Curcumin for the Management of Periodontitis and Early ACPA-Positive Rheumatoid Arthritis: Killing Two Birds with One Stone

Nutrients
Eleni AsteriouDimitrios P Bogdanos

Abstract

We propose curcumin as a preventive measure to avoid/manage periodontitis (PD), and as a natural immunosuppressant for rheumatoid arthritis (RA). PD, mainly caused by Porphyromonas gingivalis forming biofilm and leading to tooth decay, is a major public health issue and a risk factor for the development of RA in humans. P. gingivalis is able to trigger experimental autoimmune arthritis in animal models and in humans can induce citrullinated peptides, which not only are a source of anti-citrullinated antibodies (ACPAs), but also participate in autoreactive responses and disease development. Curcumin appears to have efficient anti-bacterial activity against P. gingivalis infection and biofilm formation. In addition to antibacterial, anti-oxidant, and anti-inflammatory action, curcumin exerts unique immunosuppressant properties via the inhibition of Th17 pro-inflammatory responses and promotion of regulatory T cells, thus suppressing autoimmunity. We introduce curcumin as a natural product for the management of both PD and RA-related autoreactivity, possibly also as a preventive measure in early RA or individuals at high risk to develop RA.

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Citations

Nov 8, 2019·Journal of Gastroenterology and Hepatology·Ting ZhengGang Liu
Apr 2, 2020·Oncology Reviews·Soussan IraniMohammadreza Badiei
Jul 25, 2019·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Carolina Escobedo-MartínezRaúl G Enríquez
Dec 31, 2019·BioMed Research International·Masaaki MinamiToshiaki Makino
Sep 1, 2021·Journal of the Mechanical Behavior of Biomedical Materials·Rajalakshmi EkambaramSangeetha Dharmalingam
Jun 24, 2021·Current Pharmaceutical Design·Juanjuan ZhaoBing Niu
Dec 7, 2021·Frontiers in Immunology·Bo YangYan Wang

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