Porphyromonas gingivalis y Aggregatibacter actinomycetemcomitans en sangre de cordón umbilical y periférico, saliva y calostro de mujeres con gingivitis

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i16.23791

Palabras clave:

Porphyromonas gingivalis; Aggregatibacter actinomycetemcomitans; Cordón umbilical sangre; Saliva; Colostrum.

Resumen

Este estudio investigó y comparó la presencia de Porphyromonas gingivalis (Pg) y Aggregatibacter actinomycetemcomitans (Aa) en muestras biológicas de mujeres que dieron a luz a término con un diagnóstico de gingivitis y sin enfermedad periodontal. Se realizaron exámenes clínicos orales en 48 mujeres posparto, incluidas 28 mujeres con periodontitis sana, 15 con gingivitis y 5 con periodontitis (que fueron excluidas del análisis). Se recolectaron sangre de cordón umbilical (CU), sangre periférica (SP), saliva (SA) y calostro (C) de mujeres elegibles después del parto. Se realizó extracción de ADN y luego se detectó la presencia de bacterias mediante PCR con cebadores específicos. Los datos sobre embarazos anteriores y actuales y factores de riesgo conocidos se obtuvieron de los registros médicos de las pacientes. Los datos sociales, demográficos y de higiene bucal se analizaron mediante entrevista. Los resultados mostraron que todos los EA de los participantes con gingivitis tenían Pg y Aa, mientras que una minoría de muestras con periodonto sano tenían tales bacterias (P <0,05 para cada una). El 60% de las mujeres con gingivitis tenían Pg en las muestras de sangre (CU y SP, p <0,05) y el 46,6% la tenían en C. Aa no aparecía en las muestras de sangre, pero el 46,6% de las mujeres con gingivitis tenían Aa en C. sin asociación entre datos socioeconómicos y de salud bucal, detección de microorganismos y presencia de la enfermedad. En conclusión, la gingivitis se relacionó con la detección positiva de ambas bacterias en SA. Las mujeres con gingivitis a menudo tenían Pg en sus muestras de sangre. La presencia de Pg y Aa en C solo se presentó en mujeres embarazadas con gingivitis.

Citas

Aagaard, K., Ma, J., Antony, K.M., Ganu, R., Petrosino, J. & Versalovic, J. (2014). The placenta harbors a unique microbiome. Science Translational Medicine, 6 (237), 237- 265. doi:10.1126/scitranslmed.3008599

Amano, A., Kuboniwa, M., Nakagawa, I., Akiyama, S., Morisaki, I. & Hamada, S. (2000). Prevalence of specific genotypes of Porphyromonas gingivalis fimA and periodontal health status. Journal of Dental Research 79(9), 1664-1668. doi:10.1177/00220345000790090501

Bearfield, C., Davenport, E.S., Sivapathasundaram, V. & Allaker, R.P. (2002). Possible association between amniotic fluid micro-organism infection and microflora in the mouth. BJOG An International Journal of Obstetrics & Gynaecology, 109(5), 527-533.

Blanc, V., O'Valle, F., Pozo, E., Puertas, A., Leon, R. & Mesa, F. (2015). Oral bacteria in placental tissues: increased molecular detection in pregnant periodontitis patients. Oral Disease, 21(7), 905-912. doi:10.1111/odi.12364

Borgo, P.V., Rodrigues, V.A., Feitosa, A.C., Xavier, K.C. & Avila-Campos, M.J. (2014). Association between periodontal condition and subgingival microbiota in women during pregnancy: a longitudinal study. Journal of Applied Oral Science, 22(6), 528-533. doi:10.1590/1678-775720140164

Carrillo-de-Albornoz, A., Figuero, E., Herrera, D. & Bascones-Martinez, A. (2010). Gingival changes during pregnancy: II. Influence of hormonal variations on the subgingival biofilm. Journal of Clinical Periodontology, 37(3), 230-240. doi:10.1111/j.1600-051X.2009.01514.x

Carrillo-de-Albornoz, A., Figuero, E., Herrera, D., Cuesta, P. & Bascones-Martinez, A. (2012). Gingival changes during pregnancy: III. Impact of clinical, microbiological, immunological and socio-demographic factors on gingival inflammation. Journal of Clinical Periodontology, 39(3), 272-283. doi:10.1111/j.1600-051X.2011.01800.x

Casarin, R.C., Ribeiro Edel, P., Mariano, F.S., Nociti, F.H.Jr., Casati, M.Z. & Goncalves, R.B. (2010). Levels of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, inflammatory cytokines and species-specific immunoglobulin G in generalized aggressive and chronic periodontitis. Journal of Periodontal Research, 45, 635-642.

