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Researchersย publishedย a study in the journalย Nutrientsโย thatย investigatedโย the efficacy of PMEC or placebo on gingival health in 104 patients with gingivitis over eight weeks. To do this they used changes in inflammatory biomarkers from gingival crevicular fluid (GCF) as a primary focus.ย ย
The authors from Korea found that โPMEC consumption can attenuate gingival inflammation and mitigate periodontal tissue destruction by modulating key inflammatory mediators in gingival tissueโ.ย ย
Gingivitisโย
Gingivitis is an inflammatory gum condition that destroys the tissues supporting teeth, caused by an imbalance in the host’s immune response to harmful biofilms.
It involves complex interactions between oral bacteria and immune cells, leading to the production of pro-inflammatory molecules like cytokines, prostaglandins, and matrix metalloproteinases (MMPs), whichย contribute to tissue inflammation and bone lossโ.ย
Garcinia mangostana L. (mangosteen), the tropical fruit, and propolis, a resinous substance from honeybees, are gaining attention for theirย potential benefits in promoting periodontal healthโ, however, clinical evidence is limited.
Mangosteen contains bioactive compounds like xanthones and flavonoids, which have anti-inflammatory and antimicrobial effects, and propolis is rich in bioactive compounds such as flavonoids and phenolic acids with antioxidant and immunomodulatory properties.ย
As clinical measures can only provide information on past periodontal tissue destruction,ย recent researchโย has focused on identifying periodontal disease biomarkers found in GCF, such as interleukin-1ฮฒ (IL-1ฮฒ), prostaglandin E2 (PGE2), and enzymes like MMP-8 and MMP-9, which have been linked toย severity and progressionโ.
Improved gum healthย โ
Participants took two capsules containing 194 mg of PMEC once daily for 8ย weeks,ย or placebo, and the researchers collected GCF samples at weeks four and eight to investigate changes in inflammatory biomarkers.ย
The researchersย revealedโย that the PMEC groupย exhibitedโย a significant reduction in expression of all measured GCF biomarkers compared to the placebo group at eight weeks, including substantial reductions in IL-1ฮฒ, PGE2, MMP-8, and MMP-9 levels compared to the baseline.
The authors stated that the most striking outcome of this study is the significant reduction in GCF biomarkers (IL-1ฮฒ, PGE2, MMP-8, and MMP-9) observed in the PMEC group compared to the placebo group.
โThese biomarkers areย well-established indicatorsโย of periodontal inflammation and tissue destruction,โ they noted.
โThe consistent downregulation of these mediators suggests that PMEC may exert a potent anti-inflammatory effect in the periodontal microenvironment.โย
They did however add that the potential of PMEC should be viewed cautiously given the studyโs short duration and small sample size, adding that further studies are needed to validate the potential of PMEC as a natural, holistic approach to periodontal health.
ย
Journal:ย Nutrientsโย
doi:ย https://doi.org/10.3390/nu16173000โ
โThe Clinical Effect of a Propolis and Mangosteen Extract Complex in Subjects with Gingivitis: A Randomized, Double-Blind, and Placebo-Controlled Clinical Trial.โ
Authors: Jung, Jae-Suk et al.
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