Tannerella forsythia is associated with increased levels of atherogenic low density lipoprotein and total cholesterol in chronic periodontitis
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Ardila Medina, Carlos Martín; Perez Valencia, Aide Yancelly; Rendon Osorio, Willer Leandro
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Aquest document és un/a article, creat/da en: 2015
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Background: Accumulating evidence suggests that acute and chronic infections with periodontopathogens are associated with an increased risk of cardiovascular disease. The objective of this study was to assess whether
Tannerella
forsythia
and
Porphyromonas gingivalis
are associated with increased levels of atherogenic low-density lipoprotein
(LDL), high-density lipoprotein, total cholesterol (TC), triglycerides and body mass index (BMI) in chronic periodontitis patients.
Material and Methods: Medical history and clinical and radiographic examination were conducted in 80 chronic
periodontitis patients and 28 healthy individuals. Fasting blood samples were drawn for the measurement of the
parameters of dyslipidemia. Anthropometric measurements such as height in meters and weight in kilograms were
recorded. Both periodontitis and control subjects were asked to answer a questionnaire with regard to their socio-
demographic and smoking status. The presence of
T. forsythia
, and
P. gingivalis
was detected using primers designed to target the respective 16S rRNA gene sequences.
Results: The occurrence of
T. forsythia
and
P. gingivalis
was higher in the group of subjects with periodontitis.
Superior levels of triglycerides were observed in chronic periodontitis patients compared to healthy individuals.
High levels of TC in periodontitis persons were significantly associated with increased bleeding on probing. Greater mean levels of TC and LDL were shown in the presence of
T. forsythia
(
P
<0.05). Likewise, higher proportions
of patients with BMI ≥25 kg/m
2
related with
T. forsythia
(
P
<0.05).
T. forsythia
was a significant discriminating
factor in the multivariate linear regression model emerging as significant explanatory of increased levels of TC
(β=17,879, 95% CI = 4,357-31,401;
p
=0.01) and LDL (β=17,162, 95% CI= 4,009-30,316;
p
=0.01).
Conclusions: Higher levels of serum total cholesterol and LDL were observed in the occurrence of
T. forsythia
and
the presence of this periodontopathogen may increase the atherogenic potency of low-density lipoprotein that may
augment the risk for atherosclerosis in periodontal disease patients.
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