Effect of Periodontal Therapy on Asprosin in Stable Angina

NCT07591844 — Not applicable, Not yet recruiting, 60 participants, Ondokuz Mayıs University

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Effect of Non-Surgical Periodontal Therapy on Serum Asprosin in Patients With Stable Angina

RegistryNCT07591844
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment60 (Estimated)
SponsorOndokuz Mayıs University (Other)
ConditionsStable Angina Pectoris, Periodontitis
InterventionsNon-surgical periodontal therapy (scaling and root planing), Non-surgical periodontal therapy (Professional dental cleaning) (Procedure)
Datesstart 2026-05-20 (estimated), primary completion 2026-08-20 (estimated), completion 2026-10-20 (estimated), first posted 2026-05-18, last updated 2026-05-18
Locations1 site in Turkey (Türkiye)

Related Papers Related Patents Related Grants Related Experts
All trials for Stable Angina Pectoris All trials for Periodontitis All trials of Non-surgical periodontal therapy (scaling and root planing) All trials of Non-surgical periodontal therapy (Professional dental cleaning)

-Summary

This study aims to evaluate the effect of non-surgical periodontal therapy on serum asprosin levels in patients with stable angina and periodontitis. Asprosin is a novel metabolic biomarker reported to have potential protective roles in cardiovascular diseases and inflammatory processes. The study also investigates the relationship between periodontal parameters and serum asprosin levels before and after periodontal therapy.

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+Detailed description

Periodontitis is a chronic inflammatory disease characterized by the destruction of the tooth-supporting tissues and has been associated with increased systemic inflammation and cardiovascular diseases. Stable angina, a clinical manifestation of coronary artery disease, is closely linked to inflammatory and metabolic pathways. Increasing evidence suggests that periodontal inflammation may contribute to cardiovascular pathology through systemic dissemination of inflammatory mediators and oxidative stress mechanisms.

Asprosin is a recently identified adipokine secreted mainly from white adipose tissue and is involved in glucose metabolism, inflammatory regulation, and cardiovascular homeostasis. Previous studies have reported altered serum asprosin levels in patients with atherosclerosis, myocardial infarction, and periodontitis. However, the effect of periodontal therapy on serum asprosin levels in patients with stable angina has not yet been clinically investigated.

In this clinical study, 60 individuals will be allocated into three groups: healthy controls, periodontitis patients, and patients with stable angina and periodontitis. Non-surgical periodontal therapy will be performed in periodontitis groups, while supragingival scaling and oral hygiene instructions will be provided for controls. Clinical periodontal parameters and serum asprosin levels will be evaluated at baseline and at 3-month follow-up using ELISA analysis.

The study aims to determine whether periodontal therapy may influence serum asprosin levels and to evaluate the possible relationship between periodontal inflammation and metabolic-inflammatory pathways in cardiovascular disease. To the best of our knowledge, this is the first clinical study evaluating the effect of periodontal therapy on serum asprosin levels in patients with stable angina.

+Arms and interventions

ArmTypeInterventionsDescription
Stable angina and periodontitis group (SAP group)ExperimentalProcedure: Non-surgical periodontal therapy (scaling and root planing)Individuals with angiographically confirmed stable angina and periodontitis who will receive non-surgical periodontal therapy, including scaling and root planing
Periodontitis group (P group)ExperimentalProcedure: Non-surgical periodontal therapy (scaling and root planing)Individuals with angiographically confirmed cardiovascular health and periodontitis who will receive non-surgical periodontal therapy, including scaling and root planing
Control group (C group)Active comparatorProcedure: Non-surgical periodontal therapy (Professional dental cleaning)Periodontally healthy individuals with angiographically confirmed absence of coronary artery disease who will receive routine professional dental cleaning and standardized oral hygiene instruction
  • Non-surgical periodontal therapy (scaling and root planing) (Procedure): Non-surgical periodontal therapy will include full-mouth scaling and root planing performed using hand instruments and/or ultrasonic devices to remove supra- and subgingival plaque and calculus.
  • Non-surgical periodontal therapy (Professional dental cleaning) (Procedure): Supragingival calculus and plaque removal with standardized oral hygiene instruction.

+Outcome measures

Primary outcomes

  • Change in serum asprosin levels after non-surgical periodontal therapy [Baseline and 3 months]: Serum asprosin concentrations (ng/mL) will be measured using a commercially available enzyme-linked immunosorbent assay (ELISA) kit at baseline and 3 months following non-surgical periodontal therapy.

+Eligibility

Sex: All, ages: 18 Years to 65 Years, accepts healthy volunteers

Inclusion Criteria:

* Willingness to participate in the study and provide written informed consent
* Age 18 years or older
* No periodontal treatment within the past 6 months
* No use of local or systemic antibiotics within the past 3 months

Exclusion Criteria:

* Unwillingness to participate in the study or to provide informed consent
* Age under 18 years
* Use of local or systemic antibiotics for the treatment of widespread infection within the past 3 months
* Receipt of periodontal treatment within the past 6 months
* Pregnancy or lactation (for female participants)
* History of acute myocardial infarction within the past 6 months

+Locations (1)

FacilityCityCountryStatus
Ondokuz Mayis UniversitySamsun, AtakumTurkey (Türkiye)

+Publications

  • Gul SNS, Birdal O, Laloglu E. Serum asprosin levels are increased in patients with periodontitis and ST-segment elevation myocardial infarction and correlated with periodontal parameters: A case-control study. J Periodontal Res. 2024 Apr;59(2):259-266. doi: 10.1111/jre.13210. Epub 2023 Nov 20. PMID 37984462

+Investigators