THE ROLE OF GINGIVAL TISSUES IN THE BODY’S HORMONAL SYSTEM
G.I. Khodorovskіy, R.R. Dmitrenko, O.V. Yasinska, T.S. Dovgopola
Higher state educational establishment “Bukovinian State Medical University”, Chernivtsi, Ukraine
DOI: https://doi.org/10.15407/fz64.05.093

Abstract
We reviewed published articles and own experimental data
concerning the hormonal functions of gingival tissues. It is
concluded that gingival tissues produce: grelin which is the
analogue of the stomach grelin, glucocorticoids cortisone
and cortisol. Gingival tissues are functionally connected and
interact with the other hormone producing tissues, and with
endocrine glands. The interaction is of two types – by humoral
and nervous ways. Mechanical irritation of gingival tissues (the
movement of a tooth) increases the production of relaxin by
ovaries. Mechanism of that is viscero-visceral reflex – gingivoovarial
reflex, similar to the eye-cardial Danini Ashner reflex.
In the phase of ovulation the antioxidante activity of gingival
tissues is the lowest, comparatively to the other phases of the
menstrual cycle. Gingivitis and paradontitis decrease the sensitivity
of tissues to insulin. Physiological gingival resistance depends
on the functional state of retino-hypothalamic-epiphysis
system: darkness (stimulation of epiphysis) increases, and
bright light decreases the antioxidant activity.
Keywords:
gum tissues, pineal gland, regulation mechanisms, hormonal system
References
- Hall JE. Guyton and Hall Textbook of Medical Physiology. 13th ed. Saunders: Elsevier, 2015. 1168.
- Henriksen JH, Schaffalitzky de Muckadell OB. Secretin the first hormone. Ugeskr Laeger. 2002;164(3):320-5.
PubMed
- Cirillo N, Hassona Y, Pignatelli M, Gasparoto TH, Morgan DJ, Prime SS. Characterization of a novel oral glucocorticoid system and its possible role in disease. J Dent Res. 2012;91(1):97-103.
CrossRef
PubMed
- Shah B, Ashok L, Sujatha GP. Evaluation of salivary Cortisol and psychological factors in jratients with oral lichen planus. Indian J Dent Res. 2009;20(3):288-92.
CrossRef
PubMed
- Ohta K, Laborde NJ, Kajiya M, Shin J, Zhu T, Thondukolam AK, Min C, Kamata N, Karimbux NY, Stashenko P, Kawai T. Expression and possible immune-regulatory function of ghrelin in oral epithelium. J Dent Res. 2011;90(1):1286-92.
CrossRef
PubMed PubMedCentral
- Butenko EV, Shulga AS. Change in the ratios of ghrelin and leptin concentrations in women's blood during physiological and pathological pregnancy: Proceeding of the IV International scientific-practical conference "Actual problems of biology, nanotechnology and medicine", Rostov-on-Don Sep 22 25, 2011. Rostov-on-Don, 2011, P. 66-7. [Russian].
- Inui A, Asakawa A, Bowers CY, Mantovani G, Laviano A, Meguid MM, Fujimiya M. Ghrelin, appetite and gastric motolity: the emerging role of the stomach as an endocrine organ. FASEB J. 2004;18(3):439-56.
CrossRef
PubMed
- Güncü GN, Tözüm TF, Çaglayan F. Effects of endogenous sex hormones on the periodontium - review of literature. Aust Dent J. 2005;50(3):138-45.
CrossRef
PubMed
- Biloklytska HF, Neyko YeM, Kaminsky VYa, Shevchuk VM. Structure of periodontal tissue diseases in women with physiological and surgical menopause complicated by post-infection syndrome. Gal Med J. 2004;11(1):133-6. [Ukrainian].
- Krey KF, Hirsch C. Frequency of orthodontic treatment in German children and adolescents: influence of age, gender, and socio-economic status. Eur J Orthod. 2012;34(2):152-7.
CrossRef
PubMed
- Özcaka Ö, Ceyhan BÖ, Akcali A, Biçakci N, Lappin DF, Buduneli N. Is there an interaction between polycystic ovary syndrome and gingival inflammation? J Periodontol. 2012;83(12):1529-37.
CrossRef
PubMed
- Larjava H, Koivisto L, Häkkinen L, Heino J. Epithelial integrins with special reference to oral epithelial. J Dent Res. 2011;90(12):1367-76.
CrossRef
PubMed PubMedCentral
- Yie Y, Xiong X, Elkind-Hirsch KE, Pridjian G, Maney P, Delarosa RL, Buekens P. Change of periodontal disease status during and after pregnancy. J Periodontol. 2013;84(6):725-31.
CrossRef
PubMed
- Tsinti M, Kassi E, Korkolopoulou P, Kapsogeorgou E, Moutsatsou P, Patsouris E, Manoussakis MN. Functional estrogen receptors alpha and beta are expressed in normal human salivary gland epithelium and apparently mediate immunomodulatory effects. Eur J Oral Sci. 2009;117(5):498-505.
CrossRef
PubMed
- Han YW. Oral health and adverse pregnancy outcomes – what's next? J Dent Res. 2011;90(3):289-93.
