Gingival overgrowth in cyclosporine, tacrolimus, or sirolimus-based immunosuppressive regimens and the single nucleotide IL-6 (-174 G/C) gene polymorphism

Arch Oral Biol. 2010 Jul;55(7):494-501. doi: 10.1016/j.archoralbio.2010.04.001. Epub 2010 Apr 28.

Abstract

Objective: Interleukin-6 (IL-6) may be involved in drug-induced gingival overgrowth (GO). The present study was conducted to assess the association between IL-6 (-174 G/C) gene polymorphism and GO in renal transplant recipients under cyclosporine (CsA), tacrolimus (Tcr), or sirolimus (Sir)-based regimens.

Methods: Within an eligible population, 45 unrelated subjects were selected for each CsA, Tcr, and Sir group, totaling a sample of 135 subjects. GO was visually assessed and subjects were assigned as controls (non-responders) or cases (responders) in a post hoc definition. IL-6 gene polymorphism was assessed using the polymerase chain reaction amplification and digestion. The distribution of genotypes and allele frequencies in responders and non-responders were compared using the Chi-squared test.

Results: The number of responders was 27 (60.0%), 13 (28.9%), and 7 (15.6%) in the CsA, Tcr, and Sir groups, respectively. No differences could be observed at frequencies of -174GG, -174CG, and -174CC genotypes when comparing responders to non-responders in the CsA, Tcr, and Sir groups. Similar to genotypes, allele frequencies showed no differences between responders and non-responders in all groups.

Conclusions: No association between IL-6 (-174 G/C) gene polymorphism and gingival overgrowth was observed in renal transplant recipients under CsA, Tcr, or Sir-based immunosuppressive maintenance regimens.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Calcium Channel Blockers / therapeutic use
  • Cross-Sectional Studies
  • Cyclosporine / adverse effects*
  • Cytosine
  • Dental Plaque Index
  • Female
  • Gene Frequency / genetics
  • Genotype
  • Gingival Overgrowth / chemically induced*
  • Gingival Overgrowth / classification
  • Gingival Overgrowth / genetics
  • Guanine
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Interleukin-6 / genetics*
  • Kidney Transplantation
  • Male
  • Periodontal Index
  • Polymorphism, Genetic / genetics*
  • Sirolimus / adverse effects*
  • Tacrolimus / adverse effects*
  • Time Factors

Substances

  • Calcium Channel Blockers
  • Immunosuppressive Agents
  • Interleukin-6
  • Guanine
  • Cyclosporine
  • Cytosine
  • Sirolimus
  • Tacrolimus