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Ospina-Ch MV, Acevedo-Godoy M, Perdomo SJ, Chila-Moreno L, Lafaurie GI, Romero-Sánchez C. Gene variants for the WNT pathway are associated with severity in periodontal disease. Clin Oral Investig 2024; 28:135. [PMID: 38319382 PMCID: PMC10847211 DOI: 10.1007/s00784-023-05436-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 11/20/2023] [Indexed: 02/07/2024]
Abstract
OBJECTIVE Studies of Wnt variants-related to bone resorption in periodontitis are limited. The aim of this study was to establish the genotype and allele frequency of gene variants associated with the Wnt pathway in systemically healthy individuals with and without periodontitis (PD). MATERIALS AND METHODS One hundred fifty-seven systemically healthy individuals were evaluated, 90 with PD and 67 without PD. Periodontal clinical indexes, serological and clinical indices of inflammation, and the following variants associated with the Wnt pathway: DKK, SOST, LRP5, and KREMEN were analyzed by high resolution melting and confirmed by Sanger sequencing. RESULTS In the PD-free group, 67.2% of the individuals presented the variant for DKKrs1896367 (p = 0.008) and 82.6% had the variant for KREMEN rs132274 (p = 0.016). The heterozygous variant for the DKK rs1896367 polymorphism was associated with the absence of PD and lower severity OR: 0.33 (CI95% 0.15-0.70) and OR: 0.24 (CI95% 0.11-0.53), respectively. Similarly, KREMEN rs132274 was the homozygous variant associated with the absence of PD (OR: 0.33 (CI95% 0.13-0.88)). On the contrary, 85.6% of individuals with PD presented a variant for DKK rs1896368 (p = 0.042), all suffering severe forms of periodontitis. CONCLUSION The presence of DKKrs1896367 and KREMENrs132274 variants in individuals without PD suggests that these single nucleotide polymorphisms could be protective factors for bone loss in PD. A very interesting finding is that the DKKrs1896368 variant was found in a high percentage of severe cases, suggesting that the presence of this variant may be related to the severe bone loss observed in PD.
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Affiliation(s)
- María-Victoria Ospina-Ch
- School of Dentistry, Periodontics and Oral Medicine Program, Universidad El Bosque, Av. Cra. 9 #131A-02, Bogotá, Colombia
| | - Mónica Acevedo-Godoy
- Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Transversal 3ª # 49-00, Bogotá, Colombia
- Universidad El Bosque, Facultad de Ciencias, Maestría de Ciencias Básicas Biomédicas, Av. Cra. 9 #131A-02, Bogotá, Colombia
| | - Sandra J Perdomo
- School of Dentistry, Cellular and Molecular Immunology Group/ INMUBO, Universidad El Bosque, Av. Cra 9 No. 131 A-02, Bogotá, Colombia
| | - Lorena Chila-Moreno
- Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Transversal 3ª # 49-00, Bogotá, Colombia
- School of Dentistry, Cellular and Molecular Immunology Group/ INMUBO, Universidad El Bosque, Av. Cra 9 No. 131 A-02, Bogotá, Colombia
| | - Gloria I Lafaurie
- Universidad El Bosque, School of Dentistry, Unit of Oral Basic Investigation, UIBO Av. Cra. 9 #131A-02, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- School of Dentistry, Periodontics and Oral Medicine Program, Universidad El Bosque, Av. Cra. 9 #131A-02, Bogotá, Colombia.
- Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Transversal 3ª # 49-00, Bogotá, Colombia.
- School of Dentistry, Cellular and Molecular Immunology Group/ INMUBO, Universidad El Bosque, Av. Cra 9 No. 131 A-02, Bogotá, Colombia.
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Meneses-Toro MA, Calixto OJ, Parra-Izquierdo V, Flórez-Sarmiento C, de-Quiroga JDÁ, Ramos-Casallas A, Chila-Moreno L, Bello-Gualtero JM, Bautista-Molano W, Romero-Sanchez C. [HLA genotypes associated with gastrointestinal symptoms in patients with spondyloarthritis without inflammatory bowel disease]. Rev Alerg Mex 2024; 71:66. [PMID: 38683083 DOI: 10.29262/ram.v71i1.1371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2024] Open
Abstract
OBJECTIVE This study aimed to establish the association between HLA-A, B, DR genotypes and gastrointestinal variables in patients with SpA without inflammatory bowel disease (IBD). METHODS Retrospective study of 91 patients with SpA and 401 healthy controls, with typing by Illumina Sequencing/PacBio and LIFECODES HLA-PCR/SSO multiplex sequencing technology. The presence of gastrointestinal symptoms was evaluated by administering a survey, and those who presented 2 or more symptoms were taken for clinical evaluation by rheumatology and gastroenterology, colonoscopy and histopathological study. (Ethics committee approval). RESULTS The 59,3% of the patients were men, with a mean age of 43,9±11.4 years; 80,2% were classified as ankylosing spondylitis. 14, 28 and 19 genotypes for the HLA-A*, HLA-B* and HLA-DR* loci were identified in both groups, of which a relationship with gastrointestinal symptoms was identified: A*26, A*29 and B*27 were associated to abdominal pain, DRB1*11 and DRB1*16 with abdominal distention, A*30, B*38, DRB1*13 and DRB1*14 with weight loss, B*40 with diarrhea >4 weeks, and presence of mucus in the stools with A*02 and DRB1*11 (p<0.05). Furthermore, the presence of B*15 had a statistical relationship with intolerance to some food, highlighting the B*27 genotype in relation to grains and dairy products, A*23 with grains, vegetables and meats, and B*49 with vegetables and dairy (p<0.05). Regarding the endoscopic variables, macroscopic changes were found in the ileum mucosa related to A*02, B*48, DRB1*14 and the relationship between B*27 and ulcers at this level should be highlighted. Macroscopic changes in the sigmoid colon with B*48 and the rectum with A*30. In microscopic changes, inflammatory alterations of the ileum are mentioned with genotypes DRB1*07, DRB1*13 and DRB1*14, a genotype that is related to changes in the ileum both endoscopically and histologically (p<0.05). CONCLUSIONS These findings indicate a potential genetic predisposition related to HLA genotypes that may increase the likelihood of food intolerance, gastrointestinal symptoms, and even visible and microscopic changes, specifically in the ileal tissue. The study highlights the presence of B*27 and other noteworthy HLA class I and class II genes (such as DRB1*14) in the diverse Colombian population.
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Affiliation(s)
- Maria Alejandra Meneses-Toro
- Hospital Militar Central, Rheumatology and Immunology Department, Clinical Immunology Group, Bogotá, Colombia.
