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Molecular Science in Oral-Systemic Medicine ~Winter Seminar~ 東京医科歯科大学 第8回 グローバルCOE 国際シンポジウム 東京医科歯科大学 Tokyo Medical and Dental University The 8 th Global COE International Symposium February 3rd~4th, 2013 Tokyo Medical and Dental University http://www.tmd.ac.jp/cmn/gcoe/index.html http://www.tmd.ac.jp/cmn/gcoe/index.html グローバルCOEプログラム 歯と骨の分子疾患科学の国際教育研究拠点 デント・メドミクスのインテリジェンスハブ 第8回 グローバルCOE国際シンポジウム Molecular Science in Oral-Systemic Medicine ~Winter Seminar~ Sixth Retreat Meeting

Molecular Science in Oral-Systemic Medicine ~Winter Seminar~ · 2013-01-28 · Molecular Science in Oral-Systemic Medicine - Winter Seminar - February 3rd~4th, 2013 2013.2.3(Sun)

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Page 1: Molecular Science in Oral-Systemic Medicine ~Winter Seminar~ · 2013-01-28 · Molecular Science in Oral-Systemic Medicine - Winter Seminar - February 3rd~4th, 2013 2013.2.3(Sun)

Molecular Science in Oral-Systemic Medicine

~Winter Seminar~

東京医科歯科大学

第8回グローバルCOE国際シンポジウム

東京医科歯科大学

Tokyo Medical and Dental UniversityThe 8th Global COE International Symposium

February 3rd~4th, 2013Tokyo Medical andDental University

http://www.tmd.ac.jp/cmn/gcoe/index.html

http://www.tmd.ac.jp/cmn/gcoe/index.html

グローバルCOEプログラム歯と骨の分子疾患科学の国際教育研究拠点

デント・メドミクスのインテリジェンスハブ

第8回グローバルCOE国際シンポジウム

Molecular Science in Oral-Systemic Medicine ~Winter Seminar~

Sixth Retreat Meeting

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Molecular Science in Oral-Systemic Medicine - Winter Seminar -

February 3rd~4th, 2013

2013.2.3(Sun) Periodontal Medicine

9:00 − 9:10 PresidentAddress Takashi Ohyama

Session 1 Chairpersons : Denis F. Kinane, Yuichi Izumi

9:10 − 10:40 Steven Offenbacher AnUpdateinPeriodontalMedicine:ManagingOralInfectionsto ImproveOverallHealth

10:40 − 12:10 Panos N. Papapanou PeriodontalInfectionsandCardiovascularDisease:BiologicalPlausibility andEpidemiologicEvidence

Session 2 Chairpersons : Steven Offenbacher, Yasushi Furuichi

13:00 − 14:30 Denis F. Kinane TheRoleofHostResponseVariationsinOralandSystemicDisease Interactions

14:30 − 15:10 Fusanori Nishimura ThePeriodontalHostResponsewithType2Diabetes

15:10 − 15:50 Shogo Takashiba PeriodontalMedicine −PredictionofSystemicDiseasesonPeriodontalInfection−

15:50 − 16:20 PosterSession3(SixthRetreatMeeting)CoffeeBreak

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Session 3 Chairpersons : Mark Bartold, Shinya Murakami

16:20 − 17:00 Yasushi Furuichi AssociationbetweenPeriodontalDiseaseandAdversePregnancy Outcome

17:00 − 17:40 Koji Inagaki InterrelationshipsbetweenSystemicOsteoporosisandPeriodontal Disease:AssociationandMechanisms

18:30 − Reception

2013.2.4(Mon) Advanced Therapy in Periodontic

Session 4 Chairpersons : Panos N. Papapanou, Koji Inagaki

10:00 − 11:30 Mark Bartold IsThereaRoleforStemCellsinPeriodontalRegeneration?

11:30 − 12:10 Shinya Murakami PeriodontalTissueEngineering −TheFuturePerspectiveofCytokineTherapyandCellTherapy−

12:10 − 12:50 Yuichi Izumi ClinicalApplicationofEr:YAGLaserinPeriodontaland Peri-implantTherapy

12:50 − ClosingRemark YuichiIzumi                      Adjourn

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C O N T E N T SSteven Offenbacher ………………………………………………………… 1AnUpdateinPeriodontalMedicine:ManagingOralInfectionstoImproveOverallHealth

Panos N. Papapanou ………………………………………………………… 5PeriodontalInfectionsandCardiovascularDisease:BiologicalPlausibilityandEpidemiologicEvidence

Denis F. Kinane………………………………………………………………… 9TheRoleofHostResponseVariationsinOralandSystemicDiseaseInteractions

Fusanori Nishimura………………………………………………………… 13ThePeriodontalHostResponsewithType2Diabetes

Shogo Takashiba…………………………………………………………… 17PeriodontalMedicine−PredictionofSystemicDiseasesonPeriodontalInfection−

Yasushi Furuichi …………………………………………………………… 21AssociationbetweenPeriodontalDiseaseandAdversePregnancyOutcome

Koji Inagaki………………………………………………………………… 25InterrelationshipsbetweenSystemicOsteoporosisandPeriodontalDisease:AssociationandMechanisms

Mark Bartold ……………………………………………………………… 29IsThereaRoleforStemCellsinPeriodontalRegeneration?

Shinya Murakami…………………………………………………………… 33PeriodontalTissueEngineering−TheFuturePerspectiveofCytokineTherapyandCellTherapy−

Yuichi Izumi………………………………………………………………… 37ClinicalApplicationofEr:YAGLaserinPeriodontalandPeri-implantTherapy

Poster Session……………………………………………………………… 42

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An Update in Periodontal Medicine: Managing Oral Infections to Improve Overall Health

Steven Off enbacher D.D.S., Ph.D., M. MSc.

ProfessorandChair,DepartmentofPeriodontology,UniversityofNorthCarolinaatChapelHill

PeriodontalMedicinewasdefinedin1996astheeffectofperiodontalinfectionsonsystemichealth.Thisdisciplinewasinitiallyestablishedtostudytheobservationsthatlinkedperiodontaldiseasewithanincreasedriskforheartattack,strokeandpretermdeliveryamongpregnantwomen.Althoughthisisanemergingfield,currentfindingssuggestthatperiodontitisisassociatedwithmoressevereandprevalentcardiovasculardisease,kidneydisease,chronicobstructiveairwaydisease,diabetesandpregnancycomplications.Theseassociationsappeartoconferadditionalriskevenafteradjustmentsforrelevantconfounderslikesmoking,obesity,andothertraditionalriskfactors.Currentevidencesuggestthattheperiodontalorganismsgainaccesstothesystemiccirculationandthatperiodontalinfectionscreateanoralwoundthatservesasaportalforthesystemicdisseminationoforalpathogens.Onceintothebloodstreamtheseorganismselicithepaticinflammation,vasculardamage,andmanyappearcapableofcrossingtheplacentalbarrierinpregnantwomen.Thus,clinicalperiodontaldiseaserepresentsaninfectedwoundthatcanserveasachronicportalforthesystemicdisseminationoforalpathogensthathasthepotentialtomediateinflammatorydamagetomultipleorganssystems.Theevidencefromhumansandanimalstudieswouldsuggestthatonceperiodontalorganismsenterintothecirculatorysystem,theyinduceupstreamanddownstreammediatorsofthehepaticacutephaseresponseresultinginincreasesinserumbiomarkerssuchassICAM(solubleintracellularadhesionmolecule-1),IL-6(interleukin6),fibrinogenandCRP(C-ReactiveProtein).Manyoftheseinflammatorymarkersarepredictiveofcardiovascular,pregnancyanddiabetesrisk.Itappearsthat,periodontaldiseasemay,inpart,explaintheassociationbetweentheobservedincreasesininflammatorybiomarkersoftheacutephaseresponse,coagulationandvascularstressasassociatedwithincreasedriskforcertainsystemicconditions. Duringpregnancy,periodontalinfectionalsoappearstobeaspecialthreattotheplacentaandfetus.Case-controlandprospectivecohortstudieshavesuggestedthatthereisasignificantassociationbetweenmaternalperiodontaldiseaseandpregnancycomplicationsthatresultinpretermdelivery[gestationalage(GA)<37weeks]andlowbirthweight[LBW,birthweight<2500g].Severalstudiessuggestthatperiodontaldiseaseindependentlyenhancestheriskofobstetriccomplicationsincludingpretermbirth,growthrestriction[birthweightlessthan10thpercentileofweightforgestationalage,adjustingforbabygenderandrace],preeclampsiaandverypretermbirth[deliverylessthan32weeksgestation].Periodontaldiseaserepresentsariskfortheseadversepregnancyoutcomesevenafteradjustingforarangeofpotentialconfoundersincludingprevioushistoryofpretermbirth,parity,maternalweightgain,smoking,andotherinfections.Datasuggestthatmaternalperiodontalinfectionsmaypotentiallyrepresentabonafideriskfactorforpretermbirthandgrowthrestrictionbyservingasaninfectiousandinflammatoryexposuretotheplacentaandfetusduringpregnancy.Thisinfectiousandinflammatorystresswhichrepresentsthetoxicityoftheoralbiofilmappearstoincreaseneonatalmorbidityandmayhavelife-longeffectsonthehealthoftheoffspring. Estimatesofthepotentialmagnitudeoftheeffectofperiodontaldiseaseontheseconditionsaresignificant,increasingtheriskasmuchastraditionalriskfactorssuchassmoking.Furthermore,datafromanimalmodelsofdiseaseprovideacompellingdemonstrationofbiologicalfeasibility.However,datasupportingthereversibilityofthisassociationinhumansisequivocal.Althoughsomeearlytreatmentstudiesshowpromise,otherstudiesdonotshowanysystemicbenefitsfromtreatment.Clearlyadditionalstudiesexploringthepotentialbenefitsoftreatingperiodontaldiseasetoreducingtheriskforthesesystemicconditionsareneeded.However,sinceperiodontaldiseaseisbothapreventableandtreatablecondition,itrepresentsapotentiallymodifiableriskfactor.Thus,ifperiodontaldiseaseisproventobecausallyrelatedtotheseconditions,thefindingscouldhaveatremendoushealthcareimpact.

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Steven Offenbacher

CURRICULUM VITAE

Education

1972 BostonUniversityB.A.Chemistry Boston,Massachusetts1976 VirginiaCommonwealthUniversityD.D.S.Dentistry MedicalCollegeofVirginiaSchoolofDentistry1977 VirginiaCommonwealthUniversityPh.D.Biochemistry MedicalCollegeofVirginia GraduateSchoolofBasicSciences1980 HarvardMedicalSchoolM.MSc.OralBiology1980 HarvardSchoolofDentalMedicineCertificate

Periodontology DepartmentofPeriodontologyandOralMedicine1980 HarvardMedicalSchoolM.MSc.OralBiology

Position

1981-91 AssistantProfessorofBiochemistry GraduateDivisionofBiological&Biomedical Sciences SchoolofMedicine Dr.KeithWilkinson,Chairman1982-91 GuestResearcher,AnaerobicMicrobiology CentersforDiseaseControl1985-91 GuestResearcher,YerkesPrimateCenter Dr.HaroldMcClure,ChiefofPathobiology& Immunobiology1987-91 AssociateProfessorofPeriodontology/Oral Biologywithtenure SchoolofPostgraduateDentistry1988-91 AssociateProfessorintheWinshipCancer Center1991-94 AssociateProfessorofPeriodontology Director,ClinicalResearchUnit1994-03 ProfessorofPeriodontology Director,ClinicalResearchUnit2003-present OraPharmaDistinguishedProfessorof PeriodontalMedicine2010 InterimChair,DepartmentofPeriodontology2010-present Chair,DepartmentofPeriodontology

Award and Honors

2006 NortonM.RossAwardforExcellenceinClinical Research2006 AAP,ClinicalResearchAward2007 DistinguishedScientistHonoree,NewYork University.2008 AAP,ClinicalResearchAward2008 AAPEducatorAwardforOutstandingTeaching andMentoringinPeriodontics2008 AlumniStarAward,VirginiaCommonwealth University2009 AAP,ClinicalResearchAward2010 Classof58Award,ClinicalRelevanceofResearch

Publications

1. BoggessKA,EspinolaJA,MossK,BeckJ,OffenbacherS,CamargoCA.VitaminDstatusandperiodontaldiseaseamongpregnanwomen.JPeriodontol.2010Sep1[Epubaheadofprint].

2. SuwatanapongchedP,SuraritR,SrisatjalukR,OffenbacherS.TranslocationofPorphyromonasgingivalisinfectedmonocytesandassociatedcellularresponses.AsianPacJAllergyImmunol.2010;28:181-188.

3. BobetsisYA,BarrosSP,LinDM,ArceRM,OffenbacherS.Alteredgeneexpressioninmurineplacentasinaninfection-inducedintrauterinegrowthrestrictionmodel;amicroarrayanalysis.JReprodImmunol.2010Jun;85(2):140-148.

4. CardJW,CareyMA,VoltzJW,BradburyJA,FergusonCD,CohenEA,SchwartzS,FlakeGP,MorganDL,ArbesSJJr,BarrowDA,BarrosSP,OffenbacherS,ZeldinDC.ModulationofallergicairwayinflammationbytheoralpathogenPorphyromonasgingivalis.InfectImmun.2010Jun;78(6):2488-2496.

5. BarrosSP,WirojchanasakS,BarrowDA,PanagakosFS,DevizioW,OffenbacherS.Triclosaninhibitionofacuteandchronicinflammatorygenepathways.JClinPeriodontol.2010May:37(5):412-418.

6. OffenbacherS,BarrosS,MendozaL,MaurielloS,PreisserJ,MossK,deJagerM,AspirasM.Changesingingivalcrevicularfluidinflammatorymediatorlevelsduringtheinductionandresolutionofexperimentalgingivitisinhumans.JClinPeriodontol.2010Apr;37(4):324-333.

