Objective
While Aggregatibacter actinomycetemcomitans (Aa) is highly associated with localized aggressive periodontitis (LAP) many Aa-carriers do not develop LAP. This study was designed to determine whether specific salivary factors could distinguish between subjects who have Aa initially and remain healthy (H/AA) as compared to those who develop LAP (LAP/AA).
Design
H/AA subjects and healthy controls with no Aa (H) were enrolled in a longitudinal cohort study to investigate initiation of bone loss (LAP) over 3 years. After detection of LAP, stored saliva from 10 H, 10 H/AA, and 10 LAP/AA subjects was thawed, processed, and tested for; 1) lactoferrin (Lf) concentration and iron levels, 2) agglutination of Aa; 3) killing of Gram-positive bacteria.
Results
LAP/AA saliva levels of Lf iron were low prior to and after bone loss (3.6 ± 1.7 ng Fe/µg (LAP/AA vs. H and H/AA p ≤ 0.01). Saliva from H/AA subjects caused Aa to agglutinate significantly more than H or LAP/AA saliva (p ≤ 0.01). LAP/AA saliva killed Streptococcus mutans, S. sanguis and Lactobacillus in vitro by > 83%. Saliva from H individuals killed these bacteria by < 3.3% (LAP/AA vs. H; p ≤ 0.01). H/AA killing was intermediate.
Conclusions
LAP/AA saliva showed: low levels of Lf iron, minimal Aa agglutinating activity, and high killing activity against Gram-positive bacteria. Aa-positive healthy saliva (H/AA) showed: higher levels of Lf iron, maximal Aa agglutinating activity, and moderate killing of Gram-positive bacteria. A salivary activity profile can distinguish between subjects who are Aa-positive and remain healthy from those who develop LAP.