title: Modeling susceptibility to periodontitis.
abstract: Chronic inflammatory diseases like periodontitis have a complex pathogenesis and a multifactorial etiology, involving complex interactions between multiple genetic loci and infectious agents. We aimed to investigate the influence of genetic polymorphisms and bacteria on chronic periodontitis risk. We determined the prevalence of 12 single-nucleotide polymorphisms (SNPs) in immune response candidate genes and 7 bacterial species of potential relevance to periodontitis etiology, in chronic periodontitis patients and non-periodontitis control individuals (N = 385). Using decision tree analysis, we identified the presence of bacterial species Tannerella forsythia, Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, and SNPs TNF -857 and IL-1A -889 as discriminators between periodontitis and non-periodontitis. The model reached an accuracy of 80%, sensitivity of 85%, specificity of 73%, and AUC of 73%. This pilot study shows that, on the basis of 3 periodontal pathogens and SNPs, patterns may be recognized to identify patients at risk for periodontitis. Modern bioinformatics tools are valuable in modeling the multifactorial and complex nature of periodontitis.
authors.affiliation: Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands. M.Laine@acta.nl
authors.forename: M L
authors.initials: ML
authors.lastname: Laine
authors.forename: V
authors.initials: V
authors.lastname: Moustakis
authors.forename: L
authors.initials: L
authors.lastname: Koumakis
authors.forename: G
authors.initials: G
authors.lastname: Potamias
authors.forename: B G
authors.initials: BG
authors.lastname: Loos
mesh_terms: D000328:Adult; D000368:Aged; D016976:Aggregatibacter actinomycetemcomitans / Q000502:physiology; D016301:Alveolar Bone Loss / Q000235:genetics / Q000382:microbiology; D019540:Area Under Curve; D001439:Bacteroides / Q000502:physiology; D055113:Chronic Periodontitis / Q000235:genetics* / Q000382:microbiology; D019295:Computational Biology; D003661:Decision Support Techniques; D003663:Decision Trees; D005260:Female; D005802:Genes, MHC Class II / Q000235:genetics*; D020022:Genetic Predisposition to Disease / Q000235:genetics*; D006090:Gram-Negative Bacteria / Q000502:physiology*; D006801:Humans; D053582:Interleukin-1alpha / Q000235:genetics; D008297:Male; D008875:Middle Aged; D008957:Models, Genetic; D010865:Pilot Projects; D020641:Polymorphism, Single Nucleotide / Q000235:genetics*; D016966:Porphyromonas gingivalis / Q000502:physiology; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014409:Tumor Necrosis Factor-alpha / Q000235:genetics; D055815:Young Adult
chemical_list: D053582:Interleukin-1alpha; C439524:TNF protein, human; D014409:Tumor Necrosis Factor-alpha