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Analysis of the role of carbamylated peptide and NET for the association between periodontitis and rheumatoid arthritis

Research Project

Project/Area Number 17K11983
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Periodontology
Research InstitutionNiigata University

Principal Investigator

Kobayashi Tetsuo  新潟大学, 医歯学総合病院, 准教授 (00215344)

Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords歯周炎 / 関節リウマチ / カルバミル化 / 好中球細胞以外トラップ / 関連機序 / 好中球細胞外トラップ
Outline of Final Research Achievements

The aim of the present study was to assess the novel mechanisms linking periodontitis and rheumatoid arthritis (RA) by profiling of serum levels of carbamylated peptide (CarP) and neutrophil extracellular traps (NETs) in the patients with RA and the age-, gender-, smoking status-, and periodontal condition-matched controls. The results indicated that the patients with RA showed significantly higher levels of CarP and NETs than the controls. The data also showed that the serum levels of CarP and NETs were significantly correlated positively with periodontitis severity and were significantly decreased after periodontal treatment in the patients with RA. These results suggest an interrelationship between periodontitis and RA through serum peptide carbamylation and NETs formation.

Academic Significance and Societal Importance of the Research Achievements

これまで歯周炎と関節リウマチ(RA)関連報告の殆どは、翻訳後修飾シトルリン化を介した関連機序に関するものであった。しかし、シトルリン化陰性でも歯周炎とRAを併発する症例は相当数実在し、シトルリン化のみでは説明限界があった。そこで本研究では、好中球細胞外トラップ(NETs)形成に伴う別の翻訳後修飾カルバミル化について検証した。その結果、NETsおよびカルバミル化を介した歯周炎とRAの関連が国内外で初めて実証された。これは、新たなRA病因論につながる点で学術的独自性が高いといえる。さらに、口腔ケアや歯周病治療によってRA改善が将来的に期待される点で社会的意義は大きいと考えられる。

Report

(5 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (19 results)

All 2020 2019 2018 2017 Other

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 4 results) Presentation (14 results) (of which Int'l Joint Research: 1 results,  Invited: 4 results) Remarks (1 results)

  • [Journal Article] The periodontal inflamed surface area is associated with the clinical response to biological disease-modifying antirheumatic drugs in rheumatoid arthritis: a retrospective study.2020

    • Author(s)
      Yamashita Y, Kobayashi T, Ito S, Kaneko C, Murasawa A, Ishikawa H, Tabeta K.
    • Journal Title

      Modern Rheumatology

      Volume: in press Issue: 6 Pages: 990-996

    • DOI

      10.1080/14397595.2019.1680100

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of tofacitinib on the clinical features of periodontitis in patients with rheumatoid arthritis: two case reports.2019

    • Author(s)
      Kobayashi T, Ito S, Murasawa A, Ishikawa H, Yoshie H
    • Journal Title

      BMC Rheumatology

      Volume: 3 Issue: 1 Pages: 13-13

    • DOI

      10.1186/s41927-019-0062-y

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The KCNQ1 gene polymorphism as a shared genetic risk for rheumatoid arthritis and chronic periodontitis in Japanese adults: A pilot case-control study.2018

    • Author(s)
      Kobayashi T, Kido JI, Ishihara Y, Omori K, Ito S, Matsuura T, Bando T, Wada J, Murasawa A, Nakazono K, Mitani A, Takashiba S, Nagata T, Yoshie H.
    • Journal Title

      J Periodontol

      Volume: 89(3) Issue: 3 Pages: 315-324

    • DOI

      10.1002/jper.17-0412

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Circulating levels of carbamylated protein and neutrophil extracellular traps are associated with periodontitis severity in patients with rheumatoid arthritis: A pilot case-control study2018

    • Author(s)
      Kaneko Chihiro、Kobayashi Tetsuo、Ito Satoshi、Sugita Noriko、Murasawa Akira、Nakazono Kiyoshi、Yoshie Hiromasa
    • Journal Title

      PLoS One

      Volume: 13 Issue: 2 Pages: e0192365-e0192365

    • DOI

      10.1371/journal.pone.0192365

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 関節リウマチ患者におけるPISAと生物学的製剤治療反応性との関連2020

    • Author(s)
      山下 萌
    • Organizer
      第63回春季日本歯周病学会学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 関節リウマチ発症の環境要因としての歯周病2019

    • Author(s)
      小林哲夫
    • Organizer
      第63回日本リウマチ学会総会・学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] トファシチニブ投与により歯周病の病状改善を認めた関節リウマチの2例2019

    • Author(s)
      小林哲夫
    • Organizer
      第63回日本リウマチ学会総会・学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 関節リウマチ患者におけるPISA, RA活動度および好中球細胞外トラップ血清レベルの関連性2019

    • Author(s)
      金子千尋
    • Organizer
      第62回春季日本歯周病学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] JAK阻害薬による関節リウマチ患者の歯周病の改善2019

    • Author(s)
      小林哲夫
    • Organizer
      第62回春季日本歯周病学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] オーラルケアとフレイル2019

    • Author(s)
      小林哲夫
    • Organizer
      日本リウマチ学会中部支部学術集会 第31回中部リウマチ学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 歯周病治療による関節リウマチ活動度と血清カルバミル化蛋白レベルの低下2018

    • Author(s)
      小林哲夫
    • Organizer
      第62回日本リウマチ学会総会・学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Porphyromonas gingivalis peptidylarginine deiminase as a risk factor for the response to cytokine targeted therapy in patients with rheumatoid arthritis2018

    • Author(s)
      Kobayashi T
    • Organizer
      EuroPerio 9
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 歯周炎が関節リウマチ発症に及ぼす影響2018

    • Author(s)
      小林哲夫
    • Organizer
      日本臨床歯周病学会第36回年次大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 歯周炎・関節リウマチ患者におけるカルバミル化蛋白血清レベルと歯周治療の影響2018

    • Author(s)
      金子千尋
    • Organizer
      第61回春季日本歯周病学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 関節リウマチ患者におけるカルバミル化蛋白・好中球細胞外トラップの血清レベルと歯周炎重症度との関連2018

    • Author(s)
      金子千尋
    • Organizer
      日本歯科保存学会2018年度秋季学術大会(第149回)
    • Related Report
      2018 Research-status Report
  • [Presentation] 関節リウマチ患者におけるbiologic DMARDs(bDMARDs)治療反応性予測因子の解析2017

    • Author(s)
      小林 哲夫
    • Organizer
      第61回日本リウマチ学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 歯周炎と全身疾患(糖尿病・関節リウマチ)に共通するリスク遺伝子の解析2017

    • Author(s)
      小林 哲夫
    • Organizer
      第60回春季日本歯周病学会学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 歯周病と関節リウマチ-現状と展望、歯科の役割-2017

    • Author(s)
      小林 哲夫
    • Organizer
      日本歯周病学会60周年記念京都大会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Remarks] 新潟大学大学院医歯学総合研究科歯周診断・再建学分野

    • URL

      http://mds.niigata-u.ac.jp/organization/ols/obs/per/index_j.html

    • Related Report
      2020 Annual Research Report 2019 Research-status Report 2018 Research-status Report 2017 Research-status Report

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Published: 2017-04-28   Modified: 2022-01-27  

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