Using national register data to estimate the heritability of periodontitis.


Journal

Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123

Informations de publication

Date de publication:
06 2021
Historique:
revised: 25 02 2021
received: 17 11 2020
accepted: 07 03 2021
pubmed: 22 3 2021
medline: 21 5 2021
entrez: 21 3 2021
Statut: ppublish

Résumé

To identify whether periodontal traits derived from electronic dental records are biologically informative and heritable. The study included 11,974 adult twins (aged 30-92 years) in the Swedish Twin Registry. Periodontal records from dental examinations were retrieved from a national register and used to derive continuous measures of periodontal health. A latent class approach was used to derive categorial measures of periodontal status. The correlation patterns in these traits were contrasted in monozygotic and dizygotic twin pairs using quantitative genetic models to estimate the heritability of the traits. For continuous traits, heritability estimates ranged between 41.5% and 48.3% with the highest estimates for number of missing tooth surfaces and rate of change in number of deep periodontal pockets (≥6 mm). For categorial traits, the latent class approach identified three classes (good periodontal health, mild periodontitis signs and severe signs of periodontitis) and there was a clear difference in the hazard for subsequent tooth loss between these three classes. Despite this, the class allocations were only slightly more heritable than a conventional dichotomous disease definition (45.2% vs. 42.6%). Periodontitis is a moderately heritable disease. Quantitative periodontal traits derived from electronic records are an attractive target for future genetic association studies.

Identifiants

pubmed: 33745184
doi: 10.1111/jcpe.13459
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

756-764

Informations de copyright

© 2021 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.

