Artigo Produção Nacional Revisado por pares

Oral Infections and Cytokine Levels in Patients with Alzheimer’s Disease and Mild Cognitive Impairment Compared with Controls

2016; IOS Press; Volume: 52; Issue: 4 Linguagem: Inglês

10.3233/jad-160212

ISSN

1875-8908

Autores

José Augusto Ferrari Cestari, Gisele Maria Campos Fabri, Jorge Kalil, Ricardo Nitríni, Wilson Jacob Filho, José Tadeu Tesseroli de Siqueira, Sílvia Regina Dowgan Tesseroli de Siqueira,

Tópico(s)

S100 Proteins and Annexins

Resumo

Background: Oral infections are prevalent in the adult population. Their impact includes the implication as a risk factor for Alzheimer's disease (AD), altering its progression. One of the potential mechanisms involves immune mediators such as circulating cytokines. Objective: The goal of the prese nt study was to investigate the prevalence of oral infections and blood levels of IL-1β, TNF-α, and IL-6 in patients with AD, mild cognitive impairment (MCI), and controls. Methods: Sixty-five elderly were evaluated (25 AD, 19 MCI, and 21 controls) by the following methods: Mini Mental State Exam, Questionnaire of Functional Activities, periodontal and oral evaluation, and blood concentrations of IL-1β, TNF-α and IL-6. Results: Patients with AD had high serum IL-6 levels (p = 0.029), and patients with periodontitis had high serum TNF-α levels (p = 0.005). There was an association between IL-6 and TNF-α in patients with AD/MCI and periodontitis (p = 0.023). Conclusion: The increased levels of TNF-α and IL-6 in this study suggests their implication in the overlapping mechanisms between oral infections and AD. Longitudinal studies are necessary for further investigation.

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