CC BY
15
UDC 616.314.17:547.995]-092.9
https://doi.org/10.26641/2307-0404.2021.2.234382
0.V. Kopchak1, L.F. Yakovenko 2, N.S. Marchenko 1,
1.V. Kovach 3,
LEVELS OF Hsp60 IN PERIODONTAL TISSUE OF RATS: INFLUENCE OF INJECTIONS OF HYALURONIC ACID
E.M. Pavlenko 1,
0.A. Nimenko 2,
1.V. Kroupskaya 2,
V.V. Filonenko 2
Private Higher Euducational Establisment «Kyiv medical University» 1 Department of Therapeutic Dentistry Boryspilska str., 2, Kyiv, 02099, Ukraine e-mail: [email protected]
Institute of Molecular Biology and Genetics of NAS of Ukraine 2
Department of Cell Signalling
Zabolotnogo str., 150, Kyiv, 03143, Ukraine
e-mail: [email protected]
Dnipro State Medical University 3
Department of Pediatric Dentistry
V. Vernadsky str., 9, Dnipro, 49044, Ukraine
e-mail: [email protected]
ПВНЗ «Кшвський медичний утверситет» 1
кафедра терапевтичног стоматологи
(зав. - д. мед. н., доц. О.В. Копчак)
вул. Бористльська, 2, Кит, 02099, Укра!на
1нститут молекулярное бюлогп i генетики НАН Украгни 2
Вiддiл сигнальних систем клтини
(зав. - д. бiол. н., проф. В.В. Фшоненко)
вул. Ак. Заболотного, 150, Ки!в, 03143, Укра!на
Днтровський державний медичний утверситет 3
кафедра дитячог стоматологИ
(зав. - д. мед. н., проф. 1.В. Ковач)
вул. В. Вернадського, 9, Днтро, Укра!на
Цитування: Медичт перспективы. 2021. Т. 26, № 2. С. 12-18 Cited: Medicni perspektivi. 2021;26(2):12-18
Key words: heat shock protein 60, periodontitis, hyaluronic acid
Ключовi слова: бшок теплового шоку 60, пародонтит, гiалуронова кислота
Ключевые слова: белок теплового шока 60, пародонтит, гиалуроновая кислота
Abstract. Levels of Hsp60 in periodontal tissue of rats: influence of injections of hyaluronic acid. Kopchak O.V., Yakovenko L.F., Marchenko N.S., Kovach I.V., Pavlenko E.M., Nimenko O.A., Kroupskaya I.V., Filonenko V.V.
Heat shock protein 60 (Hsp60) is considered as one of the possible autoantigens involved in the pathogenesis of a number of chronic diseases including periodontal diseases. The application of hyaluronic acid or hyaluronan (HA) in the treatment of periodontitis has been evaluated in several clinical trials, however, the effect of hyaluronic acid on heat shock protein 60 level in periodontal soft tissues has not been studied. The aim of this work was to evaluate the effect of HA injections on levels of Hsp60 in periodontal tissue of the rats. Samples ofperiodontal tissue of mandibular incisors of adult male Wistar rats at 10-12 months of age were investigated. Rats were distributed into the control group and the periodontitis group. Visual manifestations of hyperemia of the gums around the incisors were the criterion for selecting animals into the periodontitis group. There were two subgroups in the control group: intact rats (I); intact rats after HA "hyaDENT BG" 1.0MDa (BioScience GmbH, Germany) treatment (I+"G-1.0"). There were four subgroups in the periodontitis group: rats with periodontitis (P); rats with periodontitis after HA "hyaDENT BG" 1.0 MDa (BioScience GmbH, Germany) treatment (P+"G-1.0"); rats with periodontitis after HA "SERTOBEC" 2.4 MDa (S.C. Rompharm Company S.R.L., Romania) treatment (P+"S-2.4"); rats with periodontitis after HA "SERTOBEC Tendon" 2.4 МDа (S.C. Rompharm Company S.R.L., Romania) treatment (P+"ST-2.4"). There were three animals in each subgroup. Rats were injected 0.05 ml HA in the area of alveolar processus of central incisors once a week, three times. Levels of Hsp60
