Evidence map›Paper›PMID 37434075›Full record

ArticleClinical oral investigations2023

Are comorbidities associated with the cytokine/chemokine profile of persistent apical periodontitis?

Anne Eriksson Agger, Janne Elin Reseland, Erik Hjelkrem, Aina-Mari Lian, Else K Breivik Hals, Homan Zandi, Pia Titterud Sunde

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-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.

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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Genetic Analysis ofGenes · 2025
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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 2 institutions in 1 country.

Anne Eriksson AggerDepartment of Biomaterials, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Janne Elin ReselandDepartment of Biomaterials, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Erik HjelkremDepartment of Endodontics, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Aina-Mari LianDepartment of Biomaterials, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Else K Breivik HalsTAKO-Centre, National Resource Centre for Oral Health in Rare Medical Conditions, Lovisenberg Diakonale Hospital, Oslo, Norway.
Homan ZandiDepartment of Endodontics, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Pia Titterud SundeDepartment of Endodontics, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway. p.t.sunde@odont.uio.no.
University of Oslo · NOLovisenberg Diakonale Sykehus · NO

Funding

Norges Forskningsråd project number 287953
6 · The paper itself

Abstract

objectivesThis study aimed to identify disease-related markers in persistent apical periodontitis (PAP) biopsies and examine whether these were associated with comorbidities like rheumatoid arthritis (RA) and cardiovascular diseases (CVD). MATERIALS AND

methodThe levels of the cytokines/chemokines GM-CSF, IFN-γ, IL-2, IL-6, IL-9, IL-10, IL-13, IL-15, IL-17E/IL-25, IL-21, IL-23, IL-27, IL-28A/IFN -λ2, IL-33, MIP-3α/CCL20, and TNF-α were determined in lesions from patients with PAP (n = 20) and compared to healthy bone samples (n = 20).

resultsWe identified eleven cytokines to be differently expressed, and among them, IL-2, IL-6, IL-17E, IL-21, and IL-27 appeared to drive the discrepancy between the disease and healthy groups. The levels of T follicular helper (Tfh) cell promoting cytokines (IL-21, IL-6, IL-27) were enhanced while T helper (Th) 1 cell promoting cytokine (IL-2), Th2 cell promoting cytokine (IL-13), and Th17 cell promoting cytokine (IL-17E) were reduced in the PAP group. The data also indicate that Tfh cell differentiation (IL-21), along with Th1 (GM-CSF, IFNγ), Th2 (IL-13), and Th17 (GM-CSF) cell differentiation, might be increased in the subpopulation of patients suffering from RA, whereas no differences were found in patients with CVD.

conclusionsLevels of cytokines/chemokines in PAP were identified, and cluster analyzes indicated that these markers may be associated with the differentiation of different T cell populations. Patients with PAP and RA comorbidities showed elevated levels of markers reinforcing this association. CLINICAL RELEVANCE: Molecular analyses of PAP may result in identification of prognostic markers.

Indexed as

Arthritis, RheumatoidInterleukin-27ChemokinesCytokinesGranulocyte-Macrophage Colony-Stimulating FactorHumansInterleukin-13Interleukin-17Interleukin-2Interleukin-6ChemokinesCytokinesGranulocyte-Macrophage Colony-Stimulating FactorInterleukin-13Interleukin-17Interleukin-2Interleukin-27Interleukin-6ArthritisCytokinesImmunologyPeriodontal DiseasePersistent Apical Periodontitis

Identifiers

PMID37434075
PMCPMC10492720
OpenAlexW4383873817

What OpenQuestion holds

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LicenceCC BY
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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.