Cruz, S.S., Costa Mda, C., Gomes-Filho, I.S., Vianna, M.I. & Santos, C.T. (2005). Maternal periodontal disease as a factor associated with low birth weight]. Revista de Saude Publica, 39(5), 782-787. doi:/S0034-89102005000500013

Deng, K., Ouyang, X.Y., Chu, Y. & Zhang, Q. (2017). Subgingival Microbiome of Gingivitis in Chinese Undergraduates. Chinese Journal of Dental Research, 20(3), 145-152. doi:10.3290/j.cjdr.a38769

Figuero, E., Carrillo-de-Albornoz, A., Herrera, D., Bascones-Martinez, A. (2010). Gingival changes during pregnancy: I. Influence of hormonal variations on clinical and immunological parameters. Journal of Clinical Periodontology, 37(3), 220-229. doi:10.1111/j.1600-051X.2009.01516.x

Friedman, M. & Jordan, R.E. (1989). Bonded porcelain crowns. Journal of Esthetic Dentistry, 1, 120-125.

Gomes-Filho, I.S., Cruz, S.S., Rezende, E.J., Dos Santos, C.A., Soledade, K.R., Magalhaes, M.A., de Azevedo, A.C., Trindade, S.C., Vianna, M.I., Passos Jde, S. & Cerqueira, E.M. (2007). Exposure measurement in the association between periodontal disease and prematurity/low birth weight. Journal of Clinical Periodontology, 34 (11), 957-963. doi:10.1111/j.1600-051X.2007.01141.x

Griffen, A.L., Becker, M.R., Lyons, S.R., Moeschberger, M.L. & Leys, E.J. (1998). Prevalence of Porphyromonas gingivalis and periodontal health status. Journal of Clinical Periodontology, 36 (11), 3239-3242

Guncu, G.N., Tozum, T.F. & Caglayan, F. (2005). Effects of endogenous sex hormones on the periodontium--review of literature. Australian Dental Journal, 50(3), 138-145

Henry, F., Quatresooz, P., Valverde-Lopez, J.C. & Pierard, G. E. (2006). Blood vessel changes during pregnancy: a review. American Journal of Clinical Dermatology, 7, 65-69.

Herzberg, M.C. & Weyer, M.W. (1998). Dental plaque, platelets, and cardiovascular diseases. Annals of Periodontology, 3(1), 151-160. doi:10.1902/annals.1998.3.1.151

Jeffcoat, M.K., Geurs, N.C., Reddy, M.S., Cliver, S.P., Goldenberg, R.L. & Hauth, J.C. (2001). Periodontal infection and preterm birth: results of a prospective study. Journal of American Dental Association, 132, 875-880.

Jimenez, E., Fernandez, L., Marin, M.L., Martin, R., Odriozola, J.M., Nueno-Palop, C., Narbad, A., Olivares, M., Xaus, J. & Rodriguez, J.M. (2005). Isolation of commensal bacteria from umbilical cord blood of healthy neonates born by cesarean section. Current Microbiology, 51(4), 270-274. doi:10.1007/s00284-005-0020-3

Jost, T., Lacroix, C., Braegger, C. & Chassard, C. (2015). Impact of human milk bacteria and oligosaccharides on neonatal gut microbiota establishment and gut health. Nutrition Reviews, 73(7), 426-437. doi:10.1093/nutrit/nuu016

Jost, T., Lacroix, C., Braegger, C.P., Rochat, F. & Chassard, C. (2014). Vertical mother-neonate transfer of maternal gut bacteria via breastfeeding. Environmental Microbiology, 16(9), 2891-2904. doi:10.1111/1462-2920.12238

Katz, J., Orchard, A.B, Ortega, J., Lamont, R.J. & Bimstein, E. (2006). Oral health and preterm delivery education: a new role for the pediatric dentist. Pediatric Dentistry, 28(6), 494-498

Kong, H.H. & Segre, J.A. (2012). Skin microbiome: looking back to move forward. Journal of Investigative Dermatology, 132 (3 Pt 2), 933-939. doi:10.1038/jid.2011.417

