Causal Association between Periodontal Diseases and Cardiovascular Diseases

Observational studies have revealed that dental diseases such as periodontitis and dental caries increase the risk of cardiovascular diseases (CVDs). However, the causality between periodontal disease (PD) and CVDs is still not clarified. In the present study, two-sample Mendelian randomization (MR)...

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Main Authors: Mengchen Zhou, Jiangtao Dong, Lingfeng Zha, Yuhua Liao
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/13/1/13
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author Mengchen Zhou
Jiangtao Dong
Lingfeng Zha
Yuhua Liao
author_facet Mengchen Zhou
Jiangtao Dong
Lingfeng Zha
Yuhua Liao
author_sort Mengchen Zhou
collection DOAJ
description Observational studies have revealed that dental diseases such as periodontitis and dental caries increase the risk of cardiovascular diseases (CVDs). However, the causality between periodontal disease (PD) and CVDs is still not clarified. In the present study, two-sample Mendelian randomization (MR) studies were carried out to assess the association between genetic liability for periodontal diseases (dental caries and periodontitis) and major CVDs, including coronary artery disease (CAD), heart failure (HF), atrial fibrillation (AF), and stroke—including ischemic stroke as well as its three main subtypes—based on large-scale genome-wide association studies (GWASs). Our two-sample MR analyses did not provide evidence for dental caries and periodontitis as the causes of cardiovascular diseases; sensitivity analyses, including MR–Egger analysis and weighted median analysis, also supported this result. Gene functional annotation and pathway enrichment analyses indicated the common pathophysiology between cardiovascular diseases and periodontal diseases. The associations from observational studies may be explained by shared risk factors and comorbidities instead of direct consequences. This also suggests that addressing the common risk factors—such as reducing obesity and improving glucose tolerance—could benefit both conditions.
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spelling doaj.art-0ef0aa61bec145c2a0afbd081aca00412023-11-23T13:50:54ZengMDPI AGGenes2073-44252021-12-011311310.3390/genes13010013Causal Association between Periodontal Diseases and Cardiovascular DiseasesMengchen Zhou0Jiangtao Dong1Lingfeng Zha2Yuhua Liao3Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaObservational studies have revealed that dental diseases such as periodontitis and dental caries increase the risk of cardiovascular diseases (CVDs). However, the causality between periodontal disease (PD) and CVDs is still not clarified. In the present study, two-sample Mendelian randomization (MR) studies were carried out to assess the association between genetic liability for periodontal diseases (dental caries and periodontitis) and major CVDs, including coronary artery disease (CAD), heart failure (HF), atrial fibrillation (AF), and stroke—including ischemic stroke as well as its three main subtypes—based on large-scale genome-wide association studies (GWASs). Our two-sample MR analyses did not provide evidence for dental caries and periodontitis as the causes of cardiovascular diseases; sensitivity analyses, including MR–Egger analysis and weighted median analysis, also supported this result. Gene functional annotation and pathway enrichment analyses indicated the common pathophysiology between cardiovascular diseases and periodontal diseases. The associations from observational studies may be explained by shared risk factors and comorbidities instead of direct consequences. This also suggests that addressing the common risk factors—such as reducing obesity and improving glucose tolerance—could benefit both conditions.https://www.mdpi.com/2073-4425/13/1/13periodontal diseasescardiovascular diseasescausal associationMendelian randomization
spellingShingle Mengchen Zhou
Jiangtao Dong
Lingfeng Zha
Yuhua Liao
Causal Association between Periodontal Diseases and Cardiovascular Diseases
Genes
periodontal diseases
cardiovascular diseases
causal association
Mendelian randomization
title Causal Association between Periodontal Diseases and Cardiovascular Diseases
title_full Causal Association between Periodontal Diseases and Cardiovascular Diseases
title_fullStr Causal Association between Periodontal Diseases and Cardiovascular Diseases
title_full_unstemmed Causal Association between Periodontal Diseases and Cardiovascular Diseases
title_short Causal Association between Periodontal Diseases and Cardiovascular Diseases
title_sort causal association between periodontal diseases and cardiovascular diseases
topic periodontal diseases
cardiovascular diseases
causal association
Mendelian randomization
url https://www.mdpi.com/2073-4425/13/1/13
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AT yuhualiao causalassociationbetweenperiodontaldiseasesandcardiovasculardiseases