7. FisherEL,MossK,OffenbacherS,BeckJD,WhiteJrRP.Thirdmolarandnon-thirdmolarcariesexperienceinmiddle-agedAmericans,aprevalencestudy.JOralandMaxillofacialSurg.2010Mar;68(3):634-640.

8. HortonAL,BoggessKA,MossKL,JaredHL,BeckJ,OffenbacherS.Periodontaldisease,oxidativestress,andriskforpreeclampsia.JPeriodontol.2010Feb;81(2):199-204.

9. FriedewaldVE,KornmanKS,OffenbacherS,BeckJ,TaylorGW,BorgnakkeWSLettertotheEditor:Authors'response.JPeriodontol.2010Feb;81(2):199-204.

10.BlakeyGH,GeleskoS,MarcianiRD,HaugRH,OffenbacherS,PhillipsC,WhiteJrRP.ThirdmolarsandperiodontalpathologyinAmericanadolescentsandyoungadults:aprevalencestudy.JOralMaxillofacSurg.2010;68:325-329

11.ArceRM,DiazPI,BarrosSP,GallowayP,BobetsisY,ThreadgillD,OffenbacherS.CharacterizationoftheinvasiveandinflammatorytraitsoforalCampylobacterrectusinamurinemodeloffetoplacentalgrowthrestrictionandintrophoblasticcultures.JReproductiveImmunology.JofReproductiveImmunology.2010;84:145-153.

12. ZhangS,BarrosSP,NiculescuMD,MorettiAJ,OffenbacherS.AlterationofPTGS2promotermethylationinchronicperiodontitis.JDentRes.2010Feb;89(2):133-137.

13.HickmanMA,BoggessKA,MossKL,BeckJD,OffenbacherS.Maternalperiodontaldiseaseisassociatedwithoxidativestressduringpregnancy.AmJPerinatol.

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2011Mar;28(3):247-252.14. PreisserJS,SenPK,OffenbacherS.Multiplehypothesis

testingforexperimentalgingivitisbasedonWilcoxonSignedRankStatistics.AmericanStatisticalAssociationStatisticsinBiopharmaceuticalResearch.2011:3(2).

15.XiongX,BuekensP,GoldenbergRL,OffenbacherS,QianX.Optimaltimingofperiodontaldiseasetreatmentforpreventionofadversepregnancyoutcomes:beforeorduringpregnancy?AmJObstet&Gynecol.2011Mar16.

16.BellKP,PhillipsC,PaquetteDW,OffenbacherS,WilderRS.Incorporatingoral-systemicevidenceintopatientcare:practicebehaviorsandbarriersofNorthCarolinadentalhygienists.JDentHyg.2011:85(2):88-113.

17.BarrosSP,ArceRM,GallowayP,LawterJR,OffenbacherS.TherapeuticeffectofatopicalCCR2antagonistoninducedalveolarbonelossinmice.JPeriodontalRes.2011;46:246-251.

18.GaraasR,MossKl,FisherEL,WilsonG,OffenacherS,BeckJD,WhiteRPJr.Prevalenceofvisiblethirdmolarswithcariesexperienceorperiodontalpathologyinmiddle-agedandolderAmericans.JOralMaxillofacSurg.2011Feb;69(2):463-470.

19.WhiteRPJr.,FisherEL,PhillipsC,TuckerM,MossKL,OffenbacherS.Visiblethirdmolarsasriskindicatorforincreasedperiodontalprobingdepth.JOralMaxillofacSurg.2011Jan;69(1):92-103

20. PerriR,NaresS,ZhangS,BarrosSP,OffenbacherS.MicroRNAmodulationinobesityandperiodontitis.JDentRes.2012;91(1):33-38.PMID:22043006.

21.FisherEL,GaraasR,BlakeyGH,OffenbacherS,ShugarsDA,PhillipsC,WhiteRPJr.Changesovertimentheprevalenceofcariesexperienceorperiodontalpathologyonthirdmolarsinyoungadults.JOralMaxillofacSurg.2012May;70(5):1016-1022.

22.BroderMB,SchwartzS,CarlsonJ,DibbleCF,KohitfarberH,OffenbacherS,BuseJB,BencharitS.Exploringsalivaryproteomesinedentulouspatientswithtype2diabetes.MolBiosyst.2012Apr;8(4):1304-1310.PMID:22314925.

23.KoromantzosPA,MakrilakisK,DerekaX,OffenbacherS,KatsilambrosN,VrotsosIA,MadianosPN.Effectofnon-surgicalperiodontaltherapyonC-reactiveprotein,oxidativestress,andmatrixmetalloproteinase(MMP)-9andMMP-2levelsinpatientswithtype2diabetes:arandomizedcontrolledstudy.JPeriodontol.2012;83(1):3-10.PMID:21627458.

24. SoutherlandJG,MossK,TaylorGW,BeckJD,PankowJ,GangulaPR,OffenbacherS.PeriodontitisanddiabetesassociationswithmeasuresofatherosclerosisandCHD.Atherosclorosis2012May;222(1):196-201.PMID:22440543.

25.BellKP,PhillipsC,PaquetteDW,OffenbacherS,WilderRS.Dentalhygienists’knowledgeandopinionsoforal-systemicconnections:implicationsforeducation.JDentEduc.2012Jun;76(6):682-694.PMID:22659696.

26.MatulaK,RamamurthyR,BoseC,GoldsteinR,CouperD,Peralta-CarcelenM,StewartD,GustafsonKE,Offenbacher

Steven Offenbacher

S.Effectofantenataltreatmentofmaternalperiodontitisonearlychildhoodneurodevelopment.AmJPerinatol.2012Jul6;29(10):815-822.PMID:22773286.

27.DivarisK,MondaKL,NorthKE,OlshanAF,LangeEM,MossK,BarrosSP,BeckJD,OffenbacherS.Genome-wideassociationstudyofperiodontalpathogencolonization.JDentRes.2012Jul;91(7Suppl):21S-28S.PMID:22699663.

28.OffenbacherS,BeckJD,MossKL,BarrosS,MendozaL,WhiteRPJr.Whatarethelocalandsystemicimplicationsofthirdmolarretention?JOralMaxillofacSurg.2012Sep;70(9Suppl1):S58-65.PMID:22916700.

29.TaxmanDJ,LeiY,ZhangS,Holley-GuthrieE,OffenbacherS,TingJP.Asc-dependentRIP2kinaseregulatesreducedPGE2productioninchronicperiodontitis.JDentRes.2012Sep;91(9):877-82.PMID:22928789.

30.TaskForceforThirdMolarSummary.Summaryofthethirdmolarclinicaltrials;reportoftheAAOMStaskforceforthirdmolarsummary.JOralMaxillofacSurg.2012Sep;70(9):2238-2248.PMID:2290711.

31.ArceRM,CaronKM,BarrosSP,OffenbacherS.Toll-likereceptor4mediatesintrauterinegrowthrestrictionaftersystemicCampylobacterrectusinfectioninmice.MolOralMicrobiol.2012Oct;27(5):373-381.PMID:22958386.

32.BencharitS,AltarawnehSK,BaxterSS,CarlsonJ,RossGF,BorderMB,MackCR,ByrdWC,DibbleCF,BarrosS,LoewyZ,OffenbacherS.Elucidatingroleofsalivaryproteinsindenturestomatitisusingaproteomicapproach.MolBiosyst.2012Oct30;8(12):3216-3223.PMID:23041753.

33.WehmeyerMMH,KshirsagarAV,BarrosSP,BeckJD,MossK,PreisserJ,OffenbacherS.ArandomizedcontrolledtrialofintensiveperiodontaltherapyonmetabolicandinflammatorymarkersinpatientswithESRD:resultsofanexploratorystudy.

34.Al-TarawnehSK,BencharitS,MendozaL,CurranAE,BarrowDA,BarrosSP,PreisserJ,OffenbacherS,LoewyZ,GendreauL.ClinicalandhistologicalfindingsofdenturestomatitisasrelatedtointraoralcolonizationpatternsofC.albicans,salivaryflowanddrymouth.JProsthodont.2012Oct25.[Epubaheadofprint].PMID:23107189.

35. ZhangS,BarrosSP,MorettiAJ,YuN,ZhouJ,PreisserJS,OffenbacherS.EpigeneticregulationofTNFAexpressioninperiodontaldisease.JPeriodontol.2012Nov25.[Epubaheadofprint].

36.BarrosSP,Al-TarawnehSK,BencharitS,LoewyZ,GendreauL,OffenbacherS.Salivarycytokineandlevelsindenturestomatitis:anexploratorycase-controlstudy.OpenJStomatology,2012Dec.

37.OffenbacherS,BeckJD,BarrosSP,SurukiR,LoewyZG.Obstructivelungdiseaseandedentulismintheatherosclerosisriskincommunities(ARIC)study.BMJOpen2012Dec19;2:e001615.doi:10.1136/bmjopen-2012-001615.

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M E M O

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Periodontal Infections and Cardiovascular Disease : Biological Plausibility and Epidemiologic Evidence

Panos N. Papapanou, D.D.S., Ph.D.

ProfesserandChair,SectionofOralandDiagnosticSciences,ColumbiaUniversityCollegeofDentalMedicine

Oneofthekeyfeaturesofperiodontaldiseasesistheintimatecontactbetweenthebiofilm

ofthemicrobialplaqueandtheulceratedepitheliumoftheperiodontalpocket.Thisallows

thesubgingivalbacteria,someofwhichhavetissue-invadingproperties,togaindirectaccess

totheunderlyingconnectivetissueandgingivalmicrovasculaturethroughthedisrupted

epithelialbarrier.Asaresult,bacteremiasarefairlycommoninpatientswithperiodontitis

andaretriggeredbymechanicalstimulationofthegingivaltissues.Inaddition,inflammatory

mediatorsthatareabundantlyproducedlocallyintheinflamedgingivathroughcellularinnate

andadaptiveimmunitypathwayscanenterthebloodstream,reachdistantorgansandalso

‘excite’thevascularendothelium.Thesephenomenahavebeenshowntobeimportantinthe

contextofatherogenesis.Thepresentationwillgiveanoverviewofthepotentialbiologically

plausiblemechanismsthroughwhichperiodontalinfection/inflammationmayleadtoextra-oral

pathology,andsummarizetheavailableepidemiologicevidencefromcross-sectional,cohortand

interventionstudiesthathaveinvestigatedtheassociationofperiodontitisandcardiovascular/

cerebrovasculardisease.Thepublichealthimplicationsofthesefindingswillbediscussed.

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6

CURRICULUM VITAE

Education

1979-1984 SchoolofDentistry,UniversityofAthens, Greece D.D.S,awardedJuly19841985-1989 Ph.DProgram,FacultyofOdontology,Göteborg University,Sweden Ph.D.inPeriodontics,awardedDecember1989 Thesistitle:Patternsofalveolarbonelossin theassessmentofperiodontaltreatment priorities.Sponsor:Prof.JanL.Wennström SwedishDentalJournal,Supplement66,19892001 ColumbiaUniversitySchoolofDentalandOral Surgery,NewYork,NY D.D.S.,awardedMay2001Position

1992-1995 AssociateProfessor DepartmentofPeriodontology,Göteborg University1995-1998 AssociateProfessor DepartmentofOralMicrobiology,Göteborg University1997-1998 AssistantDean,ResearchGraduateCurriculum FacultyofOdontology,GöteborgUniversity1998-2003 AssociateProfessorofDentistry ColumbiaUniversity,SchoolofDentalandOral Surgery1999-present Director,DivisionofPeriodontics, ColumbiaUniversityCollegeofDentalMedicine2003-present ProfessorofDentalMedicine ColumbiaUniversityCollegeofDentalMedicine2003-present Chairman,SectionofOralandDiagnostic Sciences, ColumbiaUniversityCollegeofDentalMedicine2005 UniversityTenure

Award and Honors

1996 The1stAnthonyA.RizzoYoungInvestigatorAward; PeriodontalResearchGroup;InternationalAssociation forDentalResearch1998 TheWalther-EngelPrize; AcademyofGraduateDentalEducation,Karlsruhe, Germany2007 ClinicalResearchAward; AmericanAcademyofPeriodontology2007 EducatorAwardforOutstandingTeachingand MentoringinPeriodontics; AmericanAcademyofPeriodontology2009 SunstarWorldPeriodontalResearchAward SunstarFoundationforOralHealthPromotion2012 SpecialCitation,AmericanAcademyofPeriodontology

Publications

1. Dye,B.A.,Herrera-Abreu,M.,Lerche-Sehm,J.,Vlachojannis,C.,Pikdoken,L.,Pretzl,B.,Schwartz,A.,Papapanou,P.N.(2009)Serumantibodiestoperiodontalbacteriaasdiagnosticmarkersofperiodontitis.JournalofPeriodontology80:634-647.

2. Behle,J.H.,Sedagathfar,M.H.,Demmer,R.T.,Wolf,D.L.,Celenti,R.,Kebschull,M.,Belusko,P.B.,Herrera-Abreu,M.,Lalla,E.,Papapanou,P.N.(2009)Heterogeneityofsystemicinflammatoryresponsesafterperiodontaltherapy.JournalofClinicalPeriodontology36:287-294.

3. Michalowicz,B.S.,Hodges,J.S.,Novak,M.J.,Buchanan,W.,DiAngelis,A.J.,Papapanou,P.N.,Mitchell,D.A.,Ferguson,J.E.,Lupo,V.R.,Bofill,J.,Matseoane,S.(2009)ChangeinperiodontitisduringpregnancyandriskofpretermbirthandlowbirthweightJournalofClinicalPeriodontology36:308-314.

