Relationship of destructive periodontal disease to the acute-phase response

被引:154
作者
Craig, RG [1 ]
Yip, JK
So, MK
Boylan, RJ
Socransky, SS
Haffajee, AD
机构
[1] NYU, Coll Dent, Dept Basic Sci & Craniofacial Biol, New York, NY 10012 USA
[2] NYU, Coll Dent, Dept Periodontol, New York, NY USA
[3] Dept Periodontol, Boston, MA USA
关键词
acute phase reactions; antibodies; IgG; atherosclerosis; C-reactive protein; periodontal diseases/complications; risk factors;
D O I
10.1902/jop.2003.74.7.1007
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background: Destructive periodontal diseases have been associated with an increased risk of atherosclerotic complications; however, the potential mechanisms are yet to be defined. Inflammation plays a central role in atherosclerosis since C-reactive protein (CRP), an acute-phase protein monitored as a marker of inflammatory status, has been identified as a major risk factor for atherosclerotic complications. Recent reports that destructive periodontal diseases can increase CRP values present the possibility that the acute-phase response may link these 2 disease processes. The objective of the present investigation was to determine the effect of destructive periodontal disease status, severity, and progression on components of the acute-phase response in an urban minority population. Methods: Clinical measurements recorded included probing depth, attachment level, gingival erythema, bleeding upon probing, suppuration, and plaque. Disease progression was defined as a >2 mm loss of attachment 2 months post-baseline. Serum antibody was measured by enzyme-linked immunosorbent assay. CRP was measured using a high-sensitivity CRP (hsCRP) assay. A commercial laboratory measured serum glucose (non-fasting), albumin, cholesterol, high-density lipoprotein (HDL), triglycerides, low-density lipoprotein (LDL), and iron. Results: Increased serum IgG antibody to Porphyromonas gingivalis, but not to 5 other species, was associated with periodontal disease status, increased severity, and progression as were age, male gender, and smoking. Cholesterol and LDL were increased in disease, and HDL and iron were increased in health. hsCRP, glucose, and cholesterol increased with disease progression. By regression analysis, IgG antibody to P gingivalis correlated with age, probing depth, and hsCRP, and negatively correlated with albumin and iron. By logistic regression, subjects who experienced multiple sites of disease progression and elevated antibody to P gingivalis increased the odds ratio of hsCRP >2.08 mg/l by 14.1 and 5.6, respectively. Conclusion: These results suggest that destructive periodontal disease and disease progression are associated with changes in serum components consistent with an acute-phase response.
引用
收藏
页码:1007 / 1016
页数:10
相关论文
共 63 条
[1]   Coronary artery disease and periodontal disease: Is there a link? [J].
Abou-Raya, S ;
Naeem, A ;
Kheir, HAE ;
El Beltagy, S .
ANGIOLOGY, 2002, 53 (02) :141-148
[2]   Association between extent of periodontal attachment loss and self-reported history of heart attack: An analysis of NHANES III data [J].
Arbes, SJ ;
Slade, GD ;
Beck, JD .
JOURNAL OF DENTAL RESEARCH, 1999, 78 (12) :1777-1782
[3]  
Armitage G C, 2000, Oral Dis, V6, P335, DOI 10.1111/j.1601-0825.2000.tb00126.x
[4]   Periodontal assessment of patients undergoing angioplasty for treatment of coronary artery disease [J].
Bazile, A ;
Bissada, NF ;
Nair, R ;
Siegel, BP .
JOURNAL OF PERIODONTOLOGY, 2002, 73 (06) :631-636
[5]   Periodontal disease and cardiovascular disease [J].
Beck, J ;
Garcia, R ;
Heiss, G ;
Vokonas, PS ;
Offenbacher, S .
JOURNAL OF PERIODONTOLOGY, 1996, 67 (10) :1123-1137
[6]   Multimer formation and ligand recognition by the long pentraxin PTX3 - Similarities and differences with the short pentraxins C-reactive protein and serum amyloid P component [J].
Bottazzi, B ;
Vouret-Craviari, V ;
Bastone, A ;
De Gioia, L ;
Matteucci, C ;
Peri, G ;
Spreafico, F ;
Pausa, M ;
D'Ettorre, C ;
Gianazza, E ;
Tagliabue, A ;
Salmona, M ;
Tedesco, F ;
Introna, M ;
Mantovani, A .
JOURNAL OF BIOLOGICAL CHEMISTRY, 1997, 272 (52) :32817-32823
[7]   Importance of periodontal disease in the kidney patient [J].
Craig, RG ;
Spittle, MA ;
Levin, NW .
BLOOD PURIFICATION, 2002, 20 (01) :113-119
[8]   Serum IgG antibody response to periodontal pathogens in minority populations: relationship to periodontal disease status and progression [J].
Craig, RG ;
Boylan, R ;
Yip, J ;
Mijares, D ;
Imam, M ;
Socransky, SS ;
Taubman, MA ;
Haffajee, AD .
JOURNAL OF PERIODONTAL RESEARCH, 2002, 37 (02) :132-146
[9]   Prevalence and risk indicators for destructive periodontal diseases in 3 urban American minority populations [J].
Craig, RG ;
Boylan, R ;
Yip, J ;
Bamgboye, P ;
Koutsoukos, J ;
Mijares, D ;
Ferrer, J ;
Imam, M ;
Socransky, SS ;
Haffajee, AD .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2001, 28 (06) :524-535
[10]   Association between periodontitis and hyperlipidemia: Cause or effect? [J].
Cutler, CW ;
Shinedling, EA ;
Nunn, M ;
Jotwani, R ;
Kim, BO ;
Nares, S ;
Iacopino, AM .
JOURNAL OF PERIODONTOLOGY, 1999, 70 (12) :1429-1434