Dental Research
Mr. Bojtor Bence
FTJV6V
Department of Internal Medicine and Oncology, Semmelweis University
+36204832828
bojtorbence01@gmail.com
The Potential Role of the SIRT1 Protein in the Development of Medication-Related Osteonecrosis of the Jaw
Bence Bojtor1, Szófia Szentpéteri2, Mihály Vaszilkó2, Péter Lakatos1, János Kósa1
1: Department of Internal Medicine and Oncology, Semmelweis University
2: Department of Oro-Maxillofacial Surgery and Stomatology, Semmelweis University
Szóbeli
Dental Research
Hungarian
Dental Research
Introduction
Medication-related osteonecrosis of the jaw (MRONJ) is a rare but serious adverse effect most commonly associated with bisphosphonates and the RANKL inhibitor denosumab in treating osteoporosis or tumor-related bone metastases. The pathomechanism of MRONJ is currently not fully understood. However, our previous research has suggested a potential role for the SIRT1 gene and protein in the development of the disease.
Aims
The primary aim of this study was to assess serum levels of the SIRT1 protein in patients with medication-related osteonecrosis of the jaw (MRONJ) compared to healthy controls. Additionally, we sought to explore the relationship between SIRT1 serum levels and clinical parameters, including disease severity, to further elucidate the potential role of SIRT1 in the pathogenesis of MRONJ.
Methods
The study included 23 patients with MRONJ and 8 healthy controls. Serum levels of SIRT1 were measured using the ELISA method. A non-parametric statistical test was used to compare the patient and control groups. Within the patient group, correlations between SIRT1 serum levels and clinical parameters were analyzed using correlation tests, and serum level differences between subgroups were assessed via analysis of variance.
Results
The average SIRT1 serum level in the MRONJ group was 3.078 ng/mL, compared to 4.86 ng/mL in the control group. The difference between the two groups was not statistically significant (p = 0.477). A significant negative correlation was observed between MRONJ stage and SIRT1 serum level, both when considering all patients (r = -0.566, p = 0.035) and when analyzing only those patients who expressed SIRT1 (r = -0.737, p = 0.0195).
Conclusions
Our results indicate a decreasing trend in SIRT1 protein serum levels with increasing severity of MRONJ. These findings further support the potential role of SIRT1 in the pathomechanism of MRONJ and may contribute to the foundation of a future predictive biomarker system.
Funding
This study was supported by the Egyetemi Kutatói Ösztöndíj Program (University Research Scholarship Program), grant number EKÖP-2024-34.
Semmelweis University
Péter Lakatos, János Kósa
I do not give consent to the publication of my abstract on the website of the congress.
in doctoral studies before complex exam (PhD)
Szabad
elfogadva
szóbeli
jóváhagyta
8936
10:30
10:45