МЕДИЧН1ПЕРСПЕКТИВИ / MEDICNIPERSPEKTIVI
in total lysates of periodontal tissue were tested by Western blotting method before and after the treatment with HA (one month after the last injection). There was no significant difference between levels of Hsp60 in total lysates of periodontal tissue of intact rats and rats with periodontitis before treatment (p>0.05). Rats with periodontitis showed decreased inflammation in the periodontal tissue after treatment with HA with different molecular weight. Intact rats and rats with periodontitis which were treated with HA "hyaDENT BG" 1.0MDa showed reduced levels of Hsp60 in total lysates of periodontal tissue comparatively with levels of Hsp60 before treatment (by 15.4 and 10.7 times respectively, p<0.001). Rats with periodontitis which were treated with HA "SERTOBEC" 2.4 MDa or HA "SERTOBEC Tendon" 2.4 MDa also showed reduced levels of Hsp60 in total lysates of periodontal tissue comparatively with levels of Hsp60 before treatment (by 21.3 and 16.4 times respectively, p< 0.001). Rats with periodontitis showed the decrease in inflammation in periodontal tissue after treatment with HA with different molecular weight. Injections of HA has contributed to reduce levels of Hsp60 in periodontal tissue of intact rats and rats with periodontitis.
Реферат. PiBHi Hsp60 у тканинах пародонта щурiв: вплив ш'екцш палуроновоТ кислоти. Копчак О.В., Яковенко Л.Ф., Марченко Н.С., Ковач 1.В., Павленко Е.М., Шменко О.А., Крупська 1.В., Фшоненко В.В.
БЫок теплового шоку 60 (Heat shock protein 60, Hsp60) вважаеться одним i3 можливих aymoaHm^eHie, як залучено в патогенез хротчних захворювань, зокрема захворювань тканин пародонта. У науковш лiтературi представлено результати використання гiалуроново'i кислоти або гiалурону (НА) у лжувант пародонтиту, проте вплив гiалурону на рiвень бшка теплового шоку 60 у м 'яких тканинах пародонта не вивчено. Метою цei роботи було дослiдження впливу iн 'екцт НА на рiвнi Hsp60 у тканинах пародонта щурiв. До^джували зразки тканин пародонта нижньощелепних рiзцiв дорослих щурiв Wistar (вiк 10-12 мiсяцiв). Щурiв було розподшено на двi групи: контрольна група та група пародонтиту. Вiзуальнi прояви гiперемi'i ясен навколо рiзцiв були критерieм вiдбору тварин до групи пародонтиту. У контрольнш грут було двi тдгрупи: ттактт щури (I); iнтактнi щури, яким вводили HA "hyaDENT BG" 1.0MDa (BioScience GmbH, Germany), (l+"G-1.0"). У груш пародонтиту було чотири пiдгрупи: щури з пародонтитом (Р); щури з пародонтитом, яким вводили HA "hyaDENT BG" 1.0MDa (BioScience GmbH, Germany), (P+"G-1.0"); щури з пародонтитом, яким вводили HA "SERTOBEC" 2.4MDa (S.C. Rompharm Company S.R.L, Romania), (P+"S-2.4"); щури з пародонтитом, яким вводили HA "SERTOBEC Tendon" 2.4MDa (S.C. Rompharm Company S.R.L., Romania), (P+"ST-2.4"). У кожнш пiдгрупi було по три тварини. Щурам вводили по 0,05 мл HA у дшянку центральних рiзцiв альвеолярного вiдростка один раз на тиждень, три рази. Рiвнi Hsp60 визначали в тотальних лiзатах тканин пародонта методом Вестерн-блотингу до та тсля зактчення лкування (через один мiсяць пiсля останньо'1' т'екцп). Не виявлено статистично достовiрно'i рiзницi мiж рiвнями Hsp60 у тотальних лiзатах тканин пародонта iнтактних щурiв та щурiв з парадонтитом до лкування (р>0,05). У тварин з пародонтитом установлено