Références

Agler, C. S., Moss, K., Philips, K. H., Marchesan, J. T., Simancas-Pallares, M., Beck, J. D., & Divaris, K. (2019). Biologically defined or biologically informed traits are more heritable than clinically defined ones: The case of oral and dental phenotypes. Advances in Experimental Medicine and Biology, 1197, 179-189. https://doi.org/10.1007/978-3-030-28524-1_13
Altman, D. G., & Royston, P. (2006). The cost of dichotomising continuous variables. British Medical Journal, 332, 1080. https://doi.org/10.1136/bmj.332.7549.1080
Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology, 45(Suppl 20), S1-S8. https://doi.org/10.1111/jcpe.12935
Chestnutt, I. G., Binnie, V. I., & Taylor, M. M. (2000). Reasons for tooth extraction in Scotland. Journal of Dentistry, 28, 295-297. https://doi.org/10.1016/s0300-5712(99)00069-x
Diehl, S. R., Wu, T., Michalowicz, B. S., Brooks, C. N., Califano, J. V., Burmeister, J. A., & Schenkein, H. A. (2005). Quantitative measures of aggressive periodontitis show substantial heritability and consistency with traditional diagnoses. Journal of Periodontology, 76, 279-288. https://doi.org/10.1902/jop.2005.76.2.279
Haworth, S., Shungin, D., Kwak, S. Y., Kim, H. Y., West, N. X., Thomas, S. J., Franks, P. W., Timpson, N. J., Shin, M. J., & Johansson, I. (2018). Tooth loss is a complex measure of oral disease: Determinants and methodological considerations. Community Dentistry and Oral Epidemiology, 46, 555-562. https://doi.org/10.1111/cdoe.12391
Holmlund, A., Lampa, E., & Lind, L. (2017). Poor response to periodontal treatment may predict future cardiovascular disease. Journal of Dental Research, 96, 768-773. https://doi.org/10.1177/0022034517701901
Jönsson, D., Orho-Melander, M., Demmer, R. T., Engstrom, G., Melander, O., Klinge, B., & Nilsson, P. M. (2020). Periodontal disease is associated with carotid plaque area: The Malmo Offspring Dental Study (MODS). Journal of Internal Medicine, 287, 301-309. https://doi.org/10.1111/joim.12998
Kassebaum, N. J., Bernabe, E., Dahiya, M., Bhandari, B., Murray, C. J., & Marcenes, W. (2014). Global burden of severe periodontitis in 1990-2010: A systematic review and meta-regression. Journal of Dental Research, 93, 1045-1053. https://doi.org/10.1177/0022034514552491
Kohler, H. P., Behrman, J. R., & Schnittker, J. (2011). Social science methods for twins data: Integrating causality, endowments, and heritability. Biodemography and Social Biology, 57, 88-141. https://doi.org/10.1080/19485565.2011.580619
Magnusson, P. K., Almqvist, C., Rahman, I., Ganna, A., Viktorin, A., Walum, H., Halldner, L., Lundstrom, S., Ullen, F., Langstrom, N., Larsson, H., Nyman, A., Gumpert, C. H., Rastam, M., Anckarsater, H., Cnattingius, S., Johannesson, M., Ingelsson, E., Klareskog, L., … Lichtenstein, P. (2013). The Swedish Twin Registry: Establishment of a biobank and other recent developments. Twin Research and Human Genetics, 16, 317-329. https://doi.org/10.1017/thg.2012.104
Morelli, T., Agler, C. S., & Divaris, K. (2020). Genomics of periodontal disease and tooth morbidity. Periodontology 2000, 82, 143-156. https://doi.org/10.1111/prd.12320
Morelli, T., Moss, K. L., Preisser, J. S., Beck, J. D., Divaris, K., Wu, D., & Offenbacher, S. (2018). Periodontal profile classes predict periodontal disease progression and tooth loss. Journal of Periodontology, 89, 148-156. https://doi.org/10.1002/JPER.17-0427
Mucci, L. A., Bjorkman, L., Douglass, C. W., & Pedersen, N. L. (2005). Environmental and heritable factors in the etiology of oral diseases-a population-based study of Swedish twins. Journal of Dental Research, 84, 800-805. https://doi.org/10.1177/154405910508400904
Mucci, L. A., Hsieh, C. C., Williams, P. L., Arora, M., Adami, H. O., de Faire, U., Douglass, C. W., & Pedersen, N. L. (2009). Do genetic factors explain the association between poor oral health and cardiovascular disease? A prospective study among Swedish twins. American Journal of Epidemiology, 170, 615-621. https://doi.org/10.1093/aje/kwp177
Neale, M. C., Hunter, M. D., Pritikin, J. N., Zahery, M., Brick, T. R., Kirkpatrick, R. M., Estabrook, R., Bates, T. C., Maes, H. H., & Boker, S. M. (2016). OpenMx 2.0: Extended structural equation and statistical modeling. Psychometrika, 81, 535-549. https://doi.org/10.1007/s11336-014-9435-8
Nibali, L., Almofareh, S. A., Bayliss-Chapman, J., Zhou, Y., Vieira, A. R., & Divaris, K. (2020). Heritability of periodontitis: A systematic review of evidence from animal studies. Archives of Oral Biology, 109, 104592. https://doi.org/10.1016/j.archoralbio.2019.104592
Nibali, L., Bayliss-Chapman, J., Almofareh, S. A., Zhou, Y., Divaris, K., & Vieira, A. R. (2019). What is the heritability of periodontitis? A systematic review. Journal of Dental Research, 98, 632-641. https://doi.org/10.1177/0022034519842510
Offenbacher, S., Divaris, K., Barros, S. P., Moss, K. L., Marchesan, J. T., Morelli, T., Zhang, S., Kim, S., Sun, L., Beck, J. D., Laudes, M., Munz, M., Schaefer, A. S., & North, K. E. (2016). Genome-wide association study of biologically informed periodontal complex traits offers novel insights into the genetic basis of periodontal disease. Human Molecular Genetics, 25, 2113-2129. https://doi.org/10.1093/hmg/ddw069
Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., Flemmig, T. F., Garcia, R., Giannobile, W. V., Graziani, F., Greenwell, H., Herrera, D., Kao, R. T., Kebschull, M., Kinane, D. F., Kirkwood, K. L., Kocher, T., Kornman, K. S., Kumar, P. S., … Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Periodontology, 89(Suppl 1), S173-S182. https://doi.org/10.1002/JPER.17-0721
Pihlstrom, B. L., Michalowicz, B. S., & Johnson, N. W. (2005). Periodontal diseases. Lancet, 366, 1809-1820. https://doi.org/10.1016/S0140-6736(05)67728-8
Shungin, D., Haworth, S., Divaris, K., Agler, C. S., Kamatani, Y., Keun Lee, M., Grinde, K., Hindy, G., Alaraudanjoki, V., Pesonen, P., Teumer, A., Holtfreter, B., Sakaue, S., Hirata, J., Yu, Y. H., Ridker, P. M., Giulianini, F., Chasman, D. I., Magnusson, P. K. E., … Johansson, I. (2019). Genome-wide analysis of dental caries and periodontitis combining clinical and self-reported data. Nature Communications, 10, 2773. https://doi.org/10.1038/s41467-019-10630-1
Teumer, A., Holtfreter, B., Völker, U., Petersmann, A., Nauck, M., Biffar, R., Völzke, H., Kroemer, H. K., Meisel, P., Homuth, G., & Kocher, T. (2013). Genome-wide association study of chronic periodontitis in a general German population. Journal of Clinical Periodontology, 40, 977-985. https://doi.org/10.1111/jcpe.12154
Tobacco & Genetics Consortium (2010). Genome-wide meta-analyses identify multiple loci associated with smoking behavior. Nature Genetics, 42, 441-447. https://doi.org/10.1038/ng.571
Wahlin, Å., Papias, A., Jansson, H., & Norderyd, O. (2018). Secular trends over 40 years of periodontal health and disease in individuals aged 20-80 years in Jönköping, Sweden: Repeated cross-sectional studies. Journal of Clinical Periodontology, 45, 1016-1024. https://doi.org/10.1111/jcpe.12978

Auteurs

Simon Haworth (S)

Medical Research Council Integrative Epidemiology Unit, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Bristol Dental School, University of Bristol, Bristol, UK.

Anders Esberg (A)

Department of Odontology, Umeå University, Umeå, Sweden.

Ralf Kuja-Halkola (R)

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Pernilla Lundberg (P)

Department of Odontology, Umeå University, Umeå, Sweden.

Patrik K E Magnusson (PKE)

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Ingegerd Johansson (I)

Department of Odontology, Umeå University, Umeå, Sweden.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH