Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study

The aim of this paper is to evaluate the relationship of salivary ammonium levels and the presence of bacteria with rheumatoid arthritis (RA) clinical disease activity in a cross‐sectional study of Mexican patients. From a periodontal and disease activity standpoint, 132 consecutive RA patients ful...

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Main Authors: Martínez Rivera, José Iván, Xibillé Friedmann, Daniel X., González Christen, Judith, De la Garza Ramos, Myriam Angélica, Carrillo Vázquez, Sandra M., Montiel Hernández, José Luis
Format: Article
Language:English
Published: 2017
Subjects:
Online Access:http://eprints.uanl.mx/14593/1/100.pdf
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author Martínez Rivera, José Iván
Xibillé Friedmann, Daniel X.
González Christen, Judith
De la Garza Ramos, Myriam Angélica
Carrillo Vázquez, Sandra M.
Montiel Hernández, José Luis
author_facet Martínez Rivera, José Iván
Xibillé Friedmann, Daniel X.
González Christen, Judith
De la Garza Ramos, Myriam Angélica
Carrillo Vázquez, Sandra M.
Montiel Hernández, José Luis
author_sort Martínez Rivera, José Iván
collection Repositorio Institucional
description The aim of this paper is to evaluate the relationship of salivary ammonium levels and the presence of bacteria with rheumatoid arthritis (RA) clinical disease activity in a cross‐sectional study of Mexican patients. From a periodontal and disease activity standpoint, 132 consecutive RA patients fulfilling clinical criteria were evaluated. Ammonia levels (including peptidyl arginine deiminase activity) were evaluated by colorimetric assay and the presence of Porphyromonas gingivalis, Tannerella forsythia, and Prevotella intermedia was evaluated by polymerase chain reaction (PCR) technique. After a multivariate analysis, adjusting for clinical and serological parameters, a significant association was only observed between severe periodontitis and probing depth with high RA disease activity. Additionally, in contrast to P. gingivalis, the presence of T. forsythia was significantly associated with high disease RA activity even after multivariable adjustment analysis. There was also a significant increase in ammonium levels in the high RA activity group and a significant correlation between salivary ammonia and RA disease activity but not with autoantibody titers. Similarly, we observed a significant increase in the ammonium levels derived from the cultures of P. gingivalis and T. forsythia, with respect to P. intermedia and S. gordonii cultures, or even healthy donors. These results suggest that RA activity is associated with severe periodontitis, high salivary ammonium levels and the presence of T. forsythia.
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spelling eprints-145932022-05-03T21:29:34Z http://eprints.uanl.mx/14593/ Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study Martínez Rivera, José Iván Xibillé Friedmann, Daniel X. González Christen, Judith De la Garza Ramos, Myriam Angélica Carrillo Vázquez, Sandra M. Montiel Hernández, José Luis RK Odontología The aim of this paper is to evaluate the relationship of salivary ammonium levels and the presence of bacteria with rheumatoid arthritis (RA) clinical disease activity in a cross‐sectional study of Mexican patients. From a periodontal and disease activity standpoint, 132 consecutive RA patients fulfilling clinical criteria were evaluated. Ammonia levels (including peptidyl arginine deiminase activity) were evaluated by colorimetric assay and the presence of Porphyromonas gingivalis, Tannerella forsythia, and Prevotella intermedia was evaluated by polymerase chain reaction (PCR) technique. After a multivariate analysis, adjusting for clinical and serological parameters, a significant association was only observed between severe periodontitis and probing depth with high RA disease activity. Additionally, in contrast to P. gingivalis, the presence of T. forsythia was significantly associated with high disease RA activity even after multivariable adjustment analysis. There was also a significant increase in ammonium levels in the high RA activity group and a significant correlation between salivary ammonia and RA disease activity but not with autoantibody titers. Similarly, we observed a significant increase in the ammonium levels derived from the cultures of P. gingivalis and T. forsythia, with respect to P. intermedia and S. gordonii cultures, or even healthy donors. These results suggest that RA activity is associated with severe periodontitis, high salivary ammonium levels and the presence of T. forsythia. 2017 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/14593/1/100.pdf http://eprints.uanl.mx/14593/1.haspreviewThumbnailVersion/100.pdf Martínez Rivera, José Iván y Xibillé Friedmann, Daniel X. y González Christen, Judith y De la Garza Ramos, Myriam Angélica y Carrillo Vázquez, Sandra M. y Montiel Hernández, José Luis (2017) Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study. Clinical and experimental dental research, 3 (3). pp. 107-114. ISSN 2057-4347 http://doi.org/10.1002/cre2.68 doi:10.1002/cre2.68
spellingShingle RK Odontología
Martínez Rivera, José Iván
Xibillé Friedmann, Daniel X.
González Christen, Judith
De la Garza Ramos, Myriam Angélica
Carrillo Vázquez, Sandra M.
Montiel Hernández, José Luis
Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
title_full Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
title_fullStr Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
title_full_unstemmed Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
title_short Salivary ammonia levels and Tannerella forsythia are associated with rheumatoid arthritis: A cross sectional study
title_sort salivary ammonia levels and tannerella forsythia are associated with rheumatoid arthritis a cross sectional study
topic RK Odontología
url http://eprints.uanl.mx/14593/1/100.pdf
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