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In patients with periodontitis the presence of anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 IgGs in serum and their association with atherosclerosis is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>One\u2010hundred and thirty subjects with periodontal disease and 46 healthy subjects, matched for age and gender, participated in this study. Anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>, high\u2010sensitivity <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010reactive protein (hs<jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>) and matrix metalloproteinase (<jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>) \u20102, \u20103, \u20108 and \u20109 were measured in serum samples. An ankle\u2010brachial index (<jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content>) value below 1.11 served as a surrogate marker of atherosclerosis. Predictive accuracies of biomarkers for abnormal <jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content> were determined using receiver\u2013operating characteristics curves and logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with healthy controls, periodontitis patients showed lower median <jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content> values (1.10 vs. 1.15; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001), a higher prevalence of anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content> positivity (23.8% vs. 6.5%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.009) and higher concentrations of hs<jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content> (1.62\u00a0mg\/L vs. 0.85\u00a0mg\/L; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02) and <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\u20109 (435\u00a0\u03bcg\/mL vs. 283\u00a0\u03bcg\/mL; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001). In patients younger than 50\u00a0years of age (<jats:italic>n<\/jats:italic>\u00a0=\u00a066), anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content> was found to be the best predictor for an abnormal <jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content> (area under the curve = 0.63; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03). Anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content> positivity increased the risk of having an abnormal <jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content> (odds ratio = 4.20; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04), independently of diabetes, smoking and body mass index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content> positivity and atherosclerosis, as reflected by abnormal <jats:styled-content style=\"fixed-case\">ABI<\/jats:styled-content>, were more prevalent in periodontitis patients than in age\u2010 and gender\u2010matched controls. In younger periodontitis patients, anti\u2010apo<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\u20101 <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content> was found to be the best predictor of atherosclerosis burden.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jre.12014","type":"journal-article","created":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T14:26:43Z","timestamp":1349965603000},"page":"350-356","source":"Crossref","is-referenced-by-count":24,"title":["Anti\u2010apolipoprotein <scp>A<\/scp>\u20101 autoantibodies as biomarker for atherosclerosis burden in patients with periodontitis"],"prefix":"10.1111","volume":"48","author":[{"given":"P. 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