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
| | - Omar Javier Calixto
- Hospital Militar Central, Rheumatology and Immunology Department, Clinical Immunology Group, Bogotá, Colombia
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
| | - Viviana Parra-Izquierdo
- Gastroadvanced IPS, Bogotá, Colombia
- Universidad El Bosque, Cellular and Molecular Immunology Group, INMUBO, Bogotá, Colombia
| | - Cristian Flórez-Sarmiento
- Gastroadvanced IPS, Bogotá, Colombia
- Universidad El Bosque, Cellular and Molecular Immunology Group, INMUBO, Bogotá, Colombia
| | | | | | - Lorena Chila-Moreno
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
- Universidad El Bosque, Cellular and Molecular Immunology Group, INMUBO, Bogotá, Colombia
| | - Juan Manuel Bello-Gualtero
- Hospital Militar Central, Rheumatology and Immunology Department, Clinical Immunology Group, Bogotá, Colombia
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
| | - Wilson Bautista-Molano
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
- Universidad El Bosque, Cellular and Molecular Immunology Group, INMUBO, Bogotá, Colombia
| | - Consuelo Romero-Sanchez
- Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group, Bogotá, Colombia
- Universidad El Bosque, Cellular and Molecular Immunology Group, INMUBO, Bogotá, Colombia
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Castellar-Mendoza C, Castillo DM, Chila-Moreno L, Bautista-Molano W, Romero-Sánchez C. Porphyromonas gulae and PPAD antibodies are not related to citrullination in rheumatoid arthritis. Clin Oral Investig 2023:10.1007/s00784-023-04964-w. [PMID: 37133700 DOI: 10.1007/s00784-023-04964-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 03/19/2023] [Indexed: 05/04/2023]
Abstract
INTRODUCTION Porphyromonas gulae have the enzyme PPAD, as P. gingivalis, which is responsible for citrullination related to the pathophysiology of rheumatoid arthritis and periodontitis; this implies the presence of two species of PPAD-producing bacteria in the mouth as well as the presence of citrullinated proteins. There are no previous reports or studies investigating an association between P. gulae PPAD in rheumatoid arthritis (RA). OBJECTIVE To assess the presence of P. gulae and anti-citrullinated peptide antibodies of P. gulae PAD in patients with RA and their possible relationship with clinical activity markers. SUBJECTS AND METHODS A total of 95 patients with RA and 95 controls were included. Erythrocyte sedimentation rate (ESR), C-reactive protein, anti-citrullinated protein antibodies (ACPAs) and rheumatoid factor (RF) were measured. Activity index-28 (DAS28) and SCDAI. The periodontal diagnosis was established. Presence of P. gulae and P. gingivalis. An ELISA was used to determine antibodies against citrullinated peptides of P. gulae PAD. RESULTS A P. gulae frequency of 15.8% was observed in the RA group and 9.5% in the control group. Higher levels of ACPA were found in the P. gulae-positive patients of the RA group, finding no significant difference, but if in patients positive for P. gingivalis with statistical significance (p = 0.0001). The frequency of anti-VDK-cit and anti-LPQ-cit9 antibodies to PPAD of P. gulae was higher in the RA group than in the control group without significant difference. No relationship was found with the clinical variables despite the presence of P. gulae and anti-citrullinated peptide antibodies of P. gulae PPAD in patients with RA CONCLUSIONS: It was not possible to establish a connection with clinical variables in RA and P. gulae; as a result, the presence of P. gingivalis continues to contribute significantly to the increase in antibodies against citrullinated proteins/peptides from exogenous sources of citrullination in RA and periodontitis.
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Affiliation(s)
| | - Diana Marcela Castillo
- Oral Basic Research Unit (UIBO), Research Vice-Rectory, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Lorena Chila-Moreno
- School of Dentistry, INMUBO Cellular and Molecular Immunology Group, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
| | - Wilson Bautista-Molano
- School of Dentistry, INMUBO Cellular and Molecular Immunology Group, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- School of Dentistry, INMUBO Cellular and Molecular Immunology Group, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia.
- Department of Rheumatology and Immunology/Clinical Immunology Group, Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia.
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Gutiérrez-Sánchez J, Parra-Izquierdo V, Flórez-Sarmiento C, Jaimes DA, De Ávila J, Bello-Gualtero JM, Ramos-Casallas A, Chila-Moreno L, Pacheco-Tena C, Beltrán-Ostos A, Chalem-Choueka P, Bautista-Molano W, Romero-Sánchez C. Implementation of screening criteria for inflammatory bowel disease in patients with spondyloarthritis and its association with disease and endoscopic activity. Clin Rheumatol 2023; 42:415-422. [PMID: 36053473 PMCID: PMC9873707 DOI: 10.1007/s10067-022-06297-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 07/07/2022] [Accepted: 07/11/2022] [Indexed: 01/28/2023]
Abstract
There is little literature on the implementation of screening criteria for inflammatory bowel disease (IBD) in patients with spondyloarthritis (SpA). This study aimed to apply IBD screening criteria in a group of patients with SpA without IBD diagnosis and correlate them to endoscopic findings and disease activity. A total of 82 patients with SpA were included. The IBD screening test and ileocolonoscopy with digital chromoendoscopy with magnification and histological analysis were performed. The data were analysed with Chi-square test/Fisher's exact test and multiple correspondence analysis. The major screening criteria found in 48.7% of the patients were associated with a history of infection (p = 0.037). Rectal bleeding was associated with the diagnosis of ankylosing spondylitis, acute inflammation, enthesitis and tissue architecture alteration in the ileum (p < 0.050). Diarrhoea was associated with a higher disease activity score (p = 0.02). Minor screening criteria were associated with painful inflammatory joint (p = 0.05), high disease activity score (p = 0.001) and high calprotectin levels (p = 0.050). Abdominal pain (36.9%) was associated with axial/peripheral compromise (p = 0.017), inflammatory back pain (p = 0.01), enthesitis (p = 0.021), higher disease activity score (p = 0.023) and acute ileum inflammation (p = 0.046). Diarrhoea of 4 weeks and abdominal pain were the most prevalent major and minor screening criteria, respectively, being related to early manifestations of inflammatory bowel compromise and higher disease activity score. This screening test grants a chance of opportune referral of SpA patients from rheumatology to gastroenterology.