4. Ebersole,J.L.,Novak,M.J.,Michalowicz,B.S.,Hodges,J.S.,Steffen,M.J.,Ferguson,J.E.,DiAngelis,A.J.,Buchanan,W.,Mitchell,D.A.,Papapanou,P.N.(2009)Systemicimmuneresponsesinpregnancyandperiodontitis:Relationshiptopregnancyoutcomesintheobstetricsandperiodontaltherapy(OPT)studyJournalofPeriodontology80:953-960.

5. Noble,J.M.,Borrell,L.N.,Papapanou,P.N.,Elkind,M.,Scarmeas,N.,Wright,C.(2009)Periodontitisisassociatedwithcognitiveimpairmentamongolderadults:analysisofNHANESIIIJournalofNeurologicalandNeurosurgicalPsychiatry80:1206-1211.

6. Papapanou,P.N.,Behle,J.H.,Kebschull,M.,Celenti,R.,Wolf,D.L.,Handfield,M.,Pavlidis,P.,Demmer,R.,(2009)Subgingivalbacterialcolonizationprofilescorrelatewithgingivaltissuegeneexpression.BMCMicrobiologyOct18,9(1):221.

7. Michalowicz,B.S.,Novak,M.J.,Hodges,J.S.,DiAngelis,A.J.,Buchanan,W.,Papapanou,P.N.,Mitchell,D.A.,Ferguson,J.E.,Lupo,V.R.,Bofill,J.,Matseoane,S.,Steffen,M.,Ebersole,J.F.(2009)Seruminflammatorymediatorsinpregnancy:Changesfollowingperiodontaltreatmentandassociationwithpregnancyoutcomes.JournalofPeriodontology80:1731-1741.

8. Demmer,R.T.,Papapanou,P.N.,Jacobs,D.R.Jr.,Desvarieux,M.(2009)Evaluatingclinicalperiodontalmeasuresassurrogatesforbacterialexposure:TheOralInfectionsandVascularDiseaseEpidemiologyStudy(INVEST).BMCMedicalResearchMethodology,Jan7;10:2.

9. Pollreisz,A.,Huang,Y.,Roth,G.A.,Cheng,B.,Kebschull,M.,Papapanou,P.N.,Schmidt,A.,Lalla,E.(2010)Enhancedmonocytemigrationandpro-inflammatorycytokineproductionbyPorphyromonasgingivalisinfection.JournalofPeriodontalResearchSeptember45:239-245.

10.Demmer,R.T.,Papapanou,P.N.(2010)Epidemiologicpatternsofchronicandaggressiveperiodontitis.Periodontology200053:28-44.

11.Desvarieux,M.,Demmer,R.T.,Jacobs,D.R.,Rundek,T.,

Panos N. Papapanou

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Boden-Albala,B.,Sacco,R.L.,Papapanou,P.N.(2010)Periodontalmicrobiotaandhypertension.TheOralInfectionsandVascularDiseaseEpidemiologyStudy(INVEST).JournalofHypertension28:1413-1421.

12.Vlachojannis,C.,Dye,B.A.,Herrera-Abreu,M.,Pikdöken,L.,Lerche-Sehm,J.,Pretzl,B.,Celenti,R.,Papapanou,P.N.(2010)DeterminantsofserumIgGresponsestoperiodontalbacteriainanationallyrepresentativesample.JournalofClinicalPeriodontology37:685-696.

13.Kebschull,M.,Demmer,R.T.,Papapanou,P.N.(2010)“Gumbugleavemyheartalone”-Epidemiologicandmechanisticevidencelinkingperiodontalinfectionsandatherosclerosis.JournalofDentalResearch89:879-902.

14.Kebschull,M.,Papapanou,P.N.(2010)Theuseofgenearraysindecipheringthepathobiologyofperiodontaldiseases.MethodsinMolecularBiologyIn:MoleculartechniquesandapplicationsinOralBiology,666:385-393.

15.DemmerR.T.,Pavlidis,P.,Papapanou.P.N.(2010)Bioinformaticstechniquesinmicroarrayresearch:AppliedmicroarraydataanalysisusingRandSASsoftware.MethodsinMolecularBiologyIn:MoleculartechniquesandapplicationsinOralBiology,666:395-417.

16. Pollreisz,A.,Hudson,B.I.,Chang,J.S.,Qu,W.,Cheng,B.,Papapanou,P.N.,Schmidt,A.M.,LallaE.(2010)Receptorforadvancedglycationendproductsmediatespro-atherogenicresponsestoperiodontalinfectioninvascularendothelialcells.Atherosclerosis212:451-456.

17.Albert,D.A.,Begg,M.D.,Andrews,H.F.,Williams,S.Z.,Ward,A.,Conicella,M.L.,Rauh,V.,Thomson,J.L.,Papapanou,P.N.(2011)Anexaminationofperiodontaltreatment,dentalcare,andpregnancyoutcomesinaninsuredpopulationintheUnitedStates.AmericanJournalofPublicHealth101:151-156.

18.Kebschull,M.,Papapanou,P.N.(2011)Periodontalmicrobialcomplexesassociatedwithspecificcellandtissueresponses.JournalofClinicalPeriodontology38:supplement11:17-27.

19.Michalowicz,B.,Hodges,J.,Lussky,R.,Bada,H.,Rawson,T.,Buttross,L.,Chiriboga,C.,DiAngelis,A.,Novak,M.,Buchanan,W.,Mitchell,D.,Papapanou,P.N.(2011)Theinfluenceofmaternalperiodontitisoninfantneurodevelopment.Pediatrics127:e1212-1220.

20. Jönsson,D.,Ramberg,P.,Demmer,R.T.,Kebschull,M.,Dahlén,G.,Papapanou,P.N.(2011)Gingivaltissuetranscriptomesinexperimentalgingivitis.JournalofClinicalPeriodontology38:599-611.

21. Lalla,E.&Papapanou,P.N.(2011)Diabetesmellitusandperiodontitis:ataleoftwocommoninterrelateddiseases.NatureReviewsEndocrinology7:738-748.

22.Messier,M.D.,Emde,K.,Stern,L.,Radhakrishnan,J.,Vernocchi,L.,Cheng,B.,Angelopoulos.C.Papapanou,P.N.(2012)Radiographicperiodontalbonelossinchronickidneydisease.JournalofPeriodontology83:602-611.

23.Albert,D.A.,Ward,A.,Allweiss,P.,Graves,D.T.,Knowler,

W.C.,Kunzel,C.,Leibel,R.L.,Novak,K.F.,Oates,T.W.,Papapanou.P,N.,Schmidt,A,M,,Taylor,G.W.,Lamster,I.B.,Lalla.E.(2012)Diabetesandoraldisease:implicationsforhealthprofessionalsAnnalsoftheNewYorkAcademyofSciences1255:1-15.

24. Lockhart,P.B,Bolger,A.F.,Papapanou,P.N.,Osinbowale,O.,Trevisan,M.,Levison,M.E.,Taubert,K.A.,Newburger,J.W.,Gornik,H.L.,Gewitz,M.H.,Wilson,W.R.,Smith,S.C.Jr.,Baddour,L.M.(2012)PeriodontalDiseaseandAtheroscleroticVascularDisease:DoestheEvidenceSupportanIndependentAssociation?:AScientificStatementFromtheAmericanHeartAssociation.Circulation125:2520-2544.

25. Papapanou,P.N.(2012)TheprevalenceofperiodontitisintheUS:Forgetwhatyouwretold.JournalofDentalResearch91:907-908.

26. Stoecklin-Wasmer,C.,Guarnieri,P.,Celenti,R.,Demmer,R.T.,Kebschull,M.,Papapanou,P.N.(2012)MicroRNAsandtheirtargetgenesingingivaltissues.JournalofDentalResearch91:934-940.

27. Papapanou,P.N.,Trevisan,M.(2012)Periodontitisandatheroscleroticvasculardisease:Whatweknowandwhyitisimportant.JournaloftheAmericanDentalAssociation143:826-828.

28.Demmer,R.T,Squillaro,A.,Papapanou,P.N,Rosenbaum,M.,Friedewald,W.T.,Jacobs,D.R.Jr.,Desvarieux,M.(2012)Periodontalinfection,systemicinflammationandinsulinresistance:ResultsfromtheContinuousNationalHealthandNutritionExaminationSurvey(NHANES)1999-2004.DiabetesCare35:2235-2242.

29. Papapanou,P.N.(2012)TheprevalenceofperiodontitisintheUS:forgetwhatyouweretold.JournalofDentalResearch91:907-908.

30.Acomparisonofperiodontalstatusintworegional,population-basedstudiesofSHIPandINVEST(2012)Holfreter,B.,Demmer,R.T.,Bernhardt,O.,Papapanou,P.N.,Schwahn,C.,Kocher,T.,Desvarieux,M.JournalofClinicalPeriodontology39:1115-1124.

31. IdeM,Papapanou,P.N.(2013)Epidemiologicalevidenceforassociationsbetweenmaternalperiodontaldiseaseandadversepregnancyoutcomes–asystematicreviewJournalofClinicalPeriodontology40:inpress.

32.Krämer,B.,Kebschull,M.,Nowak,M.,Demmer,R.T.,Haupt,M.,Körner,C.,Perner,S.,Jepsen,S.,Nattermann,J.,Papapanou,P.N.(2013)RoleoftheNKcell-activatingreceptorCRACCinperiodontitisInfectionandImmunity81:inpress.

33.Bostanci,N.,Ramberg,P.,Wahlander,Å.,Grossman,J.,Jönsson,D.,Barnes,V.,&Papapanou,P.N.(2013)Label-freequantitativeproteomicsrevealsdifferentiallyregulatedproteinsinexperimentalgingivitis.JournalofProteomeResearch12:inpress.

Panos N. Papapanou

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The Role of Host Response Variations in Oral and Systemic Disease Interactions

Denis F. Kinane, B.D.S., Ph.D.

MortonAmsterdamDeanProfessorofPathologyandPeriodontologyUniversityofPennsylvania,SchoolofDentalMedicine

Variationsinhostresponseamongsthumansarecriticalindeterminingwhogetsdiseaseandwhoremainshealthygiventhesameenvironmentalchallenges.Clearlyinitiatingandenvironmentalchallengesarenecessaryinanydisease,andinperiodontaldiseasethesubgingivalbiofilmandchallengessuchassmokingcanfulfilltheseroles.Thislecturewillexploretherelationshipbetweenoraldisease,specificallyperiodontaldisease,andotherchronicinflammatorydiseasessuchasdiabetes,heartdiseaseandpre-termpregnancies.Thecentralroleofthechronicinflammatoryburdenasalinkingfeaturebetweenthesediseasesandthespecificpotentialeffectoftheperiodontalbiofilmasthemajoretiologicalagentwillbeaddressed.Mechanisticlinks,particularlyforcardiovasculardisease,andtheconceptofsharedriskfactorswillbecoveredalso.Thegatekeeperroleofoursurfaceepitheliallayeranditsvariationswillbeexploredinbothitsmolecularvariationsandfunctions.StimulationofTLRsbyperiodontalbacteriatypicallyproduceseitherahyper-inflammatoryresponseorananti-microbialpeptideresponse.Theseresponsesareunderstoodtoberegulatedbyepigeneticmodifications.LikewisethechangesincellularreceptorexpressionaremediatedbymicroRNAswhichmayalsohavearoleinapoptoticresponses.Featuressuchasthelipidraftcellularreceptors,inparticulartheTLRfamilyaswellasGPCRswillbereviewedaswillthepotentialforsignalingthroughthesereceptorsinproducingcytokine,andothercellularinflammatoryandanti-inflammatoryresponses.Theimportanceofgenetics,specificallybySNPcarriage,andtheregulationofinflammationbybothmicroRNAaffectsandbychromatinremodelingandotherepigeneticchangeswillbementioned.Thecentralroleofchronicinflammationandhowitcontributesandisworsenedinavarietyofstateswillbeconsidered.Theaudienceshouldachieveanunderstandingandarealisticperspectiveoftheinteractionsofthesechronicdiseasesandknowledgeontheirprevention.

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Denis F. Kinane

CURRICULUM VITAE

Education

1980 BDSUniversityofEdinburgh1983 PhDDepartmentofMicrobiology,Universityof

Edinburgh,MedicalSchool1986 FDSRCSRoyalCollegeofSurgeonsEdinburgh1993 FDSRCPSRoyalCollegeofPhysiciansandSurgeons

GlasgowPosition

1980-1983 ResearchFellow,MicrobiologyDepartment, EdinburghUniversityMedicalSchool1983-1983 HouseOfficeinOralMedicine/Periodontology, EdinburghDentalHospitalandSchool1983-1987 LecturerinPeriodontology,DundeeDental HospitalandSchool1988-1994 SeniorLecturer,HonoraryConsultantand CoordinatorofthePeriodontalUnit, UniversityofGlasgowDentalHospitaland School.1994 Additional-ProfessorinPeriodontologyand OralImmunology1995 Additional–Director,OralImmunology ResearchGroup(topranked,2001RAE)2000 Additional-AssociateDeanforResearchand Enterprise2002-2009 AssociateDeanResearch,EndowedProfessor, Dept.Periodontology,Professor,Dept. Microbiology&Immunology.Universityof LouisvilleDentalSchool,Kentucky.Since2009 MortonAmsterdamDean,Professorof PathologyandPeriodontology,University ofPennsylvaniaSchoolofDentalMedicine, Philadelphia,Pennsylvania,USA

Award and Honors

1. EuroPerioIResearchAward:Adonogianaki,Wennstrom,Kinane.1994

2. BritishSocietyofPeriodontology,Researchprize:Apatzidou,Kinane.2001

3.‘B’meritawardholder(NHS).20004. DeltaEndowedChair,UniversityofLouisville.20025. HonoraryMemberoftheSwissSocietyofPeriodontology.

