Abstract
Periodontal diseases belong to the most common chronic disorders affecting mankind. Smoking and impaired plasminogen activation with hypercoagulation and fibrinolysis inhibition have been proposed as having a role in predisposition to these diseases. We investigated relationships among adult periodontitis, smoking, and a variation in the deletion/insertion (4G/5G) promoter polymorphism of the plasminogen-activator-inhibitor-1 (PAI-1) gene in 304 Caucasian subjects. An association was detected between the deletion (4G) allele (and 4G/4G genotype) and periodontitis (P = 0.0022, Pcorr < 0.01; P = 0.014, Pcorr < 0.05). A stronger association occurred in non-smokers (P = 0.00021, Pcorr < 0.01; P = 0.0024, Pcorr < 0.05) where the presence of the PAI-1 gene 4G allele appears to be one of the risk factors for periodontitis.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 digital issues and online access to articles
$119.00 per year
only $19.83 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Hugoson A, Norderyd O, Slotte C, Thorstensson H . Distribution of periodontal disease in a Swedish adult population 1973, 1983 and 1993 J Clin Periodont 1998 25: 542–548
Slavkin HC, Baum BJ . Relationship of dental and oral pathology to systemic illness JAMA 2000 284: 1215–1217
Palmer RM, Scott DA, Meekon TN, Poston RN, Odell EW, Wilson RF . Potential mechanisms of susceptibility to periodontitis in tobacco smokers J Periodont Res 1999 34: 363–369
Johnson GK, Slach NA . Impact of tobacco use on periodontal status J Dent Educ 2001 65: 313–321
Hart TC, Kornman KS . Genetic factors in the pathogenesis of periodontitis Periodontology 2000 1997 14: 202–215
Imamura T, Potempa J, Pike RN, Moore JN, Barton MH, Travis J . Effect of free and vesicle-bound cysteine proteinases of Porphyromonas gingivalis on plasma clot formation. Implications for bleeding tendency at periodontitis sites Infect Immun 1995 63: 4877–4882
Thögersen AM, Jansson JH, Boman K et al. High plasminogen activator inhibitor and tissue plasminogen activator levels in plasma precede a first acute myocardial infarction in both men and women Circulation 1998 98: 2241–2247
Hidaka A, Maeda K, Kawakami C, Aono M, Okado H . Fibrinolytic activity in periodontal disease: the relationship between fibrinolytic activity and severity of periodontal disease J Periodontol 1981 52: 181–186
Pannekoek H, Veerman H, Lambers H et al. Endothelial plasminogen activator inhibitor-1: a new member of the serpin gene family EMBO J 1986 5: 5239–5244
Dawson SJ, Wiman B, Hamsten A, Green F, Humphries S, Henney AM . The two allele sequences of a common polymorphism in the promoter of the plasminogen activator inhibitor (PAI-1) gene respond differently to interleukin-1 in HepG2 cells J Biol Chem 1993 268: 10739–10745
Ryan MP, Kutz SM, Higgins PJ . Complex regulation of plasminogen activator inhibitor type-1 (PAI-1) gene expression by serum and substrate adhesion Biochem J 1996 314: 1041–1046
Erriksson P, Kallin B, van’t Hooft FM, Bavenholm P, Hamsten A . Allele-specific increase in basal transcription of the plasminogen-activator inhibitor 1 gene is associated with myocardial infarction Proc Natl Acad Sci USA 1995 92: 1851–1855
Dawson SJ, Hamsten A, Wiman B, Henney AM, Humphries S . Genetic variation at the plasminogen activator inhibitor-1 locus is associated with altered levels of plasma plasminogen activator inhibitor-1 activity Arterioscler Thromb 1991 11: 183–190
Simpson AJ, Gray RS, Moore NR, Booth NA . The effects of chronic smoking on the fibrinolytic potential of plasma and platelets Br J Haematol 1997 97: 208–213
Xiao Y, Bunn CL, Bartold PM . Immunohistochemical demonstration of the plasminogen activator system in human gingival tissues and gingival fibroblasts J Periodontal Res 1998 33: 17–26
Yin X, Bunn CL, Bartold PM . Detection of tissue plasminogen activator (t-PA) and plasminogen activator inhibitor 2 (PAI-2) in gingival crevicular fluid from healthy, gingivitis and periodontitis patients J Clin Periodontol 2000 27: 149–156
Margaglione M, Cappuci G, d’Addedda M et al. PAI-1 Plasma levels in a general population without clinical evidence of atherosclerosis Arterioscler Thromb Vasc Biol 1996 16: 304–309
Esmon CT, Taylor FB, Snow RT . Inflammation and coagulation: linked processes potentially regulated through a common pathway mediated by protein C Throm Haemost 1991 66: 160–165
Holla LI, Fassmann A, Benes P, Halabala T, Znojil V . 5 polymorphisms in the transforming growth factor-β 1 gene (TGF-beta 1) in adult periodontitis J Clin Periodontol 2002 29: 336–341
Laine ML, Farré MA, García-González MA et al. Polymorphisms of the Interleukin-1 gene family. Oral microbial pathogens, and smoking in adult periodontitis J Dent Res 2001 80: 1695–1699
Holla LI, Fassmann A, Vasku A, Znojil V, Vanek J, Vacha J . Interactions of lymphotoxin α (TNF-β), angiotensin-converting enzyme (ACE), and endothelin-1 (ET-1) gene polymorphisms in adult periodontitis J Periodontol 2001 72: 85–89
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J . Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN) Int Dent J 1982 32: 281–291
American Academy of Periodontology. Proceedings of the World Workshop in Clinical Periodontics The American Academy of Periodontology: Chicago 1989 I-23–I-31
Falk G, Almqvist A, Nordenhem A, Svensson H, Wiman B . Allele specific PCR for detection of a sequence polymorphism in the promoter region of the plasminogen activator inhibitor-1 (PAI-1) gene Fibrinolysis 1995 9: 170–174
Acknowledgements
We would like to thank Andrea Stejskalova and Tomas Halabala for excellent technical assistance.
Author information
Authors and Affiliations
Corresponding author
Additional information
This study was carried out as part of the project CEZ 307/98:141100002, supported by the Ministry of Education, Youth and Physical Training of the Czech Republic.
Rights and permissions
About this article
Cite this article
Izakovičová Hollá, L., Bučková, D., Fassmann, A. et al. Plasminogen-activator-inhibitor-1 promoter polymorphism as a risk factor for adult periodontitis in non-smokers. Genes Immun 3, 292–294 (2002). https://doi.org/10.1038/sj.gene.6363874
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.gene.6363874
Keywords
This article is cited by
-
Glutathione S-transferase M1, T1, and P1 polymorphisms and periodontitis in a Caucasian population: a case-control study
BMC Oral Health (2024)
-
Looking back and looking forward
Genes & Immunity (2003)