Evidence map›Paper›PMID 26132583›Full record

ArticlePloS one2015

Salivary Matrix Metalloproteinase-8 and -9 and Myeloperoxidase in Relation to Coronary Heart and Periodontal Diseases: A Subgroup Report from the PAROKRANK Study (Periodontitis and Its Relation to Coronary Artery Disease).

Nilminie Rathnayake, Anders Gustafsson, Anna Norhammar, Barbro Kjellström, Björn Klinge, Lars Rydén, Taina Tervahartiala, Timo Sorsa, PAROKRANK Steering Group

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  3. Periodontitis and Number of Teeth in the Risk of Coronary Heart Disease: An Updated Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2021
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  10. MMP-8 in Periodontal Sites of Postpartum and without-Any-Pregnancy Women.International journal of environmental research and public health · 2024
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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

9 authors at 4 institutions in 2 countries.

Nilminie RathnayakeKarolinska Institutet, Department of Dental Medicine, Division of Periodontology, Stockholm, Sweden.
Anders GustafssonKarolinska Institutet, Department of Dental Medicine, Division of Periodontology, Stockholm, Sweden.
Anna NorhammarKarolinska Institutet, Karolinska University Hospital Solna, Department of Medicine, Cardiology Unit, Stockholm, Sweden.
Barbro KjellströmKarolinska Institutet, Karolinska University Hospital Solna, Department of Medicine, Cardiology Unit, Stockholm, Sweden.
Björn KlingeKarolinska Institutet, Department of Dental Medicine, Division of Periodontology, Stockholm, Sweden; Department of Periodontology, Faculty of Odontology, Malmo University, Malmo, Sweden.
Lars RydénKarolinska Institutet, Karolinska University Hospital Solna, Department of Medicine, Cardiology Unit, Stockholm, Sweden.
Taina TervahartialaUniversity of Helsinki, Helsinki University Central Hospital, Department of Oral and Maxillofacial Diseases, Helsinki, Finland.
Timo SorsaKarolinska Institutet, Department of Dental Medicine, Division of Periodontology, Stockholm, Sweden; University of Helsinki, Helsinki University Central Hospital, Department of Oral and Maxillofacial Diseases, Helsinki, Finland; University of Helsinki, Helsinki University Central Hospital, Department of Periodontology, Helsinki, Finland.
PAROKRANK Steering Group
Karolinska Institutet · SEKarolinska University Hospital · SEUniversity of Helsinki · FIMalmö University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMatrix metalloproteinase (MMP) -8, -9 and myeloperoxidase (MPO) are inflammatory mediators. The potential associations between MMP-8, -9, MPO and their abilities to reflect cardiovascular risk remains to be evaluated in saliva. The objective of this study was to investigate the levels and associations of salivary MMP-8, -9, MPO and tissue inhibitors of metalloproteinase (TIMP)-1 in myocardial infarction (MI) patients and controls with or without periodontitis. MATERIALS AND

methods200 patients with a first MI admitted to coronary care units in Sweden from May 2010 to December 2011 and 200 controls matched for age, gender, residential area and without previous MI were included. Dental examination and saliva sample collection was performed 6-10 weeks after the MI in patients and at baseline in controls. The biomarkers MMP -8, -9, MPO and TIMP-1 were analyzed by time-resolved immunofluorescence assay (IFMA), Western blot and Enzyme-Linked ImmunoSorbent Assay (ELISA).

resultsAfter compensation for gingivitis, gingival pockets and smoking, the mean salivary levels of MMP-8 (543 vs 440 ng/mL, p = 0.003) and MPO (1899 vs 1637 ng/mL, p = 0.02) were higher in non-MI subjects compared to MI patients. MMP-8, -9 and MPO correlated positively with clinical signs of gingival/periodontal inflammation while TIMP-1 correlated mainly negatively with these signs. The levels of latent and active forms of MMP-8 did not differ between the MI and non-MI groups. Additionally, MMP-8, MPO levels and MMP-8/TIMP-1 ratio were significantly higher in men compared to women with MI.

conclusionsThis study shows that salivary levels of the analyzed biomarkers are associated with periodontal status. However, these biomarkers could not differentiate between patients with or without a MI. These findings illustrate the importance to consider the influence of oral conditions when analyzing levels of inflammatory salivary biomarkers.

Indexed as

AgedBiomarkersCase-Control StudiesChronic PeriodontitisComorbidityCoronary Artery DiseaseFemaleHumansMaleMatrix Metalloproteinase 8Matrix Metalloproteinase 9Middle AgedMyocardial InfarctionPeroxidaseRisk FactorsSalivaBiomarkersMatrix Metalloproteinase 8Matrix Metalloproteinase 9PeroxidaseTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID26132583
PMCPMC4488442
OpenAlexW1503561402

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.