20016. KYHEROSAwardtoenhancescientificappreciationinthe

community.20047. Chair-ElectoftheGordonConferenceonPeriodontology

2003-2008.8. CouncillorforthePeriodontalResearchGroupoftheInt.

Assoc.DentalResearch.9. BasicScienceAwardoftheInternationalAssociationfor

DentalResearch2012.

Publications

IL-6,tPA,PAI-2,albuminlevelsfollowinginitialperiodontal1.treatmentinchronicperiodontitispatientswithorwithouttype2diabetes.InflammRes.2011Feb;60(2):143-51.Epub2010Sep17.PubMedPMID:20845058.KardeşlerL,BuduneliN,ÇetinkalpS,LappinD,KinaneDF.GingivalcrevicularfluidOzçakaO,Ba2. şoğluOK,BuduneliN,TaşbakanMS,BacakoğluF,KinaneDF.Chlorhexidinedecreasestheriskofventilator-associatedpneumoniainintensivecareunitpatients:arandomizedclinicaltrial.JPeriodontalRes.2012Feb29.doi:10.1111/j.1600-0765.2012.01470.xKinaneJA,BenakanakereMR,ZhaoJ,HosurKB,Kinane3.DF.Porphyromonasgingivalisinfluencesactindegradationwithinepithelialcellsduringinvasionandapoptosis.CellMicrobiol.2012

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The Periodontal Host Response with Type 2 Diabetes

Fusanori Nishimura, D.D.S., Ph.D.

ProfesserandChair,DepartmentofDentalScienceforHealthPromotion,HiroshimaUniversityInstituteofBiomedicalandHealthSciences

Inthepastdecade,periodontaldiseasehasbeenrecognizedasnotmerelyalocalinfectiousdisease,butaschronic,subclinical,inflammatorydiseaseforthehost.Thesubjectswithtype2diabetesappeartorespondtobacterialchallengeinanexaggeratedmannerascomparedwiththesubjectswithoutdiabetesthroughseveralpossiblemechanisms,anddevelopsevererformsofinflammatoryperiodontaldisease.Severeperiodontaldiseaseinsuchsubjects,inturn,actstoreduceinsulinsensitivityknownasinsulinresistance,therebycontributingtotheinductionofhyperglycemiaaswellashyperinsulinemia,importantriskfactorsforvascularcomplications.Additionally,recentstudiessuggestedthatsuchsubclinicalinflammatorystatealsopromotesrenaldysfunction,allofwhichareimportantriskfactorsforatherosclerosis.Finally,allsuchconditionsacttoincreasetheriskforcoronaryheartdiseases,oneoftheleadingcausesofmortalityandmorbidityinsubjectswithdiabetes.Thus,itisveryimportanttoelucidatemolecularmechanismsastowhylocalperiodontalinflammationisamplifiedtothelevelofinfluencingouroverallsystemichealth. Recently,macrophageshavebeensuggestedtoinfiltrateintoadiposetissues,andtointeractwithadipocytes,therebyexacerbatingadiposetissueinflammation.Furthermore,bothcelltypesappeartoexpresstoll-likereceptor-4(TLR4),andfreefattyacidshavebeenfoundtoactasendogenousligandforTLR4.Basedonthesefindings,wehypothesizedthat,incasesofinfectiousdiseasessuchassevereperiodontaldiseaseandgutinfection,classicalexogenousligandforTLR4mayfurtherexacerbateinflammatoryresponsesinadiposetissue,therebycontributingtotheinductionofmanyunwantedsideeffectssuchasinsulinresistance.Toprovethis,weestablishedco-culturesystembetweenadipocytesandmacrophagesandstimulatedthesecellswithbacteriallipopolysaccharide(LPS).WefoundthatstimulationofthecellswithLPSmarkedlyup-regulatedinflammatorygeneexpressioninadipocytesaswellasproteinproductionsfromco-cultures.Someoftheseeffectswereconfirmedinvivomodelbyusingbothgeneticallyinducedandenvironmentallyinducedobesemodelmiceaswell.Hence,ourresultssuggestthat,althoughtheprevalenceofextremelyobesesubjectsasseeninwesternsocietiesisverylowineasternAsiaincludingJapan,oncetheydevelopsevereperiodontaldiseases,thediseasemayup-regulateadiposetissueinflammation,especiallyinsubjectswithnewlydiagnosedtype2diabeteswhoareslightlymoreobesethanthesubjectswithoutdiabetes.Currentunderstandingonthesemechanismswillbediscussedinthecontextofdevelopingnew

“order-made”diagnosticstrategiestoavoidsuchunwantedsideeffects.

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Fusanori Nishimura

CURRICULUM VITAE

Education

1985 DDS,KyushuUniversityFacultyofDentistry

Position

1988 Assistant,OkayamaUniversityDentalSchool1990 Post-DoctoralResearchFello,ColumbiaUniversity SchoolofDentalandOralSurgery1993 AssociateResearchScientist,ColumbiaUniversity SchoolofDentalandOralSurgery1995 Assistant,OkayamaUnivesityDentalSchool1997 AssistantProfessorOkayamaUniversityHospital2003 AssocateProfessor,OkayamaUniversityGraduate SchoolofMedicineandDentistry2006 Professor,HiroshimaUniversityGraduateSchoolof BiomedicalSciences

Award and Honors

1999 YoungInvestigatorAward,JapaneseSocietyOf ConservativeDentistry1999 TheFirstAwardInBasicResearchCategoryOf7th MeetingOfTheInternationalAcademyOf Periodontology2005 LionAward,JapaneseSocietyOfPeriodontology

Publications

1. IwataH,SogaY,MeguroM,YoshizawaS,OkadaY,IwamotoY,YamashitaA,TakashibaS,NishimuraF.Highglucoseup-regulateslipopolysaccharide-stimulatedinflammatorycytokineproductionviac-junN-terminalkinaseinmonocyticcelllineTHP-1.JEndotoxinRes,13:227-234,2007.

2. YamashitaA,SogaY,IwamotoY,YoshizawaS,IwataH,KokeguchiS,TakashibaS,NishimuraF.Macrophage-adipocyteinteraction:MarkedIL-6productionbyco-culturesstimulatedwithLPS.Obesity,15:2549-2552,2007.

3. YamashitaA,SogaY,IwamotoY,AsanoT,LiY,AbikoY,NishimuraF.DNAmicroarrayanalysesofgenesexpresseddifferentiallyin3T3-L1adipocytesco-culturedwithmurinemacrophagecelllineRAW264.7inthepresenceofthetoll-likereceptor4ligandbacterialendotoxin.IntJObese,32:1725-1729,2008.

4. NakaraiH,YamashitaA,NagayasuS,IwashitaM,KumamotoS,OhyamaH,HataM,SogaY,KushiyamaA,AsanoT,AbikoY,NishimuraF.Adipocyte-macrophageinteractionmaymediateLPS-inducedlow-gradeinflammation:potentiallinkwithmetaboliccomplications.InnateImmunity,[E-pubaheadofprint:2010]18:164-170,2012.

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Periodontal Medicine− Prediction of Systemic Diseases on Periodontal Infection −

Shogo Takashiba, D.D.S., Ph.D.ProfesserandChair,DepartmentofPathophysiology-PeriodontalMedicine,OkayamaUniversityGraduateSchoolofMedicine,DentistryandPharmaceuticalSciences

Epidemiologicalstudieshavesuggestedtherelationsamongmanysystemicdiseasesandperiodontitis.Inthosestudies,clinicalindiceshavebeenusedasparametertoshowseverityofperiodontitis.Whatisreallyinvolvedinthepathogenicityofthesystemicdiseasesthatperiodontitisrelates?Directpathogenicityofperiodontalbacteriaseemstobeasmallportionofthepathogenicitybetweenthesediseases.Hostresponsestothebacteriaordenaturedhostproteinsmustbealargeportionofpathogenicitysuchasimmuneresponsestomoleculesmimickedtothebacterialantigensorinvolvedininflammation. Forfurtherunderstandingtheseverityofperiodontitis,wehavebeenusedbothbacterialDNAtoidentifyspecificperiodontalbacteriaandimmunoglobulinG(IgG)todeterminethedegreeofsensitizationbybacterialantigens.IncreasedIgGantibodylevelmeansactivatedacquiredimmuneresponseandfurtherhostresponsethatmaycausefailureofhomeostasis,resultingtissueororgandamages.Realpathogenicityhasnotbeenwelldocumented. However,usingthesetwoparameters,wecanunderstandthehostresponsesofperiodontitispatients.Therearethreegroups;1)majorgroupwithregularIgGresponsereflectingtheseverityofperiodontalinfection,2)minorgroupwithhypo-response(lowIgGlevel)tosevereperiodontalinfection,3)minorgroupwithhyper-response(highIgGlevel)tolessperiodontalinfection. Inthefirstgroup,IgGantibodylevelchangesaccordingtotheamountofbacterialDNAdetectedfromperiodontallesion.Thus,itiseasytoinferaboutthesensitizationofhostfromtheselaboratoryexaminations.Furthermore,thisgroupmaybeclosetothosewhoseperiodontalconditionsrelatedtothesomesystemicdiseases.Studiesusingthisassumptionhavebeenconducted,suggestingrelationsbetweenperiodontitisandsystemicdiseasesomehow.Inthesecondgroup,IgGantibodylevelstayslowerleveleventhoughalotofamountofbacterialDNAdetectedfromperiodontallesion.Thehostmaybeinimmuno-compromisedcondition.Bacteremiaoraspirationpneumoniamustbeconsidered.Inthethirdgroup,IgGv\levelstayshigherleveleventhoughverylowamountofbacterialDNAdetectedfromperiodontallesion.Hyper-immunoglobulinemiathatmayrelatetoinjuryofglomerulusmustbeconsidered.Inaddition,excessiveimmunoreactionmayexistandinjuretissuesororgans.Becausefewstudiesusingthisassumptionhavebeenconducted,furtherstudiesmustbeperformedforthesesystemicdiseases. Inthislecture,Iwillshowourrecentstudiesasexamplesfortheideamentionedabove.ThedefinitionofthresholdofIgGtiteragainstPorphyromonasgingivalis ,utilizationoftheIgGtitertesttoexplainchronicobstructivepulmonarydisease,preliminarystudytorevealtherelationoftheIgGtiterandatherosclerosisrelatedtodiabetes.

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Shogo Takashiba

CURRICULUM VITAE

Education

1986 OkayamaUniversityDentalSchool1990 OkayamaUniversityGraduateSchoolofDentistryPosition

1990 AssistantProfessor OkayamaUniversityHospitalofDentistry1992 VisitingScientist EastmanDentalCenter(Rochester,NY,USA)1994 AssistantProfessor OkayamaUniversityDentalSchool1995 AssociateProfessor OkayamaUniversityDentalSchool2001 AssociateProfessor OkayamaUniversityGraduateSchoolofMedicineand

Dentistry2002 Professor OkayamaUniversityGraduateSchoolofMedicineand

Dentistry2005 Professor OkayamaUniversityGraduateSchoolofMedicine,

mDentistryandPharmaceuticalSciences

Award and Honors

1997 IADRTravelAward2001 JapaneseSocietyofPeriodontologyScienceAward

Publications

1. MyokaiF,etal.Anovellipopolysaccharide-inducedtranscriptionfactorregulatingtumornecrosisfactoralphageneexpression:molecularcloning,sequencing,characterization,andchromosomalassignment.ProcNatlAcadSciUSA.1999Apr13;96(8):4518-23.

2. OmoriK,etal.Highglucoseenhancesinterleukin-6-inducedvascularendothelialgrowthfactor165expressionviaactivationofgp130-mediatedp44/42MAPK-CCAAT/enhancerbindingproteinsignalingingingivalfibroblasts.JBiolChem.2004Feb20;279(8):6643-9.

3. YamazakiK,etal.Relationshipofperiodontalinfectiontoserumantibodylevelstoperiodontopathicbacteriaandinflammatorymarkersinperiodontitispatientswithcoronaryheartdisease.ClinExpImmunol.2007Sep;149(3):445-52.

4. MartinezZR,etal.Geneprofilesduringrootcanaltreatmentinexperimentalratperiapicallesions.JEndod.2007Aug;33(8):936-43.

5. YamaguchiT,etal.IL-6/sIL-6RenhancescathepsinBandLproductionviacaveolin-1-mediatedJNK-AP-1pathwayinhumangingivalfibroblasts.JCellPhysiol.2008Nov;217(2):423-32.

6. KitamuraM,etal.Periodontaltissueregenerationusingfibroblastgrowthfactor-2:randomizedcontrolledphaseIIclinicaltrial.PLoSOne.2008Jul2;3(7):e2611.

7. hematopoieticstemcelltransplantationward.SupportCareCancer.2010Feb;19(2):303-7.

8. SogaY,etal.Progressoforalcareandreductionoforalmucositis--apilotstudyina

9. KitamuraM,etal.FGF-2stimulatesperiodontalregeneration:resultsofamulti-centerrandomizedclinicaltrial.JDentRes.2011Jan;90(1):35-40.

10. SugiN,etal.PrognosisofperiodontitisrecurrenceafterintensiveperiodontaltreatmentusingexaminationofserumIgGantibodytiteragainstperiodontalbacteria.JClinLabAnal.2011;25(1):25-32.

11.TsugeS,etal.SpecificinsituvisualizationofplasmacellsproducingantibodiesagainstPorphyromonasgingivalisingingivalradicularcyst:applicationoftheenzyme-labeledantigenmethod.JHistochemCytochem.2011Jul;59(7):673-89.

12.NakaoR,etal.OutermembranevesiclesofPorphyromonasgingivaliselicitamucosalimmuneresponse.PLoSOne.2011;6(10):e26163.

