Abstract
Periodontal diseases are complex inflammatory diseases and affect up to 20% of the worldwide population. An unbalanced reaction of the immune system toward microbial pathogens is considered as the key factor in the development of periodontitis. Defensins have a strong antimicrobial function and are important contributors of the immune system toward maintaining health. Here, we present the first systematic association study of DEFB1. Using a haplotype-tagging single nucleotide polymorphism (SNP) approach, including described promoter SNPs of DEFB1, we investigated the associations of the selected variants in a large population (N=1337 cases and 2887 ethnically matched controls). The 3′ untranslated region SNP, rs1047031, showed the most significant association signal for homozygous carriers of the rare A allele (P=0.002) with an increased genetic risk of 1.3 (95% confidence interval: 1.11–1.57). The association was consistent with the specific periodontitis forms: chronic periodontitis (odds ratio=2.2 (95% confidence interval: 1.16–4.35), P=0.02), and aggressive periodontitis (odds ratio=1.3 (95% confidence interval 1.04–1.68), P=0.02). Sequencing of regulatory and exonic regions of DEFB1 identified no other associated variant, pointing toward rs1047031 as likely being the causative variant. Prediction of microRNA targets identified a potential microRNA-binding site at the position of rs1047031.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 digital issues and online access to articles
$119.00 per year
only $19.83 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Pihlstrom BL, Michalowicz BS, Johnson NW . Periodontal diseases. Lancet 2005; 366: 1809–1820.
Petersen PE . The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31 (Suppl 1): 3–23.
Bergstrom J . Influence of tobacco smoking on periodontal bone height. Long-term observations and a hypothesis. J Clin Periodontol 2004; 31: 260–266.
Emrich LJ, Shlossman M, Genco RJ . Periodontal disease in non-insulin-dependent diabetes mellitus. J Periodontol 1991; 62: 123–131.
Dale BA, Fredericks LP . Antimicrobial peptides in the oral environment: expression and function in health and disease. Curr Issues Mol Biol 2005; 7: 119–133.
Huttner KM, Bevins CL . Antimicrobial peptides as mediators of epithelial host defense. Pediatr Res 1999; 45: 785–794.
Groth M, Szafranski K, Taudien S, Huse K, Mueller O, Rosenstiel P et al. High-resolution mapping of the 8p23.1 beta-defensin cluster reveals strictly concordant copy number variation of all genes. Hum Mutat 2008; 29: 1247–1254.
O’Neil DA, Porter EM, Elewaut D, Anderson GM, Eckmann L, Ganz T et al. Expression and regulation of the human beta-defensins hBD-1 and hBD-2 in intestinal epithelium. J Immunol 1999; 163: 6718–6724.
Valore EV, Park CH, Quayle AJ, Wiles KR, McCray Jr PB, Ganz T . Human beta-defensin-1: an antimicrobial peptide of urogenital tissues. J Clin Invest 1998; 101: 1633–1642.
Singh PK, Jia HP, Wiles K, Hesselberth J, Liu L, Conway BA et al. Production of beta-defensins by human airway epithelia. Proc Natl Acad Sci USA 1998; 95: 14961–14966.
Dommisch H, Acil Y, Dunsche A, Winter J, Jepsen S . Differential gene expression of human beta-defensins (hBD-1, -2, -3) in inflammatory gingival diseases. Oral Microbiol Immunol 2005; 20: 186–190.
Vankeerberghen A, Nuytten H, Dierickx K, Quirynen M, Cassiman JJ, Cuppens H . Differential induction of human beta-defensin expression by periodontal commensals and pathogens in periodontal pocket epithelial cells. J Periodontol 2005; 76: 1293–1303.
Kocsis AK, Lakatos PL, Somogyvari F, Fuszek P, Papp J, Fischer S et al. Association of beta-defensin 1 single nucleotide polymorphisms with Crohn's disease. Scand J Gastroenterol 2008; 43: 299–307.
Levy H, Raby BA, Lake S, Tantisira KG, Kwiatkowski D, Lazarus R et al. Association of defensin beta-1 gene polymorphisms with asthma. J Allergy Clin Immunol 2005; 115: 252–258.
Prado-Montes de Oca E, Garcia-Vargas A, Lozano-Inocencio R, Gallegos-Arreola MP, Sandoval-Ramírez L, Dávalos-Rodríguez NO et al. Association of beta-defensin 1 single nucleotide polymorphisms with atopic dermatitis. Int Arch Allergy Immunol 2007; 142: 211–218.
Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol 2000; 71: 1699–1707.
Corey LA, Nance WE, Hofstede P, Schenkein HA . Self-reported periodontal disease in a Virginia twin population. J Periodontol 1993; 64: 1205–1208.
Loos BG, John RP, Laine ML . Identification of genetic risk factors for periodontitis and possible mechanisms of action. J Clin Periodontol 2005; 32 (Suppl 6): 159–179.
Boniotto M, Hazbon MH, Jordan WJ, Lennon GP, Eskdale J, Alland D et al. Novel hairpin-shaped primer assay to study the association of the -44 single-nucleotide polymorphism of the DEFB1 gene with early-onset periodontal disease. Clin Diagn Lab Immunol 2004; 11: 766–769.
Wohlfahrt JC, Wu T, Hodges JS, Hinrichs JE, Michalowicz BS . No association between selected candidate gene polymorphisms and severe chronic periodontitis. J Periodontol 2006; 77: 426–436.
Schunkert H, Gotz A, Braund P, McGinnis R, Tregouet DA, Mangino M et al. Repeated replication and a prospective meta-analysis of the association between chromosome 9p21.3 and coronary artery disease. Circulation 2008; 117: 1675–1684.
Zeggini E, Scott LJ, Saxena R, Voight BF, Marchini JL, Hu T et al. Meta-analysis of genome-wide association data and large-scale replication identifies additional susceptibility loci for type 2 diabetes. Nat Genet 2008; 40: 638–645.
Franke A, Balschun T, Karlsen TH, Hedderich J, May S, Lu T et al. Replication of signals from recent studies of Crohn's disease identifies previously unknown disease loci for ulcerative colitis. Nat Genet 2008; 40: 713–715.
Jurevic RJ, Bai M, Chadwick RB, White TC, Dale BA . Single-nucleotide polymorphisms (SNPs) in human beta-defensin 1: high-throughput SNP assays and association with Candida carriage in type I diabetics and nondiabetic controls. J Clin Microbiol 2003; 41: 90–96.
Tesse R, Cardinale F, Santostasi T, Polizzi A, Manca A, Mappa L et al. Association of beta-defensin-1 gene polymorphisms with Pseudomonas aeruginosa airway colonization in cystic fibrosis. Genes Immun 2008; 9: 57–60.
Baroncelli S, Ricci E, Andreotti M, Guidotti G, Germano P, Marazzi MC et al. Single-nucleotide polymorphisms in human beta-defensin-1 gene in Mozambican HIV-1-infected women and correlation with virologic parameters. AIDS 2008; 22: 1515–1517.
Milanese M, Segat L, Pontillo A, Arraes LC, de Lima Filho JL, Crovella S . DEFB1 gene polymorphisms and increased risk of HIV-1 infection in Brazilian children. AIDS 2006; 20: 1673–1675.
Braida L, Boniotto M, Pontillo A, Tovo PA, Amoroso A, Crovella S . A single-nucleotide polymorphism in the human beta-defensin 1 gene is associated with HIV-1 infection in Italian children. AIDS 2004; 18: 1598–1600.
Matsushita I, Hasegawa K, Nakata K, Yasuda K, Tokunaga K, Keicho N . Genetic variants of human beta-defensin-1 and chronic obstructive pulmonary disease. Biochem Biophys Res Commun 2002; 291: 17–22.
Landi D, Gemignani F, Naccarati A, Vodicka P, Vodickova L, Novotny J et al. Polymorphisms within micro-RNA-binding sites and risk of sporadic colorectal cancer. Carcinogenesis 2008; 29: 579–584.
Steffens M, Lamina C, Illig T, Bettecken T, Vogler R, Entz P et al. SNP-based analysis of genetic substructure in the German population. Hum Hered 2006; 62: 20–29.
Armitage GC . Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999; 4: 1–6.
Hamp SE, Nyman S, Lindhe J . Periodontal treatment of multirooted teeth. Results after 5 years. J Clin Periodontol 1975; 2: 126–135.
Loos BG, Leppers-Van de Straat FG, Van de Winkel JG, Van der Velden U . Fcgamma receptor polymorphisms in relation to periodontitis. J Clin Periodontol 2003; 30: 595–602.
Laine ML, Morre SA, Murillo LS, van Winkelhoff AJ, Pena AS . CD14 and TLR4 gene polymorphisms in adult periodontitis. J Dent Res 2005; 84: 1042–1046.
