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Gum Disease Bacterium Linked to Aortic Valve Calcification in Preliminary Study

Conference-presented lab, mouse, cell studies implicate Porphyromonas gingivalis activation of IL-1β as a mechanism for calcific aortic valve stenosis.

Overview

  • Researchers reported at the American Heart Association meeting that Porphyromonas gingivalis was found more often in human aortic valves with calcific disease than in other valves.
  • In mouse experiments repeated exposure to P. gingivalis caused the bacteria to accumulate in aortic valves and increased calcium deposits in the valve leaflets.
  • Preventive antibiotic treatment in mice lowered valve calcification, showing a proof-of-concept that targeting the bacteria can reduce disease in animals.
  • Cell studies showed P. gingivalis activates the inflammatory protein IL-1β, and mice lacking IL-1β developed much less valve calcification, pointing to IL-1β as a possible drug target.
  • The results are preliminary and not yet peer reviewed or proven in people, but they raise the possibility that better periodontal care or inflammation‑targeted therapies could one day help prevent a condition now treated only with valve replacement.