зменшення запалення тканин пародонта тсля лiкування НА рiзноi молекулярно'1' маси. В iнтактних щурiв та щурiв з парадонтитом через мкяць тсля останнього введення НА "hyaDENT BG" 1.0MDa спостер^алось зниження рiвнiв Hsp60 у тотальних лiзатах тканин пародонта порiвняно з рiвнями Hsp60 до початку л^вання (у 15,4 та 10,7 раза вiдповiдно, р< 0,001). У щурiв з пародонтитом, яким вводили НА "SERTOBEC" 2.4MDa або НА "SERTOBEC Tendon" 2.4Мdа, також спостерiгалось зниження рiвнiв Hsp60 у тотальних лiзатах тканин пародонта порiвняно з рiвнями Hsp60 до початку лкування (у 21,3 та 16,4 раза вiдповiдно, p< 0,001). У щурiв з пародонтитом установлено зменшення запалення в тканинах пародонта тсля лiкування НА рiзноi молекулярно'1' маси. Введення HA супроводжувалося зниженням рiвнiв Hsp60 у тканинах пародонта ттактних щурiв та щурiв з пародонтитом.
Heat shock protein 60 (Hsp60) is considered as one of the possible autoantigens involved in the pathogenesis of a number of chronic diseases including periodontal diseases [9]. Hsp60 belongs to a family of highly concerved stress proteins. The production of these proteins is evaluated under different stressors factors (cellular insult, environmental changes, temperature, infections, tumors etc.). Despite being highly homologous between eukaryotic and prokaryotic, Hsp60 is strongly immunogenic and immune responses to bacterial Hsp60 are speculated to initiate chronic inflammatory diseases in humans.
Periodontitis is defined as the chronic inflammation of periodontal supporting tissue caused by specific pathogenic microorganisms, resulting in the advanced destruction of the periodontal ligament
and the alveolar bone and subsequently leading to the formation of a gingival recession and a periodontal pocket [19]. The precise mechanisms of tissue destruction, however, have not been fully elucidated.
Human Hsp60 is expressed abundantly in periodontitis lesions and can be an antigen-target for cross-reactive antibodies against bacterial Hsp60 [3, 8, 9]. Similar to bacterial lipopolysaccharide, Hsp60 is able to stimulate tumour necrosis factor (TNF)-a production from macrophages [3]. Thus, immune response to Hsp60 derived from either inflammatory tissue or bacteria was thought to play an important role in the development of autoimmune processes in periodontal tissue.
Hyaluronic acid or hyaluronan (HA) has been used in the treatment of periodontitis [2, 5, 6, 12, 15, 16].
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HA is an ubiquitous non-sulphated glycosami-noglycan with a high molecular weight. It is one of the components of the extracellular matrices of the connective tissue. HA has been identified in all periodontal tissues, being particularly prominent in the non-mineralized tissues such as gingiva and periodontal ligament and in only low quantities in mineralized tissues such as cementum and alveolar bone [14]. Fibroblasts, osteoblasts, and cemen-toblasts are capable of synthesizing HA in their cell membrane and secreting it to the exterior [13]. HA has anti-inflammatory, anti-edematous effect, promotes wound healing and also connective tissue angiogenesis [14]. There are no reports describing the effect of HA on levels of Hsp60 in periodontal tissue.
The aim of this work was to evaluate the effect of HA injections on levels of Hsp60 in the periodontal tissue of rats.
