2016, Number 5
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AMC 2016; 20 (5)
Association between serum amyloid A pathologic levels and periodontitis
Ardila MCM, Bedoya GJ, Guzmán ZIC
Language: Spanish
References: 18
Page: 470-476
PDF size: 587.67 Kb.
ABSTRACT
Background: serum amyloid A protein is produced in response to the cytokines released by monocytes and macrophages after an acute-phase stimulus such as infection.
Objective: to determine the serum levels of amyloid A protein and its association with patients diagnosed with chronic periodontal disease.
Methods: a cross-sectional observational study was conducted. The universe was composed of 80 pa-tients with chronic periodontitis and 28 people without periodontal affections as a control group. Diagnosis of chronic periodontal disease was based on criteria stated previously. All the participants answered a questionnaire related to sociodemographic characteristics. A clinical enzymatic trial was carried out to cal-culate the levels of pathological serum amyloid A.
Results: pathological levels of serum amyloid A were associated with periodontitis (p=0,002) and were correlated significantly with older age (r=2,42; p=0, 01). Nevertheless, logistic regression adjusted by age showed remarkable statistical association only with periodontal disease (OR=5,6; interval from 95 % 1,7-19).
Conclusions: probability of presenting pathological levels of serum amyloid A in patients with chronical periodontal disease is six times the one of the patients without this affection. That could me a risk factor for cardiovascular diseases.
REFERENCES
Sun L, Ye RD. Serum amyloid A1: Structure, function and gene polymorphism. Gene. 2016 May 25;583(1):48-57.
D'Aiuto F, Orlandi M, Gunsolley JC. Evidence that periodontal treatment improves bi-omarkers and CVD outcomes. J Clin Perio-dontol. 2013 Apr;40 Suppl 14:S85-105.
Velsko IM, Chukkapalli SS, Rivera MF, Lee JY, Chen H, Zheng D, et al. Active invasion of oral and aortic tissues by Porphyromonas gingivalis in mice causally links periodonti-tis and atherosclerosis. PLoS One. 2014 May 16;9(5):e97811.
Meng YQ, Cao X, Wen ZS, Liu QW, Tan ZH, Duan H, et al. Preoperative level of serum amyloid A is superior to C-reactive protein in the prognosis of esophageal squamous cell carcinoma. Dis Esophagus. 2014 Sep-Oct;27(7):670-7.
Abbas MH, Choudhry MN, Hamza N, Ali B, Amin AA, Ammori BJ. Admission levels of serum amyloid a and procalcitonin are more predictive of the diagnosis of acute appendicitis compared with C-reactive pro-tein. Surg Laparosc Endosc Percutan Tech. 2014 Dec;24(6):488-94.
Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of perio-dontitis. J Periodontol. 2012 Dec;83(12):1449-54.
Ioannidis JP, Tzoulaki I. Minimal and null pre-dictive effects for the most popular blood biomarkers of cardiovascular disease. Circ Res. 2012 Mar 2;110(5):658-62.
Colón W, Aguilera JJ, Srinivasan S. Intrinsic Stability, Oligomerization, and Amyloido-genicity of HDL-Free Serum Amyloid A. Adv Exp Med Biol. 2015;855:117-34.
Chistiakov DA, Orekhov AN, Bobryshev YV. Links between atherosclerotic and perio-dontal disease. Exp Mol Pathol. 2016 Feb;100(1):220-35.
Stewart R, West M. Increasing Evidence for an Association Between Periodontitis and Cardiovascular Disease. Circulation. 2016 Feb 9;133(6):549-51.
Medzhitov R. Recognition of microorganisms and activation of the immune response. Nature. 2007 Oct 18;449(7164):819-26.
Loos BG, Craandijk J, Hoek FJ, Wertheim-van Dillen PM, van der Velden U. Elevation of systemic markers related to cardiovas-cular diseases in the peripheral blood of periodontitis patients. J Periodontol. 2000 Oct;71(10):1528-34.
Rydén L, Buhlin K, Ekstrand E, de Faire U, Gustafsson A, Holmer J, et al. Periodontitis Increases the Risk of a First Myocardial In-farction: A Report From the PAROKRANK Study. Circulation. 2016 Feb 9;133(6):576-83.
Rivera MF, Lee JY, Aneja M, Goswami V, Liu L, Velsko IM, et al. Polymicrobial infection with major periodontal pathogens induced periodontal disease and aortic atheroscle-rosis in hyperlipidemic ApoE(null) mice. PLoS One. 2013;8(2):e57178.
Aoki-Nonaka Y, Nakajima T, Miyauchi S, Miyazawa H, Yamada H, Domon H, et al. Natural killer T cells mediate alveolar bone resorption and a systemic inflammatory response in response to oral infection of mice with Porphyromonas gingivalis. J Peri-odontal Res. 2014 Feb;49(1):69-76.
Graziani F, Cei S, La Ferla F, Vano M, Ga-briele M, Tonetti M. Effects of non-surgical periodontal therapy on glomerular filtration rate of the kidney: an exploratory trial. J Clin Periodontol. 2010 Jul;37(7):638-43.
Vuletic S, Taylor BA, Tofler GH, Chait A, Marcovina SM, Schenck K, et al. SAA and PLTP activity in plasma of periodontal pa-tients before and after full-mouth tooth ex-traction. Oral Dis. 2008 Sep;14(6):514-9.
Krishack PA, Bhanvadia CV, Lukens J, Son-tag TJ, De Beer MC, Getz GS, et al. Serum Amyloid A Facilitates Early Lesion Develop-ment in Ldlr-/- Mice. J Am Heart Assoc. 2015 Jul 17;4(7):e001858.