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Published in: Current Oral Health Reports 1/2015

Open Access 01-03-2015 | Systemic Diseases (M Bartold, Section Editor)

Host Responses in the Link Between Periodontitis and Rheumatoid Arthritis

Authors: Tetsuo Kobayashi, Hiromasa Yoshie

Published in: Current Oral Health Reports | Issue 1/2015

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Abstract

Periodontitis and rheumatoid arthritis (RA) are common chronic inflammatory conditions and share many clinical and pathologic features. There is evidence to suggest that similar profiles of cytokine genotypes and their coding proteins are involved in the pathogenesis of periodontitis and RA. In particular, constitutive overproduction of pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6), has been implicated to play a pathologic role in the two inflammatory diseases. Results from studies with animal and human subjects have suggested an improvement of periodontal inflammatory condition after treatment with TNF-α inhibitors. Likewise, IL-6 receptor inhibition therapy has been suggested to have an effect on control of periodontal inflammation in patients with RA. In the present review, we provide an overview of studies showing the pathological role of cytokines in the linkage between periodontitis and RA, and further summarize the current studies assessing the effect of cytokine targeted therapy on periodontal condition.
Literature
1.
go back to reference Alamanos Y, Voulgari PV, Drosos AA. Incidence and prevalence of rheumatoid arthritis, based on the 1987 American college of rheumatology criteria: a systematic review. Semin Arthritis Rheum. 2006;36(3):182–8.PubMedCrossRef Alamanos Y, Voulgari PV, Drosos AA. Incidence and prevalence of rheumatoid arthritis, based on the 1987 American college of rheumatology criteria: a systematic review. Semin Arthritis Rheum. 2006;36(3):182–8.PubMedCrossRef
2.
go back to reference Greenwald RA, Kirkwood K. Adult periodontitis as a model for rheumatoid arthritis (with emphasis on treatment strategies). J Rheumatol. 1999;26(8):1650–3.PubMed Greenwald RA, Kirkwood K. Adult periodontitis as a model for rheumatoid arthritis (with emphasis on treatment strategies). J Rheumatol. 1999;26(8):1650–3.PubMed
3.
go back to reference Mercado FB, Marshall RI, Klestov AC, Bartold PM. Relationship between rheumatoid arthritis and periodontitis. J Periodontol. 2001;72(6):779–87.PubMedCrossRef Mercado FB, Marshall RI, Klestov AC, Bartold PM. Relationship between rheumatoid arthritis and periodontitis. J Periodontol. 2001;72(6):779–87.PubMedCrossRef
4.
go back to reference de Pablo P, Chapple ILC, Buckley CD, Dietrich T. Periodontitis in systemic rheumatic diseases. Nat Rev Rheumatol. 2009;5(4):218–24.PubMedCrossRef de Pablo P, Chapple ILC, Buckley CD, Dietrich T. Periodontitis in systemic rheumatic diseases. Nat Rev Rheumatol. 2009;5(4):218–24.PubMedCrossRef
5.
go back to reference Bartold PM, Marshall RI, Haynes DR. Periodontitis and rheumatoid arthritis: a review. J Periodontol. 2005;76(11 Suppl):2066–74.PubMedCrossRef Bartold PM, Marshall RI, Haynes DR. Periodontitis and rheumatoid arthritis: a review. J Periodontol. 2005;76(11 Suppl):2066–74.PubMedCrossRef
6.
go back to reference Mercado F, Marshall RI, Bartold PM. Inter-relationship between rheumatoid arthritis and periodontal disease. A review. J Clin Periodontol. 2003;30(9):761–72.PubMedCrossRef Mercado F, Marshall RI, Bartold PM. Inter-relationship between rheumatoid arthritis and periodontal disease. A review. J Clin Periodontol. 2003;30(9):761–72.PubMedCrossRef
7.
go back to reference Käβer UR, Gleissner C, Dehne F, Michel A, Willershausen-Zönnchen B, Bolten WW. Risk for periodontal disease in patients with longstanding rheumatoid arthritis. Arthritis Rheum. 1997;40(12):2248–51.CrossRef Käβer UR, Gleissner C, Dehne F, Michel A, Willershausen-Zönnchen B, Bolten WW. Risk for periodontal disease in patients with longstanding rheumatoid arthritis. Arthritis Rheum. 1997;40(12):2248–51.CrossRef
8.
go back to reference Havemose-Poulsen A, Westergaard J, Stoltze K, Skjødt H, Danneskiold-Samsøe B, Locht H, et al. Periodontal and hematological characteristics associated with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2006;77(2):280–8.PubMedCrossRef Havemose-Poulsen A, Westergaard J, Stoltze K, Skjødt H, Danneskiold-Samsøe B, Locht H, et al. Periodontal and hematological characteristics associated with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2006;77(2):280–8.PubMedCrossRef
9.
go back to reference Pischon N, Pischon T, Kröger J, Gülmez E, Kleber B-M, Bernimoulin J-P, et al. Association among rheumatoid arthritis, oral hygiene, and periodontitis. J Periodontol. 2008;79(6):979–86.PubMedCrossRef Pischon N, Pischon T, Kröger J, Gülmez E, Kleber B-M, Bernimoulin J-P, et al. Association among rheumatoid arthritis, oral hygiene, and periodontitis. J Periodontol. 2008;79(6):979–86.PubMedCrossRef
10.
go back to reference Dissick A, Redman RS, Jones M, Rangan BV, Reimold A, Griffiths GR, et al. Association of periodontitis with rheumatoid arthritis: a pilot study. J Periodontol. 2010;81(2):223–30.PubMedCrossRef Dissick A, Redman RS, Jones M, Rangan BV, Reimold A, Griffiths GR, et al. Association of periodontitis with rheumatoid arthritis: a pilot study. J Periodontol. 2010;81(2):223–30.PubMedCrossRef
11.
