Evidence map›Paper›PMID 34710061›Full record

ArticleJCI insight2021

A potential pathogenic association between periodontal disease and Crohn's disease.

Jin Imai, Hitoshi Ichikawa, Sho Kitamoto, Jonathan L Golob, Motoki Kaneko, Junko Nagata, Miho Takahashi, Merritt G Gillilland, Rika Tanaka, Hiroko Nagao-Kitamoto and 15 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
14.2field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  10. [The Impact of Oral Microecology on the Development of Inflammatory Bowel Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
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  16. Observational
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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

25 authors at 5 institutions in 2 countries.

Jin ImaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Hitoshi IchikawaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Sho KitamotoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jonathan L GolobDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Motoki KanekoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Junko NagataDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Miho TakahashiDepartment of Oral and Maxillofacial Surgery, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Merritt G GillillandDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Rika TanakaDepartment of Immunology, Tokai University School of Medicine, Kanagawa, Japan.
Hiroko Nagao-KitamotoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Atsushi HayashiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Kohei SugiharaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Shrinivas BishuDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Shingo TsudaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Hiroyuki ItoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Seiichiro KojimaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Kazunari KarakidaDepartment of Oral and Maxillofacial Surgery, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Masashi MatsushimaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Takayoshi SuzukiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Katsuto HozumiDepartment of Immunology, Tokai University School of Medicine, Kanagawa, Japan.
Norihito WatanabeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
William V GiannobileDepartment of Oral Medicine, Infection, and Immunity, Harvard University School of Dental Medicine, Boston, Massachusetts, USA.
Takayuki ShiraiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine Hachioji Hospital, Tokyo, Japan.
Hidekazu SuzukiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Nobuhiko KamadaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Tokai University Hachioji Hospital · JPUniversity of Michigan · USTokai University · JPHarvard University · USKeio University · JP

Funding

University of Michigan Center for Gastrointestinal ResearchP30DK034933 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILEY, JOHN W · 1986 to 2021
$22.5M
The link between oral bacteria and gut diseaseR01DK119219 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAMADA, NOBUHIKO · 2019 to 2022
$1.6M
Periodontitis and extra-oral mucosal inflammationR21AI142047 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAMADA, NOBUHIKO · 2019 to 2020
$429k
NIAID NIH HHS R21 AI142047NIDDK NIH HHS P30 DK034933NIDDK NIH HHS R01 DK119219
6 · The paper itself

Abstract

Oral conditions are relatively common in patients with inflammatory bowel disease (IBD). However, the contribution of oral maladies to gut inflammation remains unexplored. Here, we investigated the effect of periodontitis on disease phenotypes of patients with IBD. In all, 60 patients with IBD (42 with ulcerative colitis [UC] and 18 with Crohn's disease [CD]) and 45 healthy controls (HCs) without IBD were recruited for this clinical investigation. The effects of incipient periodontitis on the oral and gut microbiome as well as IBD characteristics were examined. In addition, patients were prospectively monitored for up to 12 months after enrollment. We found that, in both patients with UC and those with CD, the gut microbiome was significantly more similar to the oral microbiome than in HCs, suggesting that ectopic gut colonization by oral bacteria is increased in patients with IBD. Incipient periodontitis did not further enhance gut colonization by oral bacteria. The presence of incipient periodontitis did not significantly affect the clinical outcomes of patients with UC and CD. However, the short CD activity index increased in patients with CD with incipient periodontitis but declined or was unchanged during the study period in patients without periodontitis. Thus, early periodontitis may associate with worse clinically symptoms in some patients with CD.

Indexed as

AdultCase-Control StudiesCrohn DiseaseFemaleHumansMalePeriodontitisProspective StudiesRisk FactorsGastroenterologyInflammatory bowel diseaseMicrobiology

Identifiers

PMID34710061
PMCPMC8675195
OpenAlexW3209980423

What OpenQuestion holds

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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.