MATERIALS AND METHODS OF RESEARCH
Samples of periodontal tissue of mandibular incisors of adult male Wistar rats were investigated. Rats, 10-12 months of age, weighing 200-220 g were from the vivarium of the Bogomolets National Medical University. Animals were caged in a room with controlled temperature (18° C) and humidity (60.5%). The protocol of this study was approved by the Ethics Committee of the Bogomolets National Medical University. In experimental studies on animals adhered to the "European Convention for the protection of vertebrate animals used for experimental and other scientific purposes" (Strasbourg, 1986), "General ethical principles of animal experiments", approved by the First National Congress of Bioethics (Kyiv, 2001), Directive 2010/63/EU of European Parlament and Council on the protection of animals used for scientific purposes, Law of Ukraine No. 3447-IV dated February 21, 2006, order Ministry of Education and Science, Youth and Sports of Ukraine No. 249 dated March 1, 2012 [1, 7, 18, 20].
Rats were distributed into the control group and the periodontitis group. Visual manifestations of hyperemia of the gums around the incisors were the criterion for selecting animals into the periodontitis group. There were two subgroups in the control group: intact rats (I); intact rats after HA "hyaDENT BG" 1.0 MDa (BioScience GmbH, Germany) treatment (I+"G-1.0"). There were four subgroups in the periodontitis group: rats with periodontitis (P); rats with periodontitis after HA "hyaDENT BG"1.0 MDa (BioScience GmbH, Germany) treatment (P+"G-1.0"); rats with periodontitis after HA "SERTOBEC" 2.4 MDa (S.C. Rompharm Company S.R.L., Romania), treatment (P+"S-2.4"); rats with periodontitis after HA "SERTOBEC Tendon"
2.4 MDa (S.C. Rompharm Company S.R.L., Romania) treatment (P+"ST-2.4"). There were three animals in each subgroup. Rats were injected 0.05 ml HA in the area of alveolar ridge of central incisors once a week, three times. Levels of Hsp60 in total lysates of periodontal tissue were tested by Western blotting before and after the treatment with HA of different molecular weight (1 month after the last injection).
Samples of periodontal tissue were prepared by homogenization in ice-cold RIPA buffer (20mM Tris-HCl, pH 7.5; 0.15 M NaCl; 1mM EDTA; 1% sodium deoxycholate; 0.1% SDS and 0.1% protease inhibitor cocktail). After 30 a minutes' extraction at +4°C, the samples were centrifuged at 10 000 x g for 20 min. at +4°C. The supernatants were collected and the protein concentration was determined by Nanodrop. Protein samples (100 ^g) were electro-phoresed in 12% SDS polyacrylamide gel. The wet electrotransfer of proteins to the nitrocellulose membranes was held at 90 V for 40 min. The membranes were blocked for 1 h. at a room temperature with blocking buffer (5% non-fat milk in PBS-tween buffer) and then probed with specific primary antibodies for 18 h. at +4°C. After washing in PBS tween buffer (10 min x 3) the membranes were incubated with peroxidase-conjugated secondary anti-rabbit (in case of Hsp60) or anti-mouse (in case of GAPDH) antibodies for 1 h. at a room temperature. The polyclonal anti-GroEL antibody produced in rabbit and polyclonal anti-GAPDH antibody produced in mouse were developed in IMBG NAS of Ukraine. Immunologic cross-reactivity of GroEL with Hsp60 was demonstrated previously [17]. The treatment of the membranes with secondary antibodies was followed by washing in PBS tween buffer (10 min x 3) and chemilu-minescence detection according to manufacturer's instructions by ChemiDoc. All samples of periodontal tissue were examined for levels of Hsp60 and GAPDH in six reproducible repetitions. The results of the first one are presented in the article.
Statistical analysis was performed using software environments STATISTICA 8.0 (StatSoft Inc. 2007, USA) and MS Excel 2010 (license number K9366093I 2016). Data were analyzed using Student's t-test, a p<0.001 was considered significant.
RESULTS AND DISCUSSION
Rats with periodontitis showed decreased inflammation in the periodontal tissue after treatment with HA of different molecular weight. There were a decrease in gum hyperemia, an increase in soft tissue volume and an increase in vascularization in parodont of rats.