go back to reference Mercado F, Marshall RI, Klestov AC, Bartold PM. Is there a relationship between rheumatoid arthritis and periodontal disease? J Clin Periodontol. 2000;27(4):267–72.PubMedCrossRef Mercado F, Marshall RI, Klestov AC, Bartold PM. Is there a relationship between rheumatoid arthritis and periodontal disease? J Clin Periodontol. 2000;27(4):267–72.PubMedCrossRef
12.
go back to reference Demmer RT, Molitor JA, Jacobs Jr DR, Michalowicz BS. Periodontal disease, tooth loss and incident rheumatoid arthritis: results from the First National Health and Nutritional Examination Survey and its epidemiological follow-up study. J Clin Periodontol. 2011;38(11):998–1006.PubMedCentralPubMedCrossRef Demmer RT, Molitor JA, Jacobs Jr DR, Michalowicz BS. Periodontal disease, tooth loss and incident rheumatoid arthritis: results from the First National Health and Nutritional Examination Survey and its epidemiological follow-up study. J Clin Periodontol. 2011;38(11):998–1006.PubMedCentralPubMedCrossRef
13.
14.
go back to reference Michalowicz BS, Aeppli DP, Kuba RK, Bereuter JE, Conry JP, Segal NL, et al. A twin study of genetic variation in proportional radiographic alveolar bone height. J Dent Res. 1991;70(11):1431–5.PubMedCrossRef Michalowicz BS, Aeppli DP, Kuba RK, Bereuter JE, Conry JP, Segal NL, et al. A twin study of genetic variation in proportional radiographic alveolar bone height. J Dent Res. 1991;70(11):1431–5.PubMedCrossRef
15.
go back to reference Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol. 2000;71(11):1699–707.PubMedCrossRef Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol. 2000;71(11):1699–707.PubMedCrossRef
16.
go back to reference Arend WP, Firestein GS. Pre-rheumatoid arthritis: predisposition and transition to clinical synovitis. Nat Rev Rheumatol. 2012;8(10):573–86.PubMedCrossRef Arend WP, Firestein GS. Pre-rheumatoid arthritis: predisposition and transition to clinical synovitis. Nat Rev Rheumatol. 2012;8(10):573–86.PubMedCrossRef
17.
go back to reference Hemminki K, Li X, Sundquist J, Sundquist K. Familial associations of rheumatoid arthritis with autoimmune diseases and related conditions. Arthritis Rheum. 2009;60(3):661–8.PubMedCrossRef Hemminki K, Li X, Sundquist J, Sundquist K. Familial associations of rheumatoid arthritis with autoimmune diseases and related conditions. Arthritis Rheum. 2009;60(3):661–8.PubMedCrossRef
18.
go back to reference MacGregor AJ, Snieder H, Rigby AS, Koskenvuo M, Kaprio J, Aho K, et al. Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis Rheum. 2000;43(1):30–7.PubMedCrossRef MacGregor AJ, Snieder H, Rigby AS, Koskenvuo M, Kaprio J, Aho K, et al. Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis Rheum. 2000;43(1):30–7.PubMedCrossRef
19.
go back to reference Havemose-Poulsen A, Sørensen LK, Bendtzen K, Holmstrup P. Polymorphisms within the IL-1 gene cluster: effects on cytokine profiles in peripheral blood and whole blood cell cultures of patients with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2007;78(3):475–92.PubMedCrossRef Havemose-Poulsen A, Sørensen LK, Bendtzen K, Holmstrup P. Polymorphisms within the IL-1 gene cluster: effects on cytokine profiles in peripheral blood and whole blood cell cultures of patients with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2007;78(3):475–92.PubMedCrossRef
20.
go back to reference Kobayashi T, Ito S, Kuroda T, Yamamoto K, Sugita N, Narita I, et al. The interleukin-1 and Fcγ receptor gene polymorphisms in Japanese patients with rheumatoid arthritis and periodontitis. J Periodontol. 2007;78(12):2311–8.PubMedCrossRef Kobayashi T, Ito S, Kuroda T, Yamamoto K, Sugita N, Narita I, et al. The interleukin-1 and Fcγ receptor gene polymorphisms in Japanese patients with rheumatoid arthritis and periodontitis. J Periodontol. 2007;78(12):2311–8.PubMedCrossRef
21.
go back to reference Kobayashi T, Murasawa A, Ito S, Yamamoto K, Komatsu Y, Abe A, et al. Cytokine gene polymorphisms associated with rheumatoid arthritis and periodontitis in Japanese adults. J Periodontol. 2009;80(5):792–9.PubMedCrossRef Kobayashi T, Murasawa A, Ito S, Yamamoto K, Komatsu Y, Abe A, et al. Cytokine gene polymorphisms associated with rheumatoid arthritis and periodontitis in Japanese adults. J Periodontol. 2009;80(5):792–9.PubMedCrossRef
22.
go back to reference Sørensen LK, Havemose-Poulsen A, Søren SU, Bendtzen K, Holmstrup P. Blood cell gene expression profiling in subjects with aggressive periodontitis and chronic arthritis. J Periodontol. 2008;79(3):477–85.PubMedCrossRef Sørensen LK, Havemose-Poulsen A, Søren SU, Bendtzen K, Holmstrup P. Blood cell gene expression profiling in subjects with aggressive periodontitis and chronic arthritis. J Periodontol. 2008;79(3):477–85.PubMedCrossRef
23.
