Oral health and plaque microbial profile in juvenile idiopathic arthritis

• Published in: Pediatric Rheumatology Vol. 17; no. 1; p. 81
• Main Authors: Grevich, Sriharsha, Lee, Peggy, Leroux, Brian, Ringold, Sarah, Darveau, Richard, Henstorf, Gretchen, Berg, Joel, Kim, Amy, Velan, Elizabeth, Kelly, Joseph, Baltuck, Camille, Reeves, Anne, Leahey, Hannah, Hager, Kyle, Brittnacher, Mitchell, Hayden, Hillary, Miller, Samuel, McLean, Jeffrey, Stevens, Anne
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 16.12.2019; BioMed Central; BMC
• Subjects: Analysis; Arthritis; Bacteria; Biotechnology industries; Children; Deoxyribonucleic acid; Disabilities; Disease; DNA; Gene expression; Genes; Genetic research; Gingivitis; Hemophilus infections; Hospitals; Hygiene; Inflammation; Juvenile idiopathic arthritis; Medical research; Microbiota; Microbiota (Symbiotic organisms); Oral health; Oral hygiene; Pathogens; Patients; Pediatrics; Periodontitis; Professional associations; Questionnaires; Rheumatoid arthritis; Rheumatoid factor; RNA; Smoking; Teeth; Variance analysis; United States; Microbiota; Gingivitis; Oral health; Juvenile idiopathic arthritis
• ISSN: 1546-0096; 1546-0096
• DOI: 10.1186/s12969-019-0387-5

The oral microbiota has been implicated in the pathogenesis of rheumatoid arthritis through activation of mucosal immunity. This study tested for associations between oral health, microbial communities and juvenile idiopathic arthritis (JIA). A cross-sectional exploratory study of subjects aged 10-18 years with oligoarticular, extended oligoarticular and polyarticular JIA was conducted. Control groups included pediatric dental clinic patients and healthy volunteers. The primary aim was to test for an association between dental health indices and JIA; the secondary aim was to characterize the microbial profile of supragingival plaque using 16S rRNA gene sequencing. The study included 85 patients with JIA, 62 dental patients and 11 healthy child controls. JIA patients overall had significantly more gingival inflammation compared to dental patients, as evidenced by bleeding on probing of the gingiva, the most specific sign of active inflammation (p = 0.02). Overall, however, there was a trend towards better dental hygiene in the JIA patients compared to dental patients, based on indices for plaque, decay, and periodontitis. In the JIA patients, plaque microbiota analysis revealed bacteria belonging to genera Haemophilus or Kingella elevated, and Corynebacterium underrepresented. In poly JIA, bacteria belonging to the genus Porphyromonas was overrepresented and Prevotella was underrepresented. Increased gingival inflammation in JIA was independent of general oral health, and thus cannot be attributed to poor dental hygiene secondary to disability. The variation of microbial profile in JIA patients could indicate a possible link between gingivitis and synovial inflammation.