Coronary Heart Disease, Dysbiosis, Human Microbiome, Periodontitis
Conditions
Brief summary
The purpose of this study is to explore the relationship between periodontal disease and coronary artery disease through changes in the gut microbiome. In addition, the investigators aim to find possible periodontal pathogens that have association with cardiovascular disease.
Detailed description
The previous studies have reported the associations among cardiovascular disease, periodontitis, and gut microbiome dysbiosis. However, there is a lack of evidences about the axis of association from oral-gut-cardiovascular disease. The investigators hypothesized that periodontal disease might induce dysbiosis of gut microbiome and dysbiosis might have a role in cardiovascular disease (as called oro-gut-vascular axis). The investigators aim to prove this hypothesis through this case-control, cross-sectional study.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
-Patients aged from 19 to 80 years who underwent invasive coronary angiography for clinical necessity, with informed consent
Exclusion criteria
* Patients with prosthetic valve * pregnancy * active malignancy * active autoimmune disease * active inflammatory bowel disease * chronic kidney disease (eGFR\<30, or on dialysis) * Active liver disease or liver cirrhosis * consistent use of probiotics * prior gastrointestinal surgery within 1 year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The association between periodontal disease and cardiovascular disease | within 3 years after enrollment (until the completion of dataset) | The association between periodontal disease and cardiovascular disease by chi-square test The difference of relative abundance in gut microbiome by PERMANOVA test Safety Issue: No |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The associations among periodontitis, gut microbiome and biomarkers | within 3 years after enrollment (until the completion of dataset) | The association between periodontal disease and biomarkers by independent t-test |
| The associations between periodontitis and cognitive function | within 3 years after enrollment (until the completion of dataset) | The associtation between periodontal disease and cognitive function by chi-square test |
Countries
South Korea