Bizzarro S, van der Velden U, ten Heggeler JM, Leivadaros E, Hoek FJ, Gerdes VE et al. Periodontitis is characterized by elevated PAI-1 activity. J Clin Periodontol 2007; 34: 574–580.
Krawczak M, Nikolaus S, von Eberstein H, Croucher PJ, El Mokhtari NE, Schreiber S . PopGen: population-based recruitment of patients and controls for the analysis of complex genotype–phenotype relationships. Community Genet 2006; 9: 55–61.
Laine ML, Farre MA, Crusius JB, van Winkelhoff AJ, Pena AS . The mouthwash: a non-invasive sampling method to study cytokine gene polymorphisms. J Periodontol 2000; 71: 1315–1318.
Weckx S, Del-Favero J, Rademakers R, Claes L, Cruts M, De Jonghe P et al. novoSNP, a novel computational tool for sequence variation discovery. Genome Res 2005; 15: 436–442.
Qin ZS, Niu T, Liu JS . Partition–ligation–expectation–maximization algorithm for haplotype inference with single-nucleotide polymorphisms. Am J Hum Genet 2002; 71: 1242–1247.
Barrett JC, Fry B, Maller J, Daly MJ . Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 2005; 21: 263–265.
Hofacker IL . Vienna RNA secondary structure server. Nucleic Acids Res 2003; 31: 3429–3431.
Betel D, Wilson M, Gabow A, Marks DS, Sander C . The microRNA.org resource: targets and expression. Nucleic Acids Res 2008; 36: D149–D153.
Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 2007; 81: 559–575.
Abecasis GR, Cookson WO . GOLD—graphical overview of linkage disequilibrium. Bioinformatics 2000; 16: 182–183.
Acknowledgements
The following dentists are gratefully acknowledged. They have helped with the recruitment of patients and are listed alphabetically: PGGL van der Avoort, G Althoff, DS Barendregt, MS Bertels, A Biggel, R Bodens, F Bröseler, C Christan, NHC Corba, F Cleve, BM Deblauwe, LJ van Dijk, RA Driessen, T Eger, A Engelmann, U Engelsmann, A Friedmann, P Eickholz, PA Eigenhuis, J Graswinckel, LJMM Gründemann, H Hamming, L Hanfland, W Heindl, B Heinz, JW Hutter, J Jansen, H Jentsch, G Knöfler, A Krug, WH van Leeuwen, Ch. Lienhard, A Manschot, F Meier, E Meijer, O Oberbeckmann, MDA Petit, AM van Puijenbroek, V Reichert, B Sigusch, B Simon, A Spahr, JA Speelman, NB Spits, J Stein, J Steinfort, RWR Steures, C Theben, C Tietmann, H Topoll, JAH Tromp, ATE Vangsted, Varoufaki, GA Voerman, K Wagner, GA van der Weijden and E van der Zee. This study was supported by a research grant of the ‘Research Center Inflammation Medicine’ of the Medical Faculty, Christian-Albrechts-University, University Medical Center Schleswig-Holstein, Campus Kiel (ASS and GMR); by the German Ministry of Education and Research (BMBF) through a National Genome Research Network (NGFN 01GS0809) grant (MN); by a grant from the Deutsche Forschungsgemeinschaft (KFO208) (ASS, GMR, HD and SJ); by the German Ministry of Education and Research through the popgen biobank project (01GR0468); by a grant from BONFOR of the Medical Faculty, University of Bonn (SJ) and a grant from the ARPA Research Foundation (BG-S and SJ), Regensburg, Germany.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supplementary Information accompanies the paper on Genes and Immunity website (http://www.nature.com/gene)
Supplementary information
Rights and permissions
About this article
Cite this article
Schaefer, A., Richter, G., Nothnagel, M. et al. A 3′ UTR transition within DEFB1 is associated with chronic and aggressive periodontitis. Genes Immun 11, 45–54 (2010). https://doi.org/10.1038/gene.2009.75
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/gene.2009.75
Keywords
This article is cited by
-
Mechanisms and regulation of defensins in host defense
Signal Transduction and Targeted Therapy (2023)
-
Pocket depth and bleeding on probing and their associations with dental, lifestyle, socioeconomic and blood variables: a cross-sectional, multicenter feasibility study of the German National Cohort
BMC Oral Health (2015)
-
Targeting hypoxia signalling for the treatment of ischaemic and inflammatory diseases
Nature Reviews Drug Discovery (2014)
-
Fundamental role for HIF-1α in constitutive expression of human β defensin-1
Mucosal Immunology (2013)
-
Parodontitis
wissen kompakt (2013)