Oral microbial dysbiosis linked to worsened periodontal condition in rheumatoid arthritis patients

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Reviewed Marked as Reviewed by Fatima on 2021/08/5
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Corrêa JD, Fernandes GR, Calderaro DC, Mendonça SMS, Silva JM, Albiero ML, Cunha FQ, Xiao E, Ferreira GA, Teixeira AL, Mukherjee C, Leys EJ, Silva TA, Graves DT
Journal
Scientific reports
Year
2019
Rheumatoid arthritis (RA) is an autoimmune disease characterized by joint inflammation. Individuals with RA have a higher risk of periodontitis and periodontitis has been linked to RA through the production of enzymes by periodontal pathogens that citrullinate proteins. This linkage is supported by findings that periodontitis is associated with increased RA severity and treatment of periodontitis can improve the symptoms of RA. The possible mechanism for this association is through dysbiosis of the oral microbiota triggered by RA-induced systemic inflammation. We examined the RA status of subjects by measuring the number of tender and swollen joints, anti-citrullinated protein antibody and rheumatoid factor. Periodontal disease status and salivary cytokine levels were measured, and dental plaque analyzed by 16S rRNA high throughput sequencing. RA patients had a higher bacterial load, a more diverse microbiota, an increase in bacterial species associated with periodontal disease, more clinical attachment loss, and increased production of inflammatory mediators including IL-17, IL-2, TNF, and IFN-γ. Furthermore, changes in the oral microbiota were linked to worse RA conditions. Our study provides new insights into the bi-directional relationship between periodontitis and RA and suggest that monitoring the periodontal health of RA patients is particularly important.

Experiment 1


Reviewed Marked as Reviewed by Fatima on 2021/08/5

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): WikiWorks, Fatima, Tislam, Victoria

Subjects

Location of subjects
Brazil
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Subgingival dental plaque Subgingival plaque,Subgingival dental plaque,subgingival dental plaque
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Periodontitis chronic pericementitis,inflammation of periodontium,Pericementitides,Pericementitis,Periodontitides,periodontitis,Periodontitis (disorder),Periodontitis, NOS,periodontium inflammation,periodontosis,Periodontitis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
patients with no rheumatoid arthritis
Group 1 name Corresponds to the case (exposed) group for case-control studies
patients with rheumatoid arthritis
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
patients with rheumatoid arthritis
Group 0 sample size Number of subjects in the control (unexposed) group
20
Group 1 sample size Number of subjects in the case (exposed) group
21
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 months

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
LEfSe
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes
Matched on Factors on which subjects have been matched on in a case-control study
age, sex

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Fatima on 2021/08/5

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): Fatima, Tislam

Source: Figure 3b, text

Description: OTUs with different relative abundance based on LEfSe among subjects with periodontitis

Abundance in Group 1: increased abundance in patients with rheumatoid arthritis

NCBI Quality ControlLinks
Aggregatibacter actinomycetemcomitans
Mogibacterium timidum
Parvimonas micra
Peptoniphilus lacrimalis
Prevotella dentalis
Prevotella histicola
Hallella multisaccharivorax
Segatella salivae
Pseudomonas aeruginosa
Selenomonas artemidis
Aggregatibacter sp.

Revision editor(s): Fatima, Tislam

Signature 2

Reviewed Marked as Reviewed by Fatima on 2021/08/5

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): Fatima, Tislam

Source: Figure 3b, text

Description: OTUs with different relative abundance based on LEfSe among subjects with periodontitis

Abundance in Group 1: decreased abundance in patients with rheumatoid arthritis

NCBI Quality ControlLinks
Hoylesella marshii
Schaalia meyeri
Streptococcus anginosus
Treponema sp.

Revision editor(s): Fatima, Tislam

Experiment 2


Needs review

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): WikiWorks, Fatima, Tislam, Victoria

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Rheumatoid arthritis Arthritis or polyarthritis, rheumatic,arthritis or polyarthritis, rheumatic,Arthritis, Rheumatoid,arthritis, rheumatoid,atrophic Arthritis,atrophic arthritis,autoimmune arthritis,Chronic rheumatic arthritis,Proliferative arthritis,RA,RA - Rheumatoid arthritis,RhA - Rheumatoid arthritis,Rheumatic gout,rheumatoid arthritis,Rheumatoid arthritis (disorder),Rheumatoid arthritis NOS,Rheumatoid arthritis NOS (disorder),rheumatoid arthritis, susceptibility to,Rheumatoid disease,Rheumatoid arthritis
Group 0 sample size Number of subjects in the control (unexposed) group
27

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Needs review

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): Fatima, Tislam

Source: Figure 3a, text

Description: Differential abundance based on LEfSe among subjects without periodontitis

Abundance in Group 1: increased abundance in patients with rheumatoid arthritis

NCBI Quality ControlLinks
Alloprevotella rava
Anaeroglobus geminatus
Bifidobacterium
Bifidobacterium dentium
Capnocytophaga ochracea
Corynebacterium matruchotii
Lancefieldella rimae
Leptotrichia hofstadii
Leptotrichia shahii
Leptotrichia wadei
Mitsuokella
Mogibacterium neglectum
Mogibacterium timidum
Segatella buccae
Prevotella dentalis
Prevotella denticola
Prevotella histicola
Segatella maculosa
Prevotella melaninogenica
Hallella multisaccharivorax
Prevotella nigrescens
Segatella oulorum
Prevotella pallens
Segatella salivae
Hoylesella shahii
Pseudomonas aeruginosa
Scardovia wiggsiae
Selenomonas flueggei
Selenomonas noxia
Selenomonas sp. oral clone DO042
Selenomonas sputigena
Tannerella sp. oral taxon 808

Revision editor(s): Fatima, Tislam

Signature 2

Needs review

Curated date: 2021/07/29

Curator: Tislam

Revision editor(s): Tislam

Source: Figure 3, text

Description: subjects without periodontitis

Abundance in Group 1: decreased abundance in patients with rheumatoid arthritis

NCBI Quality ControlLinks
Delftia tsuruhatensis
Granulicatella elegans
Kingella oralis
Roseateles puraquae
Hoylesella pleuritidis
Prevotella sp. oral clone BR014
Pyramidobacter piscolens
Rothia aeria
Schaalia meyeri
Streptococcus anginosus
Streptococcus sp. oral clone ASCB04

Revision editor(s): Tislam