Evidence map›Paper›PMID 27727278›Full record

ArticlePloS one2016

Associations of Toll-Like Receptor and β-Defensin Polymorphisms with Measures of Periodontal Disease (PD) in HIV+ North American Adults: An Exploratory Study.

Rajeev K Mehlotra, Noemi B Hall, Barne Willie, Catherine M Stein, Aaron Weinberg, Peter A Zimmerman, Lance T Vernon

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. A preliminary assessment ofPapua and New Guinea medical journal
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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

7 authors at 3 institutions in 1 country.

Rajeev K MehlotraCenter for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America.
Noemi B HallDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio, United States of America.
Barne WillieCenter for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America.
Catherine M SteinDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio, United States of America.
Aaron WeinbergDepartment of Biological Sciences, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America.
Peter A ZimmermanCenter for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America.
Lance T VernonDepartment of Pediatric and Community Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America.
Case Western Reserve University · USUniversity School · USCenter for Global Health · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Proj. 4-The Genetic Variation of Innate Immune Genes w/Oral Manifestations of HIVP01DE019759 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI ZIMMERMAN, PETER · 2009 to 2013
$9.0M
BIOMETRIC-GENETIC ANALYSIS OF CARDIOVASCULAR DISEASET32HL007567 · NHLBI · LOUISIANA STATE UNIV HSC NEW ORLEANS · PI ZHU, XIAOFENG · 1985 to 2021
$6.0M
CASE-PNG Infectious Disease Research Training ProgramD43TW007377 · FIC · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER, ZIMMERMAN, PETER A. · 2005 to 2015
$2.0M
Oral Link to Vascular Disease in a HIV-1 CohortK23DE015746 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI VERNON, LANCE T. · 2004 to 2008
$637k
Establishing a Provider-Observed Tool to Assess Oral Hygiene Skills in HIV+ AdultsR21DE023740 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI VERNON, LANCE T. · 2015 to 2016
$462k
Immune and Inflammatory Consequences of Intensive Periodontal Disease Treatment iR21DE021376 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI VERNON, LANCE T. · 2010 to 2011
$430k
FIC NIH HHS D43 TW007377NHLBI NIH HHS T32 HL007567NIAID NIH HHS P30 AI036219NIDCR NIH HHS K23 DE015746NIDCR NIH HHS P01 DE019759NIDCR NIH HHS R21 DE021376NIDCR NIH HHS R21 DE023740
6 · The paper itself

Abstract

Polymorphisms in toll-like receptor (TLR) and β-defensin (DEFB) genes have been recognized as potential genetic factors that can influence susceptibility to and severity of periodontal diseases (PD). However, data regarding associations between these polymorphisms and PD are still scarce in North American populations, and are not available in HIV+ North American populations. In this exploratory study, we analyzed samples from HIV+ adults (n = 115), who received primary HIV care at 3 local outpatient HIV clinics and were monitored for PD status. We genotyped a total of 41 single nucleotide polymorphisms (SNPs) in 8 TLR genes and copy number variation (CNV) in DEFB4/103A. We performed regression analyses for levels of 3 periodontopathogens in subgingival dental plaques (Porphyromonas gingivalis [Pg], Treponema denticola [Td], and Tannerella forsythia [Tf]) and 3 clinical measures of PD (periodontal probing depth [PPD], gingival recession [REC], and bleeding on probing [BOP]). In all subjects combined, 2 SNPs in TLR1 were significantly associated with Td, and one SNP in TLR2 was significantly associated with BOP. One of the 2 SNPs in TLR1 was significantly associated with Td in Caucasians. In addition, another SNP in TLR1 and a SNP in TLR6 were also significantly associated with Td and Pg, respectively, in Caucasians. All 3 periodontopathogen levels were significantly associated with PPD and BOP, but none was associated with REC. Instrumental variable analysis showed that 8 SNPs in 6 TLR genes were significantly associated with the 3 periodontopathogen levels. However, associations between the 3 periodontopathogen levels and PPD or BOP were not driven by associations with these identified SNPs. No association was found between DEFB4/103A CNV and any periodontopathogen level or clinical measure in all samples, Caucasians, or African Americans. Our exploratory study suggests a role of TLR polymorphisms, particularly TLR1 and TLR6 polymorphisms, in PD in HIV+ North Americans.

Indexed as

AdultAllelesbeta-DefensinsBlack or African AmericanDNADNA Copy Number VariationsFemaleGene FrequencyGenotypeHIV InfectionsHumansLinkage DisequilibriumMaleMiddle AgedNorth AmericaPeriodontal Diseasesbeta-DefensinsDEFB4A protein, humanDNAToll-Like Receptor 1Toll-Like Receptor 2Toll-Like Receptor 6

Identifiers

PMID27727278
PMCPMC5058471
OpenAlexW2530236423

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.