Bacteria Associated with Periodontal Disease
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Questions and Answers

What are virulence factors in the context of periodontal disease?

  • Mechanisms that allow bacteria to colonize and damage tissues (correct)
  • Proteins released by host cells in response to infections
  • Methods that enhance the immune response against bacteria
  • Genetic markers related to periodontal disease susceptibility

Which of the following statements best describes lipopolysaccharides (LPS)?

  • They are endotoxins found in the outer layer of Gram-positive bacteria.
  • They are enzymes produced by bacteria that degrade host proteins.
  • They play a crucial role in the ability of bacteria to invade host tissues. (correct)
  • They are proteins that help bacteria evade the immune system.

Which environmental factor is known to impact the immune response in periodontal disease?

  • Consumption of a high-sugar diet
  • Tobacco smoking (correct)
  • Exposure to high levels of stress
  • Genetic predisposition to infections

What role do B-lymphocytes play in the immune response during periodontal disease?

<p>Binding to specific cell surface receptors to recognize pathogens (B)</p> Signup and view all the answers

Which statement accurately describes acute inflammation in the context of periodontal disease?

<p>It involves immune and inflammatory processes that can protect the tissue. (D)</p> Signup and view all the answers

Which bacterium is known for its gingipains that enable nutrient acquisition from gingival crevicular fluid (GCF)?

<p>Porphyromonas gingivalis (B)</p> Signup and view all the answers

What is one of the mechanisms by which Aggregatibacter actinomycetemcomitans disrupts host defense?

<p>Releasing leukotoxin (C)</p> Signup and view all the answers

Which of the following factors is associated with Treponema denticola's ability to disrupt host defenses?

<p>Motility and invasion of tissues (D)</p> Signup and view all the answers

Tannerella forsythia is primarily recognized for producing which type of factors?

<p>Proteases and apoptotic factors (C)</p> Signup and view all the answers

What role does the carbohydrate capsule of Porphyromonas gingivalis play in its pathogenicity?

<p>Helps resist host defenses (C)</p> Signup and view all the answers

What is the primary role of Cytokine IL-1 in periodontitis?

<p>Stimulates osteoclast activity (D)</p> Signup and view all the answers

Which cytokine is known for inhibiting bone formation?

<p>Cytokine IL-6 (B)</p> Signup and view all the answers

What is the effect of Prostaglandin Eâ‚‚ (PGEâ‚‚) in periodontal disease?

<p>Stimulates MMP secretion (D)</p> Signup and view all the answers

Which of the following is a major source of MMP enzymes in periodontal tissue?

<p>Macrophages (D)</p> Signup and view all the answers

What happens when there is a disruption in the MMP-TIMP balance?

<p>Excessive breakdown of connective tissue (A)</p> Signup and view all the answers

Which cytokine is primarily associated with connective tissue destruction?

<p>Cytokine IL-8 (A)</p> Signup and view all the answers

What is the primary action of MMP enzymes in periodontal tissues?

<p>Induce breakdown of the collagen matrix (C)</p> Signup and view all the answers

Which mediator is critical for triggering osteoclasts to destroy bone?

<p>Prostaglandin Eâ‚‚ (PGEâ‚‚) (B)</p> Signup and view all the answers

Flashcards

Porphyromonas gingivalis and Gingipains

Porphyromonas gingivalis uses gingipains to digest gingival crevicular fluid (GCF) for nutrients.

Aggregatibacter actinomycetemcomitans (Aa) Leukotoxin

Aa leukotoxin kills white blood cells (WBCs), weakening the body's defense against infection.

Tannerella forsythia and Proteases

Tannerella forsythia produces proteases; substances help break down proteins in tissues.

Treponema denticola and Tissue Invasion

Treponema denticola can invade tissues, disrupting host defenses and slowing healing.

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Bacteria and Host Defenses

Periodontal disease bacteria, like Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, and Treponema denticola, disrupt the body's immune response.

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Host response in periodontal disease

The body's reaction to bacterial infection in the periodontal tissues.

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Bacterial virulence factors

Mechanisms that help bacteria colonize and harm tissues.

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Lipopolysaccharide (LPS)

Endotoxin found on Gram-negative bacteria.

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Acute inflammation in periodontitis

Early immune response involving cells like macrophages and lymphocytes, though often unresolved.

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Inflammatory biochemical mediators

Regulatory proteins released during inflammation by immune cells.

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Cytokines

Small proteins that act as messengers in the immune system, recruiting immune cells, increasing vascular permeability, and moving immune cells into tissues.

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Key Cytokines in Periodontitis

Cytokines IL-1, IL-6, IL-8, and TNF-α play crucial roles in periodontal tissue destruction.

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Prostaglandins

Lipid-based signaling molecules that are important in various biological processes, including inflammation and tissue destruction in periodontitis.

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PGEâ‚‚

A type of prostaglandin that stimulates MMP secretion and breaks down collagen in periodontal tissues.

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MMPs (Matrix Metalloproteinases)

A family of enzymes that break down connective tissue proteins.

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MMP-TIMP Balance

Maintaining the balance between MMPs and their inhibitors (TIMPs) is vital for healthy connective tissue. An imbalance leads to excessive tissue breakdown.

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What is the source of MMPs?

MMPs are produced by various cells in the body including PMNs, macrophages, gingival fibroblasts, and junctional epithelial cells.

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What is the role of PGEâ‚‚ in periodontitis?

PGEâ‚‚ plays a key role in periodontitis by stimulating MMP secretion, leading to breakdown of collagen in periodontal tissues.

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Study Notes

Bacteria Associated with Periodontal Disease

  • Porphyromonas gingivalis (P. gingivalis):

    • Capsule - can help resist some host defenses
    • Produces gingipains to enable the bacterium to use CPF as a source of nutrients
    • LPS (Lipopolysaccharide)
    • Haemagglutinins + platelet aggregators
    • Fimbrae and tissue invasion
    • Can suppress the early PMN (polymorphonuclear leukocytes) response
  • Aggregatibacter Actinomycetemcomitans (A.A):

    • Leukotoxin - can kill WBCs. Therefore, it interrupts host defenses
    • Produces proteases including collagenase
    • Can invade epithelial host cells
  • Tannerella forsythia

    • Proteases and apoptotic factors
  • Treponema denticola:

    • Adherence factors can bind to microorganisms
    • Mobile and can invade host tissues
    • Disrupts host defense
    • Delays wound healing by inhibiting migration of PMNs and degrading cytokines.

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Description

Explore the key bacterial players associated with periodontal disease, including their mechanisms of action and effects on host defenses. This quiz will cover species such as Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans, highlighting their unique attributes. Test your knowledge on how these bacteria contribute to oral health issues.

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