2019
DOI: 10.3390/pathogens8030153
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Genetic Profiling of Aggregatibacter actinomycetemcomitans Serotype B Isolated from Periodontitis Patients Living in Sweden

Abstract: The bacterium Aggregatibacter actinomycetemcomitans is associated with aggressive forms of periodontitis and with systemic diseases, such as endocarditis. By assessing a Ghanaian longitudinal adolescent cohort, we earlier recognized the cagE gene as a possible diagnostic marker for a subgroup of JP2 and non-JP2 genotype serotype b A. actinomycetemcomitans strains, associated with high leukotoxicity as determined in a semi-quantitative cell assay. This group of A. actinomycetemcomitans is associated with the pr… Show more

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Cited by 20 publications
(28 citation statements)
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“…These isolates represent a subgroup of serotype b with a high association with disease progression in the infected individual. Genetic characterization of this subgroup showed a genetic pattern with similarities to that of the JP2 genotype, and such strains are frequently carried by young individuals with periodontitis [2,38,42]. A specific genetic marker (cagE) correlates to A. actinomycetemcomitans with enhanced leukotoxicity, including the JP2 genotype and other virulent serotype b isolates [42,43].…”
Section: Ltxa Productionmentioning
confidence: 96%
See 1 more Smart Citation
“…These isolates represent a subgroup of serotype b with a high association with disease progression in the infected individual. Genetic characterization of this subgroup showed a genetic pattern with similarities to that of the JP2 genotype, and such strains are frequently carried by young individuals with periodontitis [2,38,42]. A specific genetic marker (cagE) correlates to A. actinomycetemcomitans with enhanced leukotoxicity, including the JP2 genotype and other virulent serotype b isolates [42,43].…”
Section: Ltxa Productionmentioning
confidence: 96%
“…Genetic characterization of this subgroup showed a genetic pattern with similarities to that of the JP2 genotype, and such strains are frequently carried by young individuals with periodontitis [2,38,42]. A specific genetic marker (cagE) correlates to A. actinomycetemcomitans with enhanced leukotoxicity, including the JP2 genotype and other virulent serotype b isolates [42,43]. Interestingly, the activity of LtxA has been reported to be involved in induction of systemic autoantibodies to citrulline, which are risk markers for rheumatoid arthritis [17,44].…”
Section: Ltxa Productionmentioning
confidence: 97%
“…Three recent discoveries may have an impact on future understanding of A. actinomycetemcomitans virulence. First, recent disclosure indicates that specific serotype b strains of A. actinomycetemcomitans that contain a CagE presence and a complete cdtABC gene operon are more pathogenic than strains that lack this genotype [50]. It is proposed that these strains could serve as a risk marker for aggressive disease and produce levels of leukotoxin that are comparable to JP2 promoter region strains through some mechanism as yet to be described [50].…”
Section: Leukotoxinmentioning
confidence: 99%
“…First, recent disclosure indicates that specific serotype b strains of A. actinomycetemcomitans that contain a CagE presence and a complete cdtABC gene operon are more pathogenic than strains that lack this genotype [50]. It is proposed that these strains could serve as a risk marker for aggressive disease and produce levels of leukotoxin that are comparable to JP2 promoter region strains through some mechanism as yet to be described [50]. This finding takes the emphasis off the JP2 strain type and places the focus on leukotoxin levels as a key virulence determinant [50].…”
Section: Leukotoxinmentioning
confidence: 99%
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