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Affiliation(s)
- Jaiber Gutiérrez-Sánchez
- grid.466717.50000 0004 0447 449XRheumatology and Immunology Department/Clinical Immunology Group, Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412208.d0000 0001 2223 8106School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia
| | - Viviana Parra-Izquierdo
- grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia ,Gastroadvanced SAS IPS, Carrera 23 # 45C-31, Bogotá, Colombia
| | - Cristian Flórez-Sarmiento
- grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia ,Gastroadvanced SAS IPS, Carrera 23 # 45C-31, Bogotá, Colombia
| | | | - Juliette De Ávila
- grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
| | - Juan Manuel Bello-Gualtero
- grid.466717.50000 0004 0447 449XRheumatology and Immunology Department/Clinical Immunology Group, Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412208.d0000 0001 2223 8106School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia
| | - Alejandro Ramos-Casallas
- grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
| | - Lorena Chila-Moreno
- grid.412208.d0000 0001 2223 8106School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
| | - César Pacheco-Tena
- Investigación Y Biomedicina De Chihuahua S.C., Calle 16 # 1600, Chihuahua, Chihuahua México
| | - Adriana Beltrán-Ostos
- grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
| | - Philippe Chalem-Choueka
- grid.488837.8Fundación Instituto de Reumatología Fernando Chalem, Calle 73 # 20A - 27, Bogotá, Colombia
| | - Wilson Bautista-Molano
- grid.412208.d0000 0001 2223 8106School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- grid.466717.50000 0004 0447 449XRheumatology and Immunology Department/Clinical Immunology Group, Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412208.d0000 0001 2223 8106School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª # 49-00, Bogotá, Colombia ,grid.412195.a0000 0004 1761 4447School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 # 131A-02, Bogotá, Colombia
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Alvarado-Julio A, Chumacero-Palma K, Buenahora MR, Parra-Izquierdo V, Monsalve M, Torres AM, Chila-Moreno L, Flórez-Sarmiento C, Ramos-Casallas A, De Avila J, Bello-Gualtero JM, Jaimes D, Beltrán-Ostos A, Chalem-Choueka P, Pacheco-Tena C, Bautista-Molano W, Romero-Sánchez C. Oral manifestations associated with inflammatory bowel disease and early endoscopic findings in patients with spondyloarthritis. BMC Oral Health 2022; 22:477. [PMID: 36348398 PMCID: PMC9644594 DOI: 10.1186/s12903-022-02497-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 09/06/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND AND AIMS Spondyloarthritis (SpA) is a group of autoinflammatory disorders, of which the primary extra-articular manifestation is inflammatory bowel disease (IBD). The oral cavity being a part of gastrointestinal tract, is significantly compromised in IBD, and in many cases, it is the first site of clinical manifestations of IBD. This study aimed to identify changes in the oral mucosa associated with the onset of IBD and their association with endoscopic/histological findings. MATERIALS AND METHODS The study assessed 80 patients with SpA and 52 healthy controls. Oral, rheumatological, and gastroenterological assessments were performed. The ileocolonoscopy was performed via digital magnification chromoendoscopy. The statistical analysis consisted of Chi-square, Fisher's exact, and multiple correspondence discriminant analysis tests. RESULTS From the disease cohort, 63.0% patients showed oral lesions (p = 0.050). These manifestations ranged from gingivitis (55.0%, p = 0.001), aphthous stomatitis (3.8%, p = 0.091), angular cheilitis (2.6%, p = 0.200), and perioral erythema with scaling (1.3%, p = 0.300). All patients who presented with alterations in colonic mucosa also had oral lesions associated with IBD (p = 0.039), specifically gingivitis/aphthous stomatitis (p = 0.029). CONCLUSION The patients with SpA without IBD present significant oral signs and symptoms. Gingivitis seems to be the most relevant because of its associations with early endoscopic and histological findings. CLINICAL RELEVANCE An integral approach to the diagnostic tests that includes evaluations of oral, rheumatological and gastroenterological tissues may favor timely attention and improve patients' quality of life.
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Affiliation(s)
- Andrés Alvarado-Julio
- Oral Pathology and Diagnostic Media, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Katherin Chumacero-Palma
- Oral Pathology and Diagnostic Media, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - María Rosa Buenahora
- Oral Pathology and Diagnostic Media, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- Clinical Epidemiology Unit/UNIECLO, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Viviana Parra-Izquierdo
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- Gastroadvanced SAS IPS, Carrera 23 #45C-31, Bogotá, Colombia
| | - Mónica Monsalve
- Oral Pathology and Diagnostic Media, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Ana María Torres
- Oral Pathology and Diagnostic Media, School of Dentistry, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Lorena Chila-Moreno
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
| | - Cristian Flórez-Sarmiento
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- Gastroadvanced SAS IPS, Carrera 23 #45C-31, Bogotá, Colombia
| | - Alejandro Ramos-Casallas
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Juliette De Avila
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | - Juan Manuel Bello-Gualtero
- Rheumatology and Immunology Department/Clinical Immunology Group, Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
| | - Diego Jaimes
- Clínicos IPS, Carrera 15 #98-29, Bogotá, Colombia
| | - Adriana Beltrán-Ostos
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
| | | | - César Pacheco-Tena
- Investigación Y Biomedicina De Chihuahua S.C., Calle 16 #1600, Chihuahua, CHIH, México
| | - Wilson Bautista-Molano
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Av. Carrera 9 #131A-02, Bogotá, Colombia.
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada/Hospital Militar Central, Transversal 3ª #49-00, Bogotá, Colombia.
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6
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Ramos-Casallas A, De Avila J, Chaparro-Sanabria A, Chalem-Choueka P, Bello-Gualtero JM, Chila-Moreno L, Pacheco-Tena C, Bautista-Molano W, Romero-Sánchez C. Adipokine profile on joint and periodontal conditions in first-degree relatives of patients with rheumatoid arthritis. Curr Rheumatol Rev 2022:CRR-EPUB-126429. [PMID: 36125832 DOI: 10.2174/1573397118666220920104900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 07/18/2022] [Accepted: 08/17/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by joint inflammation and destruction. OBJECTIVE Establish the association between Porphyromonas gingivalis (P. gingivalis) infection, body mass index (BMI), joint involvement, and serum adipokines in first-degree relatives (FDR) of patients with rheumatoid arthritis (RA). METHODS The cross-sectional study evaluated 124 FDR and 124 healthy controls (HC). The clinical examination included joint and radiographic evaluation and calculation of BMI. Serum adipokine levels were measured (leptin, vaspin, adiponectin, resistin, and adipsin), as were the erythrocyte sedimentation rate, C-reactive protein, and anti-citrullinated protein antibodies. Investigations were performed to detect P. gingivalis, and anti-P. gingivalis antibodies. Statistical analyses were performed to confirm associations. RESULTS Leptin levels in FDR were associated with BMI >25 (OR, 2.64; 95%CI, 1.17-5.97; P=0.019), radiographic damage (Simple Erosion Narrowing Score [SENS])/hands, total SENS, and joint space narrowing in feet (P=0.037, 0.026, 0.020, respectively). FDR had more tender joints (P=0.018); this finding was associated with high levels of leptin and resistin and low levels of adipsin (P=0.040, 0.040, and 0.019, respectively). The presence of P. gingivalis was related to FDR, low levels of adipsin, resistin, adiponectin, and a trend toward higher levels of leptin (P=0.002, 0.001, 0.003, and 0.060, respectively), whereas anti-P. gingivalis antibodies were related to low levels of adipsin (P=0.001). CONCLUSION In FDR, serum adipokine levels were associated with overweight, presence of P. gingivalis. Adipokine levels were also associated with joint involvement. Hence, adipokines may be involved in the pathogenesis of RA in FDR and warrant further investigation.