go back to reference Mori Y, Yoshimura A, Ukai T, Lien E, Espevik T, Hara Y. Immunohistochemical licalization of Toll-like receptors 2 and 4 in gingival tissue from patients with periodontits. Oral Microbiol Immunol. 2003;18(1):54–8.PubMedCrossRef Mori Y, Yoshimura A, Ukai T, Lien E, Espevik T, Hara Y. Immunohistochemical licalization of Toll-like receptors 2 and 4 in gingival tissue from patients with periodontits. Oral Microbiol Immunol. 2003;18(1):54–8.PubMedCrossRef
24.
go back to reference Iwahashi M, Yamamura M, Aita T, Okamoto A, Ueno A, Ogawa N, et al. Expression of Toll-like receptors 2 on CD16+ blood monocytes and synovial tissue macrophages in rheumatoid arthritis. Arthritis Rheum. 2004;50(5):1457–67.PubMedCrossRef Iwahashi M, Yamamura M, Aita T, Okamoto A, Ueno A, Ogawa N, et al. Expression of Toll-like receptors 2 on CD16+ blood monocytes and synovial tissue macrophages in rheumatoid arthritis. Arthritis Rheum. 2004;50(5):1457–67.PubMedCrossRef
25.
go back to reference Sørensen LK, Havemose-Poulsen A, Bendtzen K, Holmstrup P. Aggressive periodontitis and chronic arthritis: blood mononuclear cell gene expression and plasma protein levels of cytokines and cytokine inhibitors. J Periodontol. 2009;80(2):282–9.PubMedCrossRef Sørensen LK, Havemose-Poulsen A, Bendtzen K, Holmstrup P. Aggressive periodontitis and chronic arthritis: blood mononuclear cell gene expression and plasma protein levels of cytokines and cytokine inhibitors. J Periodontol. 2009;80(2):282–9.PubMedCrossRef
26.
go back to reference Wilson AG. Epigenetic regulation of gene expression in the inflammatory response and relevance to common diseases. J Periodontol. 2008;79(8 Suppl):1514–9.PubMedCrossRef Wilson AG. Epigenetic regulation of gene expression in the inflammatory response and relevance to common diseases. J Periodontol. 2008;79(8 Suppl):1514–9.PubMedCrossRef
27.
go back to reference Ishida K, Kobayashi T, Ito S, Komatsu Y, Yokoyama T, Okada M, et al. Interleukin-6 gene promoter methylation in rheumatoid arthritis and chronic periodontitis. J Periodontol. 2012;83(7):917–25.PubMedCrossRef Ishida K, Kobayashi T, Ito S, Komatsu Y, Yokoyama T, Okada M, et al. Interleukin-6 gene promoter methylation in rheumatoid arthritis and chronic periodontitis. J Periodontol. 2012;83(7):917–25.PubMedCrossRef
28.
go back to reference Yoshie H, Kobayashi T, Tai H, Galicia JC. The role of genetic polymorphisms in periodontitis. Periodontol 2000. 2007;43:102–32.PubMedCrossRef Yoshie H, Kobayashi T, Tai H, Galicia JC. The role of genetic polymorphisms in periodontitis. Periodontol 2000. 2007;43:102–32.PubMedCrossRef
29.
go back to reference Schäfer AS, Jepsen S, Loos BG. Periodontal genetics: a decade of genetic association studies mandates better study designs. J Clin Periodontol. 2011;38(2):103–7.PubMedCrossRef Schäfer AS, Jepsen S, Loos BG. Periodontal genetics: a decade of genetic association studies mandates better study designs. J Clin Periodontol. 2011;38(2):103–7.PubMedCrossRef
30.•
go back to reference Vaithilingam RD, Safii SH, Baharuddin NA, Ng CC, Cheong SC, Bartold PM, et al. Moving into a new era of periodontal genetic studies: relevance of large case-control samples using severe phenotypes for genome-wide association studies. J Periodont Res. 2014. doi:10.1111/jre.12167. This review excellently describes the problems faced and the lessons learned from the search for genetic risk variants of periodontitis.PubMed Vaithilingam RD, Safii SH, Baharuddin NA, Ng CC, Cheong SC, Bartold PM, et al. Moving into a new era of periodontal genetic studies: relevance of large case-control samples using severe phenotypes for genome-wide association studies. J Periodont Res. 2014. doi:10.​1111/​jre.​12167. This review excellently describes the problems faced and the lessons learned from the search for genetic risk variants of periodontitis.PubMed
31.
go back to reference Stahl EA, Raychaudhuri S, Remmers EF, Xie G, Eyre S, Thomson BP, et al. Genome-wide association study meta-analysis identifies seven new rheumatoid arthritis risk loci. Nat Genet. 2010;42(6):508–14.PubMedCentralPubMedCrossRef Stahl EA, Raychaudhuri S, Remmers EF, Xie G, Eyre S, Thomson BP, et al. Genome-wide association study meta-analysis identifies seven new rheumatoid arthritis risk loci. Nat Genet. 2010;42(6):508–14.PubMedCentralPubMedCrossRef
32.
go back to reference Okada Y, Terao C, Ikari K, Kochi Y, Ohumura K, Suzuki A, et al. Meta-analysis identifies nine new loci associated with rheumatoid arthritis in the Japanese population. Nat Genet. 2012;44(5):511–6.PubMedCrossRef Okada Y, Terao C, Ikari K, Kochi Y, Ohumura K, Suzuki A, et al. Meta-analysis identifies nine new loci associated with rheumatoid arthritis in the Japanese population. Nat Genet. 2012;44(5):511–6.PubMedCrossRef
33.
