2012
DOI: 10.4049/jimmunol.1201053
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Microbial Carriage State of Peripheral Blood Dendritic Cells (DCs) in Chronic Periodontitis Influences DC Differentiation, Atherogenic Potential

Abstract: The low grade oral infection chronic periodontitis (CP) has been implicated in coronary artery disease risk, but the mechanisms are unclear. Here, a pathophysiological role for blood dendritic cells (DCs) in systemic dissemination of oral mucosal pathogens to atherosclerotic plaques was investigated in humans. The frequency and microbiome of CD19−BDCA-1+DC-SIGN+ blood myeloid DCs (mDCs) were analyzed in CP subjects with, or without existing acute coronary syndrome (ACS) and in healthy controls (CTL). FACS anal… Show more

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Cited by 135 publications
(172 citation statements)
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“…Moreover, sera from chronic periodontitis subjects express elevated levels of CXCR4 ligand CXCL12 compared to those of healthy controls. These data, combined with our previously published evidence for P. gingivalis dissemination within mDCs to coronary artery plaques (22), provide a mechanistic framework for how this intracellular pathogen directs its dissemination in DCs in vivo.…”
mentioning
confidence: 82%
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“…Moreover, sera from chronic periodontitis subjects express elevated levels of CXCR4 ligand CXCL12 compared to those of healthy controls. These data, combined with our previously published evidence for P. gingivalis dissemination within mDCs to coronary artery plaques (22), provide a mechanistic framework for how this intracellular pathogen directs its dissemination in DCs in vivo.…”
mentioning
confidence: 82%
“…Protocols for healthy mDC and sera were approved by the Committee on Research Involving Human Subjects (CORIHS) at Stony Brook University. The study population and demographics have been previously outlined (22).…”
Section: Methodsmentioning
confidence: 99%
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“…At the same time, Carrion et al demonstrated that blood myeloid DCs play a role in harboring and disseminating oral pathogens to atheromatous plaques, suggesting also a direct effect of bacterial contamination in the determination of atherosclerotic lesions. 11 In the Oral Infection and Vascular Disease Epidemiology Study, 4,561 biofilm samples were collected from 593 patients for the assessment of bacterial species and found significantly increased levels of secretory phospholipase A2 and lipoprotein-associated PLA2, two inflammatory enzymes associated with atherosclerosis. 12 At the same time, Mahendra et al proved that patients with cardiovascular diseases (CVD) exhibit higher levels of periodontal pathogens in subgingival biofilms, and that the amount of subgingival bacteria was significantly associated with the amount of bacteria identified in the atherosclerotic plaques.…”
Section: Inflammation -A Common Pathway For Periodontal Disease and Amentioning
confidence: 99%