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Serum and salivary levels of thyroid antibodies (TPO-Ab&Tg-Ab) in the of hypothyroid patients with and without periodontitis
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Hypothyroidism is the decrease in thyroid hormones production and thyroid gland function. Hashimoto’s thyroiditis is the most common cause of hypothyroidism with production of autoantibodies directed toward autoantigens thyroglobulin (Tg) and thyroid peroxidase (TPO). This study was carried out to determine and compare serum and salivary levels of thyroid antibodies (TPO-Ab and Tg- Ab) in hypothyroid patients (with and without periodontitis) and healthy control; as well as to estimate the possibility to evaluate and measured these antibodies in the saliva as measured in the serum. Serum and saliva samples were collected from sixty hypothyroid patients with age ranged (20-64) years (30 of patients were with periodontitis and 30 without periodontitis), compare with 30 subjects as control with age ranged (20-53) years. Enzyme linked immunosorbent assay (ELISA) was used to detect of TPO-Ab and Tg-Ab in the serum and saliva. The results showed elevated serum levels of TPO-Ab and Tg-Ab significantly (P<0.05) in patients groups as compared to control, whereas there are non-significant differences (P>0.05) between two patients groups (with and without periodontitis). However, there are non-significant differences (P>0.05) in salivary levels of TPO-Ab and Tg-Ab between two patients groups as compared with control; as well no significant differences were found between two patient groups. The current findings suggest that the presences of thyroid antibodies TPO-Ab and Tg-Ab which may contribute in the pathogenesis of hypothyroidism in autoimmune state. However, salivary concentration of these antibodies cannot reflect the concentration the in serum.