Kojima T, Yano K, Ishikawa I
Division of Physiopathology and Periodontology, School of Dentistry, Medical Faculty, University of Geneva, Switzerland.
J Periodontol. 1997 Jul;68(7):618-25. doi: 10.1902/jop.1997.68.7.618.
Porphyromonas gingivalis is considered to be an important pathogen in periodontitis. The present study investigates the relationship between serum anti-P. gingivalis IgG antibody levels and the subgingival distribution of P. gingivalis in patients with periodontitis. We examined subgingival plaque samples from 15 patients with adult periodontitis (AP), 8 patients with early-onset periodontitis (EOP), and 6 clinically healthy individuals. The samples were collected from periodontal pockets or gingival crevices of all remaining teeth in each subject. The total number of samples was 3,024, ranging from 76 to 120 per subject. Probing depth and bleeding at each sample site were recorded. P. gingivalis was detected using a non-radioactive whole genomic DNA probe. Serum samples were taken from the subjects, and the serum anti-P. gingivalis IgG antibody titer was determined by enzyme-linked immunosorbent assay (ELISA). P. gingivalis was recovered from all AP and EOP patients, and from 3 of the 6 healthy subjects. Two significant positive correlations were observed among the subjects. The serum anti-P. gingivalis IgG antibody titer correlated with detection frequency of P. gingivalis, and the antibody titer correlated with the amount of P. gingivalis detected. Higher levels of P. gingivalis were detected in the EOP group than in the AP group. However, no significant difference was found in the serum IgG titer levels between EOP and AP patients. These findings suggest a direct relationship between the serum anti-P. gingivalis IgG levels and subgingival P. gingivalis colonization; however, the functional capabilities of IgG antibodies may vary among the various types of periodontitis patients.
牙龈卟啉单胞菌被认为是牙周炎的一种重要病原体。本研究调查了牙周炎患者血清抗牙龈卟啉单胞菌IgG抗体水平与牙龈卟啉单胞菌龈下分布之间的关系。我们检查了15例成人牙周炎(AP)患者、8例早发性牙周炎(EOP)患者和6名临床健康个体的龈下菌斑样本。样本取自每个受试者所有余留牙齿的牙周袋或龈沟。样本总数为3024个,每个受试者的样本数从76个到120个不等。记录每个样本部位的探诊深度和出血情况。使用非放射性全基因组DNA探针检测牙龈卟啉单胞菌。采集受试者的血清样本,通过酶联免疫吸附测定(ELISA)测定血清抗牙龈卟啉单胞菌IgG抗体滴度。牙龈卟啉单胞菌在所有AP和EOP患者以及6名健康受试者中的3人中被检出。在受试者中观察到两个显著的正相关。血清抗牙龈卟啉单胞菌IgG抗体滴度与牙龈卟啉单胞菌的检测频率相关,且抗体滴度与检测到的牙龈卟啉单胞菌数量相关。EOP组中检测到的牙龈卟啉单胞菌水平高于AP组。然而,EOP和AP患者的血清IgG滴度水平未发现显著差异。这些发现表明血清抗牙龈卟啉单胞菌IgG水平与龈下牙龈卟啉单胞菌定植之间存在直接关系;然而,IgG抗体的功能能力在不同类型的牙周炎患者中可能有所不同。
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