1994
DOI: 10.1111/j.1600-0757.1994.tb00016.x
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Evidence of bacterial etiology: a historical perspective

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Cited by 308 publications
(258 citation statements)
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References 185 publications
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“…18,19 Once bacteria gain access to these sites, their byproducts incite periods of exacerbation and remission of inflammation, leading to increased production of proinflammatory cytokines and matrix metalloproteinases, often by augmenting mechanisms linked to evasion of host defenses. 20,21 A consequence of this heavy burden of cytokines and tissue-destructive mediators is the development of hyperpermeability and loss of epithelial integrity, which creates an opportunity for invading bacteria, and their byproducts, to gain access to the systemic circulation.…”
Section: Discussionmentioning
confidence: 99%
“…18,19 Once bacteria gain access to these sites, their byproducts incite periods of exacerbation and remission of inflammation, leading to increased production of proinflammatory cytokines and matrix metalloproteinases, often by augmenting mechanisms linked to evasion of host defenses. 20,21 A consequence of this heavy burden of cytokines and tissue-destructive mediators is the development of hyperpermeability and loss of epithelial integrity, which creates an opportunity for invading bacteria, and their byproducts, to gain access to the systemic circulation.…”
Section: Discussionmentioning
confidence: 99%
“…During the development and progression of periodontitis, there is a well‐documented shift from a symbiotic microbiota to a dysbiotic community, from predominantly facultative Gram‐positive species to Gram‐negative anaerobes (Socransky & Haffajee, 1994). As these periodontal pathogens aggregate subgingivally, they inhibit the growth of other commensal species in the biofilm and work synergistically in pathogenesis (Thurnheer et al, 2014).…”
mentioning
confidence: 99%
“…Periodontopathogens also produce a variety of virulence factors such as proteases (13), lipopolysaccharide (LPS) (14), and fimbria (3,15), as well as SCFAs. Even if monocytes/macrophages have varying butyric acidsusceptibility to other immune cells, it is still unclear whether apoptosis is induced in monocytes/macrophages as well as lymphocytes by pathogens.…”
Section: Introductionmentioning
confidence: 99%