Evidence map›Paper›PMID 25093857›Full record

ArticlePloS one2014

Leukotoxic activity of Aggregatibacter actinomycetemcomitans and periodontal attachment loss.

Carola Höglund Åberg, Dorte Haubek, Francis Kwamin, Anders Johansson, Rolf Claesson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Journal of oral microbiology · 2026
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  3. Honey Compounds Exhibit Antibacterial Effects AgainstAntibiotics (Basel, Switzerland) · 2025
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  8. Prevalence of SubgingivalPathogens (Basel, Switzerland) · 2024
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  9. Bacterial Sialic Acid Catabolism at the Host-Microbe Interface.Journal of microbiology (Seoul, Korea) · 2023
    Review
  10. Article
  11. Bacteriome analysis ofFrontiers in oral health · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. CD18 Mediates Neutrophil Imperviousness to theFrontiers in immunology · 2022
    Article
  16. Aggregatibacter actinomycetemcomitans: From Basic to Advanced Research.Advances in experimental medicine and biology · 2022
    Article
  17. Journal of clinical medicine · 2021
    Article
  18. Article
  19. Article
  20. Multilocus Sequence Typing of Non-JP2 Serotype bFrontiers in cellular and infection microbiology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Carola Höglund ÅbergDivision of Molecular Periodontology, Department of Odontology, Faculty of Medicine, Umeå University, Umeå, Sweden.
Dorte HaubekSection for Pediatric Dentistry, Department of Dentistry, Health, Aarhus University, Aarhus, Denmark.
Francis KwaminDental School University of Ghana, Accra, Ghana.
Anders JohanssonDivision of Molecular Periodontology, Department of Odontology, Faculty of Medicine, Umeå University, Umeå, Sweden.
Rolf ClaessonOral Microbiology, Department of Odontology, Faculty of Medicine, Umeå University, Umeå, Sweden.
Umeå University · SEAarhus University · DKUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aggregatibacter actinomycetemcomitans is a Gram-negative periodontitis-associated bacterium that expresses a toxin that selectively affects leukocytes. This leukotoxin is encoded by an operon belonging to the core genome of this bacterial species. Variations in the expression of the leukotoxin have been reported, and a well-characterized specific clonal type (JP2) of this bacterium with enhanced leukotoxin expression has been isolated. In particular, the presence of the JP2 genotype significantly increases the risk for the progression of periodontal attachment loss (AL). Based on these findings we hypothesized that variations in the leukotoxicity are linked to disease progression in infected individuals. In the present study, the leukotoxicity of 239 clinical isolates of A. actinomycetemcomitans was analysed with different bioassays, and the genetic peculiarities of the isolates were related to their leukotoxicity based on examination with molecular techniques. The periodontal status of the individuals sampled for the presence of A. actinomycetemcomitans was examined longitudinally, and the importance of the observed variations in leukotoxicity was evaluated in relation to disease progression. Our data show that high leukotoxicity correlates with an enhanced risk for the progression of AL. The JP2 genotype isolates were all highly leukotoxic, while the isolates with an intact leukotoxin promoter (non-JP2 genotypes) showed substantial variation in leukotoxicity. Genetic characterization of the non-JP2 genotype isolates indicated the presence of highly leukotoxic genotypes of serotype b with similarities to the JP2 genotype. Based on these results, we conclude that A. actinomycetemcomitans harbours other highly virulent genotypes besides the previously described JP2 genotype. In addition, the results from the present study further highlight the importance of the leukotoxin as a key virulence factor in aggressive forms of periodontitis.

Indexed as

AdolescentAggregatibacter actinomycetemcomitansDisease ProgressionDNA, BacterialExotoxinsGene Expression Regulation, BacterialGenotypeGhanaHemolysisHumansPasteurellaceae InfectionsPeriodontal Attachment LossPromoter Regions, GeneticRisk FactorsVirulence FactorsDNA, BacterialExotoxinsleukotoxinVirulence Factors

Identifiers

PMID25093857
PMCPMC4122431
OpenAlexW1999292038

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.