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Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Clin+Periodontol 2017 ; 44 (3): 255-65 Nephropedia Template TP
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The Subgingival Microbiome, Systemic Inflammation and Insulin Resistance: The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS) #MMPMID27978598
Demmer RT; Breskin A; Rosenbaum M; Zuk A; LeDuc C; Leibel R; Paster B; Desvarieux M; Jacobs DR; Papapanou PN
J Clin Periodontol 2017[Mar]; 44 (3): 255-65 PMID27978598show 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). 304 subgingival plaque samples were analyzed using the Human Oral Microbe Identification Microarray to measure the relative abundances of 379 taxa. C-reactive protein, interleukin-6, tumor 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). 18 individual taxa were associated with inflammation (p < 0.05) and 22 with insulin resistance (p < 0.05). No findings met Bonferroni-adjusted statistical significance. Conclusion: Bacterial measures were related to inflammation and insulin resistance among diabetes-free adults.