go back to reference Schaefer AS, Richter GM, Nothnagel M, Manke T, Dommisch H, Jacobs G, et al. A genome-wide association study identifies GLT6D1 as a susceptibility locus for periodontitis. Hum Mol Genet. 2010;19(3):553–62.PubMedCrossRef Schaefer AS, Richter GM, Nothnagel M, Manke T, Dommisch H, Jacobs G, et al. A genome-wide association study identifies GLT6D1 as a susceptibility locus for periodontitis. Hum Mol Genet. 2010;19(3):553–62.PubMedCrossRef
34.
go back to reference Divaris K, Monda KL, North KE, Olshan AF, Reynolds LM, Hsueh W-C, et al. Exploring the genetic basis of chronic periodontitis: a genome-wide association study. Hum Mol Genet. 2013;22(11):2312–24.PubMedCentralPubMedCrossRef Divaris K, Monda KL, North KE, Olshan AF, Reynolds LM, Hsueh W-C, et al. Exploring the genetic basis of chronic periodontitis: a genome-wide association study. Hum Mol Genet. 2013;22(11):2312–24.PubMedCentralPubMedCrossRef
35.
go back to reference Teumer A, Holtfreter B, Völker U, Petersmann A, Nauck M, Biffar R, et al. Genome-wide association study of chronic periodontitis in a general German population. J Clin Periodontol. 2013;40(11):977–85.PubMedCrossRef Teumer A, Holtfreter B, Völker U, Petersmann A, Nauck M, Biffar R, et al. Genome-wide association study of chronic periodontitis in a general German population. J Clin Periodontol. 2013;40(11):977–85.PubMedCrossRef
36.
go back to reference Garlet GP. Destructive and protective roles of cytokines in periodontitis: a re-appraisal from host defense and tissue destruction viewpoints. J Dent Res. 2010;89(12):1349–63.PubMedCrossRef Garlet GP. Destructive and protective roles of cytokines in periodontitis: a re-appraisal from host defense and tissue destruction viewpoints. J Dent Res. 2010;89(12):1349–63.PubMedCrossRef
38.
go back to reference McInnes IB, Schett G. Cytokines in the pathogenesis of rheumatoid arthritis. Nat Rev Immunol. 2007;7(6):429–42.PubMedCrossRef McInnes IB, Schett G. Cytokines in the pathogenesis of rheumatoid arthritis. Nat Rev Immunol. 2007;7(6):429–42.PubMedCrossRef
40.
go back to reference Pfizenmaier K, Wajant H, Grell M. Tumor necrosis factors in 1996. Cytokine Growth Factor Rev. 1996;7(3):271–7.PubMedCrossRef Pfizenmaier K, Wajant H, Grell M. Tumor necrosis factors in 1996. Cytokine Growth Factor Rev. 1996;7(3):271–7.PubMedCrossRef
42.
go back to reference Peschon JJ, Torrance DS, Stocking KL, Glaccum MB, Otten C, Willis CR, et al. TNF receptor-deficient mice reveal divergent roles for p55 and p75 in several models of inflammation. J Immunol. 1998;160(2):943–52.PubMed Peschon JJ, Torrance DS, Stocking KL, Glaccum MB, Otten C, Willis CR, et al. TNF receptor-deficient mice reveal divergent roles for p55 and p75 in several models of inflammation. J Immunol. 1998;160(2):943–52.PubMed
43.
go back to reference Graves DT, Oskoui M, Volejnikova G, Naguib G, Cai S, Desta T, et al. Tumor necrosis factor modulates fibroblast apoptosis, PMN recruitment, and osteoclast formation in response to P. gingivalis infection. J Dent Res. 2001;80(10):1875–9.PubMedCrossRef Graves DT, Oskoui M, Volejnikova G, Naguib G, Cai S, Desta T, et al. Tumor necrosis factor modulates fibroblast apoptosis, PMN recruitment, and osteoclast formation in response to P. gingivalis infection. J Dent Res. 2001;80(10):1875–9.PubMedCrossRef
44.
go back to reference Garlet GP, Cardoso CRB, Campanelli AP, Ferreira BR, Avila-Campos MJ, Cunha FQ, et al. The dual role of p55 tumor necrosis factor-α receptor in Actinobacillus actinomycetemcomitans-induced experimental periodontitis: host protection and tissue destruction. Clin Exp Immunol. 2007;147(1):128–38.PubMedCentralPubMed Garlet GP, Cardoso CRB, Campanelli AP, Ferreira BR, Avila-Campos MJ, Cunha FQ, et al. The dual role of p55 tumor necrosis factor-α receptor in Actinobacillus actinomycetemcomitans-induced experimental periodontitis: host protection and tissue destruction. Clin Exp Immunol. 2007;147(1):128–38.PubMedCentralPubMed
45.
go back to reference Gašperšič R, Štiblar-Martinčič D, Osredkar J, Skalerič U. Influence of subcutaneous administration of recombinant TNF-α on ligature-induced periodontitis in rats. J Periodont Res. 2003;38(2):198–203.PubMedCrossRef Gašperšič R, Štiblar-Martinčič D, Osredkar J, Skalerič U. Influence of subcutaneous administration of recombinant TNF-α on ligature-induced periodontitis in rats. J Periodont Res. 2003;38(2):198–203.PubMedCrossRef
46.
go back to reference Tervahartiala T, Koski H, Xu J-W, Häyrinen-Immonen R, Hietanen J, Sorsa T, et al. Tumor necrosis factor-alpha and its receptors, p55 and p75, in gingiva of adult periodontitis. J Dent Res. 2001;80(6):1535–9.PubMedCrossRef Tervahartiala T, Koski H, Xu J-W, Häyrinen-Immonen R, Hietanen J, Sorsa T, et al. Tumor necrosis factor-alpha and its receptors, p55 and p75, in gingiva of adult periodontitis. J Dent Res. 2001;80(6):1535–9.PubMedCrossRef
47.
