Evidence map›Paper›PMID 29242686›Full record

ArticleJournal of Indian Society of Periodontology

Tumor necrosis factor-α, interleukin-4 and -6 in the serum of health, chronic periodontitis, and type 2 diabetes mellitus.

Anirudh Balakrishna Acharya, Srinath Thakur, Mahadevayya Veerayya Muddapur, Raghavendra Dhirendra Kulkarni

Open access · diamondAbstract read
In one paragraph

Article in Journal of Indian Society of Periodontology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Impact of LiveMicroorganisms · 2025
    Article
  3. Serum cytokines in periodontal diseases.Periodontology 2000 · 2025
    Review
  4. Article
  5. Article
  6. Immunoaffinity-enriched salivary small extracellular vesicles in periodontitis.Extracellular vesicles and circulating nucleic acids · 2023
    Article
  7. Article
  8. Article
  9. 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

4 authors at 2 institutions in 1 country.

Anirudh Balakrishna AcharyaDepartment of Periodontics, S.D.M. College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Srinath ThakurDepartment of Periodontics, S.D.M. College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Mahadevayya Veerayya MuddapurDepartment of Periodontics, S.D.M. College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Raghavendra Dhirendra KulkarniDepartment of Microbiology, S.D.M. College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Sri Dharmasthala Manjunatheshwara College of Dental Sciences & Hospital · INSDM College of Medical Science and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytokines are significant in the development and progression of chronic periodontitis (ChP) and type 2 diabetes mellitus (DT2). Insufficient information is available regarding the pro- versus anti-inflammatory cytokines in ChP's influence on systemic levels of cytokines on DT2. This study investigated the levels of tumor necrosis factor-α (TNF-α), interleukin (IL)-4 and IL-6 in the serum of patients with ChP, DT2, and with both ChP and DT2, as compared to health. MATERIALS AND

methodsA total of eighty participants were grouped equally groups as healthy (NH), ChP with, and without DT2 (ChP and ChP + DT2) and only type 2 diabetes (DT2). Plaque and gingival indices, bleeding on probing, pocket probing depths, clinical attachment loss, were evaluated. Serum samples were collected to measure glycated hemoglobin, random blood sugar. TNF-α, IL-4 and -6 was assessed by ELISA.

resultsThe selected cytokines were detected in all the participants. TNF-α and IL-6 were highest in ChP + DT2 group, whereas IL-4 was highest in health. Significant differences and correlation were observed between the cytokines, periodontal, and glycemic parameters and among the four groups.

conclusionTNF-α and IL-6 appear to heighten the inflammatory state in patients with both type 2 diabetes and periodontitis, but IL-4, though considered an anti-inflammatory mediator was not convincing in such a role in this study. The cytokine behavior needs to be studied further in larger studies.

Indexed as

Cytokinesinflammationinterleukinsperiodontitisserumtype 2 diabetes mellitus

Identifiers

PMID29242686
PMCPMC5676332
OpenAlexW2591591136

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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.