CrossRef
PubMed PubMedCentral
- Yang SY, Ko HM, Kang JH, Moon YH, Yoo HI, Jung NR, Kim MS, Cho JH, Oh WM, Kim SH. Relaxin is upregulated in the rat ovary by orthodontic tooth movement. Eur J Oral Sci. 2011;119(2):115-20.
CrossRef
PubMed
- Ojanotko A, Nienstendt W, Harri MP. Metabolism of testosterone by human healthy and inflamed gingiva in vitro. Arch Oral Biol. 1980;25(7):481-4.
CrossRef
- Sooriyamoorthy M, Gover DB. Hormonal influences on gingival tissue: relationship to periodontal diseases. J Clin Periodontol. 1989;16(4):201-8.
CrossRef
PubMed
- Kasasa SC, Soory M. The effects of interleukin-1 (IL-1) on androgen metabolism in human gingival tissue (HGT) and periodontal ligament (PDU). J Clin Periodontol. 1996;23:419-24.
CrossRef
- Parkar M, Tabona P, Newman H, Olsen I. IL-6 expression by oral fibroblasts is regulated by androgen. Cytokine. 1998;10(8):613-9.
CrossRef
PubMed
- Gornstein RA, Lapp CA, Bustos-Valdes SM, Zamorano P. Androgens modulate interleukin-6 production by gingival fibroblasts in vitro. J Periodontol. 1999;70(6):604-9.
CrossRef
PubMed
- ElAttar TM, Lin HS, Tira DE. Testosterone inhibits prostaglandin formation by human gingival connective tissue: relationship to 14C-arachidonic acid metabolism. Prostaglandins Leukot Med. 1982;9(1):25-34.
CrossRef
- Steffens JP, Coimbra LS, Ramalho-Lucas PD, Rossa C Jr, Spolidorio LC. The effect of supra- and subphysiologic testosterone levels on ligature-induced bone loss in rats – a radiographic and histologic pilot study. J Periodontol. 2012;83(11):1432-9.
CrossRef
PubMed
- Lin SJ, Lu HK, Lee HW, Chen YC, Li CL, Wang LF. Nitric oxide inhibits androgen receptor-mediated collagen production in human gingival fibroblasts. J Periodontal Res. 2012;47(6):701-10.
CrossRef
PubMed
- Cakmak O, Alkan BA, Ozsoy S, Sen A, Abdulrezzak U. Association of gingival crevicular fluid cortisol/ dehydroepiandrosterone levels with periodontal status. J Periodontol. 2014;85(8):e287-94.
CrossRef
PubMed
- Srinivasan B, Premkumar S. Assessment of serum dehydroepiandrosterone sulfate in subjects during the prepubertal, pubertal, and adult stages skeletal maturation. Eur J Ortod. 2014;34(4):447-51.
CrossRef
PubMed
- Shirakashi DJ, Leal RP, Colombo NH, Chiba FY, Garbin CA, Jardim EG Jr, Antoniali C, Sumida DH. Maternal periodontal disease in rats decreases insulin sensitivity and insulin signaling in adult offspring. J Periodontol. 2013;84(3):407-14.
CrossRef
PubMed
- Colombo NH, Shirakashi DJ, Chiba FY, Coutinho MS, Ervolino E, Garbin CA, Machado UF, Sumida DH. Periodontal diseases decreases insulin sensitivity and insulin signaling. J Periodonontol. 2012;83(7):864-70.
CrossRef
PubMed
- Zhu M, Nikolajczyk VS. Immune cell link obesity-associated type 2 diabetes and periodontitis. J Dent Res. 2014;93(4):346-52.
CrossRef
PubMed PubMedCentral
- Kebede TG, Holtfreter B, Kocher T, Meisel P, Dietrich T, Biffar R, Dörr M, Völzke H, Pink C. Association of periodontal destruction and diabetes with mortality. J Dent Res. 2017;96(1):56-63.
CrossRef
PubMed
- Pevet P. The melatoninergic system. Encephale. 2006; 32(5):S826-33.
PubMed
- Zamorskii II. Participation of melatoninergic system of organism in the mechanisms of immediate adaptation to acute hypoxia. Clin. and experim. pathol. 2012;11(3 Ch 1):74-6. [Russian].
- Khodorovskyi GI, Dmitrenko RR, Yasinska OV. The role of retinalhypotalamic-pineal system in pro and antioxydant processes in the gingival tissues of adult male albino rats. Fiziol Zh. 2013;59(6):57-62. [Ukrainian].
- Nakamura T, Hasegawa-Nakamura K, Sakoda K, Matsuyama T, Noguchi K. Involvement of angiotensin II type 1 receptors in interleukin-1ß-induced interleukin-6 production in human gingival fibroblasts. Eur J Oral Sci. 2011;119(5):345-51.
CrossRef
PubMed
- Steenhuis P, Huntley RE, Gurenko Z, Yin L, Dale BA, Fazel N, Isseroff RR. Adrenergic signaling in human oral keratinocytes and wound repair. J Dent Res. 2011;90(2):186-92.
CrossRef
PubMed PubMedCentral
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