MOLECULAR GENETIC ASSESSMENT OF THE ORAL MICROBIOME IN PATIENTS WITH ALZHEIMER'S DISEASE
Clinical medicine

MOLECULAR GENETIC ASSESSMENT OF THE ORAL MICROBIOME IN PATIENTS WITH ALZHEIMER'S DISEASE

Published 2023-08-30

Authors:

H.O. Babenia
I.V. Harashchuk
S.A. Shnaider
I.O. Kotova
М.Т. Khrystova
A.O. Savvova
O.E. Korniichuk

Abstract:
According to current literature, oral microorganisms are one of the factors in the development and/or progression of Alzheimer's disease. The aim of the study was to evaluate the qualitative and quantitative composition of the microbiome of periodontal pockets of patients with Alzheimer's disease using the polymerase chain reaction. The frequency of occurrence of the main periodontal pathogens was determined and it was shown that Tannerella forsythia and Fusobacterium nucleatum were detected in 100 % of patients in this category. The main associations of periodontal pathogens were studied and it was found that in the largest number of subjects with Alzheimer's disease (66.7 %) there were associations of 4 bacteria. The quantitative composition of the oral microbiota in patients with dementia was determined and it was shown that Aggregatibacter actinomycetemcomitans and Fusobacterium nucleatum had the highest quantitative composition, and Porphyromonas gingivalis had the lowest. Determination of the characteristics of the oral microbiota in patients with Alzheimer's disease will clarify the mechanisms of dementia development and suggest appropriate adapted therapeutic and preventive measures to maintain oral health.
Keywords:
Alzheimer's disease periodontal generalized periodontitis periodontal pathogens polymerase chain reaction
References:
  1. Dementia: an adapted evidence-based clinical guideline. 2019. https://www.dec.gov.ua/wp-content/uploads/ 2019/11/2016_736_ akn_dem.pdf. [in Ukrainian]
  2. Kozolkin OA, Revenko AV, Myedvyedkova SO. Alhorytm diahnostyky ta likuvannya dementsiyi: navch. posib. Zaporizhzhya: ZDMU, 2021;96 [in Ukrainian]
  3. Lukyanets OO. Khvoroba Altsheymera: suchasni hipotezy patohenezu, perspektyvy rozroblennya novitnikh metodiv rannoyi diahnostyky ta likuvannya. Bulletin of the National Academy of Sciences of Ukraine. 2021;(4):22–28. doi: https://doi.org/10.15407/visn2021.04.022 [in Ukrainian]
  4. Rohach IM, Keretsman AO, Sitkar AD. Pravylno vybranyy metod statystychnoho analizu – shlyakh do yakisnoyi interpretatsiyi danykh medychnykh doslidzhen. Naukovyy visnyk Uzhhorodskoho universytetu, seriya “Medytsyna”. 2017;2(56):124–128. [in Ukrainian]
  5. Sokolova LK, Zherdova NM, Chaban OS, Sirenko YuM, Kholin VO. Dementsiya i khvoroba Alts·heymera: aktsent na profilaktyku prohresuvannya kohnityvnykh rozladiv. Zdorovya Ukrayiny. 2021;4:11–13. [in Ukrainian]
  6. Chynyak OS. Rol henetychnoho chynnyku u rozvytku khvoroby Altsheymera. Kharkiv, 2020 https://pat.nuph.edu.ua/wp-content/uploads/2020/09/35.pdf [in Ukrainian]
  7. Elwishahy A, Antia K, Bhusari S, Ilechukwu NC, Horstick O, Winkler V. Porphyromonas Gingivalis as a Risk Factor to Alzheimer’s Disease: A Systematic Review. Journal of Alzheimer’s Disease Reports. 2021;5:721–732. doi: 10.3233/ADR-200237.
  8. Eratne D, Loi SM, Farrand S, Kelso W, Velakoulis D, Looi JC.. Alzheimer’s disease: clinical update on epidemiology, pathophysiology and diagnosis. Australasian psychiatry. 2018;26(4):347–357. doi: https://doi.org/10.1177/1039856218762308.
  9. Fan Z, Tang P, Li Ch, Yang Q, Xu Yan, Su Chuan, et al. Fusobacterium nucleatum and its associated systemic diseases: epidemiologic studies and possible mechanisms. Journal of Oral Microbiology. 2023;15:1 doi: 10.1080/20002297.2022.2145729.
  10. Gao SS, Chu CH, Young FYF. Oral Health and Care for Elderly People with Alzheimer's Disease. Int J Environ Res Public Health. 2020;17(16):5713. doi: 10.3390/ijerph17165713.
  11. Kyrian OA, Derkach IA, Dorofeyev AE, Rudenko MM. Changes in the intestinal microbiota in patients with ulcerative colitis and irritable bowel syndrome combined with urolithiasis. World of Medicine and Biology. 2021;3(77):77–81. doi: 10.26724/2079-8334-2021-3-77-77-81.
  12. Leblhuber F, Huemer J, Steiner K, Gostner J, Fuchs D. Knock-on effect of periodontitis to the pathogenesis of Alzheimer’s disease? Wien Klin Wochenschr. 2020; 132: 493–498. doi: https://doi.org/10.1007/s00508-020-01638-5.
  13. Marta R, Paula LJ, Sofia VA, Júlio PJ, Amaral B, Filomena S. Association of Porphyromonas Gingivalis, a Major Periodontopathic Bacteria, in Patients with Alzheimer’s Disease. Int J Oral Dent Health. 2021;7:131. doi: doi.org/10.23937/2469-5734/1510131
  14. Ryder MI. Porphyromonas gingivalis and Alzheimer disease: Recent findings and potential therapies. J Periodontol. 2020;91(1):45–49. doi: https://doi.org/10.1002/JPER.20-0104.
  15. Soria Lopez JA, González HM, Léger GC. Alzheimer’s disease. Handbook of clinical neurology. 2019;167:231–255. doi: https://doi. org/10.1016/B978-0-12-804766-8.00013-3
Publication:
«World of Medicine and Biology» Vol. 19 No. 85 (2023) , с. 16-20
УДК 616.894-053.8:616.31-022