The Link Between Periodontal Disease and Rheumatoid Arthritis: An Updated Review

Porphyromonas gingivalis is a leading pathogen in chronic periodontitis, a disease process involving progressive destruction of the tissues that support the teeth. Recently, the organism has been reported to produce a unique bacterial enzyme, P. gingivalis peptidyl-arginine deiminase (PPAD), which h...

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Veröffentlicht in:Current rheumatology reports 2014-03, Vol.16 (3), p.408-408, Article 408
Hauptverfasser: Koziel, Joanna, Mydel, Piotr, Potempa, Jan
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Mydel, Piotr
Potempa, Jan
description Porphyromonas gingivalis is a leading pathogen in chronic periodontitis, a disease process involving progressive destruction of the tissues that support the teeth. Recently, the organism has been reported to produce a unique bacterial enzyme, P. gingivalis peptidyl-arginine deiminase (PPAD), which has the ability to convert arginine residues in proteins to citrulline. Protein citrullination alters protein structure and function; hence, PPAD may be involved in deregulation of the host’s signalling network and immune evasion. Further, accumulating evidence suggests a role for autoimmunity against citrullinated proteins in the development of rheumatoid arthritis (RA). As inflammatory conditions in the lungs of cigarette smokers contribute to the breakdown of immune tolerance to citrullinated epitopes, chronic exposure to citrullinated proteins at periodontitis sites may also predispose susceptible individuals to the development of autoantibodies and the initiation of RA. In this review, we discuss evidence that PPAD may represent a mechanistic link between periodontitis and RA, diseases that are known to be significantly associated at the epidemiological level.
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subjects Arthritis, Rheumatoid - immunology
Arthritis, Rheumatoid - microbiology
Autoantibodies - blood
Bacteroidaceae Infections - complications
Bacteroidaceae Infections - immunology
Citrulline - immunology
Humans
Hydrolases - immunology
Immune Evasion - immunology
Medicine
Medicine & Public Health
Periodontitis - complications
Periodontitis - immunology
Porphyromonas gingivalis
Protein-Arginine Deiminases
Rheumatoid Arthritis (Lw Moreland
Rheumatoid Arthritis (Lw Moreland, Section Editor)
Rheumatology
Section Editor
Topical Collection on Rheumatoid Arthritis
title The Link Between Periodontal Disease and Rheumatoid Arthritis: An Updated Review
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