Periodontitis: A Plausible Modifiable Risk Factor for Neurodegenerative Diseases? A Comprehensive Review

The aim of this comprehensive review is to summarize recent literature on associations between periodontitis and neurodegenerative diseases, explore the bidirectionality and provide insights into the plausible pathogenesis. For this purpose, systematic reviews and meta-analyses from PubMed, Medline...

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Veröffentlicht in:International journal of molecular sciences 2024-04, Vol.25 (8), p.4504
Hauptverfasser: Plachokova, Adelina S, Gjaltema, Jolijn, Hagens, Eliza R C, Hashemi, Zahra, Knüppe, Tim B A, Kootstra, Thomas J M, Visser, Anita, Bloem, Bastiaan R
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container_issue 8
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container_title International journal of molecular sciences
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creator Plachokova, Adelina S
Gjaltema, Jolijn
Hagens, Eliza R C
Hashemi, Zahra
Knüppe, Tim B A
Kootstra, Thomas J M
Visser, Anita
Bloem, Bastiaan R
description The aim of this comprehensive review is to summarize recent literature on associations between periodontitis and neurodegenerative diseases, explore the bidirectionality and provide insights into the plausible pathogenesis. For this purpose, systematic reviews and meta-analyses from PubMed, Medline and EMBASE were considered. Out of 33 retrieved papers, 6 articles complying with the inclusion criteria were selected and discussed. Additional relevant papers for bidirectionality and pathogenesis were included. Results show an association between periodontitis and Alzheimer's disease, with odds ratios of 3 to 5. A bidirectional relationship is suspected. For Parkinson's disease (PD), current evidence for an association appears to be weak, although poor oral health and PD seem to be correlated. A huge knowledge gap was identified. The plausible mechanistic link for the association between periodontitis and neurodegenerative diseases is the interplay between periodontal inflammation and neuroinflammation. Three pathways are hypothesized in the literature, i.e., humoral, neuronal and cellular, with a clear role of periodontal pathogens, such as . Age, gender, race, smoking, alcohol intake, nutrition, physical activity, socioeconomic status, stress, medical comorbidities and genetics were identified as common risk factors for periodontitis and neurodegenerative diseases. Future research with main emphasis on the collaboration between neurologists and dentists is encouraged.
doi_str_mv 10.3390/ijms25084504
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subjects Alzheimer Disease - epidemiology
Alzheimer Disease - etiology
Alzheimer's disease
Amyotrophic lateral sclerosis
Comorbidity
Cytokines
Dementia
Development and progression
Gum disease
Humans
Hypotheses
Inflammation
Inflammatory diseases
Medical research
Medicine, Experimental
Nervous system diseases
Neurodegenerative Diseases - epidemiology
Neurodegenerative Diseases - etiology
Parkinson Disease - epidemiology
Pathogenesis
Pathogens
Periodontitis
Periodontitis - complications
Periodontitis - epidemiology
Risk Factors
Systemic diseases
title Periodontitis: A Plausible Modifiable Risk Factor for Neurodegenerative Diseases? A Comprehensive Review
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