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Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?

Periodontal disease and inflammatory bowel disease (IBD) are both chronic inflammatory diseases. Their pathogenesis is mediated by a complex interplay between a dysbiotic microbiota and the host immune-inflammatory response, and both are influenced by genetic and environmental factors. This review a...

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Autores principales: Lira-Junior, Ronaldo, Figueredo, Carlos Marcelo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028810/
https://www.ncbi.nlm.nih.gov/pubmed/27672291
http://dx.doi.org/10.3748/wjg.v22.i35.7963
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author Lira-Junior, Ronaldo
Figueredo, Carlos Marcelo
author_facet Lira-Junior, Ronaldo
Figueredo, Carlos Marcelo
author_sort Lira-Junior, Ronaldo
collection PubMed
description Periodontal disease and inflammatory bowel disease (IBD) are both chronic inflammatory diseases. Their pathogenesis is mediated by a complex interplay between a dysbiotic microbiota and the host immune-inflammatory response, and both are influenced by genetic and environmental factors. This review aimed to provide an overview of the evidence dealing with a possible pathogenic interaction between periodontal disease and IBD. There seems to be an increased prevalence of periodontal disease in patients with IBD when compared to healthy controls, probably due to changes in the oral microbiota and a higher inflammatory response. Moreover, the induction of periodontitis seems to result in gut dysbiosis and altered gut epithelial cell barrier function, which might contribute to the pathogenesis of IBD. Considering the complexity of both periodontal disease and IBD, it is very challenging to understand the possible pathways involved in their coexistence. In conclusion, this review points to a complex pathogenic interaction between periodontal disease and IBD, in which one disease might alter the composition of the microbiota and increase the inflammatory response related to the other. However, we still need more data derived from human studies to confirm results from murine models. Thus, mechanistic studies are definitely warranted to clarify this possible bidirectional association.
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spelling pubmed-50288102016-09-27 Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions? Lira-Junior, Ronaldo Figueredo, Carlos Marcelo World J Gastroenterol Review Periodontal disease and inflammatory bowel disease (IBD) are both chronic inflammatory diseases. Their pathogenesis is mediated by a complex interplay between a dysbiotic microbiota and the host immune-inflammatory response, and both are influenced by genetic and environmental factors. This review aimed to provide an overview of the evidence dealing with a possible pathogenic interaction between periodontal disease and IBD. There seems to be an increased prevalence of periodontal disease in patients with IBD when compared to healthy controls, probably due to changes in the oral microbiota and a higher inflammatory response. Moreover, the induction of periodontitis seems to result in gut dysbiosis and altered gut epithelial cell barrier function, which might contribute to the pathogenesis of IBD. Considering the complexity of both periodontal disease and IBD, it is very challenging to understand the possible pathways involved in their coexistence. In conclusion, this review points to a complex pathogenic interaction between periodontal disease and IBD, in which one disease might alter the composition of the microbiota and increase the inflammatory response related to the other. However, we still need more data derived from human studies to confirm results from murine models. Thus, mechanistic studies are definitely warranted to clarify this possible bidirectional association. Baishideng Publishing Group Inc 2016-09-21 2016-09-21 /pmc/articles/PMC5028810/ /pubmed/27672291 http://dx.doi.org/10.3748/wjg.v22.i35.7963 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Review
Lira-Junior, Ronaldo
Figueredo, Carlos Marcelo
Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title_full Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title_fullStr Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title_full_unstemmed Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title_short Periodontal and inflammatory bowel diseases: Is there evidence of complex pathogenic interactions?
title_sort periodontal and inflammatory bowel diseases: is there evidence of complex pathogenic interactions?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028810/
https://www.ncbi.nlm.nih.gov/pubmed/27672291
http://dx.doi.org/10.3748/wjg.v22.i35.7963
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