Genetic Susceptibility Contributing to Periodontal and Cardiovascular Disease
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Genetic Susceptibility Contributing to Periodontal and Cardiovascular Disease. / Aarabi, G; Zeller, Tanja; Seedorf, H; Reissmann, D R; Heydecke, G; Schaefer, A S; Seedorf, U.
in: J DENT RES, Jahrgang 96, Nr. 6, 06.2017, S. 610-617.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Genetic Susceptibility Contributing to Periodontal and Cardiovascular Disease
AU - Aarabi, G
AU - Zeller, Tanja
AU - Seedorf, H
AU - Reissmann, D R
AU - Heydecke, G
AU - Schaefer, A S
AU - Seedorf, U
PY - 2017/6
Y1 - 2017/6
N2 - Periodontal disease (PD) and coronary artery disease (CAD) are common diseases characterized by an overaggressive inflammatory response to diverse stimuli. Whereas PD leads to destruction of the tooth-supporting structures, CAD is a chronic inflammatory condition ultimately causing myocardial infarction via narrowing and occluding of blood vessels. Classical twin studies led to the conclusion that both complex diseases have a similar degree of heritability and that a significant fraction of the genetic factors accounting for this heritability is shared. Recent genome-wide association and large-scale candidate gene studies highlight that variations in >50 genes are associated with premature CAD, while variations in only 4 genes showing nominally significant associations with aggressive periodontitis and/or chronic periodontitis have so far been identified. Remarkably, 3 of the PD loci (75%) show shared associations with CAD ( ANRIL/CDKN2B-AS1, PLG, CAMTA1/VAMP3), suggesting involvement of common pathogenic mechanisms. In this critical review, we highlight recent progress in identifying genetic markers and variants associated with PD, present their overlap with CAD, and discuss functional aspects. In addition, we answer why a significant fraction of the heritability of PD is still missing, and we suggest approaches that may be taken to close the gap.
AB - Periodontal disease (PD) and coronary artery disease (CAD) are common diseases characterized by an overaggressive inflammatory response to diverse stimuli. Whereas PD leads to destruction of the tooth-supporting structures, CAD is a chronic inflammatory condition ultimately causing myocardial infarction via narrowing and occluding of blood vessels. Classical twin studies led to the conclusion that both complex diseases have a similar degree of heritability and that a significant fraction of the genetic factors accounting for this heritability is shared. Recent genome-wide association and large-scale candidate gene studies highlight that variations in >50 genes are associated with premature CAD, while variations in only 4 genes showing nominally significant associations with aggressive periodontitis and/or chronic periodontitis have so far been identified. Remarkably, 3 of the PD loci (75%) show shared associations with CAD ( ANRIL/CDKN2B-AS1, PLG, CAMTA1/VAMP3), suggesting involvement of common pathogenic mechanisms. In this critical review, we highlight recent progress in identifying genetic markers and variants associated with PD, present their overlap with CAD, and discuss functional aspects. In addition, we answer why a significant fraction of the heritability of PD is still missing, and we suggest approaches that may be taken to close the gap.
KW - Journal Article
U2 - 10.1177/0022034517699786
DO - 10.1177/0022034517699786
M3 - SCORING: Journal article
C2 - 28530468
VL - 96
SP - 610
EP - 617
JO - J DENT RES
JF - J DENT RES
SN - 0022-0345
IS - 6
ER -
