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Published on: July 12, 2024
Increased Heart Failure Prevalence in Patients with a High Antibody Level Against Periodontal Pathogen
Norio Aoyama1, Keitetsu Kure2, Masato Minabe1
1Division of Periodontology, Department of Oral Interdisciplinary Medicine, Graduate School of Dentistry, Kanagawa Dental University.
Insights
High antibody levels against the periodontal pathogen Porphyromonas gingivalis were linked to increased heart failure rates. This suggests a connection between periodontal disease and cardiovascular health, specifically heart failure.
Area of Science:
- Oral Health
- Cardiovascular Medicine
- Immunology
Background:
- A known association exists between cardiovascular disease and periodontitis, but causality remains unproven.
- Inflammatory responses in periodontitis may link periodontal infections to vascular diseases.
- Understanding this link is crucial for public health and clinical practice.
Purpose of the Study:
- To investigate the relationship between antibody levels against periodontal pathogens and cardiovascular disease.
- To determine if specific periodontal pathogens are associated with increased heart failure prevalence.
- To explore the correlation between periodontal health and systemic inflammatory markers.
Main Methods:
- Assessed medical history, blood data, and periodontal conditions in cardiovascular disease patients.
- Analyzed serum IgG antibody titers against major periodontal pathogens, including Porphyromonas gingivalis.
- Quantified salivary periodontal bacteria and assessed periodontal parameters like probing pocket depth.
Main Results:
- Patients with high antibody levels against Porphyromonas gingivalis showed a higher prevalence of heart failure.
- Increased probing pocket depth and clinical attachment level were observed in the high antibody group.
- Elevated antibody levels against P. gingivalis correlated with heightened antibodies against other periodontal bacteria.
Conclusions:
- High antibody levels against Porphyromonas gingivalis are associated with increased heart failure prevalence.
- Periodontal infection may play a role in the development or exacerbation of cardiovascular conditions.
- Further research is warranted to elucidate the causal mechanisms linking periodontitis and heart failure.
Abstract:
The aim of this study was to assess whether a specific cardiovascular disease was related to an increased antibody level against a periodontal pathogen.A strong association between cardiovascular disease and periodontitis was shown, however, the causal relationship was not proven. Increased inflammatory reaction of patients with periodontitis was a possible factor, which connected periodontal infection and vascular diseases.We assessed medical history, blood data, and periodontal conditions in patients with cardiovascular diseases. Serum IgG antibody titers against major periodontal pathogens and existence of salivary periodontal bacteria were analyzed.In total, 348 subjects were enrolled in this study. The patients who exhibited 10,000 counts/mL or more of salivary Porphyromonas gingivalis were divided into two groups according to the antibody level of the pathogen. Patients with a high antibody level against Porphyromonas gingivalis exhibited a high rate of heart failure compared to the low antibody group. Mean probing pocket depth and clinical attachment level significantly increased in the high antibody group. We found that the high anti-Porphyromonas gingivalis antibody group also experienced enhanced antibody levels against other periodontal bacteria.An increased heart failure prevalence was found in patients with a high antibody level against a major periodontal pathogen, Porphyromonas gingivalis.
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