go back to reference Kurtiş B, Tüter G, Serdar M, Akdemir P, Uygur C, Firatli E, et al. Gingival crevicular fluid levels of monocyte chemoattractant protein-1 and tumor necrosis factor-alpha in patients with chronic and aggressive periodontitis. J Periodontol. 2005;76(11):1849–55.PubMedCrossRef Kurtiş B, Tüter G, Serdar M, Akdemir P, Uygur C, Firatli E, et al. Gingival crevicular fluid levels of monocyte chemoattractant protein-1 and tumor necrosis factor-alpha in patients with chronic and aggressive periodontitis. J Periodontol. 2005;76(11):1849–55.PubMedCrossRef
48.
go back to reference Ikezawa I, Tai H, Shimada Y, Komatsu Y, Galicia JC, Yoshie H. Imbalance between soluble tumor necrosis factor receptors type 1 and 2 in chronic periodontitis. J Clin Periodontol. 2005;32(10):1047–54.PubMedCrossRef Ikezawa I, Tai H, Shimada Y, Komatsu Y, Galicia JC, Yoshie H. Imbalance between soluble tumor necrosis factor receptors type 1 and 2 in chronic periodontitis. J Clin Periodontol. 2005;32(10):1047–54.PubMedCrossRef
49.
go back to reference Havemose-Poulsen A, Sørensen LK, Stoltze K, Bendtzen K, Holmstrup P. Cytokine profiles in peripheral blood and whole blood cell cultures of patients associated with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2005;76(12):2276–85.PubMedCrossRef Havemose-Poulsen A, Sørensen LK, Stoltze K, Bendtzen K, Holmstrup P. Cytokine profiles in peripheral blood and whole blood cell cultures of patients associated with aggressive periodontitis, juvenile idiopathic arthritis, and rheumatoid arthritis. J Periodontol. 2005;76(12):2276–85.PubMedCrossRef
50.
go back to reference Kobayashi T, Murasawa A, Komatsu Y, Yokoyama T, Ishida K, Abe A, et al. Serum cytokine and periodontal profiles in relation to disease activity of rheumatoud arthritis in Japanese adults. J Periodontol. 2010;81(5):650–7.PubMedCrossRef Kobayashi T, Murasawa A, Komatsu Y, Yokoyama T, Ishida K, Abe A, et al. Serum cytokine and periodontal profiles in relation to disease activity of rheumatoud arthritis in Japanese adults. J Periodontol. 2010;81(5):650–7.PubMedCrossRef
51.
go back to reference Nilsson M, Kopp S. Gingivitis and periodontitis are related to repeated high levels of circulating tumor necrosis factor-alpha in patients with rheumatoid arthritis. J Periodontol. 2008;79(9):1689–96.PubMedCrossRef Nilsson M, Kopp S. Gingivitis and periodontitis are related to repeated high levels of circulating tumor necrosis factor-alpha in patients with rheumatoid arthritis. J Periodontol. 2008;79(9):1689–96.PubMedCrossRef
52.
go back to reference Kishimoto T. The biology of interleukin-6. Blood. 1995;74(1):1–10. Kishimoto T. The biology of interleukin-6. Blood. 1995;74(1):1–10.
53.
go back to reference Nishimoto N, Kishimoto T. Interleukin-6: from bench to bedside. Nat Rev Rheumatol. 2006;2(11):619–26. Nishimoto N, Kishimoto T. Interleukin-6: from bench to bedside. Nat Rev Rheumatol. 2006;2(11):619–26.
54.
go back to reference Yamasaki K, Taga T, Hirata Y, Yawata H, Kawanishi Y, Seed B, et al. Cloning and expression of the human interleukin-6 (BSN-2/IFNβ 2) receptor. Science. 1988;241(4867):825–28.PubMedCrossRef Yamasaki K, Taga T, Hirata Y, Yawata H, Kawanishi Y, Seed B, et al. Cloning and expression of the human interleukin-6 (BSN-2/IFNβ 2) receptor. Science. 1988;241(4867):825–28.PubMedCrossRef
55.
go back to reference Taga T, Hibi M, Hirata Y, Yamasaki K, Yasukawa K, Matsuda T, et al. Interleukin-6 triggers the association of its receptor with a possible signal transducer, gp130. Cell. 1989;58(3):573–81.PubMedCrossRef Taga T, Hibi M, Hirata Y, Yamasaki K, Yasukawa K, Matsuda T, et al. Interleukin-6 triggers the association of its receptor with a possible signal transducer, gp130. Cell. 1989;58(3):573–81.PubMedCrossRef
56.
go back to reference Hibi M, Murakami M, Saito M, Hirano T, Taga T, Kishimoto T. Molecular cloning and expression of an IL-6 signal transducer, gp130. Cell. 1990;63(6):1149–57.PubMedCrossRef Hibi M, Murakami M, Saito M, Hirano T, Taga T, Kishimoto T. Molecular cloning and expression of an IL-6 signal transducer, gp130. Cell. 1990;63(6):1149–57.PubMedCrossRef
57.
go back to reference Irwin CR, Myrillas TT. The role of IL-6 in the pathogenesis of periodontal disease. Oral Dis. 1988;4(1):43–7.CrossRef Irwin CR, Myrillas TT. The role of IL-6 in the pathogenesis of periodontal disease. Oral Dis. 1988;4(1):43–7.CrossRef
58.•
go back to reference Nibali L, Fedele S, D’Aiuto F, Donos N. Interleukin-6 in oral diseases: a review. Oral Dis. 2012;18(3):236–43. This review excellently describes the pathologic role of IL-6 and its genetic components in oral diseases, and addresses the possible efficacy of therapeutic strategies based on IL-6 inhibition on inflammatory diseases.PubMedCrossRef Nibali L, Fedele S, D’Aiuto F, Donos N. Interleukin-6 in oral diseases: a review. Oral Dis. 2012;18(3):236–43. This review excellently describes the pathologic role of IL-6 and its genetic components in oral diseases, and addresses the possible efficacy of therapeutic strategies based on IL-6 inhibition on inflammatory diseases.PubMedCrossRef
59.
