Evidence map›Paper›PMID 34284769›Full record

ArticleBMC oral health2021

Antibodies against citrullinated proteins in relation to periodontitis with or without rheumatoid arthritis: a cross-sectional study.

Pit Hui Lew, Mohammad Tariqur Rahman, Syarida Hasnur Safii, Nor Adinar Baharuddin, Peter Mark Bartold, Sargunan Sockalingam, Noor Lide Abu Kassim, Rathna Devi Vaithilingam

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05880303 (Effect of Nonsurgical Periodontal Therapy), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT05880303 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Nonsurgical Periodontal Therapy (NSPT) on Inflammatory Mediators, Subgingival Microbiota and Quality of Life Impacts in Rheumatoid Arthritis Subjects With Periodontitis

TypeinterventionalSponsorUniversity of MalayaRan2023 to 2025Enrolled20ConditionsPeriodontitis, Rheumatoid ArthritisArmsNonsurgical periodontal therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. 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 2 countries.

Pit Hui LewDepartment of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Mohammad Tariqur RahmanDean's Office, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Syarida Hasnur SafiiDepartment of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Nor Adinar BaharuddinDepartment of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Peter Mark BartoldDepartment of Dentistry, University of Adelaide, Adelaide, Australia.
Sargunan SockalingamDepartment of Rheumatology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Noor Lide Abu KassimKulliyyah of Education, International Islamic University Malaysia, 53100, Kuala Lumpur, Malaysia.
Rathna Devi VaithilingamDepartment of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia. rathna@um.edu.my.
University of Malaya · MYInternational Islamic University Malaysia · MYUniversity of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have reported conflicting findings between serum anti-citrullinated protein antibodies (ACPA) levels in rheumatoid arthritis (RA) participants with and without periodontitis (Pd). This study aimed to analyse possible correlations between serum ACPA levels and clinical parameters in Pd and RA participants.

methodsFull mouth periodontal examination (probing pocket depth, clinical attachment levels, gingival bleeding index, visual plaque index) was conducted and serum samples obtained from 80 participants comprising RA, Pd, both RA and Pd (RAPd) and healthy individuals (HC). Erythrocyte sedimentation rates (ESR) and periodontal inflamed surface area (PISA) were obtained. Serum samples were analysed for ACPA quantification using enzyme-linked immunosorbent assay (ELISA).

resultsMedian levels (IU/mL) of ACPA (interquartile range, IQR) in RAPd, RA, Pd and HC groups were 118.58(274.51), 102.02(252.89), 78.48(132.6) and 51.67(91.31) respectively. ACPA levels were significantly higher in RAPd and RA as compared to HC group (p < 0.05). However, ACPA levels of any of the groups were not correlated with any clinical periodontal and RA parameters within the respective groups.

conclusionsAt individual level, the amount of serum ACPA seem to have an increasing trend with the diseased condition in the order of RAPd > RA > Pd > HC. However, lack of any significant correlation between the serum ACPA levels with the clinical Pd and RA parameters warrants further studies to investigate the causal link between RA and Pd for such a trend. Further studies involving more inflammatory biomarkers might be useful to establish the causal link between Pd in the development and progression of RA or vice versa.

Indexed as

Arthritis, RheumatoidPeriodontitisAnti-Citrullinated Protein AntibodiesCross-Sectional StudiesHumansRandom Amplified Polymorphic DNA TechniqueAnti-Citrullinated Protein AntibodiesAnti-citrullinated protein antibodies (ACPA)CitrullinationPeriodontitisRheumatoid arthritis

Identifiers

PMID34284769
PMCPMC8293567
OpenAlexW3185533897

What OpenQuestion holds

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Registered trials

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.