Plaque-induced gingivitis (PIG) is one of the most widely distributed oral disorders in children. We aimed to identify the diagnostic value of interleukin-6 (IL-6), interleukin-1β (IL-1β), and c-reactive protein (CRP) in the unstimulated whole saliva of children with different degrees of PIG. The study included 45 healthy children (aged between 4–14 years). The participants were divided into four groups according to their Silness–Löe plaque index and Löe–Silness gingival index. ELISA methods for the quantification of salivary IL-6, IL-1β, and CRP were used. The highest levels of IL-6, IL-1β, and CRP were recorded in the group with severe gingivitis—14.96 pg/mL, 28.94 pg/mL, and 490.0 pg/mL, respectively—significantly exceeding those in the control group (9.506 pg/mL, 16.93 pg/mL and 254.4 pg/mL, respectively). Based on receiver operating characteristic (ROC) curve analysis, salivary IL-1β and CRP showed good diagnostic accuracy (0.8 ≤ AUC < 0.9) and IL-6 showed fair diagnostic accuracy (0.7 ≤ AUC < 0.8) with statistical significance to distinguish between children with a moderate degree of PIG and those with a severe degree of PIG. Sensitivity for IL-6, CRP, and IL-1β was 87.5% (p < 0.05), 87.5% (p < 0.01), and 75% (p < 0.01), respectively, and specificity was 63.16% (p < 0.05), 78.95% (p < 0.01), 83.33% (p < 0.01), respectively. Based on our results, we suggest salivary IL-1β and CRP as potential diagnostic tools that can be used to differentiate between moderate and severe PIG.

The incidence of male fertility disorders has increased greatly due to various genetic and lifestyle factors. Recently, it has been hypothesized that vitamin D may be involved with idiopathic infertility. The goal of the study was to determine the effect and relationship between blood vitamin D metabolites, intracellular sperm vitamin D levels, and gene expression of 1‐α‐hydroxylase and VDR, with regard to semen quality. Seventy volunteers aged 25–45 were involved in the study. According to spermogram analysis, participants were stratified into normozoospermic control group, non‐normozoospermic target group, and oligoasthenoteratozoospermic group. Vitamin D metabolites (total 25‐hydroxycholecalciferol, 1,25‐dihydroxycholecalciferol) in blood and spermatozoa were determined by ELISA. Free and bioavailable 25‐hydroxycholecalciferol were calculated using the Vermeulen equation. mRNA expression of VDR and 1‐α hydroxylase was evaluated by qPCR. Free and bioavailable 25‐hydroxycholecalciferol were significantly higher in the control group compared to the target group and compared to the oligoasthenoteratozoospermic group . Intracellular sperm 1,25‐dihydroxycholecalciferol was higher in the control group compared to the target group. The mRNA levels of 1‐ α‐hydroxylase were significantly higher in the control samples, while VDR expression was significantly higher in the target group. Significant positive correlations were established between free and bioavailable 25‐hydroxycholecalciferol with sperm motility and morphology. Vitamin D metabolites in blood and intracellular sperm 1,25‐dihydroxycholecalciferol seem to exert beneficial effects on sperm motility and morphology. Regarding sperm quality, these effects are more pronounced in the free and bioavailable 25OHD compared to the total 25OHD in blood. Higher expression of 1‐α‐hydroxylase likely leads to higher intracellular levels of 1,25‐dihydroxycholecalciferol, which could contribute to sperm motility and morphology. Higher VDR expression may be a compensatory mechanism related to lower intracellular sperm 1,25‐dihydroxycholecalciferol.