go back to reference Fujihashi K, Beagley KW, Kono Y, Aicher WK, Yamamoto M, DiFabio S, et al. Gingival mononuclear cells from chronic inflammatory periodontal tissue produce interleukin (IL)-5 and IL-6 but not IL-2 and IL-4. Am J Pathol. 1993;142(4):1239–50.PubMedCentralPubMed Fujihashi K, Beagley KW, Kono Y, Aicher WK, Yamamoto M, DiFabio S, et al. Gingival mononuclear cells from chronic inflammatory periodontal tissue produce interleukin (IL)-5 and IL-6 but not IL-2 and IL-4. Am J Pathol. 1993;142(4):1239–50.PubMedCentralPubMed
60.
go back to reference Takahashi K, Takashiba S, Nagai A, Takigawa M, Myoukai F, Kurihara H, et al. Assessment of interleukin-6 in the pathogenesis of periodontal disease. J Periodontol. 1994;65(2):147–53.PubMedCrossRef Takahashi K, Takashiba S, Nagai A, Takigawa M, Myoukai F, Kurihara H, et al. Assessment of interleukin-6 in the pathogenesis of periodontal disease. J Periodontol. 1994;65(2):147–53.PubMedCrossRef
61.
go back to reference Naruishi K, Takashiba S, Chou H-H, Arai H, Nishimura F, Murayama Y. Role of souble interleukin-6 receptor in inflamed gingiva for binding of interleukin-6 to gingival fibroblasts. J Periodont Res. 1999;34(6):296–300.PubMedCrossRef Naruishi K, Takashiba S, Chou H-H, Arai H, Nishimura F, Murayama Y. Role of souble interleukin-6 receptor in inflamed gingiva for binding of interleukin-6 to gingival fibroblasts. J Periodont Res. 1999;34(6):296–300.PubMedCrossRef
62.
go back to reference Yamaji Y, Kubota T, Sasaguri K, Sato S, Suzuki Y, Kumada H, et al. Inflammatory cytokine gene expression in human periodontal ligament fibroblasts stimulated with bacterial lipopolysaccharides. Infect Immun. 1995;63(9):3576–81.PubMedCentralPubMed Yamaji Y, Kubota T, Sasaguri K, Sato S, Suzuki Y, Kumada H, et al. Inflammatory cytokine gene expression in human periodontal ligament fibroblasts stimulated with bacterial lipopolysaccharides. Infect Immun. 1995;63(9):3576–81.PubMedCentralPubMed
63.
go back to reference Dongari-Bagtzoglou AI, Ebersole JL. Increased presence of interleukin-6 (IL-6) and IL-8 secreting fibroblast subpopulations in adult periodontitis. J Periodontol. 1998;69(8):899–910.PubMedCrossRef Dongari-Bagtzoglou AI, Ebersole JL. Increased presence of interleukin-6 (IL-6) and IL-8 secreting fibroblast subpopulations in adult periodontitis. J Periodontol. 1998;69(8):899–910.PubMedCrossRef
64.
go back to reference Belibasakis GN, Johansson A, Wang Y, Chen C, Lagergård T, Kalfas S, et al. Cytokine responses of human gingival fibroblasts to Actinobacillus actinomycetemcomitans cytolethal distending toxin. Cytokine. 2005;30(2):56–63.PubMedCrossRef Belibasakis GN, Johansson A, Wang Y, Chen C, Lagergård T, Kalfas S, et al. Cytokine responses of human gingival fibroblasts to Actinobacillus actinomycetemcomitans cytolethal distending toxin. Cytokine. 2005;30(2):56–63.PubMedCrossRef
65.
go back to reference Geivelis M, Turner DW, Pederson ED, Lamberts BL. Measurements of interleukin-6 in gingival crevicular fluid from adults with destructive periodontal disease. J Periodontol. 1993;64(10):980–3.PubMedCrossRef Geivelis M, Turner DW, Pederson ED, Lamberts BL. Measurements of interleukin-6 in gingival crevicular fluid from adults with destructive periodontal disease. J Periodontol. 1993;64(10):980–3.PubMedCrossRef
66.
go back to reference Lee HJ, Kang IK, Chung CP, Choi SM. The subgingival microflora and gingival crevicular fluid cytokines in refractory periodontitis. J Clin Periodontol. 1995;22(11):885–90.PubMedCrossRef Lee HJ, Kang IK, Chung CP, Choi SM. The subgingival microflora and gingival crevicular fluid cytokines in refractory periodontitis. J Clin Periodontol. 1995;22(11):885–90.PubMedCrossRef
67.
go back to reference Costa PP, Trevisan GL, Macedo GO, Palioto DB, Souza SLS, Grisi MFM, et al. Salivary interleukin-6, matrix metalloproteinase-8, and osteoprotegrin in patients with periodontitis and diabetes. J Periodontol. 2010;81(3):384–91.PubMedCrossRef Costa PP, Trevisan GL, Macedo GO, Palioto DB, Souza SLS, Grisi MFM, et al. Salivary interleukin-6, matrix metalloproteinase-8, and osteoprotegrin in patients with periodontitis and diabetes. J Periodontol. 2010;81(3):384–91.PubMedCrossRef
68.