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Affiliation(s)
- Alejandro Ramos-Casallas
- Universidad El Bosque, School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Av. Carrera 9 No. 131 A - 02, Bogotá-Colombia
| | - Juliette De Avila
- Universidad El Bosque, School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Av. Carrera 9 No. 131 A - 02, Bogotá-Colombia
| | - Andrea Chaparro-Sanabria
- Rheumatologist, Hospital Militar/Universidad Militar Nueva Granada, School of Medicine, Clinical Immunology Group/Rheumatology and Immunology Department Hospital Militar Central, Transversal 3ª # 49-00, Bogotá-Colombia
| | - Philippe Chalem-Choueka
- Rheumatologist, Fundación Instituto de Reumatología Fernando Chalem, Calle 73 # 20A - 27, Bogotá-Colombia
| | - Juan Manuel Bello-Gualtero
- Rheumatologist, Hospital Militar Central, Rheumatology and Immunology Department/Clinical Immunology Group, Bogotá, Colombia
| | - Lorena Chila-Moreno
- Universidad El Bosque, School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Av. Carrera 9 No. 131 A - 02, Bogotá-Colombia
| | - César Pacheco-Tena
- Investigación y Biomedicina De Chihuahua S.C., Calle 16 # 1600 Chihuahua, Chihuahua-México
| | - Wilson Bautista-Molano
- Universidad El Bosque, School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Bogotá-Colombia
| | - Consuelo Romero-Sánchez
- Universidad El Bosque, School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Bogotá-Colombia
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Romero-Sánchez C, Giraldo S, Heredia-P AM, De Avila J, Chila-Moreno L, Londoño J, Valle-Oñate R, Bello-Gualtero JM, Bautista-Molano W. Association of Serum and Crevicular Fluid Dickkopf-1 Levels with Disease Activity and Periodontitis in Patients with Early Rheumatoid Arthritis. Curr Rheumatol Rev 2021; 18:124-135. [PMID: 34784873 DOI: 10.2174/1573397117666211116105118] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 06/30/2021] [Accepted: 08/10/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND The aim of this study was to assess DKK-1 levels, in Gingival Crevicular Fluid (GCF) and serum, as a biomarker for bone loss and disease activity in periodontitis and early RA (eRA). METHODS In this cross-sectional study, we obtained serum and GCF from 10 interproximal sites (Distal Buccal I/S, Mesio Buccal I/S, Distal Palatal/Lingual, Mesio Palatal/Lingual) according to the highest degree of inflammation by a patient for 240 sites from eRA patients. Patients received a periodontal assessment, a radiographic evaluation, tomography of interproximal sites, and DKK1 levels were determined by ELISA. Comparisons were performed by the Mann-Whitney U test and analysis by Chi2 test, and a logistic regression model was applied. RESULTS The mean age was 46.33 ± 12.0 years, the Disease Activity Score (DAS-28-ESR) was 4.08 ± 1.4. Periodontitis was present in 65.2% of the patients, and 59.6% of these patients had bone loss in interproximal sites. Higher GCF-DKK1 levels were associated with serum-DKK1 (OR:2.41 IC95% 1.14-5.09, p=0.021) and were related with DAS28-ESR (p=0.001), Routine Assessment of Patient Index Data 3 (RAPID 3) (p=0.001), and tender joints (p=0.040). Foot bone erosion and juxta-articular osteopenia were associated with high levels of serum-DKK1 (p=0.009 and 0.001, respectively). Serum-DKK1 were associated with SDAI (OR: 2.38 IC95% 1.03-5.52, p=0.043), RAPID 3 (p=0.001), and rheumatoid factor (p=0.018). The GCF-DKK1 levels were associated with periodontal bone loss (p=0.011), periodontitis (p=0.070) and its severity (OR: 2.58 IC95% 2.28-7.28, p=0.001). Bone loss was more frequent in buccal sites (73.5%) and was associated with increased levels of DKK1 (p=0.033). CONCLUSION In the early stages of the eRA disease, serum and GCF-DKK1 could be a biomarker for clinical disease activity and periodontal and articular bone erosion.
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Affiliation(s)
- Consuelo Romero-Sánchez
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Bogotá. Colombia
| | - Sebastián Giraldo
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada/, Bogotá. Colombia
| | - Ana María Heredia-P
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Bogotá. Colombia
| | - Juliette De Avila
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Bogotá. Colombia
| | - Lorena Chila-Moreno
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Bogotá. Colombia
| | - John Londoño
- Spondyloarthropathy Group, Rheumatology Department, Hospital Militar Central/Universidad de La Sabana, Bogotá. Colombia
| | - Rafael Valle-Oñate
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada/, Bogotá. Colombia
| | - Juan Manuel Bello-Gualtero
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada/, Bogotá. Colombia
| | - Wilson Bautista-Molano
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Bogotá. Colombia
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Romero-Sánchez C, Hernández N, Chila-Moreno L, Jiménez K, Padilla D, Bello-Gualtero JM, Bautista-Molano W. HLA-B Allele, Genotype, and Haplotype Frequencies in a Group of Healthy Individuals in Colombia. J Clin Rheumatol 2021; 27:S148-S152. [PMID: 33790206 DOI: 10.1097/rhu.0000000000001671] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The sequencing of alleles of the HLA-B, a human leukocyte antigen (HLA) class I gene, was established as the most polymorphic of chromosome 6 and of the entire human genome. In this locus, the HLA-B*27 allele is highly polymorphic and has clinical relevance. Literature about the subtypes and singular frequency of these alleles in Colombia's healthy population is scarce. OBJECTIVE The aim of this study was to establish the HLA-B allele, genotype, and haplotype frequencies in a healthy Colombian population and analyze their association with the sex and geographical distribution of the individuals studied. METHODS This is a nonexperimental and descriptive study. The data from whole-blood samples whose HLA genes were genotyped by protocol with the Luminex 100/200 xMAP technology were evaluated. HLA-B*27 positivity was confirmed by the new-generation sequencing technology. The associations between the HLA-B alleles and demographic variables were evaluated by χ2 and Fisher exact tests. RESULTS Twenty-seven HLA-B genotypes were identified in 255 individuals, with the highest frequencies for HLA-B*35 (44.7%), B*40 (19.6%), and B*44 (16.8%). Additionally, 89 HLA-B alleles were found; the most common were HLA-B*35:01 (6.7%) and B*40:02 (6.5%). Nine individuals tested positive for the HLA-B*27 allele with genotype and allele frequencies of 3.5% and 1.8%, respectively; the HLA-B*27:05:02 subtype predominated. CONCLUSIONS Here, we report the most common HLA-B allele, genotype, and haplotype frequencies in a healthy Colombian population group and analyzed their association with the sex and geographical distribution of the individuals studied. Results for the HLA-B*27 allele confirm racial mixing in Colombia with a high degree of Caucasian influence, as well as the repopulation of Colombia's central region, attributed to the migration phenomena. Results agree with data published in Colombia that was obtained from cord blood samples.
