Document Type : Original Article

Authors

1 1 Cellular & Molecular Research Center & Dept. of Molecular Medicine, Birjand University of Medical Sciences, Birjand, Iran. 2 Genetics of Non-Communicable Disease Research Center & Dept. of Genetics, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

2 Oral and Dental Diseases Research Center, Dept. of Endodontics, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.

3 Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.

4 Cellular and Molecular Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

5 Faculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran.

Abstract

Statement of the Problem: Genetic polymorphisms can alter immunity response against pathogens, which in turn influence individuals’ susceptibility to certain infections.Purpose: Our aim was to determine the association of Arg753Gln (rs5743708) and Arg677Trp (rs12191786) polymorphisms of toll like receptor-2 gene with the two clinical forms of apical periodontitis: acute apical abscess (AAA) and asymptomatic apical periodontitis (AAP).Materials and Method: There were 50 patients with AAA as case group and 50 with AAP as control group. Genotyping was done using Tetra-ARMS (amplification refractory mutation system) PCR.Results: Heterozygous genotype of Arg677Trp polymorphism was associated with risk of AAA (OR=1.9, 95% CI: 0.7-5.5, p= 0.05). Although statistically insignificant, Arg677Trp polymorphism promoted the risk of AAA in dominant model (OR=2.1, 95% CI: 0.7-5.9, p> 0.05). The frequency of mutant allele (T) of Arg677Trp polymorphism was higher in AAA (14%) than AAP (7%) subjects (OR=1.7, 95% CI: 0.6-4.7). For Arg753Gln polymorphism, wild homozygous (GG) represented the dominant genotype in both cases (96%) and controls (100%). Variant allele (A) of Arg753Gln polymorphism was identified in 2% of AAA, while no individual represented with this allele in AAP subjects. Individuals with Arg753Gln; Arg677Trp (GG; TC) combination showed an elevated risk of AAA (OR=1.6, 95% CI: 0.5- 4.2, p> 0.05).Conclusion: Arg677Trp polymorphism of TLR-2 rendered a higher risk for the development of abscesses in apical periodontitis. It is recommended to explore role of this polymorphism in other populations.