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        <full_title>The Open Dentistry Journal</full_title>
        <abbrev_title>TODENTJ</abbrev_title>
        <issn media_type="print">1874-2106</issn>
      </journal_metadata>
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        <publication_date media_type="print">
          <month>03</month>
          <day>30</day>
          <year>2018</year>
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        <journal_volume>
          <volume>12</volume>
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        <issue>1</issue>
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        <titles>
          <title>Antibacterial and Anti-inflammatory Potential of Morus alba Stem Extract</title>
        </titles>
        <contributors>
          <person_name contributor_role="author" sequence="first">
            <given_name>Ichaya</given_name>
            <surname>Yiemwattana</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Niratcha</given_name>
            <surname>Chaisomboon</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Kusuma</given_name>
            <surname>Jamdee</surname>
          </person_name>
        </contributors>
        <jats:abstract>
                <jats:sec>
                    <jats:title>Background:</jats:title>
                    <jats:p>Periodontitis, a chronic inflammatory disease, is the leading cause of tooth loss in adults. Evidence for the anti inflammatory activity of <jats:italic>M. alba</jats:italic> Stem Extract (MSE) in periodontal disease is limited.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Objective:</jats:title>
                    <jats:p>The study aimed to investigate the inhibitory effect of MSE on the growth of periodontopathic bacteria and expression of interleukin (IL)-6 and IL-8 in <jats:italic>Porphyromonas gingivalis</jats:italic> Lipopolysaccharide (LPS)-stimulated human Periodontal Ligament (hPDL) fibroblasts.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Methods:</jats:title>
                    <jats:p>The antimicrobial activities of MSE were tested against <jats:italic>P. gingivalis</jats:italic> and <jats:italic>Actinobacillus actinomycetemcomitans</jats:italic> by the disk diffusion, the minimum inhibitory concentration and the minimal bactericidal concentration methods. Cytotoxicity of <jats:italic>P. gingivalis</jats:italic> LPS and MSE on hPDL fibroblasts was determined by MTS assay. The expression of cytokines (IL-6 and IL-8) mRNA and proteins in hPDL fibroblasts was measured using the reverse transcription-qPCR and enzyme-linked immunosorbent assay, respectively.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Results:</jats:title>
                    <jats:p>
                        MSE exhibited antibacterial activities against 
                        <jats:italic>
                            P. gingivalis 
                        </jats:italic>
                        and 
                        <jats:italic>A. actinomycetemcomitans</jats:italic>
                         with the zones of inhibition of 10.00 ± 0.33 mm and 17.33 ± 0.58 mm, respectively. MIC and MBC values for MSE against <jats:italic>P. gingivalis </jats:italic>were 62.5 μg/ml. The MIC and MBC values against <jats:italic>A. actinomycetemcomitans</jats:italic> were 250 μg/mL and 500 μg/ml, respectively. <jats:italic>P. gingivalis</jats:italic> LPS was shown to mediate the expression of pro-inflammatory cytokines in hPDL fibroblasts. However, treatment with MSE concentrations of 2.5 and 5.0 μg/ml significantly suppressed <jats:italic>P. gingivalis</jats:italic> LPS-induced IL-6 and IL-8 mRNA and protein expression (<jats:italic>p</jats:italic>&lt; 0.05).</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Conclusion:</jats:title>
                    <jats:p>
                        The present study demonstrates that MSE has antibacterial activity against two putative periodontal pathogens. MSE suppressed IL-6 and IL-8 expression in 
                        <jats:italic>
                            P. gingivalis
                        </jats:italic>
                         LPS-stimulated hPDL fibroblasts, indicating a possible anti-inflammatory effect. Thus, it is a potential adjunctive agent for the treatment of periodontitis.
                    </jats:p>
                </jats:sec>
            </jats:abstract>
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          <month>03</month>
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        <pages>
          <first_page>265</first_page>
          <last_page>274</last_page>
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