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Related Experiment Videos

Periodontitis is characterized by elevated PAI-1 activity.

S Bizzarro1, U van der Velden, J M A G ten Heggeler

  • 1Department of Periodontology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije University, Amsterdam, The Netherlands. s.bizzarro@acta.nl

Journal of Clinical Periodontology
|May 31, 2007
PubMed
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Periodontitis patients show elevated plasminogen activator inhibitor-1 (PAI-1) activity, indicating a prothrombotic state. This finding suggests a potential link between untreated periodontitis and increased cardiovascular disease (CVD) risk.

Area of Science:

  • Periodontology
  • Cardiovascular Medicine
  • Hematology

Background:

  • Periodontitis, a chronic infectious disease, is increasingly associated with cardiovascular diseases (CVD).
  • A prothrombotic state, characterized by an imbalance in blood coagulation and fibrinolysis, may mediate this association.
  • Understanding the prothrombotic markers in periodontitis is crucial for assessing CVD risk.

Purpose of the Study:

  • To investigate elevated plasma levels of prothrombotic state markers in periodontitis patients compared to healthy controls.
  • To assess specific markers including von Willebrand factor (vWF), prothrombin fragment 1+2 (F1+2), plasminogen activator inhibitor-1 (PAI-1) activity, and D-dimer.

Main Methods:

  • Recruitment of untreated patients with moderate (n=53) and severe periodontitis (n=38), alongside healthy controls (n=39).

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  • Measurement of plasma levels for vWF, F1+2, PAI-1 activity, and D-dimer.
  • Statistical analysis to compare marker levels among the three groups, adjusting for potential confounders.
  • Main Results:

    • Patients with periodontitis exhibited significantly higher erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and leucocyte counts (WBC).
    • No significant differences were observed in vWF, F1+2, or D-dimer levels among the groups.
    • PAI-1 activity was significantly elevated in the severe periodontitis group, even after adjustment (p(adj)=0.004).
    • A higher proportion of periodontitis patients had vWF and PAI-1 levels above population medians.

    Conclusions:

    • Periodontitis is associated with elevated plasminogen activator inhibitor-1 (PAI-1) activity compared to healthy individuals.
    • Elevated PAI-1 may lead to impaired fibrinolysis, contributing to a prothrombotic state.
    • This prothrombotic state in untreated periodontitis could increase the risk for cardiovascular diseases (CVD).