Novel and known periodontal pathogens residing in gingival crevicular fluid are associated with rheumatoid arthritis

dc.authorid0000-0002-9927-3644
dc.contributor.authorManoil, Daniel
dc.contributor.authorBostancı, Nagihan
dc.contributor.authorMumcu, Gonca
dc.contributor.authorİnanç, Nevsun
dc.contributor.authorCan, Meryem
dc.contributor.authorDireskeneli, Haner
dc.contributor.authorBelibasakis, Georgios N.
dc.date.accessioned2021-04-07T08:37:03Z
dc.date.available2021-04-07T08:37:03Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground Periodontitis is a suspected environmental risk factor for the development of rheumatoid arthritis (RA). However, correlation mechanisms between the two pathologies remain elusive. This study examined potential correlations between detached subgingival bacteria collected in gingival crevicular fluid (GCF) and RA parameters. Methods RA patients (n = 52, F:M = 40:12), patients with Behcet's disease (BD,n = 40, F:M = 29:11) as another systemic inflammatory disease were studied along with a systemically healthy control group (HC,n = 57, F:M = 40:17). All participants were non-smokers. Full mouth periodontal parameters were recorded. RA activity was assessed using the 28-joint Disease Activity Score (DAS-28). Rheumatoid factors (RFs)-IgM and -IgA were measured by ELISA. GCF samples were investigated by means of fluorescent in situ hybridization for 10 different bacterial taxa. Results The taxa TM7,Synergistetescluster B,Leptotrichia, Megasphaera,Anaeroglobus geminatus, andTannerella forsythiadisplayed significantly differential abundances between the groups. Whereas abundances ofMegasphaeraandA. geminatuswere significantly increased in the RA group, onlyPorphyromonas gingivalisdisplayed significant correlations with plaque scores, bleeding on probing, and RF-IgA. RA patients displaying RF-IgA levels >75 IU/mL exhibited five-fold more abundantP. gingivalislevels than patients below the threshold. This association with RF-IgA levels appeared even more pronounced, by six-fold moreP. gingivalis(P = 0.025), in patients with a DAS-28 score >3.2, indicative of moderate/very active RA. Conclusions Unattached GCF bacteria may mediate the association between periodontitis and RA, and monitoring the bacterial composition of GCF might inform on RA activity. The role of newly identified bacterial taxa in RA warrants further investigations.
dc.description.sponsorshipJanggen-Pohn Foundation, St-Gallen, Switzerland ; Karolinska Institutet Strategic Funds, Sweden ; University of Zurich Institutional Funds, Switzerlanden_US
dc.identifier.citationManoil, D., Bostancı, N., Mumcu, G., İnanç, N., Can, M., Direskeneli, H. ... Belibasakis, G. N. (2021). Novel and known periodontal pathogens residing in gingival crevicular fluid are associated with rheumatoid arthritis. Journal of Periodontology, 92(3), 359-370. https://dx.doi.org/10.1002/JPER.20-0295
dc.identifier.doi10.1002/JPER.20-0295
dc.identifier.endpage370
dc.identifier.issn0022-3492
dc.identifier.issn1943-3670
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage359
dc.identifier.urihttps://dx.doi.org/10.1002/JPER.20-0295
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6710
dc.identifier.volume92
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Periodontologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectFluorescent in Situ Hybridization
dc.subjectGingival Crevicular Fluid
dc.subjectOral Microbiology
dc.subjectPeriodontitis
dc.subjectPorphyromonas Gingivalis
dc.subjectRheumatoid Arthritis
dc.titleNovel and known periodontal pathogens residing in gingival crevicular fluid are associated with rheumatoid arthritis
dc.typeArticle

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