Ischemic stroke (IS) is associated with pronounced oxidative stress and lipid peroxidation, which contribute to secondary neuronal damage. This study explored the effects of a six-month intervention with a new formulation containing citicoline, vitamin C, and extracts from green tea and aronia (Cytodeox™) on arachidonic acid (AA) metabolism, lipid peroxidation assessed by total 8-iso-prostaglandin F₂α (8-iso-PGF₂α), and Sirtuin-1 (SIRT1) expression in healthy controls (n = 43) and patients with IS (n = 53), both with and without comorbidities. AA and 8-iso-PGF₂α were quantified in serum using UPLC–MS and ELISA, respectively, and the fold change in SIRT1 expression was assessed in peripheral blood mononuclear cells (PBMCs) by RT-qPCR. In healthy controls, Cytodeox™ significantly lowered AA and 8-iso-PGF₂α levels. IS patients showed markedly increased baseline 8-iso-PGF₂α, indicating severe oxidative stress. Following supplementation, 8-iso-PGF₂α levels increased in patients with comorbidities, particularly diabetes mellitus (DM), whereas an exploratory analysis suggested a decreasing trend in patients without comorbidities. SIRT1 expression was significantly upregulated in IS patients, with the most pronounced increase observed in the DM subgroup, while remaining unchanged in controls. These findings suggest a protective, antioxidant, and membrane stabilising effect of Cytodeox™ under conditions of preserved or moderately impaired redox homeostasis, supporting its potential role as a preventive or early supportive intervention.

This study aimed to investigate the effects of a new formulation combining citicoline, vitamin C, and extracts from green tea and aronia (Cytodeox™) on the lipid profile and redox status in healthy individuals following a six-month intervention. Additionally, we examined whether these effects depend on lifestyle factors such as body mass index (BMI), alcohol consumption, smoking and physical activity. Forty-three volunteers aged 40–65 (F31/M12) completed the study. Prior to the intervention, all participants filled out a questionnaire assessing their health status and lifestyle habits. At baseline and after supplementation, anthropometric and physical parameters were measured, and fasting blood samples were collected from all participants. Furthermore, all participants were grouped based on their gender and lifestyle habits. Cytodeox™ significantly reduced lipid profile parameters and malondialdehyde (MDA) levels in the overall group. The analysis of these effects in relation to lifestyle habits revealed that smoking, but not alcohol consumption, negatively influences the effects of the supplement. Surprisingly, the beneficial effects were observed in the overweight group and those leading a sedentary lifestyle. The results strongly suggest that six months of supplementation with Cytodeox™ can improve the lipid profile and redox status, even in individuals with some poor lifestyle habits.

Objective: The aim of this study is to evaluate how the frequent sugar and protein intake is associated with the severity of plaque-induced gingivitis in children. Materials and Methods: A cross-sectional study was conducted, involving 38 subjects (4-14 years) at a mean age of 8.5 ± 2.32 years with diagnosed plaque-induced gingivitis based on the Löe-Silness Gingival Index (GI) (0 < GI ≤ 3). The gingival status was assessed by the Silness Lőe Plaque Index (PLI), GI, and Papillary Bleeding Index by Saxer and Muhlemann. The nutritional status was established through an in-depth questionnaire on protein and sugar intake. Results: The increased frequency of sugar consumption in children with plaque-induced gingivitis is related to enhanced gingival inflammation. Higher values of PLI among the rep- resentatives were established with frequent sugar intake (P = .04). Frequent dairy protein con- sumption was associated with lower levels of PLI (P = .04). This index is indicative of the amount of accumulated dental plaque, which is the main etiological factor involved in plaque-induced gingivitis. Conclusion: It can be concluded that uncontrolled sugar consumption in children was asso- ciated with enhancement of the severity of plaque-induced gingivitis. Frequent dairy protein intake has the potential to serve as an essential prevention strategy regarding the onset and aggravation of plaque-induced gingival inflammation in childhood. A well-balanced diet, rich in proteins and with restricted sugar intake, is considered a possible tool in the prevention and control of plaque-induced gingivitis in childhood. Cite this article as: Salim A, Angelova S, Roussev B, et al. Association between frequency of sugar and protein intake and severity of plaque-induced gingivitis in children. Turk Arch Pediatr. 2025;60(3):319-325.