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Affiliation(s)
| | - Natalia Hernández
- Bacteriology Program, Faculty of Basic Sciences, Universidad Colegio Mayor de Cundinamarca, Bogotá
| | - Lorena Chila-Moreno
- Clinical Immunology Group, Hospital Militar Central, School of Medicine, Universidad Militar Nueva Granada
| | - Karen Jiménez
- Pediatric Rheumatology Program, Faculty of Medicine, Universidad El Bosque
| | - Diana Padilla
- Rheumatology Program, Faculty of Medicine Universidad de la Sabana, Universidad de La Sabana, Chia, Colombia
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Chila-Moreno L, Rodríguez LS, Bautista-Molano W, Bello-Gualtero JM, Ramos-Casallas A, Romero-Sánchez C. Anti-carbamylated protein and peptide antibodies as potential inflammatory joint biomarkers in the relatives of rheumatoid arthritis patients. Int J Rheum Dis 2020; 23:1698-1706. [PMID: 33146469 DOI: 10.1111/1756-185x.13977] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 09/01/2020] [Accepted: 09/07/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Antibodies against carbamylated proteins/peptide (CarP) have been associated with severity in rheumatoid arthritis (RA) patients. However, their role in risk groups, specific targets and relation with periodontal disease (PD) is uncertain yet. The aim of this study was evaluated the association between the levels of anti-CarP with clinical manifestation, human leukocyte antigen (HLA) alleles, periodontal activity markers, PD diagnosis, PD severity, and presence of Porphyromonas gingivalis (P gingivalis) in relatives of patients with RA. METHODS One hundred and twenty-four individuals with a family history of RA in first-degree relatives (FDR) and 124 healthy individuals gender- and age-matched, RA activity was assessed. Antibodies against carbamylated protein anti-FCS-Carp and 2 carbamylated peptides of fibrinogen were selected (anti-Ca-Fib2, anti-Ca-Fib3). RESULTS Anti-FCS-Carp-positive, anti-Ca-Fib2 and anti-Ca-Fib3 were more frequent in FDR than controls (25.0% vs 14.5%, 34.7% vs 15.3% and 33.1% vs 11.3%, respectively). Anti-FCS-CarP were associated with the HLA-DRB1-SE* 1402 allele (P = .035) and highly sensitive C-reactive protein levels (P = .016), the anti-Ca-Fib2 antibodies were associated with the HLA-DRB1-SE* 1501 allele (P = .03), with non-SE* 0901 allele (P = .01), the anti-Ca-Fib3 was associated with positive rheumatoid factor (P = .0012). The FDR condition was associated with the presence of anti-Ca-Fib3 (odds ratio [OR] =4.7; 95% CI = 1.8-11.7; P = .001) and painful joints (OR = 2.2; 95% CI = 1.01-4.68; P = .045); we also detected an important trend toward the presence of P gingivalis (OR = 1.9; 95% CI = 0.9-3.7; P = .062). CONCLUSION The presence of anti-FCS-Carp, anti-Ca-Fib3 and anti-Ca-Fib2 antibodies may have a role for these antibodies as early biomarkers in the development of RA, probably including additional mechanisms related with other non-SE alleles; the anti-peptide antibodies proposed in the present study may represent a simpler way to identify antibodies directed to a specific target.
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Affiliation(s)
- Lorena Chila-Moreno
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Bogotá, Colombia.,School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Luz-Stella Rodríguez
- Facultad de Medicina, Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Wilson Bautista-Molano
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Bogotá, Colombia.,School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Juan-Manuel Bello-Gualtero
- School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Bogotá, Colombia.,Rheumatology and Immunology Department, Clinical Immunology Group, Hospital Militar Central, Bogotá, Colombia
| | - Alejandro Ramos-Casallas
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- School of Dentistry, Cellular and Molecular Immunology Group/INMUBO, Universidad El Bosque, Bogotá, Colombia.,School of Medicine, Clinical Immunology Group, Universidad Militar Nueva Granada, Bogotá, Colombia.,Rheumatology and Immunology Department, Clinical Immunology Group, Hospital Militar Central, Bogotá, Colombia
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10
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Romero-Sánchez C, Benavides-Solarte M, Galindo-Ibáñez I, Ospina-Caicedo AI, Parra-Izquierdo V, Chila-Moreno L, Villa A, Casas-Gómez MC, Angarita I, Bautista-Molano W, Romero-Álvarez V, Bello-Gualtero JM. Frequency of Positive ANCA Test in a Population With Clinical Symptoms Suggestive of Autoimmune Disease and the Interference of ANA in its Interpretation. Reumatol Clin (Engl Ed) 2020; 16:473-479. [PMID: 30704921 DOI: 10.1016/j.reuma.2018.09.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 08/30/2018] [Accepted: 09/20/2018] [Indexed: 01/04/2023]
Abstract
BACKGROUND Antibodies against neutrophil cytoplasm (ANCA) are associated with vasculitis. There are different methods to determine their presence. The interference of antinuclear antibodies (ANA) in the differentiation between P-ANCA and C-ANCA patterns has been described. OBJECTIVE To determine the frequency of ANCA in a population with manifestations of autoimmune disease, and evaluate the interference of ANA in its interpretation. MATERIALS AND METHODS Retrospective, descriptive nonexperimental cross-sectional study, including 3,330 data. The presumptive diagnosis was autoimmune disease and a test for ANCA was requested. The ANCA and ANA determinations were made by indirect immunofluorescence, L-ANCA® and CytoBead® ANCA. Anti-proteinase 3 and anti-myeloperoxidase were detected by ELISA and CytoBead® ANCA. RESULTS ANCAs were positive in 10.21% and 12.64% of those positive for ANCA were positive for ANA. The inter-rater agreement statistic (Kappa) for anti-PR3 between CytoBead ANCA and ELISA was 100% (K=1.00; P<.05) and the agreement between anti- myeloperoxidase by ELISA and CytoBead® ANCA was high (K=0.94; P<.05). 30% of those with ANCAs had a diagnosis of a type of vasculitis; 20% of them had an autoimmune disease. CONCLUSIONS The results suggest an overestimated request for ANCAs as a diagnostic aid in primary care which was not addressed. For an adequate evaluation of ANCAs, the indirect immunofluorescence technique should be implemented for the control and confirmation with the determination of specific antigens for anti- proteinase 3 and anti- myeloperoxidase in any of the confirmatory assays. The high concordance shown by ANCA CytoBeads makes us consider the use of this alternative for the determination of ANCAs and the confirmation. Given the interference of ANAs, the ANA test by IFI in the presence of positive P-ANCA results is recommended in order to minimize "false positives".
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Affiliation(s)
- Consuelo Romero-Sánchez
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia; Facultad de Medicina, Programa de Reumatología, Universidad de la Sabana, Chía, Colombia; Instituto de Referencia Andino, Bogotá, Colombia; Instituto UIBO, Universidad El Bosque, Bogotá, Colombia.
