Shotgun proteomics analysis by LC-ESI-MS/MS in pregnant women with excessive gingival bleeding
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ABSTRACT: Pregnancy induces significant physiological, immunological, and hormonal changes, particularly elevated levels of estrogen and progesterone, which increase susceptibility to periodontal inflammation. Gingivitis, the early stage of periodontal inflammation, is primarily triggered by dental biofilm accumulation. This study aimed to investigate the pathophysiological mechanisms of gingivitis during pregnancy by analyzing the salivary proteomic profile of pregnant women with and without excessive gingival bleeding. Pregnant women were categorized into two groups: those with excessive gingival bleeding on probing (BOP > 50%; G1, n = 9) and those without generalized gingivitis (BOP < 30%; G2, n = 9). A comprehensive full-mouth periodontal examination was performed. Unstimulated whole-mouth saliva samples were collected and individually processed using Nano Liquid Chromatography Electron Spray Ionization Tandem Mass Spectrometry (nLC- ESI-MS/MS). Proteins were considered significantly downregulated at p < 0.05 and upregulated at 1-p > 0.95. Proteomic analysis identified 187 salivary proteins, with 75 shared between groups. Among these, 60 proteins were upregulated and 7 were downregulated in G1, with key upregulated proteins including Protein S100-A9 (16-fold increase), Neutrophil Defensins 1 and 3 (7-fold increase), Protein S100-A8 (5-fold increase), Beta-2-Microglobulin (4-fold increase), and several immunoglobulin isoforms, while Histatin-3 was notably the only protein downregulated by more than 2-fold. Gene Ontology analysis revealed significant enrichment in processes related to antimicrobial humoral response, bacterial defense mechanisms, and immune regulation, reflecting the inflammatory state. These findings provide novel insights into the salivary proteomic alterations associated with gingivitis in pregnancy, emphasizing the heightened antimicrobial and immune activity linked to excessive gingival inflammation.
INSTRUMENT(S):
ORGANISM(S): Homo Sapiens (human)
TISSUE(S): Saliva
SUBMITTER:
Gerson Foratori Junior
LAB HEAD: Gerson Aparecido
PROVIDER: PXD059154 | Pride | 2026-02-17
REPOSITORIES: Pride
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