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The role of an uncommon type of oral streptococcus sanguis in the etiology of behcet’s disease

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Environmental Health and Preventive Medicine Aims and scope

Abstract

The relationships of Behcet’s disease (BD) with oral diseases and the prevalence of an uncommon type of oralStreptococcus sanguis (Str. sanguis) in the oral cavity were investigated in a case-control study. BD patients were compared to patient controls (collagen disease) and healthy controls.

An interview questionnaire survey of BD and oral diseases showed that during the pre-onset, onset, and post-onset periods, the incidences of tonsillitis and dental caries, or the history of dental treatment, were greater in BD cases. Typological analysis showed a higher prevalence of an uncommon type ofStr. sanguis, differing from the common type, among BD cases compared to control groups. These results, showing a higher incidence of tonsillitis and dental caries during the presymptomatic period, a greater frequency of dental treatments during the symptomatic period, and the presence of an uncommon type ofStr. sanguis, indicate thatStr. sanguis of an uncommon type is related to increased risk of BD, and the possibility of a causal role is suggested.

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References

  1. Ohno S, Ohguchi M, Hirose S. Close association of HLA-Bw51 with Behcet’s disease. Arch Ophthalmol 1982;100: 1455–8.

    PubMed  CAS  Google Scholar 

  2. Nakae K, Agata T, Kinjo Y, Nishikawa H, Maeda K. The third nationwide epidemiological survey of Behcet’s disease in Japan in 1986, Studies on etiology, treatment, and prevention of Behcet’s disease in 1985. Annual Report of the Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1987: 57–63. (in Japanese)

  3. Hirohata T, Kuratsune M, Nomura A, Jimi S. Prevalence of Behcet’s syndrome in Hawaii, with particular reference to a comparison of the Japanese in Hawaii and Japan. Hawaii Med J 1975;34: 244–50.

    PubMed  CAS  Google Scholar 

  4. Eglin RP, Lehner T, Subak-Sharpe JH. Detection of RNA complementary to herpes simplex virus in mononuclear cells from patients with Behcet’s syndrome and recurrent oral ulcers. Lancet 1982; ii: 1356–60.

    Article  Google Scholar 

  5. Jimi S, Kuratsune M. Epidemiological studies on Behcet’s disease, 2. A case control study on Behcet’s disease. Jpn J Pub Health 1976;23: 748–59.

    Google Scholar 

  6. Hashimoto T, Takeuchi A, Yanagida T. The etiologic role ofStreptococcus in Behcet’s disease. The Saishin-Igaku 1988;43: 284–8. (in Japanese)

    Google Scholar 

  7. Tsuchida M, Mineshita S, Okonogi H, Sugimoto K, Wang L. Uncommon type of oralStreptococcus sanguis as an etiological factor of Behcet’s disease. J Dent Health 1994;44: 154–60.

    Google Scholar 

  8. Nakae K, Agata T, Maeda K, Matsuda K, Hashimoto T, Inaba G. Case control studies on Behcet’s disease. In: Inaba G, editor. Behcet’s Disease. Tokyo: Univ. of Tokyo Press, 1981: 41–9.

    Google Scholar 

  9. Seki S, Ogawa S. Epidemiological study on Behcet’s disease in Osaka, Report 3. Annual Report of the Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1974: 20–6. (in Japanese)

  10. Niwa Y, Mizushima Y. Neutrophil-potentiating factors released from stimulated lymphocytes, special reference to the increase in neutrophilpotentiating factors from Streptococcus-stimulated lymphocytes of patients with Behcet’s disease. Clin Exp Immunol 1990;79: 353–60.

    PubMed  CAS  Google Scholar 

  11. The Behcet’s Disease Research Committee of Japan. Skin hypersensitivity to Streptococcal antigens in Behcet’s disease, a multicenter study. J Rheumatol 1989;16: 506–11.

    Google Scholar 

  12. Nanba K, Ueno T, Okita M. Behcet’s disease and streptococcal infection. Jpn J Ophthalmol 1986;30: 385–401.

    Google Scholar 

  13. Barile MF, Graykowski EA, Driscoll EJ, Riggs DB. L form recurrent aphthous stomatitis lesion. Oral Surg 1963;16: 1395–402.

    Article  PubMed  CAS  Google Scholar 

  14. Graykowski EA, Barile MF, Lee WB, Stanley HR. Recurrent aphthous stomatitis. J Am Med Assoc 1966;196: 637–44.

    Article  CAS  Google Scholar 

  15. Okonogi H, Tsurumizu T. Characteristics ofStreptococcus sanguis isolated from Behcet’s disease. J Dent Health 1988;38: 562–3. (in Japanese)

    Google Scholar 

  16. De Stoppelaar JD, Van Houte J, De Moor CE. The presence of dextran forming bacteria, resemblingStreptococcus bovis andStreptococcus sanguis in human dental plaque. Arch Oral Biol 1967;12: 1199–202.

