stage III periodontitis (an advanced form of gum disease), healthy smokers, and smokers with Stage III periodontitis. Each participant had a dental examination and provided a saliva sample, which was analyzed in the laboratory to measure the levels of these three markers. The goal of the study is to better understand how smoking and gum disease together affect the body's inflammatory and stress-response pathways, which may help guide future approaches to prevention and treatment.

Interventions

DIAGNOSTIC_TESTSalivary Biomarker Analysis (ELISA)

Unstimulated whole saliva samples were collected via passive drooling and analyzed for TNF-α, FoxO-1, and SIRT-1 concentrations using commercially available enzyme-linked immunosorbent assay (ELISA) kits (BT LAB, Korain Biotech, Shanghai, China), according to the manufacturer's instructions. Concentrations were adjusted according to individual salivary flow rate.

Sponsors

Zehra Hasgül
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Aged 18 years or older * At least 16 permanent teeth, excluding third molars * Not receiving orthodontic treatment * No systemic condition known to affect periodontal health

Exclusion criteria

* Pregnant or breastfeeding * Diabetes mellitus, rheumatoid arthritis, hypertension, or another systemic disease that could influence periodontal tissues * Periodontal treatment within the previous six months * Use of antibiotics or anti-inflammatory medications within the previous six months * Any local or systemic condition that could affect salivary biomarker concentrations

Design outcomes

Primary

MeasureTime frameDescription
Salivary TNF-α ConcentrationMeasured at a single time point at study enrollmentSalivary TNF-α concentration measured by enzyme-linked immunosorbent assay (ELISA), expressed as ng/L, adjusted for individual salivary flow rate.
Salivary FoxO-1 ConcentrationMeasured at a single time point at study enrollmentSalivary FoxO-1 concentration measured by enzyme-linked immunosorbent assay (ELISA), expressed as ng/mL, adjusted for individual salivary flow rate.
Salivary SIRT-1 ConcentrationMeasured at a single time point at study enrollmentSalivary SIRT-1 concentration measured by enzyme-linked immunosorbent assay (ELISA), expressed as ng/mL, adjusted for individual salivary flow rate.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 15, 2026