RT Journal Article T1 Association of periodontitis with cognitive decline and its progression: Contribution of blood‐based biomarkers of Alzheimer's disease to this relationship A1 Carballo, Álvaro A1 López‐Dequidt, Iria A1 Custodia Malvido, Antía A1 Botelho, João A1 Aramburu‐Núñez, Marta A1 Machado, Vanessa A1 Pías‐Peleteiro, Juan Manuel A1 Ouro Villasante, Alberto A1 Romaus-Sanjurjo, Daniel A1 Vázquez‐Vázquez, Laura A1 Jiménez‐Martín, Isabel A1 Aguiar Fernández, Pablo A1 Rodríguez‐Yáñez, Manuel A1 Aldrey, José Manuel A1 Blanco Carrión, Juan A1 Castillo Sánchez, José Antonio A1 Sobrino, Tomás A1 Leira Feijóo, Yago K1 Amyloid beta peptides K1 Biomarkers K1 Dementia K1 Periodontitis K1 Tau protein AB AimTo assess whether periodontitis is associated with cognitive decline and its progression as well as with certain blood-based markers of Alzheimer's disease.Materials and MethodsData from a 2-year follow-up prospective cohort study (n = 101) was analysed. Participants with a previous history of hypertension and aged ≥60 years were included in the analysis. All of them received a full-mouth periodontal examination and cognitive function assessments (Addenbrooke's Cognitive Examination (ACE) and Mini-Mental State Examination [MMSE]). Plasma levels of amyloid beta (Aβ)1-40, Aβ1-42, phosphorylated and total Tau (p-Tau and t-Tau) were determined at baseline, 12 and 24 months.ResultsPeriodontitis was associated with poor cognitive performance (MMSE: β = −1.5 [0.6]) and progression of cognitive impairment (hazard ratio [HR] = 1.8; 95% confidence interval: 1.0–3.1). Subjects with periodontitis showed greater baseline levels of p-Tau (1.6 [0.7] vs. 1.2 [0.2] pg/mL, p < .001) and Aβ1-40 (242.1 [77.3] vs. 208.2 [73.8] pg/mL, p = .036) compared with those without periodontitis. Concentrations of the latter protein also increased over time only in the periodontitis group (p = .005).ConclusionsPeriodontitis is associated with cognitive decline and its progression in elderly patients with a previous history of hypertension. Overexpression of p-Tau and Aβ1-40 may play a role in this association PB Wiley SN 0303-6979 YR 2023 FD 2023-08-16 LK http://hdl.handle.net/10347/31240 UL http://hdl.handle.net/10347/31240 LA eng NO Journal of Clinical Periodontology, 50(11), 1444–1454 NO This study was partially supported by grants from the Xunta de Galicia (TS & JC: IN607A2018/3, TS: IN607D 2020/09 and IN607A2022/07), Institute of Health Carlos III (TS: PI22/00938 and CB22/05/00067) and Spanish Ministry of Science (TS: RTI2018-102165-B-I00 and RTC2019-007373-1). Furthermore, this study was also supported by grants from the INTERREG Atlantic Area (TS: EAPA_791/2018_NEUROATLANTIC project), INTER-REG V A España Portugal (POCTEP) (TS: 0624_2IQBIONEURO_6_E) and the European Regional Development Fund. Moreover, several members of the research team are supported by the Institute of Health Carlos III: MAN holds an iPFIS contract (IFI18/00008), DR-S and YL are recipients of a Sara Borrell fellowship (CD21/00166 and CD22/00051, respectively) and TS held a Miguel Servet contract (CPII17/00027). Finally, AC is supported by a predoc contract of Xunta de Galicia (IN606A-2021/015). The funders had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript DS Minerva RD 28 abr 2026