13.TomikawaK,etal.Smad2deceleratesre-epithelializationduringgingivalwoundhealing.JDentRes.2012Aug;91(8):764-70.

14.TakahashiT,etal.Relationshipbetweenperiodontitis-relatedantibodyandfrequentexacerbationsinchronicobstructivepulmonarydisease.PLoSOne.2012;7(7):e40570.

15.KudoC,etal.Assessmentoftheplasma/serumIgGtesttoscreenforperiodontitis.JDentRes.2012Dec;91(12):1190-5.

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Association between Periodontal Disease andAdverse Pregnancy Outcome

Yasushi Furuichi, D.D.S., Odont.Dr.ProfesserandChair,DivisionofPeriodentology&Endodontology,DepartmentofOralRehabilitation,SchoolofDentistry,HealthSciencesUniversityofHokkaido

Periodontaldiseaseisaninfectiousdiseasewithacertainextentofinflammatorylesionintheperiodontiumwherenumbersofmicroorganismsandinflammatorycellsareincontactandvarietiesofinflammatorymediatorsareproducedand/orinfiltratedin.Chronicperiodontitisbecomesprominentatlateragesofadulthood,butgingivitisproceedsattheiryoungerages.Adversepregnancyoutcomeincludespre-termbirth(PB:deliveryearlierthan37weeksofgestation)andlowbirth-weight(LBW:deliveryweightlessthan2,500g).IncidencerateofPLBW(PBand/orLBW)arereportedtobe4~15%andvariesamongdifferentcountriesanddistricts.PLBWisthemaincauseofmortalityandmorbidityofthenew-bornandbeanineligibleburdennotonlyfromfamilialbutalsofromsocioeconomicaspects. Bothperiodontaldiseaseandadversepregnancyoutcomearemulti-factorialinitspathogenesisandpossesscommonriskfactorssuchassmoking.Sincethemiddleof1990`s,anumberofepidemiologicalandexperimentalstudieshavebeenperformedonthetopicoftheassociationbetweenperiodontaldiseaseandPLBWandtheresultswerereportedintheliterature.Suchstudiescanbecategorizedintothreegroupsaccordingtotheaimsofthestudies,i.e.analyzingtheassociationbetweenthebothevents,analyzingthemechanismsbehindtheassociation,andevaluatingtheeffectsofperiodontalinterventionontheassociation.Althoughtherehavebeensomewhatlargediscrepanciesintheresultsoftheassociationstudies,significantpositiveassociationshavebeenreportedinmorethanhalfofthelargescaledepidemiologicalstudies.Mechanismsoftheassociationhavebeenanalyzedwithemployingmicrobiological,immune-pathological,andgenomicmethods.Sofar,therehavebeenseveralstudiesshowinginterestingfindingswhichmayinpartexplainthemechanismsoftheassociation.ItcouldbeconcludedthatthebiggestcontroversieswerefoundintheperiodontalinterventionstudiesandthatperiodontaltreatmentswouldnotberecommendedduringthepregnancyinordertoreducetheincidencesofPLBWaccordingtotheresultsofthelargescaledRCTs.However,ithasalsobeenclaimedthatperiodontaltreatmentduringthepregnancyinitselfisbeneficialinordertotreatperiodontaldiseaseandmaintainhealthierperiodontiumofthepregnantwomen.ItwasalsodemonstratedthatunsuccessfulperiodontaltreatmentsresultedinhigherrisksofPLBWthansuccessfulperiodontaltreatmentsinastudy.Inthispresentation,associationbetweenperiodontaldiseaseandadversepregnancyoutcomewillbediscussedfromthethreeaspectsmentionedabove.

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Yasushi Furuichi

CURRICULUM VITAE

Education

HegraduatedfromtheFacultyofDentistry,KagoshimaUniversityin1985.HereceivedLicentiatedegreeinOdontologyin1992,andOdontDrdegreein1998,attheFacultyofOdontology,GothenburgUniversityinSweden,.Position

HeisaprofessorandchairoftheDivisionofPeriodontologyandEndodontology,DepartmentofOralRehabilitation,SchoolofDentistry,HealthSciencesUniversityofHokkaidosince2004,andisadirectoroftheDentalandMedicalClinicofthesameuniversitysince2009.HewasaprivatepractitioneratSakumaDentalClinicinIbaraki,Japanbetween1985-1988and1993-1993,andaresearchassistantattheDepartmentofPeriodontology,FacultyofOdontology,UniversityofGothenburg,Swedenbetween1988-1991and1993-1998.Hewasanassistantprofessorbetween1998-2000,alecturerbetween2000-2002,andanassociateprofessorbetween2002-2004attheDepartmentofPeriodontology,FacultyofDentistry,KagoshimaUniversity,Japan.

Publications

1. FuruichiY,ShimotsuA,ItoH,NamariyamaY,YotsumotoY,HinoY,MishigeY,InoueM,IzumiY.AssociationsofperiodontalstatuswithgeneralhealthconditionsandserumantibodytitersforPorphyromonasgingivalisandActinobacillusactinomycetemcomitans.JPeriodontol.2003;74(10):1491-7.

2. HasegawaK,FuruichiY,ShimotsuA,NakamuraM,YoshinagaM,KamitomoM,HataeM,MaruyamaI,IzumiY.Associationsbetweensystemicstatus,periodontalstatus,serumcytokinelevels,anddeliveryoutcomesinpregnantwomenwithadiagnosisofthreatenedprematurelabor.JPeriodontol.2003;74(12):1764-70.

3. NakajimaY,FuruichiY,BiswasKK,HashiguchiT,KawaharaK,YamajiK,UchimuraT,IzumiY,MaruyamaI.Endocannabinoid,anandamideingingivaltissueregulatestheperiodontalinflammationthroughNF-kappaBpathwayinhibition.FEBSLett.2006;580(2):613-9.

4. ShirakataY,SetoguchiT,MachigashiraM,MatsuyamaT,FuruichiY,HasegawaK,YoshimotoT,IzumiY.Comparisonofinjectablecalciumphosphatebonecementgraftingandopenflapdebridementinperiodontalintrabonydefects:arandomizedclinicaltrial.JPeriodontol.2008;79(1):25-32.

5. YonamineY,MatsuyamaT,SonomuraT,TakeuchiH,FuruichiY,UemuraM,IzumiY,NoguchiK.Effectableapplicationofvascularendothelialgrowthfactortocriticalsizedratcalvariadefects.OralSurgOralMedOralPatholOralRadiolEndod.2010;109(2):225-31.

6. NagasawaT,NodaM,KatagiriS,TakaichiM,TakahashiY,Wara-AswapatiN,KobayashiH,OharaS,KawaguchiY,TagamiT,FuruichiY,IzumiY.Relationshipbetweenperiodontitisanddiabetes-importanceofaclinicalstudytoprovetheviciouscycle.InternMed.2010;49(10):881-5.

7. HidakaT,NagasawaT,ShiraiK,KadoT,FuruichiY.FGF-2inducesproliferationofhumanperiodontalligamentcellsandmaintainsdifferentiationpotentialsofSTRO-1(+)/CD146(+)periodontalligamentcells.ArchOralBiol.2012;57(6):830-40.

8. KomatsuT,NaganoK,SugiuraS,HagiwaraM,TanigawaN,AbikoY,YoshimuraF,FuruichiY,MatsushitaK.E-selectinmediatesPorphyromonasgingivalisadherencetohumanendothelialcells.InfectImmun.2012;80(7):2570-6.

9. KatoS,NakashimaK,NagasawaT,AbikoY,FuruichiY.InvolvementofToll-likereceptor2inapoptosisofAggregatibacteractinomycetemcomitans-infectedTHP-1cells.JMicrobiolImmunolInfect.2012.

10.YamadaY,NakamuraS,ItoK,UmemuraE,HaraK,NagasakaT,AbeA,BabaS,FuruichiY,IzumiY,KleinOD,WakabayashiT.InjectableBoneTissueEngineeringUsingExpandedMesenchymalStemCells.StemCells.2012.

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Interrelationships between Systemic Osteoporosis and Periodontal Disease : Association and Mechanisms

Koji Inagaki, D.D.S., Ph.D.

Professor,DepartmentofDentalHygiene,AichiGakuinUniversityJuniorCollege

Manystudieshaveattemptedtodefinetherelationshipbetweenpostmenopausalosteoporosis

andperiodontaldisease.Moststudiessupportapositiveassociationbetweenthesecommon

diseases;however,manyarecross-sectionalinnature,includerelativelysmallsamplesizes,and

haveinadequatecontrolofpotentialconfoundingfactors,suchasage,gender,hormoneintake,

race,andsmoking,limitingourunderstandingofthenatureoftherelationshipbetweenthese

diseases.Clinicalconditionscausinglowestrogenenvironmentsinpostmenopausalwomen

allowT-andB-cellabnormalities,increasedlocalproductionofthebone-activecytokines(i.e.,

Interleukin-1,-6and-8,tumornecrosisfactor-(TNF-)andariseinprostaglandinE2,resulting

intheprogressionofperiodontitis.Inpost-menopausalosteoporosis,lackofestrogenwillaffect

theremodelingofthebonetissueinsuchawaythat,inmostpatientswithperiodontitis,the

amountofboneresorbedexceedsthatbeingformed,resultinginnetboneloss.Osteoporosis

canbetreatedbyavarietyofmethods,thehormonereplacementtherapy(HRT),theselective

estrogenreceptormodulators(SERM)andthebisphosphonates.TheHRTorbisphosphonates

treatmentsimprovetheclinicaloutcomeofperiodontaldiseaseandmaybeanadjunctive

treatmenttopreserveperiodontalbonemass.Thispresentationreviewsthecurrentevidence

onthemechanismofperiodontalbreakdownaftermenopausewithlong-termfollow-upcases

andthebenefittooralhealthbytreatmentsforosteoporosis.

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Koji Inagaki

CURRICULUM VITAE

Education

1976-1982 Aichi-GakuinUniversityNagoya DDS1982-1986 Aichi-GakuinUniversity (graduatecourseinPeriodontology) PhDPosition

Professor,DepartmentofDentalHygiene,AichiGakuin1.UniversityJuniorCollegeAssociateProfessor,DepartmentofPeriodontology,Aichi2.GakuinUniversityDiplomateoftheJapaneseBoardofPeriodontology3.DiplomateoftheJapaneseBoardofTobaccoControl4.DiplomateoftheJapaneseBoardofConservativeDentistry5.DiplomateoftheJapaneseBoardofOcclusion&Health6.CaretakerofAichiAssociationforTobacco-freeKidsand7.ResearchGrouponSmoke-FreePsychologyDirectorofDiplomate,JapaneseSocietyofPeriodontology8.

Award and Honors

2003 TheIncentiveAwardoftheJapanOsteoporosisSociety2009 TheIncentiveAwardoftheTokaiSchoolHealth Association

Publications

MoritaI,NakagakiH,TaguchiA,KatoK,Murakami1.T,TsuboiS,HayashizakiJ,InagakiK,NoguchiT.:RelationshipsbetweenmandibularcorticalbonemeasuresandbiochemicalmarkersofboneturnoverinolderJapanesemenandwomen.OralSurgOralMedOralPatholOralRadiolEndod,108(5):777-783,2009OtaniT,YoshiiC,KanoM,KitadaM,InagakiK,Kurioka2.N,IsomuraT,HaraM,OkuboY,KoyamaH.:ValidityandreliabilityofKanotestforsocialnicotinedependence(KTSND).AnnEpidemiol,19(11):815-822,2009YoshiiS,TsuboiS,MoritaI,TakamiK,InukaiJ,InagakiK,3.NakagakiH.:TemporalassociationofelevatedC-reactiveproteinandperiodontaldiseaseinmen.JPeriodontol,80(5):734-739,2009KatagiriS,NittaH,NagasawaT,UchimuraI,Izumiyama4.H,InagakiK,KikuchiT,NoguchiT,KanazawaM,MatsuoA,ChibaH,NakamuraN,KanamuraN,InoueS,IshikawaI,IzumiY.:Multi-centerinterventionstudyonglycohemoglobin(HbA1c)andserum,high-sensitivityCRP(hs-CRP)afterlocalanti-infectiousperiodontaltreatmentintype2diabeticpatientswithperiodontaldisease.DiabetesResClinPract,83(3):308-315,2009DumitrescuAL,InagakiK.:Interrelationshipsbetween5.periodontaldiseaseandmortality,cardiovasculardisease,metabolicsyndrome,diabetesmellitus,DumitrescuAL.EtiologyandPathogenesisofPeriodontalDisease,1sted,Springer,Germany,2010,125-157,159-190,215-244,265-278,279-293,295-306,307-318.HuangB,InagakiK,YoshiiC,KanoM,AbbottPV,Noguchi6.T,TakahashiK,BesshoK.:SocialnicotinedependenceinAustraliandentalundergraduatestudents.IntDentJ,61(3):152-156,2011NomuraY,ShimadaY,HanadaN,NumabeY,KamoiK,7.SatoT,GomiK,AraiT,InagakiK,FukudaM,NoguchiT,YoshieH.:Salivarybiomarkersforpredictingtheprogressionofchronicperiodontitis.ArchOralBiol,57(4):413-420,2012MoritaI,InagakiK,NakamuraF,NoguchiT,Matsubara8.T,YoshiiS,NakagakiH,MizunoK,SheihamA,SabbahW.:Relationshipbetweenperiodontalstatusandlevelsofglycatedhemoglobin.JDentRes,91(2):161-166,2012NoguchiT,KikuchiT,InagakiK.:Periodontitisand9.diabetes,YoshieH,Attheforefront:illustratedtopicsindentalresearchandclinicalpractice,1sted,QuintessencePublishingCoInc,Germany,2012,43-46.

