Abstract of Dissertation Presented to the Graduate School of the University of Florida in Partial Fulfillment of the Requirements for the Degree of Master of Science EXPRESSION OF IGF-1 (INSULIN-LIKE GROWTH FACTOR-1) RECEPTOR ON GINGIVAL TISSUE SAMPLES IN DIABETIC PATIENTS AND CONTROLS By Matthew Rudolph May 2004 Chair: Herbert J. Towle Major Department: Periodontics The purpose of this investigation is to evaluate the expression of Insulin-Like Growth Factor-i Receptor (IGF-1) in gingival tissue samples of self reported diabetic patients versus controls. The thesis proposed is that there is an up-regulation of the IGF-1 receptor in the gingival tissues of diabetics versus controls. Previous investigations have shown the up-regulation of IGF-1 receptor is associated in the pathogenesis of diabetes. Until this study, nobody has examined gingival tissues for these receptors and up- regulation. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of various organs, especially the eyes, kidneys, nerves, heart, blood vessels, and the oral cavity. Patients suffer delayed wound healing and increased risk for infections. People with diabetes are also more likely to have periodontal disease than non-diabetics because