Oral bacteria may set off a cascade of events that leads to the autoimmune form of arthritis.

To prevent rheumatoid arthritis, look past the joints to the gums.

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The mouth may seem like a strange place to search for a culprit in a disease that primarily affects the joints. But a recent collaboration by a group of multidisciplinary researchers suggests that one type of oral bacteria may be an important trigger in about half of rheumatoid arthritis (RA) cases.

The findings, published in Science Translational Medicine late last year, appear to confirm something that’s been suspected for at least a century: In some cases, gum-disease causing oral bacteria may set off a cascade of events that leads to the autoimmune form of arthritis.

It´s long been known that patients with RA are more likely to have periodontitis. In 1 nationally representative sample, participants who met 4 out of 6 American College of Rheumathology criteria for RA had a 4-fold higher risk of periodontitis compared with who didn’t meet that threshold.

Author: Jennifer Abbasi

Source: jamanetwork.com