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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2019

Open Access 01-12-2019 | Arterial Occlusive Disease | Research article

Association between human T cell leukemia virus 1 (HTLV-1) infection and advanced periodontitis in relation to hematopoietic activity among elderly participants: a cross-sectional study

Authors: Yuji Shimizu, Hirotomo Yamanashi, Masayasu Kitamura, Reiko Furugen, Takahiro Iwasaki, Hideki Fukuda, Hideaki Hayashida, Koji Kawasaki, Kairi Kiyoura, Shin-Ya Kawashiri, Toshiyuki Saito, Atsushi Kawakami, Takahiro Maeda

Published in: Environmental Health and Preventive Medicine | Issue 1/2019

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Abstract

Background

We reported that human T cell leukemia virus 1 (HTLV-1) infection is positively associated with atherosclerosis. Recent evidence has revealed a close association of periodontitis with atherosclerosis, endothelial dysfunction, and disruption of the microcirculation. However, the association between HTLV-1 and advanced periodontitis has not been investigated to date. Since hematopoietic activity is closely linked to endothelial maintenance activity and is known to decline with age, we hypothesized that the state of hematopoietic activity influenced the association between HTLV-1 and advanced periodontitis in elderly participants.

Methods

A cross-sectional study was performed including 822 elderly participants aged 60–99 years who participated in a dental health check-up. Advanced periodontitis was defined as a periodontal pocket ≥ 6.0 mm. Participants were classified as having low or high hematopoietic activity according to the median values of reticulocytes.

Results

HTLV-1 infection was positively related to advanced periodontitis among participants with lower hematopoietic activity (lower reticulocyte count), but not among participants with higher hematopoietic activity (higher reticulocyte count). The adjusted odds ratio (95% confidence interval) considering potential confounding factors was 1.92 (1.05–3.49) for participants with a lower reticulocyte count and 0.69 (0.35–1.36) for participants with a higher reticulocyte count.

Conclusions

Among elderly participants, the association between HTLV-1 infection and advanced periodontitis is influenced by hematopoietic activity. Since hematopoietic activity is associated with endothelial maintenance, these findings provide an efficient tool for clarifying the underlying mechanism of the progression of periodontitis among elderly participants.
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Metadata
Title
Association between human T cell leukemia virus 1 (HTLV-1) infection and advanced periodontitis in relation to hematopoietic activity among elderly participants: a cross-sectional study
Authors
Yuji Shimizu
Hirotomo Yamanashi
Masayasu Kitamura
Reiko Furugen
Takahiro Iwasaki
Hideki Fukuda
Hideaki Hayashida
Koji Kawasaki
Kairi Kiyoura
Shin-Ya Kawashiri
Toshiyuki Saito
Atsushi Kawakami
Takahiro Maeda
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2019
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-019-0796-6

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