Target intelligence / Profile preview

Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans)

Target
A. actinomycetemcomitans
Molecular classification
Other (Bacterium), Pasteurellaceae family
01

Overview

Aggregatibacter actinomycetemcomitans is a small, Gram-negative, facultatively anaerobic, non-motile rod-shaped bacterium that is an opportunistic oral pathogen, predominantly linked to aggressive forms of periodontitis, particularly in adolescents and young adults[1][5][7]. It is a member of the Pasteurellaceae family and is characterized by its capacity to form resilient biofilms, produce several potent virulence factors (including leukotoxin and cytolethal distending toxin), and modulate both local and systemic host immune responses[3][5][7]. In addition to localized oral infections, it can cause serious systemic infections (such as endocarditis) and has been implicated in the pathogenesis of cancer and autoimmune conditions like rheumatoid arthritis[2][5]. Although not a molecular “target” in the sense of a protein receptor, it is the objective of antimicrobial pharmacotherapy, generally requiring combined drug and mechanical therapy for effective clinical management[2].

Other names
Actinobacillus actinomycetemcomitansHaemophilus actinomycetemcomitansA.a
02

Mechanism of action

Inhibition of bacterial cell wall synthesis (e.g., β-lactams, cephalosporins, carbapenems); Inhibition of protein synthesis (e.g., tetracyclines, clindamycin); Inhibition of DNA synthesis (e.g., fluoroquinolones, trimethoprim-sulfamethoxazole); Disruption of anaerobic metabolism (e.g., metronidazole)

03

Biological functions

Oral microbiota memberBiofilm formationProduction of virulence factors (e.g., leukotoxin, cytolethal distending toxin)Induction of inflammationEvasion and modulation of host immune response
04

Disease associations

Infection (especially periodontitis)EndocarditisPossible oncogenic effects (implicated in cancer development via virulence factors)[2]Linked to rheumatoid arthritis triggering[5]
05

Safety considerations

Resistance to mechanical cleaning in periodontal therapy, requiring combined antimicrobial approaches[2]Potential development of antibiotic resistanceRisk of systemic infections (e.g., endocarditis, especially in immunocompromised individuals)[7]
06

Interacting drugs

Amoxicillin

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07

Biomarkers

Detection of bacterial DNA or presence in dental plaque (PCR for serotype/virulence genes like ltxA)Leukotoxin genotyping (e.g., JP2 genotype identification)[4]Serotyping based on O-antigen (a, b, c, d, e, f)

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