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Is There a Role for Stem Cells in Periodontal Regeneration?

Mark Bartold, D.D.S., Ph.D.

ProfessorofPeriodontics&DirectorColgateAustralianClinicalDentalResearchCenterUniversityofAdelaide

Althoughstemcellshavereceivedconsiderableattentioninrecentyears,clonogenicbonemarrowstromalstemcells(alsoknowasmesenchymalstemcells)werefirstisolatedandcharacterizedalmost40yearsago.Sincethenconsiderableefforthasbeenmadeindeterminingthetherapeuticapplicationsofmesenchymalstemcells.Mesenchymalstemcellpropertiessuchasmultipotencyandimmunomodulationmakethesecellsidealcandidatesfortissueregenerationandtissueengineering.Mostofusarefamiliarwiththeconceptofembryonicstemcellsandtheirpotentialuseintissueregeneration.Overthepast10years,reportshaveappearedcharacterizingmesenchymalstemcellsisolatedfromtheperiodontaltissues(periodontalligamentandgingiva)andtheirpotentialuseinperiodontalregeneration.Morerecentlyreportsofisolationofinducedpluripotentstem(iPS)cellsfromgingivaandperiodontalligamenthaveappeared.BothmesenchymalstemcellsandiPScellsfromperiodontaltissuesprovideanattractivesourceofcellsforperiodontaltissueengineering.Itisnowclearthatinorderfortissueengineeringtoreachitsfullregenerativepotentialanappropriatescaffoldforcelldeliverytogetherwiththeincorporationofsupplementalcytokinesandgrowthfactorswillbenecessaryfortheregenerativeprocesstoproceedbothspatiallyandtemporally.Thepreciserolesofmesenchymalstemcellsintissueregenerationstillneedtobeelucidated.Forexample,itisstillunclearwhetherthesecellsactviadirectdifferentiationinsituorthroughparacrinemediatedprocessesleadingtorecruitmentoflocalprogenitorcellstoenabletissueregeneration.Inthispresentationthebiologyandpotentialforclinicaluseofperiodontalstemcellsforperiodontalregenerationwillbeexplored.

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Mark Bartold

CURRICULUM VITAE

Education

BDS,UniversityofAdelaide1.BScDent(Hons)universityofAdelaide2.PhD,UniversityofAdelaide3.FRACDS(Perio),RoyalAustralasianCollegeofDental4.SurgeonsDDSc,UniversityofAdelaide5.

Position

ProfessorofPeriodonticsDirectorColgateAustralianClinicalDentalResearchCenter

Award and Honors

1992 Who'sWhoinAustralia FirstlistedinWho'sWhoinAustraliafrom 1992-present PublishedbyInformationAustralia(ISBN0810-8226)1995 AcademyofDentistryInternational ElectedFellowoftheAcademyofDentistry International1995 AustralianDentalAssociation Appointed"GuestLecturer”totheNorthern Territory"for19951996 AlanDockingIADRScienceAward Awardedforoutstandingcontributionstodental science InternationalAssociationforDentalResearch Australian&NewZealandDivision Sydney,September19961998 InternationalCollegeofDentists ElectedFellowoftheInternationalAcademyof Dentists2002 RoyalAustralasianCollegeofDentalSurgeons MeritoriousServiceAward2003 PierreFauchardAcademy ElectedFellow2004 OrderofAustralia MemberoftheOrderofAustralia2005 IndianSocietyofPeriodontology HonoraryLifeMembership2008 MeritoriousServiceAward,AustralianDental Association Awardedforoutstandingservicetodentistry,dental educationandtheADAinAustraliainan extraordinarymannerfor30years.2012 RayWilliamsPrize,AustralianSocietyof Periodontology Forthemostsignificantseriesofpaperspublishedin periodontalresearchforthetriennium2009-2011.

Publications

1. GossAN,BartoldPM,SambrookP,HawkerP.ThenatureandfrequencyofbisphosphonateassociatedosteonecrosisofthejawsindentalimplantpatientsinSouthAustralia.JournalofOralandMaxillofacialSurgery68:237-243;2010.

2. FitzsimmonsTR,SandersAE,BartoldPM,SladeGD.Localandsystemicbiomarkersingingivalcrevicularfluidincreaseoddsofperiodontitis.JournalofClinicalPeriodontology37:30-36;2010.

3. BartoldPM,CantleyMD,HaynesDR.Mechanismsandcontrolofpathologicbonelossinperiodontitis.Periodontology200053:55-69;2010.

4. MrozikK,ZilmPS,BagleyCJ,HackS,HoffmanP,GronthosS,BartoldPM.Proteomiccharacterizationofmesenchymalstemcell-likepopulationsderivedfromperiodontalligament,dentalpulpandbonemarrow:analysisofdifferentiallyexpressedproteinsStemCellsandDevelopment19:1485-1499;2010

5. KatariaNG,BartoldPM,DharmapatniAASK,AtkinsGJ,HoldingCA,HaynesDR.Expressionoftumornecrosisfactorlikeweakinducerofapoptosis(TWEAK)anditsreceptorFN14inhealthyandperiodontitistissues.JournalofPeriodontalResearch45:564-573;2010

6. BartoldPM,Marino,V,Cantley,M,Haynes,DR.EffectofP.gingivalis-inducedinflammationondevelopmentofrheumatoidarthritis.JournalofClinicalPeriodontology37:405-411;2010

7. MenicaninD,BartoldPM,ZannettinoACW,GronthosS.Identificationofacommongeneexpressionsignatureassociatedwithimmatureclonalmesenchymalcellpopulationsderivedfrombonemarrowanddentaltissues.StemCells&Development19:1501-1510;2010

8. MegsonE,FitzsimmonsT,DharmapatniK,BartoldPM.C-reactiveproteiningingivalcrevicularfluidisindicativeofsystemicinflammation.JournalofClinicalPeriodontology37:797-804;2010.

9. MegsonE,KapellasK,BartoldPM.RelationshipbetweenPeriodontalDiseaseandOsteoporosis.InternationalJournalofEvidence-BasedHealthcare8:129-139;2010.

10.BartoldPM,KuliwabaJS,LeeV,ShahS,MarinoV,FazzalariNL.Influenceofsurfaceroughnessandshapeonmicrodamageoftheosseoussurfaceadjacenttotitaniumdentalimplants.ClinicalOralImplantsResearch22:613-618;2011.

11.GronthosS.,ArthurA.,BartoldPM.,andShiS.,AMethodtoIsolateandCultureExpandHumanDentalPulpStemCells.MesenchymalStemCellAssaysandApplications.In:MethodsinMolecularBiology.Editors:MohanC.Vemuri,MahendraS.Rao&LucasG.Chase.HumanaPressNJ,USA.698:107-121;2011.

12. ZilmPS,BartoldPM.ProteomicidentificationofproteinaseinhibitorsintheporcineEnamelMatrixDerivative,EMD®.JournalofPeriodontalResearch46:111-117,2011

13.WadaN,BartoldPM,GronthosS.HumanForeskin

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FibroblastsExertImmunomodulatoryPropertiesbyaDifferentMechanismtoBoneMarrowMesenchymalStemCells.StemCellsandDevelopment20:647-659;2011.

14.BatesCE,MarinoV,FazzalariNL,BartoldPM.Softtissueattachmenttotitaniumimplantscoatedwithgrowthfactors.ClinicalImplantandRelatedDentistry2011Mar22.doi:10.1111/j.1708-8208.2010.00327.x.[Epubaheadofprint]

15.WadaN,WangB,LinN-H,LaslettAL,GronthosS,BartoldPM.InducedpluripotentstemcelllinesderivedfromhumangingivalandperiodontalligamentfibroblastsJournalofPeriodontalResearch46:438-447;2011

16.CantleyMD,FairlieDP,BartoldPM,RainsfordKD,LeGT,LuckeAJ,HoldingCA,HaynesDR.InhibitorsofhistonedeacetylasesinclassIandclassIIsuppresshumanosteoclastsinvitroJournalofCellularPhysiology226:3233-3241;2011.

17.CantleyMD,HaynesDR,MarinoV,BartoldPM.Pre-existingperiodontitisexacerbatesrheumatoidarthritisinamousemodel.JournalofClinicalPeriodontology38:532-541;2011.

18.BartoldPM,MengH.AnAsianperspectiveofperiodontology.Periodontology200056:11-13;2011.

19.CantleyMD,BartoldPM,MarinoV,FairlieDP,LeGT,LuckeAJ,Haynes.DR.Histonedeacetylaseinhibitorssuppressbonelossinexperimentalperiodontitis.JournalofPeriodontalResearch46:697-703;2011.

20. SkiltonMR,Maple-BrownLJ,KapellasK,CelermajerDS,BartoldPM,BrownA,SladeGD,JamiesonLMTheeffectofaperiodontalinterventiononcardiovascularriskmarkersinIndigenousAustralianswithperiodontaldisease:thePerioCardiostudy.BMCPublicHealth2011,11:729

21. duBoisA,KardachiB,BartoldPM.Istherearolefortheuseofvolumetricconebeamcomputedtomography(CBVT)inperiodontics?AustralianDentalJournal57(suppl1):103-108;2012

22.ChooT,MarinoV,BartoldPMEffectofPDGF-BBandbeta-tricalciumphosphate( β -TCP)onboneformationarounddentalimplants:apilotstudyinsheep.ClinicalOralImplantsResearch(AcceptedforpublicationSeptember5,2011)

23.MrozikKM,GronthosS,MenicaninD,MarinoV,BartoldPM.EffectofcoatingStraumannBoneCeramicwithEmdogainonmesenchymalstromalcellhardtissueformation.ClinicalOralInvestigations16:867-878;2011.

24.ChanRC,MarinoV,BartoldPMEffectofEmdogain®andPlateletDerivedGrowthFactorontheOsteoinductivePotentialofHydroxyapatiteTri-CalciumPhosphate.ClinicalOralInvestigations16:1217-1227;2012.

25.CantleyM,BartoldPMFairlieD,RainsfordK,HaynesD.HistoneDeacetylaseInhibitorsassuppressorsofbonedestructionininflammatorydiseases.JournalofPharmacyandPharmacology64:763-774;2012

Mark Bartold

26.XiongJ,MrozikK,GronthosS,BartoldPM.EpithelialcellrestsofMalassezcontainuniquestemcellpopulationscapableofundergoingepithelial-mesenchymaltransition.StemCells&Development21:2012-2025;2012

27.HynesKE,MenicaninD,GronthosS,BartoldPMClinicalutilityofstemcellsforperiodontalregeneration.Periodontology200059:203-227;2012.

28.DoyleCJ,BartoldPM.Howdoesstressinfluenceperiodontitis.JournaloftheInternationalAcademyofPeriodontology14:25-32;2012.

29. ZahndG,VrayD,SérusclatA,AlibayD,BartoldM,BrownA,DurandM,JamiesonL,KapellasK,Maple-BrownL,O'DeaK,MoulinP,CelermajerD,SkiltonM.Longitudinaldisplacementofthecarotidwallandcardiovascularriskfactors:associationswithaging,adiposity,bloodpressureandperiodontaldiseaseindependentofcross-sectionaldistensibilityandintima-mediathickness.UltrasoundMedBiol.38:1705-1715;2012.

30.BartoldPM,VanDykeTE.Unlearninglearnedconcepts.Periodontitis–ahostmediateddisruptionofmicrobialhomeostasis.Periodontology2000(AcceptedMay30,2012).

31.GeS,MrozikKM,MenicaninD,StanGronthosS,BartoldPM.Isolationandcharacterizationofmesenchymalstemcellsfromhealthyandinflamedgingivaltissue:potentialuseforclinicaltherapy.RegenerativeMedicine(Acceptedforpublication25July2012)

32.HarveyG,FitzsimmonsT,DharmapatniK,MarchantC,HaynesD,BartoldPM.Expressionofpeptidylargininedeiminase–2and-4,citrullinatedproteinsandanti-citrullinatedproteinantibodiesinhumangingiva.JournalofPeriodontalResearchArticlefirstpublishedonline:16SEP2012|DOI:10.1111/jre.12002

33.AbbottJR,MarinoV,BartoldPMHumancadaverichistomorphologicalandmetallurgicalanalysisofdentalimplantsfollowing12.5yearsofservice.ClinicalOralImplantsResearch.AcceptedforpublicationOctober2,2012.

34.GannonSC,CantleyMD,HaynesDR,HirschR,BartoldPM.Azithromycinsuppresseshumanosteoclastformationandactivityinvitro.JournalofCellularPhysiologyAcceptedforPublicationOctober3,2012.

35.MarchantC,SmithMD,ProudmanS,HaynesDR,BartoldPM.EffectofPorphyromonasgingivalisoncitrullinationofproteinsbymacrophagesinvitro.JournalofPeriodontology(AcceptedforpublicationOctober17,2012).

36.XiongJ,GronthosS,BartoldPM.RoleofepithelialcellrestsofMalassezinthedevelopment,maintenanceandregenerationofperiodontalligamenttissues.Periodopntology2000(AcceptedforpublicationOctober31,2012)

37.WadaN,GronthosS,BartoldPM.ImmunomodulatoryEffectsofStemCellsPeriodontology2000(AcceptedforpublicationNovember1,2012)

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Periodontal Tissue Engineering − The Future Perspective of Cytokine Therapy and Cell Therapy −

Shinya Murakami, D.D.S., Ph.D.

