Molecular Mechanisms of Periodontitis Development in Patients with Insulin Resistance and Ways of Its Treatment
Abstract
The analysis of modern data on the molecular mechanisms of the development and progression of insulin-dependent diabetes is presented. The leading role of HSP72 reduction in pancreatic cells and target organs for insulin in disorders of the structure of insulin molecules, its receptor perception, and mitochondrial functioning in DM2 is substantiated. New approaches to the treatment of DM2 have been discussed and proposed. Periodontitis in patients with diabetes mellitus has the same forms according to the clinical course, severity of manifestations, ontogenetic characteristics, and prevalence as in persons suffering from periodontitis, but not having diabetes mellitus. However, periodontitis in patients with diabetes mellitus, according to many authors, is poorly treatable and has an unfavorable prognosis.
References
2. Henquin, J. C. Triggering and amplifying pathways of regulation of insulin secretion by glucose // J. C. Henquin // Diabetes – 2000. – Vol. 49. – P. 1751–1760.
3. Mario Barbagallo, Ligia J. Dominguez Magnesium and type 2 diabetes // World J Diabetes 2015 August 25; 6 (10): 1152-1157.
4. Lwell, B. B. Mitochondrial dysfunction and tipe 2 diabetes / B. B. Lwell // Science. – 2005. – P. 384–387.
5. Некипелова, В. О. Агрегация инсулина в растворах / В. О. Некипелова // Биофарм. журн. 2009. – Т. 1. – № 3. – С. 3–9.
6. Kurucz, I. Decreased expression of heat shock protein 72 in skeletal muscle of patients with type 2 diabetes correlates with insulin resistance / I. Kurucz // Diabetes. – 2002. – P. 1102–1109.
7. Hirosumi, J. A central role for JNK in obesity and insulin resistance // J.Hirosumi // Nature. – 2002. – P. 333–336.
8. Karin Cucumel, Riad Domloge Skin-protecting dinucleotide examined // Journal Clinical Services. 2008 January; 25–28.
9. Гужова, И. В. Механизмы работы шаперона Hsp70 в нормальных клетках и при клеточной патологии. // Автореферат диссертации на соискание ученой степени доктора биологических наук по специальности 03.00.25 - гистология, цитология, клеточная биология. – СПб., 2004
10. Jason Chung, Anh-Khoi Nguyen, Darren C. Henstridge, Anna G. Holmes, M. H. Stanley Chan, Jose L. Mesa, Graeme I. Lancaster, Robert J. Southgate, Clinton R. Bruce, Stephen J. Duffy, Ibolya Horvath, Ruben Mestril, Matthew J. Watt, Philip L. Hooper, Bronwyn A. Kingwell, Laszlo Vigh, Andrea Hevenerttts, and Mark A. Febbraio HSP72 protects against obesity-induced insulin resistance // PNAS 2008. – Vol. 105. – No. 5 – P. 1739–1744.
11. Kavanagh, K. Tissue-specific regulation and expression of heat shock proteins in type 2 diabetic monkeys / K. Kavanagh, L. Zhang, JD. Wagner // Cell Stress Chaperones. – 2009. – Vol. 14. – P. 291–299.