Gum Disease & Heart Rhythm: Bacterial Link
- A hiroshima university study reveals a potential link between gum disease and heart health.
- afib,a heart rhythm disorder,has seen a global surge,nearly doubling between 2010 and 2019.
- Shunsuke Miyauchi, assistant professor at HU's Graduate School of Biomedical and Health Sciences, noted the study addresses whether P.gingivalis translocates to the left atrium and induces atrial fibrosis...
Gum Disease Bacteria Linked to Increased Heart Rhythm Disorder Risk
Updated June 07, 2025
A hiroshima university study reveals a potential link between gum disease and heart health. The research indicates that Porphyromonas gingivalis (P. gingivalis), a bacterium associated with periodontitis, can travel to the heart and contribute to fibrosis, increasing the risk of atrial fibrillation (AFib).
afib,a heart rhythm disorder,has seen a global surge,nearly doubling between 2010 and 2019. Scientists are investigating the role of gum disease in this increase. While previous research suggested inflammation as a factor, the new study published in Circulation, provides evidence of P. gingivalis presence in the left atrium of both animal models and humans.
Shunsuke Miyauchi, assistant professor at HU’s Graduate School of Biomedical and Health Sciences, noted the study addresses whether P.gingivalis translocates to the left atrium and induces atrial fibrosis and AFib progression.
In a mouse model, researchers introduced the W83 strain of P. gingivalis into the tooth pulp of one group, while a control group remained uninfected. After 18 weeks,the infected mice showed a sixfold increase in the likelihood of developing abnormal heart rhythms,with a 30% AFib inducibility rate compared to 5% in the control group.
The bacterium was detected in the left atrium of infected mice, where tissue had become stiff and fibrous. These mice also exhibited more heart scarring compared to the uninfected group. A separate human study found P. gingivalis in left atrial tissue from AFib patients, with higher amounts in those with severe gum disease.
P.gingivalis can invade host cells and evade destruction, potentially allowing it to bypass immune defenses and trigger harmful inflammation. infected mice showed elevated levels of galectin-3, a fibrosis biomarker, and increased expression of Tgfb1, a gene linked to inflammation and scarring.
“The causal relationship between periodontitis and atrial fibrillation is still unkown, but the spread of periodontal bacteria thru the bloodstream may connect these conditions,” said Miyauchi.
What’s next
The research team is now focusing on the specific mechanisms by which P. gingivalis affects atrial cardiomyocytes and establishing a collaborative medical and dental system in Hiroshima Prefecture to improve cardiovascular care.