MEffHHHI nEPCnEKTHBH / MEDICNIPERSPEKTIVI
Results of the investigation of the effect of HA injections on levels of Hsp60 in the total lysates of periodontal tissue are presented in the Figure. There was no significant difference between levels of Hsp60 in total lysates of periodontal tissue of intact rats and rats with periodontitis before treatment (p>0.05).
Intact rats and rats with periodontitis which were treated with HA "hyaDENT BG" 1.0 MDa showed reduced levels of Hsp60 in total lysates of perio-
dontal tissue comparatively with levels of Hsp60 before treatment (by 15.4 and 10.7 times respectively, p<0.001). Rats with periodontitis which were treated with HA "SERTOBEC" 2.4 MDa or HA "SERTOBEC Tendon" 2.4 MDa also showed reduced levels of Hsp60 in total lysates of periodontal tissue comparatively with levels of Hsp60 before treatment (by 21.3 and 16.4 times respectively, p<0.001).
Notes: (A) Levels of Hsp60 in total lysates of periodontal tissue by Western blotting
(B) Quantitative densitometry analysis of levels of Hsp60 with GAPDH as an internal standard (total Hsp60/GAPDH), * group, ** - p<0.001 vs. the periodontitis group, 1-6 - samples of periodontal tissue, M - a molecular-weight size marker.
Influence of injections of hyaluronic acid of different molecular weight on levels of Hsp60 in periodontal tissue of rats
p<0.001 vs. the intact
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The integrity of periodontal tissues provides an effective barrier against microbial invasion and pre-ventes the destruction of tissues by bacterial toxins and enzymes. This integrity is lost during chronic inflammation associated with periodontal diseases [11].
It was shown, the endogenous HA component results to be lacking within the epithelium and the gingival connective tissue with a consequent structural failure and loss of normal features of the gingiva. In patients with chronic periodontitis, there is a rapid loss of HA high molecular weight due to enzymatic digestive processes. Hyaluronidase, an enzyme released by microorganisms of bacterial plaque, plays an essential role in such mechanism [10].
Because of its properties and the non-immuno-genicity of the highly purified form, HA has already found medical applications for many years. The application of HA in nonsurgical periodontal treatment has been evaluated in several clinical trials, but the current evidence is insufficient to support the routine clinical use [2, 5, 6, 12, 15, 16].
The aim of this pilot study was to investigate the influence of injection of HA on levels of Hsp60 in periodontal tissue. Significant difference between levels of Hsp60 in total lysates of the periodontal tissue of intact rats and rats with parodontitis before treatment was not demonstrated. The treatment with HA of different molecular weight has contributed to reduce levels of Hsp60 in total lisates of periodontal tissue of intact rats and rats with periodontitis.
Our clinical observations revealed a decrease in inflammation processes in parodontal tissue of rats with parodontitis after treatment with HA of different molecular weight.
Different mechanisms have been proposed to explain the influence of HA on the inflammatory process.
HA may regulate the inflammatory response, acting as an antioxidant by scavenging reactive oxygen species [6].
It was considered that HA produces a physical barrier against bacteria and their products in extracellular matrix. At physiological concentrations, HA molecules entangle and form a random network of chains. Such network interacts with other macromolecular components. HA excludes other macromolecules especially large ones that cannot find space in the network. It also retards the diffusion of other substances that can not penetrate the network [10].
HA has been shown to be bacteriostatic with respect to periodontal pathogens particularly to Actinobacillus actinomycetemcomitans, Prevotella oris, Staphylococcus aureus, and Propionibacterium acnes strains. Among the bacterial strains studied, HA was found to have no bactericidal effects [4].
HA may also prevent periodontal pathogen colonization by directly preventing microbial proliferation [6].