ProfessorandChairman,DepartmentofPeriodontology,OsakaUniversityGraduateSchoolofDentistry

Ithasbeendemonstratedthatmesenchymalstemcellsandprogenitorcellsofosteoblastsorcementoblastscanbeidentifiedwithinperiodontalligament(PDL).Thus,improvingthebiologicalpotentialofthesecellsandstimulatingtheperiodontalregenerationarerecognizedasbeingclinicallypossible.Oneofthemostphysiologicallyefficientmethodstostimulatethesecellsistheuseofcytokines. BasisFibroblastGrowthFactor(FGF-2)isknowntobedeeplyinvolvedintheproliferation,migrationanddifferentiationofavarietyofcellsandtostronglyinduceangiogenesis.Utilizingbeagledogsandnon-humanprimates,werevealedthattopicalapplicationofrecombinantFGF-2inducedstatisticallysignificantperiodontaltissueregenerationintheexperimentally-preparedintraosseousbonedefects.Recently,ahumanclinicaltrialwasconductedusingFGF-2inJapan.Thiswasarandomizedcontrolleddouble-blindedclinicaltrialofdoseresponsesincludingplacebocomparison.Asaresult,asignificantdifferencein%increaseinalveolarboneheightat2-or3-walledintrabonydefectsofthepatientswasdemonstratedbystandardisedradiographsbetweenPlaceboGroupand0.3% -FGF-2Groupat9monthsafterthetreatment.ThissuggeststhattopicalapplicationofFGF-2canbeefficaciousinregenerationofperiodontaltissueofperiodontitispatients. Basedontheresultsofaseriesofinvitro analyses,wehavesuggestedthefollowingmodeofactionofFGF-2toinduceperiodontalregeneration.Duringtheearlystagesofperiodontaltissueregeneration,FGF-2stimulatestheproliferationandmigrationofPDLcellswhilemaintainingtheirmultipotentnature,inducingdifferentiationintohardtissue-formingcellssuchasosteoblastsandcementoblasts.Furthermore,FGF-2inducesangiogenesisandincreasesextracellular-matrixproductionsuchasosteopontin,hyaluronanfromPDLcells,thusleadingtoalocalenvironmentsuitablefortheperiodontalregeneration.TheseresultsintheenhancedperiodontaltissueregenerationareshownattheFGF-2-appliedsites. Foridealperiodontalregeneration,itiscrucialtofullyintroducetheconceptof“tissueengineering”.IfweneedtotreatseverebonydefectsorhorizontalbonedestructionwithFGF-2,itisessentialtointroducetheconceptofa“scaffold”intothecarrierofFGF-2drug.AnFGF-2carrierthatcouldprovideaformableandosteoconductivescaffoldforundifferentiatedprogenitorcellswithinPDLwoulddramaticallyincreaseboththedentalandcraniofacialapplicationsofFGF-2drug. Furthermore,researchers,includingourgroup,havefoundthatmesenchymalstemcellscanbeobtainedfromvarioustissuessuchasbonemarrowandadiposetissues.Byusingbeagledogmodels,werecentlyrevealedthattransplantationofadipose-tissuederivedstemcellsenhancesperiodontalregenerationatappliedsites.Thecombinedeffectsof‘celltherapy’and‘cytokinetherapy’needtobeassessedinthefuture,toallowtheestablishmentof‘periodontaltissueengineering’.

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Shinya Murakami

CURRICULUM VITAE

Education

1978-1984 D.D.S. OsakaUniversityFacultyofDentistry,Japan1984-1988 Ph.D. OsakaUniversityGraduateSchoolofDentistry, Japan

Position

1988-1988 ResearchFellow,DepartmentofPeriodontology andEndodontology,OsakaUniversityFaculty ofDentistry,Japan1988-1990 VisitingFellow,NationalCancerInstitute, NationalInstitutesofHealth,USA1990-1992 Instructor,DepartmentofPeriodontologyand Endodontology,OsakaUniversityFacultyof Dentistry1992-2000 AssistantProfessor,Departmentof PeriodontologyandEndodontology,Osaka UniversityDentalHospital2000-2002 AssociateProfessor,Departmentof Periodontology OsakaUniversityGraduateSchoolofDentistry2002-present ProfessorandChairman,Departmentof Periodontology,OsakaUniversityGraduate SchoolofDentistry2008-present ViceDirectorofOsakaUniversityDental Hospital

Award and Honors

1984 YumikuraAward:OsakaUniv.FacultyofDentistry1998 AnthonyRizzoPeriodontalResearchAward(IADR PeriodontalResearchGroup)2009 AAPR.EarlRobinsonPeriodontalRegenerationAward2012 IADR/AADRWilliamJ.GiesAward

Publications

S.Yamada,M.Tomoeda,Y.Ozawa,S.Yoneda,Y.1.Terashima,S.Ikegawa,M.Saito,S.Toyosawa,S.Murakami.PLAP-1/asporin:Anovelnegativeregulatorofperiodontalligamentmineralization.J.Biol.Chem.282:23070-23080,2007Y.Shimabukuro,T.Ichikawa,Y.Terashima,T.Iwayama,2.H.Oohara,T.Kajikawa,R.Kobayashi,H.Terashima,M.Takedachi,M.Terakura,T.Hashikawa,S.Yamada,S.Murakami.Basicfibroblastgrowthfactorregulatesexpressionofheparansulfateinhumanperiodontalligamentcells.MatrixBiology,27:232-241,2008Y.Terashima,YShimabukuro,H.Terashima,M.Ozasa,3.M.Terakura,K.Ikezawa,T.Hashikawa,M.Takedachi,H.Oohara,S.Yamada,S.Murakami.Fibroblastgrowthfactor-2regulatesexpressionofosteopontininperiodontalligamentcells.J.Cell.Physiol.216:640-650,2008M.Takedachi,QuD,EbisunoY,OoharaH,JoachimsML,4.McGeeST,MaedaE,McEverRP,TanakaT,MiyasakaM,MurakamiS,KrahnT,BlackburnMR,ThompsonLF.CD73-generatedadenosinerestrictslymphocytemigrationintodraininglymphnodes.J.Immunol.180:6288-6296,2008M.Kitamura,K.Nakashima,Y.Kowashi,T.Fujii,H.5.Shimauchi,T.Sasano,T.Furuichi,M.Fukuda,T.Noguchi,T.Shibutani,Y.Iwayama,S.Takashiba,H.Kurihara,M.Ninomiya,J.Kido,T.Nagata,T.Hamachi,K.Maeda,Y.Hara,Y.Izumi,T.Hirofuji,E.Imai,M.Omae,M.Watanuki,S.Murakami.Periodontaltissueregenerationusingfibroblastgrowthfactor-2Periodontaltissueregenerationusingfibroblastgrowthfactor-2:RandomizedControlledPhaseIIclinicaltrial.PLoSOne,3:e2611,2008M.Tomoeda,S.Yamada,H.Shirai,Y.Ozawa,M.Yanagita,S.6.Murakami.PLAP-1/asporininhibitsactivationofBMPreceptorviaitsleucinrichrepeatmotif.Biochem.Biophys.Res.Commun.371:191-196,2008.KomodaH,OkuraH,C.M.Lee,SougawaN,IwayamaT,7.HashikawaT,SagaA,Yamamoto-KakutaA,IchinoseA,MurakamiS,SawaY,andMatsuyamaA.ReductionofN-glycolylneuraminicacidxenoantigenonhumanadiposetissue-derivedstromalcells/mesenchymalstemcellsleadstosaferandmoreusefulcellsourcesforvariousstemcelltherapies.TissueEngPartA,16:1143-1155,2010CFujihara,SYamada,NOzaki,Ntakeshita,HKawaki,8.TTakano-Yamamoto,SMurakami.RoleofMechanicalstress-inducedglutamatesinaling-associatedmoleculesincytodifferentiationofperiodontalligamentcells.JBiolChem285:28286-28297,2010M.Kitamura,M.Akamatsu,M.Machigashira,Y.Hara,R.9.Sakagami,T.Hirofuji,T.Hamachi,K.Maeda,M.Yokota,

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J.Kido,T.Nagata,H.Kurihara,S.Takashiba,T.Shibutani,M.Fukuda,T.Noguchi,K.Yamazaki,H.Yoshie,K.Ioroi,T.Arai,T.Nakagawa,K.Ito,S.Oda,Y.Izumi,Y.Ogata,S.Yamada,H.Shimauchi,K.Kunimatsu,M.Kawanami,T.Fujii,Y.Furuichi,T.Furuuchi,T.Sasano,E.Imai,M.Omae,S.Yamada,M.Watanuki,andS.MurakamiFGF-2stimulatesperiodontalregeneration:Resultsofamulti-centerrandomizedclinicaltrial.JDentRes90:35-40,2011MurakamiS10.PeriodontalTissueRegenerationbysignallingmolecule(s):whatroledoesbasicfibroblastgrowthfactor(FGF-2)haveinperiodontaltherapy?Periodontology2000,56:188-208,2011ShimabukuroY,TerashimaH,TakedachiM,MaedaK,11.NakamuraT,SawadaK,KobashiM,AwataT,OoharaH,KawaharaT,IwayamaT,HashikawaT,YanagitaM,YamadaS,MurakamiSFibroblastgrowthfactor-2stimulatesdirectedmigrationofperiodontalligamentcellsviaPI3/AktsignalingandCD44/hyaluronaninteraction.J.Cell.Physiol.226:809-821,2010JAnzai,Mkitamura,TNozaki,TNagayasu,ATerashima,12.TAsano,SMurakamiEffectsofconcomitantuseoffibroblastgrowthfactor(FGF)-2withbeta-tricalciumphosphate( β -TCP)onthebeagledog1-wallperiodontaldefectmodel.Biochem.Biophys.Res.Commun,403:345-350,2010SMurakami,SYamada,TNozaki,M.Kitamura13.FGF-2stimulatesperiodontaltissueregenerationClinicalAdvancesinPeriodontics1:95-99,2011M.TakedachiHOohara,BJSmith,MIyama,MKobashi,14.KMaeda,CLLong,MBHumpherey,BJStoecker,SToyosawa,LFThompson,SMurakami.CD73-generatedadenosinepromotesosteoblastdifferentiationJ.Cell.Physiol.227:2622-2631,2012.

Shinya Murakami

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Clinical Application of Er:YAG Laser in Periodontal and Peri-implant Therapy

Yuichi Izumi D.D.S., Ph.D.ProfessorandChair,DepartmentofPeriodontology,GraduateSchoolofMedicalandDentalSciences,TokyoMedicalandDentalUniversity

Recently,variouslasershavebeenusedforawiderangeoforalconditions.Lasershavenumerousadvantageousphysicalpropertiessuchasablation,hemostasis,bactericidaleffectaswellasphoto-bio-modulation,makingitsuitablefortreatinginflammatoryandinfectiousconditions.Thus,theuseoflasersisconsideredsafeandeffectivefortreatingoraldiseasessuchasperiodontitisandperi-implantitis.

Amongvariouslasersystems,inparticular,therecentdevelopmentoftheEr:YAGlaserhasexpandedtheapplicationoflaserstohardtissuetreatmentinperiodonticssincethe2.94µmwavelengthcanbeappliedonbothdentalsoftandhardtissues.TheEr:YAGlaserhasvariouscharacteristicsadvantageousforsoftandhardtissuemanagement,suchaseasyandpreciseablation,cutting,debridementandrecontouringwithminimalthermaldamagetothesurroundingtissuesunderwaterirrigation.Nowadays,theEr:YAGlaseriseffectivelybeingusedforvarioustissuemanagementssuchasgingivaltissueablation,dentalrootandimplantfixturesurfacedebridement,andosseoussurgery.

Inperiodontalandperi-implantapplications,theEr:YAGlaseriscapableoftreatingalveolarbonetissueeitherdirectlyorindirectlyduringosseousmanagement.AnimalstudiesreportedfasterwoundhealinginbonetissuefollowingEr:YAGlaserablationcomparedtoburcutting,aswellassignificantlyenhancedandfavorablenewboneformationfollowingsurgicaltreatmentofperiodontitisorperi-implantitisusinganEr:YAGlasercomparedtomechanicalinstrumentation.ThesepositiveresultsareconsideredtobeduetothehighdecontaminationanddetoxificationeffectsoftheEr:YAGlaseronthediseasedsite,thepronouncedbleedingfromthelaser-treatedbonesurface,aswellastheproductionofcharacteristicmicrostructuresontheablatedboneandrootsurfaces,whichpossiblyenhancesfibrinandbloodclotretention.Inaddition,potentialphoto-bio-modulationeffectsoflow-levellasereffectwhichinducesavarietyofbiologicalresponsesmaybepartlyinvolvedintheincreasedboneformation.Giventheseobservationsandevidences,theEr:YAGlaserhasbeenrecentlyestablishedasoneofthemostpromisinglasersystemsforperiodontalandperi-implanttherapy.

Inthispresentation,thecurrentclinicalapplicationsofEr:YAGlaserforvarioustreatmentssuchassofttissuemanagement,non-surgicalandsurgicalperiodontaltreatment,osseoussurgeryandperi-implanttherapywillbediscussed,basedonscientificevidencefromcurrentlyavailablebasicandclinicalstudiesaswellasclinicalcases.

