The link between periodontal disease and rheumatoid arthritis : an updated review
pl
dc.type
JournalArticle
pl
dc.abstract.en
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.
pl
dc.subject.en
periodontal disease
pl
dc.subject.en
peptidyl-arginine deiminase (PPAD)
pl
dc.subject.en
P. gingivalis
pl
dc.subject.en
periodontitis
pl
dc.subject.en
PPAD
pl
dc.subject.en
citrullination
pl
dc.subject.en
rheumatoid arthritis
pl
dc.description.volume
16
pl
dc.description.number
3
pl
dc.identifier.doi
10.1007/s11926-014-0408-9
pl
dc.identifier.eissn
1534-6307
pl
dc.title.journal
Current Rheumatology Reports
pl
dc.language.container
eng
pl
dc.affiliation
Wydział Biochemii, Biofizyki i Biotechnologii : Zakład Mikrobiologii
pl
dc.subtype
Article
pl
dc.identifier.articleid
408
pl
dc.rights.original
CC-BY; inne; ostateczna wersja wydawcy; po opublikowaniu; 12;