| | - Mario Benavides-Solarte
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Isabel Galindo-Ibáñez
- Facultad de Ciencias Básicas, Universidad Colegio Mayor de Cundinamarca, Bogotá, Colombia
| | - Ana Isabel Ospina-Caicedo
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia
| | | | - Lorena Chila-Moreno
- Facultad de Ciencias Básicas, Universidad Colegio Mayor de Cundinamarca, Bogotá, Colombia
| | - Amanda Villa
- Instituto de Referencia Andino, Bogotá, Colombia
| | | | - Ignacio Angarita
- Facultad de Medicina, Programa de Reumatología, Universidad de la Sabana, Chía, Colombia
| | - Wilson Bautista-Molano
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia; Instituto UIBO, Universidad El Bosque, Bogotá, Colombia
| | - Verónica Romero-Álvarez
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Juan Manuel Bello-Gualtero
- Servicio de Reumatología e Inmunología, Hospital Militar Central, Facultad de Medicina, Grupo de Inmunología Clínica Aplicada, Universidad Militar Nueva Granada, Bogotá, Colombia
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11
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Heredia-P AM, Lafaurie GI, Bautista-Molano W, Trujillo TG, Chalem-Choueka P, Bello-Gualtero JM, Pacheco-Tena C, Chila-Moreno L, Romero-Sánchez C. Predictive factors related to the progression of periodontal disease in patients with early rheumatoid arthritis: a cohort study. BMC Oral Health 2019; 19:240. [PMID: 31703715 PMCID: PMC6842164 DOI: 10.1186/s12903-019-0939-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 10/24/2019] [Indexed: 02/07/2023] Open
Abstract
Background Rheumatoid arthritis (RA) and periodontal disease are inter-related conditions. However, factors predictive of periodontal disease progression in patients with early rheumatoid arthritis (eRA) are lacking. The aim of this study was to identify factors associated with the progression of clinical attachment loss (CAL) in interproximal dental sites of eRA patients. Methods Twenty-eight eRA patients were evaluated for the progression of CAL at 280 interproximal dental sites at 1 year of follow-up. Markers of RA activity (rheumatoid factor, erythrocyte sedimentation rate, and C-reactive protein), a marker of bone resorption (Dickkopf-related protein 1), Disease Activity Score 28 and Simple Disease Activity Index were included as potential systemic predictive factors. Plaque index, gingival index, pocket depth, clinical attachment level and Dickkopf-related protein 1 in crevicular fluid at baseline were included as potential local predictive factors. Data were analysed in a hierarchical structure using generalised linear mixed models for progression at each site (> 2 mm) during follow-up. Results C-reactive protein level was the most important predictive systemic factor for the progression of CAL. The mean CAL and a high degree of gingival inflammation in interproximal sites at baseline were important predictive local factors (p < 0.0001). Patients who received combined treatment with disease-modifying antirheumatic drugs and corticosteroids exhibited less CAL (p < 0.0001). The predictive value of the generalised linear mixed model for progression was 85%. Conclusions Systemic factors, including RA disease activity and baseline periodontal condition, were associated with periodontal progression. Pharmacological treatment may affect periodontal progression in patients with early RA.
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Affiliation(s)
- Ana María Heredia-P
- Unit of Basic Oral Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Gloria Inés Lafaurie
- Unit of Basic Oral Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Wilson Bautista-Molano
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada, Transversal 3ª #, 49-00, Bogotá, Colombia.,Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Cra 9 No. 131 A-02, Bogotá, Colombia
| | - Tamy Goretty Trujillo
- Unit of Basic Oral Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | | | - Juan M Bello-Gualtero
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada, Transversal 3ª #, 49-00, Bogotá, Colombia
| | | | - Lorena Chila-Moreno
- Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Cra 9 No. 131 A-02, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- Clinical Immunology Group, Rheumatology and Immunology Department Hospital Militar Central/School of Medicine, Universidad Militar Nueva Granada, Transversal 3ª #, 49-00, Bogotá, Colombia. .,Cellular and Molecular Immunology Group/ INMUBO, School of Dentistry, Universidad El Bosque, Cra 9 No. 131 A-02, Bogotá, Colombia.
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12
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Chaparro-Sanabria JA, Bautista-Molano W, Bello-Gualtero JM, Chila-Moreno L, Castillo DM, Valle-Oñate R, Chalem P, Romero-Sánchez C. Association of adipokines with rheumatic disease activity indexes and periodontal disease in patients with early rheumatoid arthritis and their first-degree relatives. Int J Rheum Dis 2019; 22:1990-2000. [PMID: 31659869 DOI: 10.1111/1756-185x.13724] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 09/06/2019] [Accepted: 09/14/2019] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To evaluate the adipokine levels in early rheumatoid arthritis (eRA) and first-degree relatives (FDR) of patients with RA and establish their association with rheumatic disease activity and periodontal variables. METHOD A cross-sectional study with eRA patients, FDR and a healthy population. Adipokine levels, clinical, joint radiological indexes and periodontal variables were evaluated. A descriptive, bivariate analysis was performed based on the adipokine levels by χ2 , Fisher's test and Mann-Whitney U test. A logistic regression was made for associations. RESULTS High leptin levels were associated with the diagnosis of eRA (odds ratio [OR] = 2.79; 95% CI 1.54-5.07). Early rheumatoid arthritis with high adiponectin levels was less likely to have Multidimensional Health Assessment Questionnaire score >3, body mass index (BMI) >25 and Routine Assessment of Patient Index Data 3 score >12 (OR = 0.16; 95% CI 0.03-0.72). Early rheumatoid arthritis was more likely to present high leptin and interleukin (IL)6 levels with low adiponectin simultaneously (OR = 5.03; 95% CI 1.05-24.0). High leptin levels were associated with the FDR adjusted for IgG2 Porphyromonas gingivalis, swollen joints, P gingivalis and low IL6 (OR = 2.57; 95% CI 1.14-5.95). CONCLUSION High adipokine levels in eRA may modulate the disease activity. Having more than 1 adipokine at high serum levels is associated with increased disability, disease activity and BMI, indicating that RA is controlled by adiponectin levels in the early stages of the disease. High leptin levels, presence of P gingivalis and swollen joints may be the factors associated with the development of RA in FDR.
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Affiliation(s)
- Jeimy A Chaparro-Sanabria
- Rheumatology and Immunology Department, Hospital Militar Central, Bogotá, Colombia.,Clinical Immunology Group-School of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Wilson Bautista-Molano
- Clinical Immunology Group-School of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Cellular and Molecular Immunology Group/INMUBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Juan M Bello-Gualtero
- Rheumatology and Immunology Department, Hospital Militar Central, Bogotá, Colombia.,Clinical Immunology Group-School of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia
| | - Lorena Chila-Moreno
- Clinical Immunology Group-School of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Cellular and Molecular Immunology Group/INMUBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Diana M Castillo
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Rafael Valle-Oñate
- Rheumatology and Immunology Department, Hospital Militar Central, Bogotá, Colombia
| | - Phillipe Chalem
- Institute of Rheumatology Fernando Chalem Foundation, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- Rheumatology and Immunology Department, Hospital Militar Central, Bogotá, Colombia.,Clinical Immunology Group-School of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Cellular and Molecular Immunology Group/INMUBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
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Gonzalez T, Malagon C, Guarnizo P, Mosquera AC, Chila-Moreno L, Romero-Sanchez C. Autoantibodies and Gastrointestinal Symptoms in Colombian Children with Juvenile Idiopathic Arthritis. Curr Rheumatol Rev 2018; 14:163-171. [PMID: 29308742 DOI: 10.2174/1573397114666180108110429] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 08/25/2017] [Accepted: 12/15/2017] [Indexed: 11/22/2022]
Abstract
BACKGROUND Juvenile Idiopathic Arthritis (JIA) is the most common inflammatory joint disease in children. JIA and autoimmune inflammatory Gastrointestinal (GI) diseases share common etiologic mechanisms, including genetic predisposition and environmental influences. OBJECTIVE To Investigate association between gastrointestinal, rheumatologic clinical variables and the presence of autoantibodies in patients with JIA in treatment. METHODOLOGY In a cross-sectional study of patients with JIA according to diagnostic criteria and the ILAR classification. GI symptoms and autoantibody expression were evaluated with respect to their association with JIA clinical variables. Anti-Saccharomyces Cerevisiae IgG/IgA (ASCA), 6 antigen associated with anti polymorphonuclear neutrophil (ANCA), anti Transglutaminase (tTG) IgG/IgA, anti deaminated gliadin peptide (DGP) IgG/IgA autoantibodies, ANAS and IgA were measured in all patients. The association between clinical variables and auto-antibodies were evaluated using the Fisher test with significant value of p <0.05. The study was approved by the ethics committee of the all institutions. RESULTS Samples were collected from ninety-seven patients, 63% of whom were female. The average age was 14 years. The JIA subtype associated with the most common GI symptoms was enthesitis- related arthritis. Of these patients, 44.3% and 14% reported abdominal pain and diarrhea, respectively. Anti-DPG and anti-tTG antibodies were found in 9.28% and 7.22%, respectively and 11.34% were positive for p-ANCA, and 2% were positive for ASCA. CONCLUSION GI symptoms and autoantibodies associated with inflammation of the GI mucosa were detected in JIA patients but were not associated with autoantibodies or clinical variables. However, it is the monitoring of these patients diagnosis is important.
