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10.1111/jcpe.12664

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suck abstract from ncbi


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pmid27978598
      J+Clin+Periodontol 2017 ; 44 (3 ): 255-265
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  • The subgingival microbiome, systemic inflammation and insulin resistance: The Oral Infections, Glucose Intolerance and Insulin Resistance Study #MMPMID27978598
  • Demmer RT ; Breskin A ; Rosenbaum M ; Zuk A ; LeDuc C ; Leibel R ; Paster B ; Desvarieux M ; Jacobs DR Jr ; Papapanou PN
  • J Clin Periodontol 2017[Mar]; 44 (3 ): 255-265 PMID27978598 show ga
  • BACKGROUND: Inflammation might link microbial exposures to insulin resistance. We investigated the cross-sectional association between periodontal microbiota, inflammation and insulin resistance. METHODS: The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS) enrolled 152 diabetes-free adults (77% female) aged 20-55 years (mean = 34 ± 10). Three hundred and four subgingival plaque samples were analysed using the Human Oral Microbe Identification Microarray to measure the relative abundances of 379 taxa. C-reactive protein, interleukin-6, tumour necrosis factor-? and adiponectin were assessed from venous blood and their z-scores were summed to create an inflammatory score (IS). Insulin resistance was defined via the HOMA-IR. Associations between the microbiota and both inflammation and HOMA-IR were explored using multivariable linear regressions; mediation analyses assessed the proportion of the association explained by inflammation. RESULTS: The IS was inversely associated with Actinobacteria and Proteobacteria and positively associated with Firmicutes and TM7 (p-values < 0.05). Proteobacteria levels were associated with insulin resistance (p < 0.05). Inflammation explained 30-98% of the observed associations between levels of Actinobacteria, Proteobacteria or Firmicutes and insulin resistance (p-values < 0.05). Eighteen individual taxa were associated with inflammation (p < 0.05) and 22 with insulin resistance (p < 0.05). No findings for individual taxa met Bonferroni-adjusted statistical significance. CONCLUSION: Bacterial measures were related to inflammation and insulin resistance among diabetes-free adults.
  • |*Insulin Resistance [MESH]
  • |*Microbiota [MESH]
  • |Adult [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Female [MESH]
  • |Gingiva/*microbiology [MESH]
  • |Glucose Intolerance [MESH]
  • |Humans [MESH]
  • |Inflammation/*microbiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Mouth Diseases/microbiology [MESH]


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