2006
DOI: 10.1902/jop.2006.050191
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Periodontal Disease in Patients From the Original Kostmann Family With Severe Congenital Neutropenia

Abstract: Normalized ANC levels are not sufficient to maintain normal oral health in SCN patients, and because neutrophils are important for first-line defense and innate immunity, the deficiency of the antibacterial peptide LL-37 probably explains their chronic periodontal disease. Professional dental care is still important for SCN patients, despite treatment with G-CSF and normal ANC levels. Whether antibacterial peptides play a role in the pathogenesis of periodontitis in other patients remains to be elucidated.

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Cited by 102 publications
(79 citation statements)
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“…Decreased CAMP/LL-37 production accompanies increased invasion and colonization by pathogens in epithelial cells, which characterizes diseases such as morbus Kostmann (15) and atopic dermatitis (16).…”
mentioning
confidence: 99%
“…Decreased CAMP/LL-37 production accompanies increased invasion and colonization by pathogens in epithelial cells, which characterizes diseases such as morbus Kostmann (15) and atopic dermatitis (16).…”
mentioning
confidence: 99%
“…LL-37 has broad-spectrum activity against Gram-positive and Gram-negative microorganisms, including those associated with periodontal disease (27). A rare disorder, morbus Kostmann, is associated with the complete absence of LL-37 and is characterized by, among other symptoms, chronic periodontitis and overgrowth with A. actinomycetemcomitans (8,41). Individuals with another genetic disorder, Papillon-Lefèvre syndrome, demonstrate a deficiency in LL-37 and exhibit severe periodontitis.…”
Section: Discussionmentioning
confidence: 99%
“…LL-37 gene expression can be induced by live bacteria (36) or by bacterial products such as lipopolysaccharide (LPS) (30,39), and the active LL-37 peptide is processed from the inactive human CAP-18 (hCAP-18) precursor by proteolysis. Lack of LL-37 is associated with two human disorders, morbus Kostmann and Papillon-Lefèvre syndrome, in which there is severe periodontal disease associated with colonization by the periodontal pathogen Aggregatibacter actinomycetemcomitans (8,11,41). LL-37 gene expression can be induced by live bacteria (36) or by bacterial products such as LPS (30,39), making the peptide part of the innate immune defense of the gingival epithelium.…”
mentioning
confidence: 99%
“…Patients may sufer from recurrent gingivitis and even severe periodontitis [94]. To have a family history of consanguineous parenthood may be a predisposing factor for infantile genetic agranulocytosis [95].…”
Section: Genetic Disorders With Periodontal Manifestations and Consanmentioning
confidence: 99%