papillon‐lefèvre syndrome (pls) is a rare disease associated with the early onset of periodontal breakdown in deciduous and permanent dentition. The etiology of the destruction has not been completely clarified. Two female patients (ages 4 and 7 years) with severe destruction of the periodontal structures were examined. Except for palmar and plantar hyperkeratosis, dermatologie examination revealed no other medical disorders. On immunological analysis, measurement of serum antibody titers to 7 periodontopathic bacteria‐ including Porphyromonas gingivalis and Actinobacillus actinomycetemcomitans was performed by enzyme‐linked immunosorbent assay (ELISA). Further immunblot analysis of A. actinomycetemcomitans and microbial culture of samples collected from deep periodontal pockets and mouthrinse solution were performed. The serum of the two patients showed high IgG titer against A. actinomycetemcomitans. Immunoblot results of the two patients against sonicated extract of A. actinomycetemcomitans Y4 strain exhibited a similar pattern. The band pattern differed from that observed in other forms of early onset periodontitis patients or periodontally healthy subjects. Moreover, A. actinomycetemcomitans colonies were cultured in high percentages from the pocket samples. Antibiotic therapy was instituted in addition to conventional periodontal therapy. In the younger patient, all deciduous teeth were extracted as part of the treatment and A. actinomycetemcomitans was no longer detected. All four permanent first molars and 8 permanent incisors subsequently erupted with healthy periodontium. However, the older patient did not improve after periodontal and antibiotic (minocycline and erythromycin) treatments and A. actinomycetemcomitans was consistently detected. Ofloxacin medication finally eliminated A. actinomycetemcomitans from the periodontal pockets. This antibiotic was also associated with reduced gingival inflammation and probing depth. Further destruction of the periodontium has not been detected for 3 years. The serum IgG titers against A. actinomycetemcomitans decreased in both patients. It is suggested that A. actinomycetemcomitans is a major pathogen closely related to periodontal tissue destruction in PLS patients. J Periodontol 1994; 65:364–371.
One visit full-mouth ultrasonic SRP seems to have good enough effort for the periodontal status till 6 months. The adjunct treatment of PDT provided positive effect in term of GBI and GI.
High mobility group box 1 (HMGB1)was originally defined as a nuclear protein. However, later studies showed that HMGB1 was released from damaged cells into the extracellular milieu and functioned as a danger signaling molecule. HMGB1 has also been shown to exert proliferative and chemoattractant effects on many cell types. In this study, we investigated the in vitro effect of human recombinant HMGB1 on the proliferation and migration of human gingival fibroblasts (HGF) and human periodontal ligament fibroblasts (HPDLF). For the proliferation assay, HGF and HPDLF were cultured in the presence of 5, 10, and 50 ng/mL HMGB1. After a period of 6 days, cell proliferation was determined by MTT assay.
Elevated serum IgG antibody levels against B. gingivalis have been found in patients with periodontitis. In this study, we determined the antigenic specificity of the serum antibodies directed towards antigens of B. gingivalis. The serum samples collected from 19 control subjects with clinically healthy gingiva, 26 adult periodontitis (AP), and 21 rapidly progressive periodontitis (RPP) patients were analyzed by using SDS‐PAGE and Western blots. The sonicated cell extract of B. gingivalis 381 was solubilized in sodium dodecyl sulfate solution by heating at 100†C for 5 minutes. After SDS‐PAGE, the proteins were transferred to nitrocellulose membrane, and then were probed with serum samples. The strong reaction observed at the apparent molecular weight of 44 kDa protein suggested that it might be an important component which was specific to the antibody of patients (P<0.01). A clear difference in the antibody binding between the serum samples from AP and RPP was also recognized. The antibodies from AP frequently reacted with high molecular weight proteins (82, 57, and 44 kDa) while those from RPP frequently reacted with lower molecular weight proteins (44, 27, 25, and 18 kDa). The results indicate that the antigenic components detected in B. gingivalis are in sufficient amounts and specificities to be immunogenic to the host, particularly in patients with periodontitis. J Periodontol 1990;61:261‐268.
SummaryHigh mobility group box 1 (HMGB1) is a nuclear protein released from necrotic cells, inducing inflammatory responses. Epidemiological studies suggested a possible association between periodontitis and cardiovascular diseases (CVDs). Due to tissue damage and necrosis of cardiac cells following myocardial infarction (MI), HMGB1 is released, activating an inflammatory reaction. However, it remains unclear whether periodontitis is also involved in myocardial damage. The purpose of this study was to determine the effect of the periodontal pathogen Porphyromonas gingivalis (P.g.) after MI in mice.C57BL/6J wild type mice in post-MI were inoculated with P.g. in the infected group (P.g.-inoculated MI group) and with phosphate buffer saline (PBS) in the control group (PBS-injected MI group). Plasma samples and twelve tissue samples from mice hearts after MI were obtained. We determined the expression of HMGB1 by ELISA and immunohistochemistry.The level of HMGB1 protein in the P.g.-inoculated MI group was significantly higher than in the PBSinjected MI group on day 5, but not on day 14. Immunohistochemistry analysis revealed that HMGB1 was mainly expressed in cardiomyocytes, immune cells, and vascular endothelial cells in the PBS-injected MI group, while HMGB1 was seen broadly in degenerated cardiomyocytes, extracellular fields, immune cells, and vascular endothelial cells in the P.g.-inoculated MI group. A significant increase in the number of HMGB1 positive cells was observed in the P.g.-inoculated MI group compared to the PBS-injected MI group.Infection with P.g. after MI enhanced myocardial HMGB1 expression. There is a possible relationship between periodontitis and post-infarction myocardial inflammation through HMGB-1.(Int Heart J 2017; 58: 762-768)
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