Evidence map›Paper›PMID 34070809›Full record

ReviewPathogens (Basel, Switzerland)2021

Bacterial Cyclic Dinucleotides and the cGAS-cGAMP-STING Pathway: A Role in Periodontitis?

Samira Elmanfi, Mustafa Yilmaz, Wilson W S Ong, Kofi S Yeboah, Herman O Sintim, Mervi Gürsoy, Eija Könönen, Ulvi K Gürsoy

Open access · goldAbstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Infectious and Immunological Links Between Periodontitis and COVID-19: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  8. Review
  9. Cyclic di-AMP alleviates periodontitis by activating PI3K/Akt/Nrf2 pathways.Frontiers in cellular and infection microbiology · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Frontiers in microbiology · 2023
    Article
  14. Biomedicines · 2022
    Article
  15. Article
  16. Review
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

8 authors at 3 institutions in 3 countries.

Samira ElmanfiDepartment of Periodontology, Institute of Dentistry, University of Turku, 20520 Turku, Finland.
Mustafa YilmazDepartment of Periodontology, Faculty of Dentistry, Biruni University, 34010 Istanbul, Turkey.ORCID 0000-0002-2005-1417
Wilson W S OngDepartment of Chemistry and Purdue Institute for Drug Discovery and Purdue Institute of Inflammation, Immunology and Infectious Disease, Purdue University, West Lafayette, Indiana, IN 47907, USA.ORCID 0000-0002-8052-9486
Kofi S YeboahDepartment of Chemistry and Purdue Institute for Drug Discovery and Purdue Institute of Inflammation, Immunology and Infectious Disease, Purdue University, West Lafayette, Indiana, IN 47907, USA.
Herman O SintimDepartment of Chemistry and Purdue Institute for Drug Discovery and Purdue Institute of Inflammation, Immunology and Infectious Disease, Purdue University, West Lafayette, Indiana, IN 47907, USA.
Mervi GürsoyDepartment of Periodontology, Institute of Dentistry, University of Turku, 20520 Turku, Finland.ORCID 0000-0001-8545-6821
Eija KönönenDepartment of Periodontology, Institute of Dentistry, University of Turku, 20520 Turku, Finland.
Ulvi K GürsoyDepartment of Periodontology, Institute of Dentistry, University of Turku, 20520 Turku, Finland.ORCID 0000-0002-1225-5751
University of Turku · FIPurdue University West Lafayette · USBiruni University · TR

Funding

Minerva Foundation 2020Suomen Hammaslääkäriseura Apollonia 2020The Finnish Doctoral Programme in Oral Sciences 2020Turku University Foundation 2020
6 · The paper itself

Abstract

Host cells can recognize cytosolic double-stranded DNAs and endogenous second messengers as cyclic dinucleotides-including c-di-GMP, c-di-AMP, and cGAMP-of invading microbes via the critical and essential innate immune signaling adaptor molecule known as STING. This recognition activates the innate immune system and leads to the production of Type I interferons and proinflammatory cytokines. In this review, we (1) focus on the possible role of bacterial cyclic dinucleotides and the STING/TBK1/IRF3 pathway in the pathogenesis of periodontal disease and the regulation of periodontal immune response, and (2) review and discuss activators and inhibitors of the STING pathway as immune response regulators and their potential utility in the treatment of periodontitis. PubMed/Medline, Scopus, and Web of Science were searched with the terms "STING", "TBK 1", "IRF3", and "cGAS"-alone, or together with "periodontitis". Current studies produced evidence for using STING-pathway-targeting molecules as part of anticancer therapy, and as vaccine adjuvants against microbial infections; however, the role of the STING/TBK1/IRF3 pathway in periodontal disease pathogenesis is still undiscovered. Understanding the stimulation of the innate immune response by cyclic dinucleotides opens a new approach to host modulation therapies in periodontology.

Indexed as

bacterial recognitioncyclic dinucleotidesnucleic acidperiodontitisSTING

Identifiers

PMID34070809
PMCPMC8226932
OpenAlexW3164856004

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.