Association between selected oral pathogens and gastric precancerous lesions

We examined whether colonization of selected oral pathogens is associated with gastric precancerous lesions in a cross-sectional study. A total of 119 participants were included, of which 37 were cases of chronic atrophic gastritis, intestinal metaplasia, or dysplasia. An oral examination was perfor...

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Veröffentlicht in:PloS one 2013-01, Vol.8 (1), p.e51604-e51604
Hauptverfasser: Salazar, Christian R, Sun, Jinghua, Li, Yihong, Francois, Fritz, Corby, Patricia, Perez-Perez, Guillermo, Dasanayake, Ananda, Pei, Zhiheng, Chen, Yu
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container_issue 1
container_start_page e51604
container_title PloS one
container_volume 8
creator Salazar, Christian R
Sun, Jinghua
Li, Yihong
Francois, Fritz
Corby, Patricia
Perez-Perez, Guillermo
Dasanayake, Ananda
Pei, Zhiheng
Chen, Yu
description We examined whether colonization of selected oral pathogens is associated with gastric precancerous lesions in a cross-sectional study. A total of 119 participants were included, of which 37 were cases of chronic atrophic gastritis, intestinal metaplasia, or dysplasia. An oral examination was performed to measure periodontal indices. Plaque and saliva samples were tested with real-time quantitative PCR for DNA levels of pathogens related to periodontal disease (Porphyromonas gingivalis, Tannerella forsythensis, Treponema denticola, Actinobacillus actinomycetemcomitans) and dental caries (Streptococcus mutans and S. sobrinus). There were no consistent associations between DNA levels of selected bacterial species and gastric precancerous lesions, although an elevated but non-significant odds ratio (OR) for gastric precancerous lesions was observed in relation to increasing colonization of A. actinomycetemcomitans (OR = 1.36 for one standard deviation increase, 95% Confidence Interval = 0.87-2.12), P. gingivalis (OR = 1.12, 0.67-1.88) and T. denticola (OR = 1.34, 0.83-2.12) measured in plaque. To assess the influence of specific long-term infection, stratified analyses by levels of periodontal indices were conducted. A. actinomycetemcomitans was significantly associated with gastric precancerous lesions (OR = 2.51, 1.13-5.56) among those with ≥ median of percent tooth sites with PD ≥ 3 mm, compared with no association among those below the median (OR = 0.86, 0.43-1.72). A significantly stronger relationship was observed between the cumulative bacterial burden score of periodontal disease-related pathogens and gastric precancerous lesions among those with higher versus lower levels of periodontal disease indices (p-values for interactions: 0.03-0.06). Among individuals with periodontal disease, high levels of colonization of periodontal pathogens are associated with an increased risk of gastric precancerous lesions.
doi_str_mv 10.1371/journal.pone.0051604
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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salazar, Christian R</au><au>Sun, Jinghua</au><au>Li, Yihong</au><au>Francois, Fritz</au><au>Corby, Patricia</au><au>Perez-Perez, Guillermo</au><au>Dasanayake, Ananda</au><au>Pei, Zhiheng</au><au>Chen, Yu</au><au>Shi, Songtao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between selected oral pathogens and gastric precancerous lesions</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-01-07</date><risdate>2013</risdate><volume>8</volume><issue>1</issue><spage>e51604</spage><epage>e51604</epage><pages>e51604-e51604</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>We examined whether colonization of selected oral pathogens is associated with gastric precancerous lesions in a cross-sectional study. A total of 119 participants were included, of which 37 were cases of chronic atrophic gastritis, intestinal metaplasia, or dysplasia. An oral examination was performed to measure periodontal indices. Plaque and saliva samples were tested with real-time quantitative PCR for DNA levels of pathogens related to periodontal disease (Porphyromonas gingivalis, Tannerella forsythensis, Treponema denticola, Actinobacillus actinomycetemcomitans) and dental caries (Streptococcus mutans and S. sobrinus). There were no consistent associations between DNA levels of selected bacterial species and gastric precancerous lesions, although an elevated but non-significant odds ratio (OR) for gastric precancerous lesions was observed in relation to increasing colonization of A. actinomycetemcomitans (OR = 1.36 for one standard deviation increase, 95% Confidence Interval = 0.87-2.12), P. gingivalis (OR = 1.12, 0.67-1.88) and T. denticola (OR = 1.34, 0.83-2.12) measured in plaque. To assess the influence of specific long-term infection, stratified analyses by levels of periodontal indices were conducted. A. actinomycetemcomitans was significantly associated with gastric precancerous lesions (OR = 2.51, 1.13-5.56) among those with ≥ median of percent tooth sites with PD ≥ 3 mm, compared with no association among those below the median (OR = 0.86, 0.43-1.72). A significantly stronger relationship was observed between the cumulative bacterial burden score of periodontal disease-related pathogens and gastric precancerous lesions among those with higher versus lower levels of periodontal disease indices (p-values for interactions: 0.03-0.06). Among individuals with periodontal disease, high levels of colonization of periodontal pathogens are associated with an increased risk of gastric precancerous lesions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23308100</pmid><doi>10.1371/journal.pone.0051604</doi><tpages>e51604</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aggregatibacter actinomycetemcomitans
Analysis
Bacteria
Biology
Colonization
Confidence intervals
Cross-Sectional Studies
Dental caries
Dental Caries - complications
Dental Caries - microbiology
Dental Plaque - complications
Dental Plaque - microbiology
Dentistry
Deoxyribonucleic acid
Disease
DNA
DNA, Bacterial - isolation & purification
Dysplasia
Epidemiology
Female
Gastric cancer
Gastritis
Gum disease
Health promotion
Health risks
Helicobacter pylori
Humans
Infections
Intestine
Lesions
Male
Medical research
Medicine
Metaplasia
Microbiota
Middle Aged
Pathogenic microorganisms
Pathogens
Periodontal disease
Periodontal Diseases - complications
Periodontal Diseases - microbiology
Periodontal Index
Periodontics
Porphyromonas gingivalis
Precancerous Conditions - etiology
Precancerous Conditions - microbiology
Precancerous Conditions - pathology
Risk Factors
Saliva
Saliva - microbiology
Stomach - microbiology
Stomach - pathology
Stomach cancer
Stomach Neoplasms - etiology
Stomach Neoplasms - microbiology
Stomach Neoplasms - pathology
Streptococcus mutans
Studies
Teeth
Vitamin C
title Association between selected oral pathogens and gastric precancerous lesions
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