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Affiliation(s)
- Tatiana Gonzalez
- Postgraduate Pediatric Rheumatology, School of Medicine, Universidad El Bosque, Bogota, Colombia
| | - Clara Malagon
- Postgraduate Pediatric Rheumatology, School of Medicine, Universidad El Bosque, Bogota, Colombia.,Pediatric Rheumatology Department, Hospital Militar Central, Bogota, Colombia.,Pediatric Rheumatology Department, Hospital Simon Bolivar, Bogota, Colombia.,Reumaped IPS, Bogota, Colombia
| | - Pilar Guarnizo
- Postgraduate Pediatric Rheumatology, School of Medicine, Universidad El Bosque, Bogota, Colombia.,Pediatric Rheumatology Department, Fundación Cardioinfantil, Bogota, Colombia
| | - Angela C Mosquera
- Postgraduate Pediatric Rheumatology, School of Medicine, Universidad El Bosque, Bogota, Colombia.,Pediatric Rheumatology Department, Clínica Infantil - Colsubsidio, Bogota, Colombia
| | - Lorena Chila-Moreno
- UIBO Institute-Oral Basic Research Unit, Universidad El Bosque, Bogota, Colombia
| | - Consuelo Romero-Sanchez
- Postgraduate Pediatric Rheumatology, School of Medicine, Universidad El Bosque, Bogota, Colombia.,Rheumatology and Immunology Department, Hospital Militar Central, Bogota, Colombia.,UIBO Institute-Oral Basic Research Unit, Universidad El Bosque, Bogota, Colombia
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Salas-Cuestas F, Bautista-Molano W, Bello-Gualtero JM, Arias I, Castillo DM, Chila-Moreno L, Valle-Oñate R, Herrera D, Romero-Sánchez C. Higher Levels of Secretory IgA Are Associated with Low Disease Activity Index in Patients with Reactive Arthritis and Undifferentiated Spondyloarthritis. Front Immunol 2017; 8:476. [PMID: 28496443 PMCID: PMC5406393 DOI: 10.3389/fimmu.2017.00476] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2016] [Accepted: 04/05/2017] [Indexed: 01/31/2023] Open
Abstract
Introduction Both reactive arthritis (ReA) and undifferentiated spondyloarthritis (uSpA) belong to the group of autoinflammatory diseases called spondyloarthritis (SpA). Hypotheses have been proposed about a relationship between the intestinal mucosa and inflammation of joint tissues. The role of immunoglobulin IgA or secretory immunoglobulin A (SIgA) in the inflammatory and/or clinical activity of patients with SpA remains poorly understood. Objective To evaluate the status of total IgA and SIgA, and the association among the levels of SIgA, IgA, IgA anti-Chlamydia trachomatis, and anti-Shigella spp. with the disease activity measures, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels, was compared in a cohort of patients with ReA and uSpA and healthy subjects. Methods This was a cross-sectional study. The serum concentrations of SIgA, IgA anti-C. trachomatis, anti-Shigella spp., and total IgA were measured. Disease activity was measured in each patient by means of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS). Statistical analysis did include as bivariate evaluation, comparisons by Student’s t-test, Kruskal–Wallis test, and U Mann–Whitney test, with a multivariate evaluation by principal components analysis (PCA). A correlation analysis was carried out using the Pearson correlation coefficient and a linear regression models. All analysis were made using Stata version 11.2® for Windows, R V3.3.21. Statistical significance was defined a p-value <0.05. Results In all, 46 patients (78.2% men; mean age, 34.8 ± 12.3 years) and 53 controls (41% men; mean age, 32 ± 11.4 years) were included in the study. The mean serum levels of SIgA were higher in SpA patients than in healthy subjects (p < 0.001). Only SIgA levels correlated with disease activity: BASDAI (r = −0.42, p = 0.0046), ASDAS-CRP (r = −0.37, p = 0.014), and ASDAS-ESR (r = −0.45, p = 0.0021). The negative correlation between SIgA and all activity indices was higher in HLA-B27-positive patients (BASDAI r = −0.70, p = 0.0009, ASDAS-CRP r = −0.58, p = 0.0093, and ASDAS-ESR r = −0.57, p = 0.0083). The PCA showed three factors: the first component was constituted by variables referred as clinical activity measures, the second did include the serological activity markers, and the last component was compounded by age and symptoms time. Conclusion Elevated serum levels of SIgA were found to be related with low disease activity in patients with ReA and uSpA.