Kunnen, A., Blaauw, J., van Doormaal, J.J., van Pampus, M.G., van der Schans, C.P., Aarnoudse, J.G., van Winkelhoff, A.J. & Abbas, F. (2007). Women with a recent history of early-onset pre-eclampsia have a worse periodontal condition. Journal of Clinical Periodontology, 34(3), 202-207. doi:10.1111/j.1600-051X.2006.01036.x

Lima, D.P., Moimaz, S.A., Garbin, C.A., Sumida, D.H., Jardim, E.G.Jr. & Okamoto, A.C. (2015). Occurrence of socransky red complex in pregnant women with and without periodontal disease. Oral Health and Preventive Dentistry, 13(2), 169-176. doi:10.3290/j.ohpd.a32989

Liu, Y., Zhang, Y., Wang, L., Guo, Y. & Xiao, S. (2013). Prevalence of Porphyromonas gingivalis four rag locus genotypes in patients of orthodontic gingivitis and periodontitis. PLoS One, 8, e61028.

Lopez, N.J., Da Silva, I., Ipinza, J. & Gutierrez J (2005) Periodontal Therapy Reduces the Rate of Preterm Low Birth Weight in Women with Pregnancy-Associated Gingivitis. Journal of Periodontology 76 Suppl 11S, 2144-2153. doi:10.1902/jop.2005.76.11-S.2144

Lopez, N.J., Smith, P.C. & Gutierrez, J. (2002). Higher risk of preterm birth and low birth weight in women with periodontal disease. Journal of Dental Research, 81, 58-63.

Lopez, R. (2005). Periodontal disease, preterm birth and low birthweight. Evidence-Based Dentistry, 6(4), 90-91. doi:10.1038/sj.ebd.6400361

Lovegrove, J.M. (2004). Dental plaque revisited: bacteria associated with periodontal disease. Journal of New Zealand Society of Periodontology, 87, 7-21

Mackie, R.I., Sghir, A. & Gaskins, H.R. (1999). Developmental microbial ecology of the neonatal gastrointestinal tract. The American Journal of Clinical Nutrition, 69, 1035S-1045S.

Marin, M.J, Figuero, E., Gonzalez, I., O'Connor, A., Diz, P., Alvarez, M., Herrera, D. & Sanz, M. (2016). Comparison of the detection of periodontal pathogens in bacteraemia after tooth brushing by culture and molecular techniques. Medicina Oral, Patologia Oral, Cirugia Bucal, 21(3), 276-284

Martin-Sosa, S., Martin, M.J., Castro, M.D., Cabezas, J.A. & Hueso, P. (2004). Lactational changes in the fatty acid composition of human milk gangliosides. Lipids, 39, 111-116.

Mascarenhas, P., Gapski, R., Al-Shammari, K. & Wang, H.L. (2003) Influence of sex hormones on the periodontium. Journal of Clinical Periodontology, 30 (8), 671-681

Mendes, M.M., da Silva, C.B., Rodrigues, D.B.R., Rodrigues, B.R., Geraldo-Martins, V.R., Ferriani, V.P.L., Rodrigues, V., Jr., & Nogueira, R.D. (2018). Streptococcus mutans in Umbilical Cord Blood, Peripheral Blood, and Saliva from Healthy Mothers. Current Microbiology, 75 (10):1372-1377. doi:10.1007/s00284-018-1532-y

Mitchell-Lewis, D., Engebretson, S.P., Chen, J., Lamster, I.B. & Papapanou, P.N. (2001). Periodontal infections and pre-term birth: early findings from a cohort of young minority women in New York. European Journal of Oral Science, 109, 34-39.

Nguyen, D.P., Gerber, S., Hohlfeld, P., Sandrine, G. & Witkin, S.S. (2004). Mycoplasma hominis in mid-trimester amniotic fluid: relation to pregnancy outcome. Journal of Perinatal Medicine, 32 (4), 323-326. doi:10.1515/JPM.2004.060

Offenbacher, S., Boggess, K.A., Murtha, A.P., Jared, H.L., Lieff, S., McKaig, R.G., Mauriello, S.M., Moss, K.L. & Beck, J.D. (2006) Progressive periodontal disease and risk of very preterm delivery. Obstetrics & Gynecology, 107(1), 29-36. doi:10.1097/01.AOG.0000190212.87012.96

