Evidence map›Paper›PMID 32737880›Full record

ArticleJournal of periodontology2021

Novel and known periodontal pathogens residing in gingival crevicular fluid are associated with rheumatoid arthritis.

Daniel Manoil, Nagihan Bostanci, Gonca Mumcu, Nevsun Inanc, Meryem Can, Haner Direskeneli, Georgios N Belibasakis

Open access · hybridAbstract read
In one paragraph

Article in Journal of periodontology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  19. [Developments in Research on the Relationship BetweenSichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
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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 4 institutions in 3 countries.

Daniel ManoilDepartment of Dental Medicine, Division of Oral Diseases, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9220-3977
Nagihan BostanciDepartment of Dental Medicine, Division of Oral Diseases, Karolinska Institutet, Stockholm, Sweden.
Gonca MumcuFaculty of Health Sciences, Marmara University, Istanbul, Turkey.
Nevsun InancDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Marmara University, Istanbul, Turkey.
Meryem CanDepartment of Internal Medicine, Division of Rheumatology, School of Medicine, Medipol University, Istanbul, Turkey.
Haner DireskeneliDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Marmara University, Istanbul, Turkey.
Georgios N BelibasakisDepartment of Dental Medicine, Division of Oral Diseases, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8164-0653
Marmara University · TRUniversity of Zurich · CHIstanbul Medipol University · TRKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriodontitis is a suspected environmental risk factor for the development of rheumatoid arthritis (RA). However, correlation mechanisms between the two pathologies remain elusive. This study examined potential correlations between detached subgingival bacteria collected in gingival crevicular fluid (GCF) and RA parameters.

methodsRA patients (n = 52, F:M = 40:12), patients with Behcet's disease (BD, n = 40, F:M = 29:11) as another systemic inflammatory disease were studied along with a systemically healthy control group (HC, n = 57, F:M = 40:17). All participants were non-smokers. Full mouth periodontal parameters were recorded. RA activity was assessed using the 28-joint Disease Activity Score (DAS-28). Rheumatoid factors (RFs)-IgM and -IgA were measured by ELISA. GCF samples were investigated by means of fluorescent in situ hybridization for 10 different bacterial taxa.

resultsThe taxa TM7, Synergistetes cluster B, Leptotrichia, Megasphaera, Anaeroglobus geminatus, and Tannerella forsythia displayed significantly differential abundances between the groups. Whereas abundances of Megasphaera and A. geminatus were significantly increased in the RA group, only Porphyromonas gingivalis displayed significant correlations with plaque scores, bleeding on probing, and RF-IgA. RA patients displaying RF-IgA levels >75 IU/mL exhibited five-fold more abundant P. gingivalis levels than patients below the threshold. This association with RF-IgA levels appeared even more pronounced, by six-fold more P. gingivalis (P = 0.025), in patients with a DAS-28 score >3.2, indicative of moderate/very active RA.

conclusionsUnattached GCF bacteria may mediate the association between periodontitis and RA, and monitoring the bacterial composition of GCF might inform on RA activity. The role of newly identified bacterial taxa in RA warrants further investigations.

Indexed as

Arthritis, RheumatoidGingival Crevicular FluidHumansIn Situ Hybridization, FluorescenceVeillonellaceaefluorescent in situ hybridizationgingival crevicular fluidoral microbiologyperiodontitisPorphyromonas gingivalisrheumatoid arthritis

Identifiers

PMID32737880
PMCPMC8048861
OpenAlexW3046286455

What OpenQuestion holds

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LicenceCC BY
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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.