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Affiliation(s)
| | - Wilson Bautista-Molano
- Faculty of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Unit of Oral Basic Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Juan M Bello-Gualtero
- Faculty of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Department of Rheumatology and Immunology, Hospital Militar Central, Bogotá, Colombia
| | - Ivonne Arias
- School of Medicine, Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Diana Marcela Castillo
- Unit of Oral Basic Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Lorena Chila-Moreno
- Unit of Oral Basic Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Rafael Valle-Oñate
- Faculty of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Department of Rheumatology and Immunology, Hospital Militar Central, Bogotá, Colombia
| | - Daniel Herrera
- School of Medicine, Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- Faculty of Medicine, Universidad Militar Nueva Granada, Bogotá, Colombia.,Unit of Oral Basic Investigation-UIBO, School of Dentistry, Universidad El Bosque, Bogotá, Colombia.,Department of Rheumatology and Immunology, Hospital Militar Central, Bogotá, Colombia
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Romero-Sanchez C, Chila-Moreno L, Gómez A, Casas G MC, Bautista-Molano W, Briceño I, Rueda JC, De Avila J, Londono J, Valle-Onate R. The Frequency of HLA-B27 in a Colombian Population with Signs of Spondyloarthritis. Curr Rheumatol Rev 2017; 14:246-250. [PMID: 28356051 DOI: 10.2174/1573397113666170329121552] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Revised: 02/01/2016] [Accepted: 03/21/2017] [Indexed: 11/22/2022]
Abstract
BACKGROUND The strong association between HLA-B27 and spondyloarthritis (SpA) has demonstrated that typing the HLA-B27 antigen is a crucial step in diagnosis and aids in defining the progression and severity of disease. OBJECTIVE To describe the frequency of HLA-B27 in Colombian individuals with clinical manifestations associated with SpA. MATERIALS AND METHODOLOGY We retrospectively analyzed 4109 HLA-B27 typing requests to the Hospital Militar Central and the Instituto de Referencia Andino from Colombian individuals with clinical signs suggestive of SpA between 2009 and 2012. We used basic digital cytometry followed by Polymerase Chain Reaction with sequence specific primers when confirmation was needed. We determined the frequency of HLA-B27 in the population and levels of association of HLA-B27 with SpA. RESULTS Our population included 1585 men (36.8%) and 2524 women (61.4%). The predominant age range was between 19 and 45 years (49.9%). The majority (95.4%) of the study population came from the Andean region and eastern plains. The most frequent clinical manifestations were peripheral. Only a small fraction (12.1%) of the 4109 subjects was HLA-B27 positive. Of those, 56.9% were male, and 54.7% were between 19 and 45 years old. In contrast, when rheumatologists referred the HLA B27, 64% were found to be positive. CONCLUSION The frequency of the HLA-B27 allele in individuals with clinical signs suggestive of SpA was low, in accordance with the lower prevalence found in Colombian patients diagnosed with SpA compared to American and European population.
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Affiliation(s)
- Consuelo Romero-Sanchez
- Spondyloarthropaty Group, Division of Rheumatology, Hospital Militar Central, Bogota, Colombia.,UIBO Institute (Oral Basic Research Unit), Universidad El Bosque, Bogota, Colombia.,Instituto de Referencia Andino, Bogota, Colombia.,Faculty of Medicine, Universidad Militar Nueva Granada, Bogota, Colombia
| | - Lorena Chila-Moreno
- UIBO Institute (Oral Basic Research Unit), Universidad El Bosque, Bogota, Colombia
| | - Alberto Gómez
- Instituto de Referencia Andino, Bogota, Colombia.,Institute of Human Genetics, Faculty of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia
| | | | | | - Ignacio Briceño
- Institute of Human Genetics, Faculty of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.,Faculty of Medicine, Universidad de la Sabana, Bogota, Colombia
| | - Juan C Rueda
- Faculty of Medicine, Universidad de la Sabana, Bogota, Colombia
| | - Juliette De Avila
- UIBO Institute (Oral Basic Research Unit), Universidad El Bosque, Bogota, Colombia
| | - John Londono
- Faculty of Medicine, Universidad de la Sabana, Bogota, Colombia.,Spondyloarthropaty Group. Universidad de la Sabana-Division of Rheumatology and Immunology, Hospital Militar Central, Bogota, Colombia
| | - Rafael Valle-Onate
- Spondyloarthropaty Group, Division of Rheumatology, Hospital Militar Central, Bogota, Colombia.,Faculty of Medicine, Universidad Militar Nueva Granada, Bogota, Colombia
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Unriza-Puin S, Bautista-Molano W, Lafaurie GI, Valle-Oñate R, Chalem P, Chila-Moreno L, Bello-Gualtero JM, Romero-Sánchez C. Are obesity, ACPAs and periodontitis conditions that influence the risk of developing rheumatoid arthritis in first-degree relatives? Clin Rheumatol 2016; 36:799-806. [PMID: 28028684 DOI: 10.1007/s10067-016-3519-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 11/24/2016] [Accepted: 12/14/2016] [Indexed: 02/06/2023]
Abstract
The aim of this study was to investigate the body mass index (BMI), anti-citrullinated protein antibodies (ACPAs) status and the presence of periodontitis and IgG-1/IgG-2 antibodies against Porphyromonas gingivalis (Pg) in the first-degree relatives (FDRs) of rheumatoid arthritis (RA) patients and compare these variables with a control group of healthy individuals from the general population. In total, 100 FDR individuals and 200 healthy controls matched by age and gender were included. Rheumatologic and periodontal assessment was performed, and the presence of ACPAs and anti-P. gingivalis antibodies was evaluated. Groupwise comparisons were analysed using the McNemar and Wilcoxon tests. A conditional logistic regression analysis was performed to establish the associations between BMI, ACPAs and periodontitis in both groups. In the FDR group, 70% of the subjects were female, with a mean age of 37.3 ± 13 years. Obesity was observed in 17 and 7% of the FDRs and controls, respectively. ACPAs were found in 7% of the FDRs vs. 2.5% of the controls. Periodontitis was diagnosed in 79 and 56% of the FDRs and controls, respectively. Among the FDRs, 15% had severe periodontitis. There were associations in the FDR group related to the presence of obesity (OR 2.93, 95% CI 1.03-8.28), ACPAs (OR 2.45, 95% CI 0.7-8.32) and periodontitis (OR 3.70 95% CI 1.89-7.29). Regarding anti-P. gingivalis antibodies and smoking history, no differences were found between the groups. Obesity, ACPAs and periodontitis (diagnosis and severity) can be considered as relevant conditions associated with the development of RA in FDRs.
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Affiliation(s)
- Sonia Unriza-Puin
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Av. Cra 9 # 131A 02, Bogotá, Colombia.
| | - Wilson Bautista-Molano
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Av. Cra 9 # 131A 02, Bogotá, Colombia.,School of Medicine, Universidad Militar Nueva Granada, Cra 5 # 49 00, Third Floor, Bogotá, Colombia
| | - Gloria I Lafaurie
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Av. Cra 9 # 131A 02, Bogotá, Colombia
| | - Rafael Valle-Oñate
- Rheumatology Department, Hospital Militar Central, Cra. 5 # 49 00, Bogotá, Colombia
| | - Philippe Chalem
- Fundación Instituto de Reumatología Fernando Chalem, Calle 73 # 20A 21, Bogotá, Colombia
| | - Lorena Chila-Moreno
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Av. Cra 9 # 131A 02, Bogotá, Colombia
| | - Juan Manuel Bello-Gualtero
- School of Medicine, Universidad Militar Nueva Granada, Cra 5 # 49 00, Third Floor, Bogotá, Colombia.,Rheumatology Department, Hospital Militar Central, Cra. 5 # 49 00, Bogotá, Colombia
| | - Consuelo Romero-Sánchez
- Unit of Oral Basic Investigation, School of Dentistry, Universidad El Bosque, Av. Cra 9 # 131A 02, Bogotá, Colombia.,School of Medicine, Universidad Militar Nueva Granada, Cra 5 # 49 00, Third Floor, Bogotá, Colombia.,Rheumatology Department, Hospital Militar Central, Cra. 5 # 49 00, Bogotá, Colombia
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