“…Apart from its well accepted role as an oral pathogen in the establishment of chronic inflammation at the site of infection, there is increasing evidence of a link between P. gingivalis-associated periodontal disease and systemic inflammatory conditions, such as diabetes, preterm birth, aspiration pneumonia and atherosclerotic cardiovascular disease (Brodala et al, 2005;Liao et al, 2009;Lin et al, 2003;Maekawa et al, 2011;Pussinen and Mattila, 2004). On the cellular level, a convincing body of evidence indicates that P. gingivalis possesses unique signalling properties, which enable it to evade, subvert or manipulate the host immune defences by exploiting the toll-like receptor (TLR) family, in particular TLR2 (Burns et al, 2006;Hajishengallis et al, 2002;Hajishengallis et al, 2008b;Harokopakis et al, 2006;Wang et al, 2010). As an opportunistic pathogen, P. gingivalis can preferentially target innate immunity, which may in turn disable adaptive immunity, hence causing a general deregulation of the immune responses (Hajishengallis, 2009;Hajishengallis et al, 2008a).…”