We were determined levels of Hsp60 in total lysates of periodontal tissue. Many different bacteria are present on the tissue surfaces and form the film. Protein that we determined in total lysates of periodontal tissue may be also bacterial Hsp60. Injections of HA of different molecular weight contributed to reduce the inflammation and possibly contributed to decline of the periodontal pathogens quantity. Thus, we observed decreased levels of Hsp60 in total lysates of periodontal tissue of rats.
CONCLUSION.
Rats with periodontitis showed decreased inflammation in periodontal tissue after treatment with HA of different molecular weight. Injections of HA contributed to reduce levels of Hsp60 in periodontal tissue of intact rats and rats with periodontitis.
Conflict of interests. The authors declare no conflict of interest.
REFERENCES
1. About the statement of the Order of carrying out by scientific institutions of experiments, experiments on animals: the order of the Ministry of Education and Science, Youth and Sports of Ukraine N 249 dated 01.03.2012 [Internet]. [cited 2018 Dec 23]. Available from: https://zakon.rada.gov.ua/go/z0416-12.
2. Koshal A, Patel P, Bolt R, Dawett B, Galgut PN. A comparison in postoperative healing of sites receiving non-surgical debridement augmented with and without a single application of hyaluronan 0.8% gel. J Prev Dent. 2007;2:34-7.
3. Yamazaki K, Ohsawa Y, Tabeta K, Ito H, Ueki K, Oda T, Yoshie H, and Seymour GJ. Accumulation of Hu-
man Heat Shock Protein 60-Reactive T Cells in the Gingival Tissues of Periodontitis Patients. Inf Immun. 2002;70:2492-501.
doi: https://doi.org/10.1128/IAI.70.5.2492-2501.2002
4. Pirnazar P, Wolinsky L, Nachnani S, Haake S, Pilloni A, Bernard GW. Bacteriostatic effects of Hyaluronic Acid. Journal of Periodontology. 1999;70(4):370-4. doi: https://doi.org/10.1902/jop.1999.70.4.370
5. Bogaerde VL. Treatment of infrabony periodontal defects with esterified hyaluronic acid: Clinical report of 19 consecutive lesions. Int J Periodontics Restorative Dent. 2009;29:315-23.
МЕДИЧН1ПЕРСПЕКТИВИ / MEDICNIPERSPEKTIVI
6. Dahiya P, Kamal R. Hyaluronic Acid: a boon in periodontal therapy. N Am J Med Sci. 2013;5(5):309-15. doi: https://doi.org/10.4103/1947-2714.112473
7. Directive 2010/63/EU of the European Parliament and of the Council of 22 September 2010 on the protection of animals used for scientific purposes (Text with EEA relevance) [Internet]. [cited 2018 Dec 23]. Available from: https://eurlex. europa.eu/LexUriServ/LexUri-Serv.do?uri=0J:L:2010:276:0033:0079:en:PDF
8. Yamazaki K, Ueki-Maruayama K, Honda T, Na-kajima T, Seymour GJ. Effect of periodontal treatment on the serum antibody levels to heat shock proteins. Clin Exp Immunol. 2004;135(3):478-82.
doi: https://doi.org/10.1111/j.1365-2249.2003.02375.x
9. Tabeta K, Yamazaki K, Hotokezaka H, Yoshie H, Hara K. Elevated humoral immune response to heat shock protein 60 (hsp60) family in periodontitis patients. Clin Exp Immunol. 2000;120(2):285-93.
doi: https://doi.org/10.1046/j.1365-2249.2000.01216.x
10. Pilloni A, Annibali S, Dominici F, Di Paolo C, Papa M, Cassini MA, Polimeni A. Evaluation of the efficacy of an hyaluronic acid-based biogel on periodontal clinical parameters. A randomized-controlled clinical pilot study. Ann Stomatol (Roma). 2011;2(3-4):3-9.
