Oral infection-inflammatory pathway, periodontitis, is a risk factor for endothelial dysfunction in patients with coronary artery disease
スポンサーリンク
概要
- 論文の詳細を見る
Objective: Several studies have shown that periodontitis is a risk factor for cardiovascular diseases. There is an association between inflammation and endothelial dysfunction. The purpose of this study was to evaluate endothelial function in patients with coronary artery disease (CAD) who had periodontitis. Methods and results: We evaluated forearm blood flow (FBF) responses to acetylcholine (ACh), an endothelium-dependent vasodilator, and to sodium nitroprusside (SNP), an endothelium-independent vasodilator, in 101 CAD patients with periodontitis (37 men and 11 women, 63 +/- 12 yr) and without periodontitis (36 men and 17 women, 62 +/- 13 yr). FBF was measured by using strain-gauge plethysmography. Circulating levels of C-reactive protein and interleukin-6 were significantly higher in the periodontitis group than in the non-periodontitis group. FBF response to ACh was significantly smaller in the periodontitis group than in the non-periodontitis group. SNP-stimulated vasodilation was similar in the two groups. Periodontal therapy reduced serum concentrations of C-reactive protein from 2.7 +/- 1.9 to 1.8 +/- 0.9 mg/L (P < 0.05) and interleukin-6 from 2.6 +/- 3.4 to 1.6 +/- 2.6 ng/L (P < 0.05) and augmented ACh-induced vasodilation from 14.7 +/- 5.2 to 20.1 +/- 6.1 mL/(min 100 mL) tissue (P < 0.05) in patients with periodontitis. The SNP-stimulated vasodilation was similar before and after treatment. After administration of NG-monomethyl-l-arginine, a nitric oxide synthase inhibitor, FBF response to ACh was similar before and after treatment. Conclusion: These findings suggest that periodontitis is associated with endothelial dysfunction in patients with CAD through a decrease in nitric oxide bioavailability. Systemic inflammation may be, at least in part, a cause and predictor of progression of endothelial dysfunction.
論文 | ランダム
- Co60よりのγ線による小金銅仏の透過写真撮影
- 書評 西山松之助編『江戸町人の研究』第六巻
- Constitutional Law
- 展示批評 杉並区立郷土博物館平成9年度企画展「江戸のごみ・東京のごみ--杉並から見た廃棄物処理の社会史」をみて
- 学生サ-クルの地域史研究・運動と町史編纂--静岡県「春野町史」資料編(2)近世の刊行によせて