Antibodies to periodontal pathogens are associated with coronary heart disease
Identifieur interne : 008124 ( Main/Exploration ); précédent : 008123; suivant : 008125Antibodies to periodontal pathogens are associated with coronary heart disease
Auteurs : Pirkko J. Pussinen [Finlande] ; Pekka Jousilahti [Finlande] ; Georg Alfthan [Finlande] ; Timo Palosuo [Finlande] ; Sirkka Asikainen [Finlande, Suède] ; Veikko Salomaa [Finlande]Source :
- Arteriosclerosis, thrombosis, and vascular biology [ 1079-5642 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Objective-We analyzed the association of coronary heart disease (CHD) and serology of periodontitis in a random sample (n=1163) of men (aged 45 to 74 years) by determining serum IgG-antibodies to Actinobacillus actinomvcetemcomitans and Porphyromonas gingivalis. Methods and Results-CHD (n=159) was more prevalent among edentulous than dentate subjects (19.8% and 12.1%, P=0.003). In the dentate population, CHD was more common among subjects seropositive for P. gingivalis compared with those seronegative (14.0% and 9.7%, P=0.029). Accordingly, CHD was more prevalent in subjects with a high combined antibody response than those with a low response (17.4% and 11.1%, P=0.026). When adjusted for age and several CHD risk factors, the subjects with a high combined antibody response had an odds ratio of 1.5 (95% CI, 0.95 to 2.50, P=0.077) for prevalent CHD. In a linear regression model, the combined antibody response was directly associated with prevalent CHD (P=0.046) and inversely with serum HDL cholesterol concentration (P=0.050). Conclusions-In conclusion, edentulousness and serum antibodies to major periodontal pathogens were associated with CHD. This suggests that periodontal infection or response of the host against the infection may play a role in the pathogenesis of CHD.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Actinobacillus actinomycetemcomitans</term>
<term>Antibody</term>
<term>Bacteriosis</term>
<term>Concomitant disease</term>
<term>Coronary heart disease</term>
<term>Human</term>
<term>Pathogenesis</term>
<term>Pathophysiology</term>
<term>Periodontitis</term>
<term>Porphyromonas gingivalis</term>
<term>Serology</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Cardiopathie coronaire</term>
<term>Homme</term>
<term>Anticorps</term>
<term>Parodontite</term>
<term>Sérologie</term>
<term>Actinobacillus actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
<term>Bactériose</term>
<term>Association morbide</term>
<term>Physiopathologie</term>
<term>Pathogénie</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Objective-We analyzed the association of coronary heart disease (CHD) and serology of periodontitis in a random sample (n=1163) of men (aged 45 to 74 years) by determining serum IgG-antibodies to Actinobacillus actinomvcetemcomitans and Porphyromonas gingivalis. Methods and Results-CHD (n=159) was more prevalent among edentulous than dentate subjects (19.8% and 12.1%, P=0.003). In the dentate population, CHD was more common among subjects seropositive for P. gingivalis compared with those seronegative (14.0% and 9.7%, P=0.029). Accordingly, CHD was more prevalent in subjects with a high combined antibody response than those with a low response (17.4% and 11.1%, P=0.026). When adjusted for age and several CHD risk factors, the subjects with a high combined antibody response had an odds ratio of 1.5 (95% CI, 0.95 to 2.50, P=0.077) for prevalent CHD. In a linear regression model, the combined antibody response was directly associated with prevalent CHD (P=0.046) and inversely with serum HDL cholesterol concentration (P=0.050). Conclusions-In conclusion, edentulousness and serum antibodies to major periodontal pathogens were associated with CHD. This suggests that periodontal infection or response of the host against the infection may play a role in the pathogenesis of CHD.</div>
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