11. Gontiya G, Galgali SR. Effect of hyaluronan on periodontitis: A clinical and histological study. J Indian Soc Periodontal. 2012;16(2):184-92.
doi: https://doi.org/10.4103/0972-124X.99260
12. Rajan P, Baramappa R, Rao NM, Pavaluri AK, Indeevar P, Rahaman SM. Hyaluronic acid as an adjunct to scaling and root planing in chronic periodontitis. A randomized clinical trail. J Clin Diagn Res. 2014;8:ZC11-4. doi: https://doi.org/10.7860/JCDR/2014/8848.5237
13. Litwiniuk M, Krejner A, Speyrer MS, Gauto AR, Grzela T. Hyaluronic acid in inflammation and tissue regeneration. Wounds. 2016;28:78-88.
14. Casale M, Moffa A, Vella P, Sabatino L, Capuano
F, Salvinelli B, et al. Hyaluronic acid: Perspectives in dentistry. A systematic review. Int J Immunopathol Pharmacol. 2016;29:572-82.
doi: https://doi.org/10.1177/0394632016652906
15. Johannsen A, Tellefsen M, Wikesjö U, Johannsen
G. Local delivery of hyaluronan as an adjunct to scaling and root planing in the treatment of chronic periodontitis. J Periodontal. 2009;80:1493-7.
doi: https://doi.org/10.1902/jop.2009.090128
16. Polepalle T, Srinivas M, Swamy N, Aluru S, Cha-krapani S, Chowdary BA. Local delivery of hyaluronan 0.8% as an adjunct to scaling and root planing in the treatment of chronic periodontitis: A clinical and microbiological study. J Indian Soc Periodontal. 2015;19:37-42. doi: https://doi.org/10.4103/0972-124X.145807
17. Kapustian LN, Kyyamova RG, Gryshkova VS, Terentiev AG, Sidorik LL. Obtaining recombinant chaperon CroEL and its immunological cross-reactivity with Hsp60. Biopolym. Cell. 2006;22 (2):117-120. doi: https://doi.org/10.7124/bc.000724
18. On the protection of animals from cruel treatment: the law of Ukraine N 3447-IV. from 21.02.2006 [Internet]. [cited 2018 Dec 23]. Available from: https://zakon.rada.gov.ua/go/3447-15.
19. Zhao Y-J, Li Q, Cheng B-X, Zhang M, and Chen Y-J. Psychological Stress Delays Periodontitis Healing in Rats: The Involvement of Basic Fibroblast Growth Factor. Mediators of Inflammation. 2012;13. doi: https://doi.org/10.1155/2012/732902
20. Kozhemyakin UM, Khromov OS, Filonenko MO, Saifetdinova GA. Scientific and practical recommendations for keeping laboratory animals and working with them. Kyiv; 2002. p. 155.
СПИСОК Л1ТЕРАТУРИ
1. About the statement of the Order of carrying out by scientific institutions of experiments, experiments on animals: the order of the Ministry of Education and Science, Youth and Sports of Ukraine N 249 dated 01.03.2012 [Internet]. [cited 2018 Dec 23]. Available from: https://zakon.rada.gov.ua/go/z0416-12.
2. A comparison in postoperative healing of sites receiving non-surgical debridement augmented with and without a single application of hyaluronan 0.8% gel / A. Koshal et al. J Prev Dent. 2007. Vol. 2. P. 34-37.
3. Accumulation of Human Heat Shock Protein 60-Reactive T Cells in the Gingival Tissues of Periodontitis Patients / K. Yamazaki et al. Inf Immun. 2002. Vol. 70. P. 2492-2501.
DOI: https://doi.org/10.1128/IAI.70.5.2492-2501.2002
4. Bacteriostatic effects of Hyaluronic Acid / P. Pirnazar et al. Journal of Periodontology. 1999. Vol. 70, No. 4. P. 370-374.
DOI: https://doi.org/10.1902/jop.1999.70.4.370
5. Bogaerde V. L. Treatment of infrabony perio-dontal defects with esterified hyaluronic acid: Clinical report of 19 consecutive lesions. Int J Periodontics Restorative Dent. 2009. Vol. 29. P. 315-323.