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Yuichi Izumi

CURRICULUM VITAE

Education

1979 D.D.S.degree:TokyoMedicalandDentalUniversity,FacultyofDentistry

1983 Ph.D.degree:TokyoMedicalandDentalUniversity,GraduateSchool,PeriodontologyinDentalResearchDivision

1983 ClinicalSpecialtyPrograminPeriodontology,TokyoMedicalandDentalUniversity

Position

1983-1992 Instructor,DepartmentofPeriodontology,Tokyo MedicalandDentalUniversity1987-1989 MaîtreAssistant,DepartmentofOral PhysiopathologyandPeriodontology,University ofGeneva1992-1999 AssociateProfessor,Departmentof Periodontology,KagoshimaUniversityDental School1999-2003 ProfessorandChair,Departmentof Periodontology,KagoshimaUniversityDental School2003-2007 ProfessorandChair,Departmentof Periodontology,FieldofOralandMaxillofacial Rehabilitation,CourseforDevelopmental Therapeutics,KagoshimaUniversityGraduate SchoolofMedicalandDentalSciences VicePresident,KagoshimaUniversityMedical andDentalHospital2007-Present ProfessorandChair,Departmentof Periodontology,GraduateSchoolofMedicaland DentalSciences,TokyoMedicalandDental University2008-Present AssistantDirector,TokyoMedicalandDental UniversityHospitalofDentistry

Award and Honors

REarlRobinsonPeriodontalRegenerationAward,1.AmericanAcademyofPeriodontology.(2009.9.15.Boston)WilliamJ.GiesAwardClinicalResearchCategory,2.InternationalAssociationofDentalResearch/AmericanAssociationofDentalResearch.(2012.6.20.IguaçuFalls,Brazil

Publications

1. TanakaK,IwasakiK,FegaliK,KomakiM,IshikawaI,IzumiY.Comparisonofcharacteristicsofperiodontalligamentcellsobtainedfromoutgrowthandenzyme-digestedculturemethods.ArchOralBiol,56:380-388,2011.

2. EbeN,Hara-YokoyamaM,IwasakiK,IsekiS,OkuharaS,Podyma-InoueK,TerasawaK,WatanabeA,AkizukiT,WatanabeH,YanagishitaM,IzumiY.PocketepitheliuminthepathologicalsettingforHMGB1release.JDentRes,90(2):235-240,2011.

3. AoyamaN,SuzukiJ,WangD,OgawaM,KobayashiN,HanataniT,TakeuchiY,IzumiY,IsobeM.Porphyromonasgingivalispromotesmurineabdominalaorticaneurysmsviamatrix metalloproteinase-2induction.JPeriodontalRes,46(2):176-183,2011. 

4. IzumiY,AokiA,YamadaY,KobayashiH,IwataT,AkizukiT,SudaT,NakamuraS,Wara-AswapatiN,UedaM,IshikawaI.Currentandfutureperiodontaltissueengineering.Periodontol2000,56:166-187,2011.

5. CKobayashi,KYaegaki,BCalenic,NIshkitiev,TImai,HIi,IAoyama,HKobayashi,YIzumi,MHaapasalo.HydrogenSulfideCausesApoptosisinHumanPulpStemCells.JEndod,37:479–484,2011.

6. M.Kitamura,M.Akamatsu,M.Machigashira,Y.Hara,R.Sakagami,T.Hirofuji,T.Hamachi,K.Maeda,M.Yokota,J.Kido,T.Nagata,H.Kurihara,S.Takashiba,T.Sibutani,M.Fukuda,T.Noguchi,K.Yamazaki,H.Yoshie,K.Ioroi,T.Arai,T.Nakagawa,K.Ito,S.Oda,Y.Izumi,Y.Ogata,S.Yamada,H.Shimauchi,K.Kunimatsu,M.Kawanami,T.Fujii,Y.Furuichi,T.Furuuchi,T.Sasano,E.Imai,M.Omae,S.Yamada,M.Watanuki,andS.Murakami,FGF-2stimulatesperiodontalregeneration:Resultsofamulti-centerrandomizedclinicaltrial.JDentRes,90:35-40,2011.

6. TakahashiM,ChenZ,WatanabeK,KobayashiH,NakajimaT,KimuraA,IzumiY.Toll-likereceptor2genepolymorphismsassociatedwithaggressiveperiodontitisinJapanese.OpenDentJ,5:190-194,2011.

7. KatagiriS,NittaH,NagasawaT,IzumiY,KanazawaM,MatsuoA,ChibaH,MiyazakiS,MiyauchiT,NakamuraN,OsekoF,KanamuraN,AndoY,HanadaN,InoueS.Reducedmasticatoryfunctioninnon-elderlyobeseJapaneseadults.ObesResClinPract,5(4):e279-286,2011.

8. AkiyamaF,AokiA,Miura-UchiyamaM,SasakiKM,IchinoseS,UmedaM,IshikawaI,IzumiY.Invitrostudiesoftheablationmechanismofperiodontopathicbacteriaanddecontaminationeffectonperiodontallydiseasedrootsurfacesbyerbium:yttrium-aluminum-garnetlaser.LasersMedSci,26(2):193-204,2011.Erratumin:LasersMedSci26(2):277,2011.

9. WangH,WatanabeH,OgitaM,IchinoseS,IzumiY.Effectofhumanbeta-defensin-3ontheproliferationoffibroblastsonperiodontallyinvolvedrootsurfaces.Peptides32:888-894,2011.

10.TsumanumaY,IwataT,WashioK,YoshidaT,Yamada

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A,TakagiR,OhnoT,LinK,YamatoM,IshikawaI,OkanoT,IzumiY.Comparisonofdifferenttissue-derivedstemcellsheetsforperiodontalregenerationinacanine1-walldefectmodel.Biomaterials,32:5819-5825,2011.

11.ToyofukuT,InoueY,KuriharaN,KudoT,JibikiM,SuganoN,UmedaM,IzumiY.Differentialdetectionrateofperiodontopathicbacteriainatherosclerosis.SurgToday41:1395-1400,2011.

12. IshihataK,WakabayashiN,WadachiJ,AkizukiT,IzumiY,TakakudaK,IgarashiY.ReproducibilityofPocketDepthMeasurementbyExperimentalPeriodontalProbeIncorporatingOpticalFiberSensor.JPeriodontol,83:222-227,2012.

13.KomakiM,IwasakiK,ArzateH,NarayananAS,IzumiY,MoritaY.CementumQ1pro t ein1 (CEMP1)inducesacementoblasticphenotypeandreducesosteoblasticdifferentiationinperiodontalligamentcells. JCellPhysiol,227:649-657,2012.

14.KobayashiN,SuzukiJ,OgawaM,AoyamaN,HanataniT,HirataT,NagaiR,IzumiY,IsobeM.Porphyromonasgingivalisacceleratesneointimalformationafterarterialinjury.JVascRes,49:417-424,2012.

15.TakeuchiY,NagasawaT,KatagiriS,KitagawaraS,KobayashiH,KoyanagiT,IzumiY.Salivarylevelsofantibacterialpeptide(LL-37/hCAP-18)andcotinineinperiodontitispatients.JPeriodontol,83:766-772,2012.

16.AoyamaN,SuzukiJ,OgawaM,WatanabeR,KobayashiN,HanataniT,YoshidaA,AshigakiN,IzumiY,IsobeM.Clarithromycinsuppressestheperiodontalbacteria-acceleratedabdominalaorticaneurysmsinmice.JPeriodontalRes,47:463-469,2012..

17.Himeno-AndoA,IzumiY,YamaguchiA,IimuraT.Structuraldifferencesintheosteocytenetworkbetweenthecalvariaandlongbonerevealedbythree-dimensionalfluorescencemorphometry,possiblyreflectingdistinctmechano-adaptationsandsensitivities.BiochemBiophysResCommun,417:765-770,2012.

18.HayakumoS,ArakawaS,ManoY,IzumiY.Clinicalandmicrobiologicaleffectsofozonenano-bubblewaterirrigationsasanadjuncttomechanicalsubgingivaldebridementinperiodontitispatientsinarandomizedcontrolledtrial.ClinOralInvest,inpress

19. SekinishiA,SuzukiJ,AoyamaN,OgawaM,WatanabeR,KobayashiN,HanataniT,AshigakiN,HirataY,NagaiR,IzumiY,IsobeM.AperiodontalpathogenAggregatibacteractinomycetemcomitansdeterioratespressureoverload-inducedmyocardialhypertrophyinmice.IntHeartJ,53:324-330,2012.

20.HanataniT,SuzukiJ,OgawaM,AoyamaN,KobayashiN,HirataY,NagaiR,IzumiY,IsobeM.TheperiodontalpathogenAggregatibacteractinomycetemcomitansdeterioratesventricularremodelingaftermyocardialinfarctioninmice.IntHeartJ,53:253-256,2012.

21.BhartiP,KatagiriS,NittaH,NagasawaT,KobayashiH,

Yuichi Izumi

TakeuchiY,IzumiyamaH,UchiyamaI,InoueS,IzumiY.Periodontaltreatmentwithtopicalantibioticsimprovesglycemiccontrolinassociationwithelevatedserumadiponectininpatientswithtype2diabetesmellitus.ObesResClinPract,inpress.

22.KatagiriS,NagasawaT,KobayashiH,TakamatsuH,BhartiP,IzumiyamaH,UchimuraI,TagamiT,SuzukiT,NanbaraH,TaniguchiY,HayakumoS,KoyanagiT,Himeno-AndoA,GotoMakiKajioH,TakahashiY,IzumiY,NodaM.Improvementofglycemiccontrolafterperiodontaltreatmentbyresolvinggingivalinflammationintype2diabeticpatientswithperiodontaldisease.JDiabetesInvest,3:402-409,2012.

23.HosomiN,AokiS,MatsuoK,DeguchiK,MasugataH,MuraoK,IchiharaN,OhyamaH,DobashiH,NezuT,OhtsukiT,YasudaO,SoejimaH,OgawaH,IzumiY,KohnoM,TanakaJ,MatsumotoM.AssociationofSerumAnti-PeriodontalPathogenAntibodywithIschemicStroke.CerebrovascDis,34:385-392,2012.

24.NanbaraH,Wara-aswapatiN,NagasawaT,YoshidaY,YashiroR,BandoY,KobayashiH,KhongcharoensukJ,HormdeeD,PitiphatW,BochJA,IzumiY.ModulationofWnt5aexpressionbyperiodontopathicbacteria.ProsONEinpress

25.AlmehdiA,AokiA,IchinoseS,TaniguchiY,SasakiKM,EjiriK,SawabeM,ChuiC,KatagiriS,IzumiY.HistologicalandSEManalysisofrootcementumfollowingirradiationwithEr:YAGandCO2lasers.LasersMedSci,inpress

26.TaniguchiY,AokiA,MizutaniK,TakeuchiY,IchinoseS,TakasakiAA,SchwarzF,IzumiY.OptimalEr:YAGlaserirradiationparametersfordebridementofmicrostructuredfixturesurfacesoftitaniumdentalimplants.LasersMedSci,inpress

27.ChuiC,HiratsukaK,AokiA,TakeuchiY,AbikoY,IzumiY.BlueLEDinhibitsthegrowthofPorphyromonasgingivalisbysuppressingtheexpressionofgenesassociatedwithDNAreplicationandcelldivision.LaserSurgMed,inpress

28. IwasakiK,KomakiM,YokoyamaN,TanakaY,TakiA,KimuraY,TakedaM,OdaS,IzumiY,MoritaI.PeriodontalLigamentStemCellsPossesstheCharacteristicsofPericytes.JPeriodontol,inpress

29.YamadaY,NakamuraS,ItoK,UmemuraE,HaraK,NagasakaT,AbeA,BabaS,FuruichiY,IzumiY,KleinOD,WakabayashiT.InjectableBoneTissueEngineeringusingExpandedMesenchymalStemCells.StemCells,inpress

30.AshigakiN,SuzukiJ,OgawaM,WatanabeR,AoyamaN,KobayashiN,HanataniT,SekinishiA,ZempoH,TadaY,TakamuraC,WakayamaK,HirataY,NagaiR,IzumiY,IsobeM.PeriodontalBacteriaAggravateExperimentalAutoimmuneMyocarditisinMice.AmJPhysiolHeartCircPhysiol,inpress

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M E M O

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P o s t e r S e s s i o n

Sixth Retreat 2013

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Poster Session List

Name Grade

SmritiAryalA.C. 4

XuRen 4

ZhouMengyu 4

ChuiChanthoeun 4

SamirKumarPal 4

MDABDULLAALMASUDKHAN 4

ChihoWatanabe 4

YasuyukiShimada 4

YukiMatsushita 4

AzusaYamada 4

KoyoTakimoto 4

TomokiMuramatsu 4

PrasansuttipornTaweesak 4

SahaniMayurbhaiHimatbhai 4

Bakhsh,TurkiAbdulsalamA. 3

MarwaMadi 3

MaChengshan 3

YukiYamaguchi 3

BijayaHaobam 3

ZayarLin 3

RumanaKhanom 3

DuartePuertoCarolinaLizeth 3

YeChangChang 3

DawudAbduweli 3

ChengXu 3

YujiTsuchido 3

NorihikoAshigaki 3

JunpeiShirakawa 3

Md.SofiqulIslam 3

MasakoYoshizaki 3

YukihikoHashida 3

ThitthaweeratSuppason 3

HisanoriHasegawa 3

ShinFukuda 3

TadashiHosoya 3

NaokiKimura 3

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Name Grade

MasayoshiUezono 3

Mandurah,MonaMohammadM. 3

MayumiOgita 3

WaruneePluemsakunthai 3

NadilaWali 3

GerardoJoseJovesMendez 3

NurmaaDashzeveg 2

SuphanantachatSupreda 2

RajapaksheMudiyanselageAnupamaRasadariRajapakshe 2

KahaerAbula 2

TakehitoOno 2

GuJie 2

LeePhenix 2

SurapornsawasdThunyaporn 2

ThanitPrasitsak 2

AlaaAbdulahadTurkistani 2

LodhaEna 2

ThanatvarakornOrnnicha 2

WakaYokoyama 2

YusukeMatsuo 2

YokoNakazato 2

MaheswariKuppusamy 2

MohannadIssaMichaelNassar 2

KenjiOgura 2

TakayukiYamada 2

UeharaDanielaTiaki 1

Nuylan,MichelleLoyola 1

MakiriKawasaki 1

HuaQiao 1

Khunkar,SaharJameelM 1

NatsukaUmezawa 1

TetsuyaSaito 1

KenchiTakenaka 1

Alsayed,EhabZakiE 1

KongKalyan 1

BabaBista 1

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M E M O

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