Association of the CD14 -260C/T polymorphism with plaque-induced gingivitis depends on the presence of Porphyromonas gingivalis

Int J Paediatr Dent. 2022 Mar;32(2):223-231. doi: 10.1111/ipd.12847. Epub 2021 Jun 15.

Abstract

Background: Plaque-induced gingivitis is the most prevalent periodontal disease associated with pathogenic biofilms. The host immune system responds to pathogens through pattern recognition receptors (PRRs), such as Toll-like receptors (TLRs) and their co-receptor cluster of differentiation 14 (CD14).

Aim: This study investigated the association between the functional polymorphism in the CD14 gene and the dental plaque microbiota in children with gingivitis.

Design: A total of 590 unrelated children (307 with plaque-induced gingivitis and 283 controls, aged 13-15 years) were enrolled in this case-control study. Dental plaque was processed using a ParoCheck® 20 detection kit. The CD14 -260C/T (rs2569190) polymorphism was determined with the PCR-RFLP method.

Results: Gingivitis was detected in 64.2% of boys and 35.8% of girls (P < .001). Children with gingivitis had a significantly higher occurrence of dental caries (P < .001). No significant differences in the CD14 -260C/T allele and genotype distribution among individuals with or without gingivitis in the whole cohort were found. Children with gingivitis and P gingivalis, however, were significantly more frequent carriers of the CT and TT genotypes than children with gingivitis without P gingivalis or healthy controls (P < .05).

Conclusions: The CD14 -260C/T polymorphism acts in cooperation with P gingivalis to trigger plaque-induced gingivitis in Czech children.

Keywords: CD14; bacteria; gingivitis; polymorphism.

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Child
  • Dental Caries*
  • Female
  • Gingivitis* / genetics
  • Humans
  • Lipopolysaccharide Receptors*
  • Male
  • Polymorphism, Genetic
  • Porphyromonas gingivalis

Substances

  • CD14 protein, human
  • Lipopolysaccharide Receptors