Is There an Association between Periodontitis and Hypertension?
Identifieur interne : 001D88 ( Main/Exploration ); précédent : 001D87; suivant : 001D89Is There an Association between Periodontitis and Hypertension?
Auteurs : Mara Lúcia Macedo Paizan ; José Fernando Vilela-MartinSource :
- Current Cardiology Reviews [ 1573-403X ] ; 2014.
Abstract
Cardiovascular diseases are the leading cause of deaths. Also, cardiovascular risk factors start the atherosclerotic process, which leads to cardiovascular diseases. Nowadays, periodontal disease can also be considered another cardiovascular risk factor. It involves inflammatory, immunological and humoral activities, which induce the production of proinflammatory cytokines and the destruction of the epithelium. This allows the entry of endotoxins and exotoxins in the bloodstream, which may contribute to atherogenesis and thromboembolic events. There is also direct invasion of the vessel wall by oral pathogens, triggering an inflammatory response that produces endothelial dysfunction. In hypertension, changes in microcirculation can cause ischemia in the periodontium, which favors periodontal disease. Moreover, endothelial dysfunction promotes the formation of atherosclerotic plaque and the development of lesions in target organs. Periodontitis has also been associated with insulin resistance and a higher risk for the metabolic syndrome, which is characterized by oxidative stress. This seems to act as a common link to explain the relationship between each component of the metabolic syndrome (including hypertension) and periodontitis. This article will discuss clinical and experimental evidence, as well as possible pathophysiologic mechanisms and links involved in the relationship among periodontal disease, hypertension and cardiovascular disease.
Url:
DOI: 10.2174/1573403X10666140416094901
PubMed: 24739001
PubMed Central: 4101200
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en"> Is There an Association between Periodontitis and Hypertension?</title><author><name sortKey="Paizan, Mara Lucia Macedo" sort="Paizan, Mara Lucia Macedo" uniqKey="Paizan M" first="Mara Lúcia Macedo" last="Paizan">Mara Lúcia Macedo Paizan</name></author><author><name sortKey="Vilela Martin, Jose Fernando" sort="Vilela Martin, Jose Fernando" uniqKey="Vilela Martin J" first="José Fernando" last="Vilela-Martin">José Fernando Vilela-Martin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24739001</idno><idno type="pmc">4101200</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4101200</idno><idno type="RBID">PMC:4101200</idno><idno type="doi">10.2174/1573403X10666140416094901</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002B55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B55</idno><idno type="wicri:Area/Pmc/Curation">002B55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B55</idno><idno type="wicri:Area/Pmc/Checkpoint">001697</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001697</idno><idno type="wicri:Area/Ncbi/Merge">005010</idno><idno type="wicri:Area/Ncbi/Curation">005010</idno><idno type="wicri:Area/Ncbi/Checkpoint">005010</idno><idno type="wicri:doubleKey">1573-403X:2014:Paizan M:is:there:an</idno><idno type="wicri:Area/Main/Merge">001D95</idno><idno type="wicri:Area/Main/Curation">001D88</idno><idno type="wicri:Area/Main/Exploration">001D88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main"> Is There an Association between Periodontitis and Hypertension?</title><author><name sortKey="Paizan, Mara Lucia Macedo" sort="Paizan, Mara Lucia Macedo" uniqKey="Paizan M" first="Mara Lúcia Macedo" last="Paizan">Mara Lúcia Macedo Paizan</name></author><author><name sortKey="Vilela Martin, Jose Fernando" sort="Vilela Martin, Jose Fernando" uniqKey="Vilela Martin J" first="José Fernando" last="Vilela-Martin">José Fernando Vilela-Martin</name></author></analytic><series><title level="j">Current Cardiology Reviews</title><idno type="ISSN">1573-403X</idno><idno type="eISSN">1875-6557</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Cardiovascular diseases are the leading cause of deaths. Also, cardiovascular risk factors start the atherosclerotic process, which leads to cardiovascular diseases. Nowadays, periodontal