{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:04:55Z","timestamp":1792461895085,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"S\u00e3o Paulo State Research Foundation","award":["2008\/04280-0"],"award-info":[{"award-number":["2008\/04280-0"]}]},{"name":"Amazonas State Research Foundation","award":["014\/2010"],"award-info":[{"award-number":["014\/2010"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Periodontal Research"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objective<\/jats:title>\n                    <jats:p>\n                      No previous study has directly compared the levels of matrix metalloproteinases (\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      s) and tissue inhibitor of metalloproteinases (\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      s) between smokers and individuals with diabetes mellitus (\n                      <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                      ) with periodontitis. Therefore, the aim of this study was to evaluate the gene expression of\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20102,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109,\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101 and\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20102 in tissues with chronic periodontitis (ChP) of smokers and individuals with type 2\n                      <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      Gingival biopsies were harvested from: non\u2010smokers and non\u2010diabetic individuals with ChP (\n                      <jats:italic>n<\/jats:italic>\n                      = 18) (ChP group); non\u2010diabetic smokers (\u2265 10 cigarettes per day for at least the past 5 years) with ChP (\n                      <jats:italic>n<\/jats:italic>\n                      = 18) (\n                      <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>\n                      hP group); non\u2010smoking individuals with type 2 diabetes (glycated hemoglobin levels \u2265 7.5%) and ChP (\n                      <jats:italic>n<\/jats:italic>\n                      = 18) (\n                      <jats:styled-content style=\"fixed-case\">DMC<\/jats:styled-content>\n                      hP group). The tissue levels of\n                      <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content>\n                      of\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20102,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109,\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101 and\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20102 were evaluated by quantitative real\u2010time polymerase chain reaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108 expression was the lowest in the ChP group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). The\n                      <jats:styled-content style=\"fixed-case\">DMC<\/jats:styled-content>\n                      hP group presented increased\n                      <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content>\n                      levels of\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20102 and\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109, when compared to the\n                      <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>\n                      hP group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05).\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20101 expression and the\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20101\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20102\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101,\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20101\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20102 and\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20102\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20102 ratios were higher in the\n                      <jats:styled-content style=\"fixed-case\">DMC<\/jats:styled-content>\n                      hP group than in the ChP and\n                      <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>\n                      hP groups (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). The\n                      <jats:styled-content style=\"fixed-case\">DMC<\/jats:styled-content>\n                      hP group presented lower\n                      <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content>\n                      levels of\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20101 than the ChP group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). The\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20108\/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      \u20102 ratio was the highest in the\n                      <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>\n                      hP group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Uncontrolled type 2\n                      <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                      upregulates the ratio of\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\n                      s in sites with ChP more than smoking, which may contribute to a greater extracellular matrix degradation and periodontal breakdown in\n                      <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                      \u2010related periodontitis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jre.12394","type":"journal-article","created":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T07:51:08Z","timestamp":1467359468000},"page":"292-299","source":"Crossref","is-referenced-by-count":33,"title":["Diabetes may affect the expression of matrix metalloproteinases and their inhibitors more than smoking in chronic periodontitis"],"prefix":"10.1111","volume":"52","author":[{"given":"M. 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