go back to reference Shimada Y, Komatsu Y, Ikezawa-Suzuki I, Tai H, Sugita N, Yoshie H. The effect of periodontal treatment on serum leptin, interleukin-6, and C-reactive protein. J Periodontol. 2010;81(8):1118–23.PubMedCrossRef Shimada Y, Komatsu Y, Ikezawa-Suzuki I, Tai H, Sugita N, Yoshie H. The effect of periodontal treatment on serum leptin, interleukin-6, and C-reactive protein. J Periodontol. 2010;81(8):1118–23.PubMedCrossRef
69.
go back to reference D’Aiuto F, Parkar M, Andreou G, Suvan J, Brett PM, Ready D, et al. Periodontitis and systemic inflammation: control of the local infection is associated with a reduction in serum inflammatory markers. J Dent Res. 2004;83(2):156–60.PubMedCrossRef D’Aiuto F, Parkar M, Andreou G, Suvan J, Brett PM, Ready D, et al. Periodontitis and systemic inflammation: control of the local infection is associated with a reduction in serum inflammatory markers. J Dent Res. 2004;83(2):156–60.PubMedCrossRef
70.
go back to reference D’Aiuto F, Nibali L, Parkar M, Suvan J, Tonetti MS. Short-term effects of intensive periodontal therapy on serum inflammatory markers and cholesterol. J Dent Res. 2005;84(3):269–73.PubMedCrossRef D’Aiuto F, Nibali L, Parkar M, Suvan J, Tonetti MS. Short-term effects of intensive periodontal therapy on serum inflammatory markers and cholesterol. J Dent Res. 2005;84(3):269–73.PubMedCrossRef
71.
go back to reference Bozkurt FY, Berker E, Akkuş S, Bulut Ş. Relationship between interleukin-6 levels in gingival crevicular fluid and periodontal status in patients with rheumatoid arthritis and adult periodontitis. J Periodontol. 2000;71(11):1756–60.PubMedCrossRef Bozkurt FY, Berker E, Akkuş S, Bulut Ş. Relationship between interleukin-6 levels in gingival crevicular fluid and periodontal status in patients with rheumatoid arthritis and adult periodontitis. J Periodontol. 2000;71(11):1756–60.PubMedCrossRef
72.•
go back to reference Ma X, Xu S. TNF inhibitor therapy for rheumatoid arthritis. Biomed Rep. 2013;1(2):177–84. This review excellently addresses the latest developments of TNF inhibitors in the treatment of RA.PubMedCentralPubMed Ma X, Xu S. TNF inhibitor therapy for rheumatoid arthritis. Biomed Rep. 2013;1(2):177–84. This review excellently addresses the latest developments of TNF inhibitors in the treatment of RA.PubMedCentralPubMed
73.
go back to reference Patel AM, Moreland LW. Interleukin-6 inhibition for treatment of rheumatoid arthritis: a review of tocilizumab therapy. Drug Des Dev Ther. 2010;1(4):263–78. Patel AM, Moreland LW. Interleukin-6 inhibition for treatment of rheumatoid arthritis: a review of tocilizumab therapy. Drug Des Dev Ther. 2010;1(4):263–78.
74.
go back to reference Assuma R, Oates T, Cochran D, Amar S, Graves DT. IL-1 and TNF antagonists inhibit the inflammatory response and bone loss in experimental periodontitis. J Immunol. 1998;160(1):403–9.PubMed Assuma R, Oates T, Cochran D, Amar S, Graves DT. IL-1 and TNF antagonists inhibit the inflammatory response and bone loss in experimental periodontitis. J Immunol. 1998;160(1):403–9.PubMed
75.
go back to reference Graves DT, Delima AJ, Assuma R, Amar S, Oates T, Cochran D. Interleukin-1 and tumor necrosis factor antagonists inhibit the progression of inflammatory cell infiltration toward alveolar bone in experimental periodontitis. J Periodontol. 1998;69(12):1419–25.PubMedCrossRef Graves DT, Delima AJ, Assuma R, Amar S, Oates T, Cochran D. Interleukin-1 and tumor necrosis factor antagonists inhibit the progression of inflammatory cell infiltration toward alveolar bone in experimental periodontitis. J Periodontol. 1998;69(12):1419–25.PubMedCrossRef
76.
go back to reference Delima AJ, Oates T, Assuma R, Schwartz Z, Cochran D, Amar S, et al. Soluble antagonists to interleukin-1 (IL-1) and tumor necrosis factor (TNF) inhibits loss of tissue attachment in experimental periodontitis. J Clin Periodontol. 2001;28(3):233–40.PubMedCrossRef Delima AJ, Oates T, Assuma R, Schwartz Z, Cochran D, Amar S, et al. Soluble antagonists to interleukin-1 (IL-1) and tumor necrosis factor (TNF) inhibits loss of tissue attachment in experimental periodontitis. J Clin Periodontol. 2001;28(3):233–40.PubMedCrossRef
77.
go back to reference Zhang X, Kohli M, Zhou Q, Graves DT, Amar S. Short- and long-term effects of IL-1 and TNF antagonists on periodontal wound healing. J Immunol. 2004;173(5):3514–23.PubMedCrossRef Zhang X, Kohli M, Zhou Q, Graves DT, Amar S. Short- and long-term effects of IL-1 and TNF antagonists on periodontal wound healing. J Immunol. 2004;173(5):3514–23.PubMedCrossRef
78.
go back to reference Takano M, Nishihara R, Sugano N, Matsumoto K, Yamada Y, Takane M, et al. The effect of systemic anti-tumor necrosis factor-alpha treatment on Porphyromonas gingivalis infection in type 2 diabetic mice. Arch Oral Biol. 2010;55(5):379–84.PubMedCrossRef Takano M, Nishihara R, Sugano N, Matsumoto K, Yamada Y, Takane M, et al. The effect of systemic anti-tumor necrosis factor-alpha treatment on Porphyromonas gingivalis infection in type 2 diabetic mice. Arch Oral Biol. 2010;55(5):379–84.PubMedCrossRef
79.