6. Dahiya P., Kamal R. Hyaluronic Acid: a boon in periodontal therapy. N Am J Med Sci. 2013. Vol.5, No. 5. P. 309-315.
DOI: https://doi.org/10.4103/1947-2714.112473
7. Directive 2010/63/EU of the European Parliament and of the Council of 22 September 2010 on the protection of animals used for scientific purposes (Text with EEA relevance) [Internet]. [cited 2018 Dec 23]. Available from: https://eurlex.europa.eu/LexUriServ/-LexUriServ.do?uri=OJ:L:2010:276:0033:0079:en:PDF
8. Effect of periodontal treatment on the serum antibody levels to heat shock proteins / K. Yamazaki et al. Clin Exp Immunol. 2004. Vol. 135, No. 3. P. 478-482. DOI: https://doi.org/10.1111/j.1365-2249.2003.02375.x
9. Elevated humoral immune response to heat shock protein 60 (hsp60) family in periodontitis patients /
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K. Tabeta et al. Clin Exp Immunol. 2000. Vol. 120, No. 2.P. 285-293.
DOI: https://doi.org/10.1046/j.1365-2249.2000.01216.x
10. Evaluation of the efficacy of an hyaluronic acid-based biogel on periodontal clinical parameters. A ran-domized-controlled clinical pilot study / A. Pilloni et al. Ann Stomatol (Roma). 2011. Vol. 2, No. 3-4. P. 3-9.
11. Gontiya G., Galgali S. R. Effect of hyaluronan on periodontitis: A clinical and histological study. J Indian Soc Periodontol. 2012. Vol. 16, No. 2. P. 184-192. DOI: https://doi.org/10.4103/0972-124X.99260
12. Hyaluronic acid as an adjunct to scaling and root planing in chronic periodontitis. A randomized clinical trail / P. Rajan et al. J Clin Diagn Res. 2014. Vol. 8. P. ZC11-14.
DOI: https://doi.org/10.7860/JCDR/2014/8848.5237
13. Hyaluronic acid in inflammation and tissue regeneration / M. Litwiniuk et al. Wounds. 2016. Vol. 28. P. 78-88.
14. Hyaluronic acid: Perspectives in dentistry. A systematic review / M. Casale et al. Int. J. Immunopathol Pharmacol. 2016. Vol. 29. P. 572-582.
DOI: https://doi.org/10.1177/0394632016652906
15. Johannsen A., Tellefsen M., Wikesjo U., Johan-nsen G. Local delivery of hyaluronan as an adjunct to
scaling and root planing in the treatment of chronic periodontitis. J Periodontol. 2009. Vol. 80. P. 1493-1497. DOI: https://doi.org/10.1902/jop.2009.090128
16. Local delivery of hyaluronan 0.8% as an adjunct to scaling and root planing in the treatment of chronic periodontitis: A clinical and microbiological study / T. Polepalle et al. J Indian Soc Periodontol. 2015. Vol. 19. P. 37-42.
DOI: https://doi.org/10.4103/0972-124X.145807
17. Obtaining recombinant chaperon CroEL and its immunological cross-reactivity with Hsp60 / L. N. Ka-pustian et al. Biopolym. Cell. 2006. Vol. 22, No. 2. P. 117-120. DOI: https://doi.org/10.7124/bc.000724
18. On the protection of animals from cruel treatment: the law of Ukraine № 3447-IV. from 21.02.2006 [Internet]. [cited 2018 Dec 23]. Available from: https://zakon.rada.gov.ua/go/3447-15.
19. Psychological Stress Delays Periodontitis Healing in Rats: The Involvement of Basic Fibroblast Growth Factor / Y-J. Zhao et al. Mediators of Inflammation. 2012. P. 13. DOI: https://doi.org/10.1155/2012/732902
20. Scientific and practical recommendations for keeping laboratory animals and working with them / U. M. Kozhemyakin et al. Kyiv, 2002. 155 p.
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