    Article  PubMed  Google Scholar 

  17. Carlsson J. A numerical taxonomic study of human oral Streptococci. Odontol Revy 1968;19: 137–40.

    PubMed  CAS  Google Scholar 

  18. Nakagawa N, Tsurumizu T. A study ofStreptococcus sanguis isolated from dental plaque of MCLS patients and their mothers, I. Classification and characterization. J Dent Health 1985;35: 167–75. (in Japanese)

    Google Scholar 

  19. Kholy AE, Wannamaker LW, Kranse RM. Simplified extraction procedure for serological grouping of beta-hemolytic Streptococci. Appl Microbiol 1974;28: 836–9.

    PubMed  Google Scholar 

  20. Aoki K, Ohno S. Studies on the constitution and past history of patient with Behcet’s disease. Acta Soc Ophthalmol Jpn 1972;76: 1608–12. (in Japanese)

    CAS  Google Scholar 

  21. Terao Y, Kawasaki H, Sawada J, Yanagi N, Nakajima M, Kasamatsu T, Morioka S, Nakamura K, Iwata H, Nose T, Yamamoto S, Oomura T, Motegi K, Kurosawa Y, Kobayashi M, Kushige T, Yanagawa H. Case control study on Behcet’s disease. Annual Report of Epidemiology of Intractable Disease Research Committee, The Ministry of Health and Welfare of Japan 1991: 80–5. (in Japanese)

  22. Nakae K, Hashimoto T, Masaki F, Takeuchi A, Yanagida T. Case control study on Behcet’s disease. Annual Report of Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1990: 42–6. (in Japanese)

  23. Hashimoto T. Behcet’s disease and streptococcal infection. Annual Report of Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1988: 66–7. (in Japanese)

  24. Nakae K, Masaki F, Agata T, Maeda K. Familial study of Behcet’s disease. Annual Report of Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1987: 104–6. (in Japanese)

  25. Isogai E, Ohno S, Kotake S, Isogai H, Tsurumizu T, Fujii N, Yokota K, Syuto B, Yamaguchi M, Matsuda H, Oguma K. Chemiluminescence of neutrophils from patients with Behcet’s disease and its correlation with an increased proportion of uncommon serotypes ofStreptococcus sanguis in the oral flora. Arch Oral Biol 1990;35: 43–8.

    Article  PubMed  CAS  Google Scholar 

  26. Isogai E, Isogai H, Yokota K, Hayashi S, Fujii N, Oguma K, Yoshikawa K, Sasamoto Y, Kotake S, Ohno S. Platelet aggregation induced by uncommon serotype ofStreptococcus sanguis isolated from patients with Behcet’s disease. Arch Oral Biol 1991;36: 425–9.

    Article  PubMed  CAS  Google Scholar 

  27. Miyata M, Kida S, Ishibashi K, Yokogi K, Kasukawa R. Analysis of cross reactive antigen inStreptococcus to tissue antigens, the second report. Annual Report of Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1989: 93–5. (in Japanese)

  28. Isogai E, Isogai H, Ohno S, Matsuda H, Takeshi K, Fujii N, Yamaguchi M, Oguma K, Hashimoto T. Close association ofStreptococcus sanguis uncommon serotype with Behcet’s disease. Bifidobact Microflora 1990;9:27–41.

    Google Scholar 

  29. Hoshi K, Matsuda T, Nakagawa M, Ishimaru A, Tsurumizu T. Classification ofSt. sanguis isolated from patients with Behcet’s disease. Annual Report of Behcet’s Disease Research Committee of Japan, The Ministry of Health and Welfare of Japan 1989: 57–8. (in Japanese)

  30. Okonogi H, Tsurumizu T. Characteristics ofStreptococcus sanguis isolated from Behcet’s disease. J Dent Health 1988;38: 562–3. (in Japanese)

    Google Scholar 

  31. Tsurumizu T. Characteristics ofStreptococcus sanguis isolated from children with Kawasaki disease. Kawasaki Disease Symposium 1988;29: 31.

    Google Scholar 

  32. Mizushima Y. IsStreptococcus a possible etiological agent in Behcet’s disease? Jpn MedJ 1990;3456: 27–31. (in Japanese)

    Google Scholar 

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Tsuchida, M., Mineshita, S., Okonogi, H. et al. The role of an uncommon type of oral streptococcus sanguis in the etiology of behcet’s disease. Environ Health Prev Med 2, 59–63 (1997). https://doi.org/10.1007/BF02931965

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  • DOI: https://doi.org/10.1007/BF02931965

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