go back to reference Takano M, Sugano N, Mochizuki S, Koshi RN, Narukawa TS, Sawamoto Y, et al. Hepatocyte produce tumor necrosis factor-α and interleukin-6 in response to Porphyromonas gingivalis. J Periodont Res. 2012;47(1):89–94.PubMedCrossRef Takano M, Sugano N, Mochizuki S, Koshi RN, Narukawa TS, Sawamoto Y, et al. Hepatocyte produce tumor necrosis factor-α and interleukin-6 in response to Porphyromonas gingivalis. J Periodont Res. 2012;47(1):89–94.PubMedCrossRef
80.
go back to reference Pers J-O, Saraux A, Pierre R, Youinou P. Anti-TNF-α immunotherapy is associated with increased gingival inflammation without clinical attachment loss in subjects with rheumatoid arthritis. J Periodontol. 2008;79(9):1645–51.PubMedCrossRef Pers J-O, Saraux A, Pierre R, Youinou P. Anti-TNF-α immunotherapy is associated with increased gingival inflammation without clinical attachment loss in subjects with rheumatoid arthritis. J Periodontol. 2008;79(9):1645–51.PubMedCrossRef
81.
go back to reference Ortiz P, Bissada NF, Palomo L, Han YW, Al-Zahrani MS, Panneerselvam A, et al. Periodontal therapy reduces the severity of active rheumatoid arthritis in patients treated with or without tumor necrosis factor inhibitors. J Periodontol. 2009;80(4):535–40.PubMedCentralPubMedCrossRef Ortiz P, Bissada NF, Palomo L, Han YW, Al-Zahrani MS, Panneerselvam A, et al. Periodontal therapy reduces the severity of active rheumatoid arthritis in patients treated with or without tumor necrosis factor inhibitors. J Periodontol. 2009;80(4):535–40.PubMedCentralPubMedCrossRef
82.
go back to reference Mayer Y, Balbir-Gurman A, Machtei EE. Anti-tumor necrosis factor-alpha therapy and periodontal parameters in patients with rheumatoid arthritis. J Periodontol. 2009;80(9):1414–20.PubMedCrossRef Mayer Y, Balbir-Gurman A, Machtei EE. Anti-tumor necrosis factor-alpha therapy and periodontal parameters in patients with rheumatoid arthritis. J Periodontol. 2009;80(9):1414–20.PubMedCrossRef
83.
go back to reference Mayer Y, Elimelech R, Balbir-Gurman A, Braun-Moscovici Y, Machtei EE. Periodontal condition of patients with autoimmune diseases and the effect of anti-tumor necrosis factor-α therapy. J Periodontol. 2013;84(2):136–42.PubMedCrossRef Mayer Y, Elimelech R, Balbir-Gurman A, Braun-Moscovici Y, Machtei EE. Periodontal condition of patients with autoimmune diseases and the effect of anti-tumor necrosis factor-α therapy. J Periodontol. 2013;84(2):136–42.PubMedCrossRef
84.
go back to reference Üstün K, Erciyas K, Kısacık B, Sezer U, Pehilivan Y, Öztuzcu S, et al. Host modulation in rheumatoid arthritis patients with TNF blockers significantly decreases biochemical parameters in periodontitis. Inflammation. 2013;36(5):1171–7.PubMedCrossRef Üstün K, Erciyas K, Kısacık B, Sezer U, Pehilivan Y, Öztuzcu S, et al. Host modulation in rheumatoid arthritis patients with TNF blockers significantly decreases biochemical parameters in periodontitis. Inflammation. 2013;36(5):1171–7.PubMedCrossRef
85.
go back to reference Kobayashi T, Yokoyama T, Ito S, Kobayashi D, Yamagata A, Okada M, et al. Periodontal and serum protein profiles in patients with rheumatoid arthritis treated with tumor necrosis factor inhibitor adalimumab. J Periodontol. 2014; 85(11):1480–8. doi:10.1902/jop.2014.140194. Kobayashi T, Yokoyama T, Ito S, Kobayashi D, Yamagata A, Okada M, et al. Periodontal and serum protein profiles in patients with rheumatoid arthritis treated with tumor necrosis factor inhibitor adalimumab. J Periodontol. 2014; 85(11):1480–8. doi:10.​1902/​jop.​2014.​140194.
86.••
go back to reference Kobayashi T, Okada M, Ito S, Kobayashi D, Ishida K, Kojima A, et al. Assessment of interleukin-6 receptor inhibition therapy on periodontal condition in patients with rheumatoid arthritis and chronic periodontitis. J Periodontol. 2014;85(1):57–67. This is the first study to demonstrate the efficacy of IL-6R inhibition therapy on periodontal inflammatory condition in patients with RA.PubMedCrossRef Kobayashi T, Okada M, Ito S, Kobayashi D, Ishida K, Kojima A, et al. Assessment of interleukin-6 receptor inhibition therapy on periodontal condition in patients with rheumatoid arthritis and chronic periodontitis. J Periodontol. 2014;85(1):57–67. This is the first study to demonstrate the efficacy of IL-6R inhibition therapy on periodontal inflammatory condition in patients with RA.PubMedCrossRef
Metadata
Title
Host Responses in the Link Between Periodontitis and Rheumatoid Arthritis
Authors
Tetsuo Kobayashi
Hiromasa Yoshie
Publication date
01-03-2015
Publisher
Springer International Publishing
Published in
Current Oral Health Reports / Issue 1/2015
Electronic ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-014-0039-2

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