Papapanou, P.N. (1996). Periodontal diseases: epidemiology. Annals of Periodontology, 1(1), 1-36. doi:10.1902/annals.1996.1.1.1

Perez-Munoz, M.E., Arrieta, M.C., Ramer-Tait, A.E. & Walter, J. (2017). A critical assessment of the "sterile womb" and "in utero colonization" hypotheses: implications for research on the pioneer infant microbiome. Microbiome, 5(1), 48. doi:10.1186/s40168-017-0268-4

Periasamy, S. & Kolenbrander, P.E. (2009). Aggregatibacter actinomycetemcomitans builds mutualistic biofilm communities with Fusobacterium nucleatum and Veillonella species in saliva. Infection and Immunity, 77, 3542-3551.

Persson, G.R., Hitti, J. & Paul, K. (2008). Tannerella forsythia and Pseudomonas aeruginosa in subgingival bacterial samples from parous women. Journal of Periodontology, 79, 508-516.

Prince, A.L., Antony, K.M., Chu, D.M. & Aagaard, K.M. (2014). The microbiome, parturition, and timing of birth: more questions than answers. Journal of Reproductive Immunology, 104-105, 12-19. doi:10.1016/j.jri.2014.03.006

Raber-Durlacher, J.E., van Steenbergen, T.J., Van der Velden, U., de Graaff, J., Abraham-Inpijn, L. (1994). Experimental gingivitis during pregnancy and post-partum: clinical, endocrinological, and microbiological aspects. Journal of Clinical Periodontology, 21(8), 549-558

Ramos, E.S.M., Martins, N.R. & Kroumpouzos, G. (2016). Oral and vulvovaginal changes in pregnancy. Clinical Dermatology, 34 (3), 353-358. doi:10.1016/j.clindermatol.2016.02.007

Ramsay, D.T. & Hartmann, P.E. (2005). Milk removal from the breast. Breastfeed Review, 13 (1), 5-7

Sanchez, M.C., Marin, M.J., Figuero, E., Llama-Palacios, A., Herrera, D. & Sanz, M. (2013). Analysis of viable vs. dead Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis using selective quantitative real-time PCR with propidium monoazide. Journal of Periodontal Research, 48, 213-220.

Stout, M.J., Conlon, B., Landeau, M., Lee, I., Bower, C., Zhao, Q., Roehl, K.A., Nelson, D.M., Macones, G.A. & Mysorekar, I.U. (2013). Identification of intracellular bacteria in the basal plate of the human placenta in term and preterm gestations. The American Journal of Obstetrics and Gynecology 208 (3):226 e221-227. doi:10.1016/j.ajog.2013.01.018

Torgerson, R.R., Marnach, M.L., Bruce, A.J. & Rogers, R.S. (2006) Oral and vulvar changes in pregnancy. Clinical Dermatology, 24(2), 122-132. doi:10.1016/j.clindermatol.2005.10.004

Vanterpool, S.F., Been, J.V., Houben, M.L., Nikkels, P.G., De Krijger, R.R., Zimmermann, L.J., Kramer, B.W., Progulske-Fox, A. & Reyes, L. (2016). Porphyromonas gingivalis within Placental Villous Mesenchyme and Umbilical Cord Stroma Is Associated with Adverse Pregnancy Outcome. PLoS One, 11(1), 0146157. doi:10.1371/journal.pone.0146157

Yoshida, A., Suzuki, N., Nakano, Y., Oho, T., Kawada, M. & Koga, T. (2003). Development of a 5' fluorogenic nuclease-based real-time PCR assay for quantitative detection of Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis. Journal of Clinical Microbiology, 41, 863-866.

Publicado

14/12/2021

Cómo citar

CURI, M. A. M.; BORGES, M. C. L.; GERALDO-MARTINS, V. R.; SILVA, C. B.; RODRIGUES, R. R.; RODRIGUES, D. B. R.; PEREIRA, S. A. L.; NOGUEIRA, R. D. Porphyromonas gingivalis y Aggregatibacter actinomycetemcomitans en sangre de cordón umbilical y periférico, saliva y calostro de mujeres con gingivitis. Research, Society and Development, [S. l.], v. 10, n. 16, p. e372101623791, 2021. DOI: 10.33448/rsd-v10i16.23791. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23791. Acesso em: 25 nov. 2024.

Número

Sección

Ciencias de la salud