Evidence map›Paper›PMID 33869725›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

Periodontal dysbiosis associates with reduced CSF Aβ42 in cognitively normal elderly.

Angela R Kamer, Smruti Pushalkar, Deepthi Gulivindala, Tracy Butler, Yi Li, Kumar Raghava Chowdary Annam, Lidia Glodzik, Karla V Ballman, Patricia M Corby, Kaj Blennow and 3 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 42 citations in OpenAlex.

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  4. Open medicine (Warsaw, Poland) · 2026
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  18. OralJournal of oral microbiology · 2025
    Article
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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

13 authors at 4 institutions in 3 countries.

Angela R KamerDepartment of Periodontology and Implant Dentistry College of Dentistry New York University New York USA.
Smruti PushalkarDepartment of Molecular Pathobiology College of Dentistry New York University New York USA.
Deepthi GulivindalaDepartment of Periodontology and Implant Dentistry College of Dentistry New York University New York USA.
Tracy ButlerDepartment of Radiology Weill Medical Center Brain Health Imaging Institute Cornell University New York USA.
Yi LiDepartment of Radiology Weill Medical Center Brain Health Imaging Institute Cornell University New York USA.
Kumar Raghava Chowdary AnnamDepartment of Periodontology and Implant Dentistry College of Dentistry New York University New York USA.
Lidia GlodzikDepartment of Radiology Weill Medical Center Brain Health Imaging Institute Cornell University New York USA.
Karla V BallmanDivision of Biostatistics Department of Population Health Sciences Weill Medical Center Weill Cornell Medicine New York USA.
Patricia M CorbyDepartment of Oral Medicine School of Dental Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Kaj BlennowDepartment of Psychiatry and Neurochemistry Institute of Neuroscience and Physiology the Sahlgrenska Academy at the University of Gothenburg Mölndal Sweden.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry Institute of Neuroscience and Physiology the Sahlgrenska Academy at the University of Gothenburg Mölndal Sweden.
Deepak SaxenaDepartment of Molecular Pathobiology College of Dentistry New York University New York USA.
Mony J de LeonDepartment of Radiology Weill Medical Center Brain Health Imaging Institute Cornell University New York USA.
Cornell University · USNew York University · USUniversity of Gothenburg · SEUniversity of Pennsylvania · US

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL, HOCHMAN, JUDITH S · 2012 to 2014
$16.8M
PREDICTORS OF COGNITIVE DECLINE IN NORMAL AGINGR01AG012101 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 1993 to 2015
$6.7M
CLINICAL CORRELATES OF LONGITUDINAL PET CHANGES IN ADR01AG013616 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J. · 1995 to 2013
$6.2M
Biomarkers in Early Alzheimer's Disease (AD).R01AG022374 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 2004 to 2015
$5.2M
PET Measures of CSF Clearance in Preclinical Alzheimer's DiseaseRF1AG057570 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE LEON, MONY J. · 2017 to 2017
$4.1M
Maternal history of Alzheimer's predisposes children to amyloid beta-related hypoR01AG035137 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MOSCONI, LISA · 2010 to 2014
$2.7M
Targeting Succinate Signaling Impedes Periodontitis ProgressionR01DE027074 · NIDCR · NEW YORK UNIVERSITY · PI GRAVES, DANA T, LI, XIN · 2018 to 2022
$2.6M
CSF Clearance with 11C-Butanol PET Predicts Amyloid DepositionR56AG058913 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE LEON, MONY J., RUSINEK, HENRY · 2018 to 2018
$861k
Family History of Alzheimer's, Hypometabolism and Oxidative StressR21AG032554 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MOSCONI, LISA · 2008 to 2009
$427k
Infection/Inflammation and Cognitive DeclineR03DE023139 · NIDCR · NEW YORK UNIVERSITY · PI KAMER, ANGELA R · 2013 to 2014
$247k
NCATS NIH HHS UL1 TR000038NIA NIH HHS P30 AG066512NIA NIH HHS R01 AG012101NIA NIH HHS R01 AG013616NIA NIH HHS R01 AG022374NIA NIH HHS R01 AG035137NIA NIH HHS R21 AG032554NIA NIH HHS R56 AG058913NIA NIH HHS RF1 AG057570NIDCR NIH HHS R01 DE027074NIDCR NIH HHS R03 DE023139
6 · The paper itself

Abstract

introductionPeriodontal disease is a chronic, inflammatory bacterial dysbiosis that is associated with both Alzheimer's disease (AD) and Down syndrome.

methodsA total of 48 elderly cognitively normal subjects were evaluated for differences in subgingival periodontal bacteria (assayed by 16S rRNA sequencing) between cerebrospinal fluid (CSF) biomarker groups of amyloid and neurofibrillary pathology. A dysbiotic index (DI) was defined at the genus level as the abundance ratio of known periodontal bacteria to healthy bacteria. Analysis of variance/analysis of covariance (ANOVA/ANCOVA), linear discriminant effect-size analyses (LEfSe) were used to determine the bacterial genera and species differences between the CSF biomarker groups.

resultsAt genera and species levels, higher subgingival periodontal dysbiosis was associated with reduced CSF amyloid beta (Aβ)42 ( DISCUSSION: We show a selective relationship between periodontal disease bacterial dysbiosis and CSF biomarkers of amyloidosis, but not for tau. Further modeling is needed to establish the direct link between oral bacteria and Aβ.

Indexed as

16S rRNA sequencingAlzheimer's diseaseamyloidCSF biomarkersinfectionnormal agingoral bacterial dysbiosisperiodontitisP‐tau

Identifiers

PMID33869725
PMCPMC8040436
OpenAlexW3154760653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.