disease can also be considered another cardiovascular risk factor. It involves inflammatory, immunological and humoral activities, which induce the production of proinflammatory cytokines and the destruction of the epithelium. This allows the entry of endotoxins and exotoxins in the bloodstream, which may contribute to atherogenesis and thromboembolic events. There is also direct invasion of the vessel wall by oral pathogens, triggering an inflammatory response that produces endothelial dysfunction. In hypertension, changes in microcirculation can cause ischemia in the periodontium, which favors periodontal disease. Moreover, endothelial dysfunction promotes the formation of atherosclerotic plaque and the development of lesions in target organs. Periodontitis has also been associated with insulin resistance and a higher risk for the metabolic syndrome, which is characterized by oxidative stress. This seems to act as a common link to explain the relationship between each component of the metabolic syndrome (including hypertension) and periodontitis. This article will discuss clinical and experimental evidence, as well as possible pathophysiologic mechanisms and links involved in the relationship among periodontal disease, hypertension and cardiovascular disease. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sanz, M" uniqKey="Sanz M">M Sanz</name></author><author><name sortKey="D Iuto, F" uniqKey="D Iuto F">F D’Aiuto</name></author><author><name sortKey="Deanfield, J" uniqKey="Deanfield J">J Deanfield</name></author><author><name sortKey="Fernandez Aviles, F" uniqKey="Fernandez Aviles F">F Fernandez-Avilés</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bouchard, P" uniqKey="Bouchard P">P Bouchard</name></author><author><name sortKey="Boutouyrie, P" uniqKey="Boutouyrie P">P Boutouyrie</name></author><author><name sortKey="D Iuto, F" uniqKey="D Iuto F">F 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Pinto</name></author><author><name sortKey="Cifone, Mg" uniqKey="Cifone M">MG Cifone</name></author><author><name sortKey="Marzo, G" uniqKey="Marzo G">G Marzo</name></author><author><name sortKey="Giannoni, M" uniqKey="Giannoni M">M Giannoni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nibali, L" uniqKey="Nibali L">L Nibali</name></author><author><name sortKey="Tatarakis, N" uniqKey="Tatarakis N">N Tatarakis</name></author><author><name sortKey="Needleman, I" uniqKey="Needleman I">I Needleman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morita, T" uniqKey="Morita T">T Morita</name></author><author><name sortKey="Ogawa, Y" uniqKey="Ogawa Y">Y Ogawa</name></author><author><name sortKey="Takada, K" uniqKey="Takada K">K Takada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morita, T" uniqKey="Morita T">T Morita</name></author><author><name sortKey="Yamazaki, Y" uniqKey="Yamazaki Y">Y Yamazaki</name></author><author><name sortKey="Mita, A" uniqKey="Mita A">A Mita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vaz De Melo, Ro" uniqKey="Vaz De Melo R">RO Vaz-de-Melo</name></author><author><name sortKey="Toledo, Jc" uniqKey="Toledo J">JC Toledo</name></author><author><name sortKey="Loureiro, Aa" uniqKey="Loureiro A">AA Loureiro</name></author><author><name sortKey="Cipullo, Jp" uniqKey="Cipullo J">JP Cipullo</name></author><author><name sortKey="Moreno Jr, H" uniqKey="Moreno Jr H">H Moreno Jr</name></author><author><name sortKey="Martin, Jf" uniqKey="Martin J">JF Martin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leong, Xf" uniqKey="Leong X">XF Leong</name></author><author><name sortKey="Ng, Cy" uniqKey="Ng C">CY Ng</name></author><author><name sortKey="Badiah, B" uniqKey="Badiah B">B Badiah</name></author><author><name sortKey="Das, S" uniqKey="Das S">S Das</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Paizan, Mara Lucia Macedo" sort="Paizan, Mara Lucia Macedo" uniqKey="Paizan M" first="Mara Lúcia Macedo" last="Paizan">Mara Lúcia Macedo Paizan</name><name sortKey="Vilela Martin, Jose Fernando" sort="Vilela Martin, Jose Fernando" uniqKey="Vilela Martin J" first="José Fernando" last="Vilela-Martin">José Fernando Vilela-Martin</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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