Evidence map›Paper›PMID 38278517›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Periodontitis and brain magnetic resonance imaging markers of Alzheimer's disease and cognitive aging.

Tom Rubinstein, Adam M Brickman, Bin Cheng, Sandra Burkett, Heekuk Park, Medini K Annavajhala, Anne-Catrin Uhlemann, Howard Andrews, Jose Gutierrez, Bruce J Paster and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
11.2field-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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  16. [Recent Research Progress and Prospects on Periodontitis Affecting Systemic Comorbidities via the Oral-Gut Axis].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  17. Article
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  20. Oral microbiota and central nervous system diseases: A review.Neuroprotection (Chichester, England) · 2025
    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

12 authors at 5 institutions in 1 country.

Tom RubinsteinDivision of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, New York, New York, USA.
Adam M BrickmanDepartment of Neurology, Vagelos College of Physicians and Surgeons, New York, New York, USA.
Bin ChengDepartment of Biostatistics, Mailman School of Public Health, New York, New York, USA.
Sandra BurkettDivision of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, New York, New York, USA.
Heekuk ParkDivision of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and, Surgeons, Irving Medical Center, Columbia University, New York, New York, USA.
Medini K AnnavajhalaDivision of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and, Surgeons, Irving Medical Center, Columbia University, New York, New York, USA.
Anne-Catrin UhlemannDivision of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and, Surgeons, Irving Medical Center, Columbia University, New York, New York, USA.
Howard AndrewsDepartment of Biostatistics, Mailman School of Public Health, New York, New York, USA.
Jose GutierrezDepartment of Neurology, Vagelos College of Physicians and Surgeons, New York, New York, USA.
Bruce J PasterThe Forsyth Institute, Cambridge, Massachusetts, USA.
James M NobleDepartment of Neurology, Vagelos College of Physicians and Surgeons, New York, New York, USA.
Panos N PapapanouDivision of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, New York, New York, USA.ORCID 0000-0002-6538-3618
Columbia University Irving Medical Center · USNew York University · USAlzheimer’s Disease Neuroimaging Initiative · USHarvard University · USUniversity Physicians · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Miguel Arce · 2020 to 2026
$30.1M
VASCULAR FACTORS AND MILD COGNITIVE IMPAIRMENT AND ALZHEIMER'S DISEASEP01AG007232 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI SCHUPF, NICOLE · 1989 to 2008
$21.7M
Epidemiological and Genetic Investigations of Blood-Based Biomarkers for Alzheimer's Disease in the Multiethnic, Washington Heights, Inwood, Columbia Aging Project (WHICAP)R01AG072474 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M, MANLY, JENNIFER JAIE · 2021 to 2025
$13.3M
Epidemiological Integration of Genetic Variants and Metabolomics Profiles in Washington Heights Columbia Aging ProjectRF1AG066107 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P, MILLER, GARY W · 2020 to 2022
$11.4M
Epidemiology of Biomarkers of Risk and Progression in LOADR01AG037212 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P, SCHUPF, NICOLE · 2010 to 2015
$10.1M
Genetic Epidemiology of Cerebrovascular Factors in Alzheimer's DiseaseRF1AG054023 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2016 to 2018
$8.9M
A Longitudinal Study of Periodontal Infections and Alzheimer's Disease: The WHICAP Ancillary Study of Oral HealthR01AG076015 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NOBLE, JAMES MCCALLUM · 2021 to 2025
$4.0M
Periodontitis Exposure and Risk of Incident DementiaR56DE022568 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NOBLE, JAMES MCCALLUM, PAPAPANOU, PANOS N · 2013 to 2014
$1.6M
A combined genetic/epigenetic approach to study periodontitis susceptibility and pathobiologyR56DE026487 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAPAPANOU, PANOS N · 2017 to 2017
$250k
NCATS NIH HHS UL1 TR001873NIA NIH HHS P01 AG007232NIA NIH HHS P30 AG066462NIA NIH HHS R01 AG037212NIA NIH HHS R01 AG072474NIA NIH HHS R01 AG076015NIA NIH HHS RF1 AG054023NIA NIH HHS RF1 AG066107NIDCR NIH HHS R56 DE022568NIDCR NIH HHS R56 DE026487NIH HHS NCATS UL1 TR001873NIH HHS PO1AG07232NIH HHS R01 AG037212NIH HHS R01 AG072474NIH HHS R01 AG076015NIH HHS R56 DE022568NIH HHS R56 DE026487NIH HHS RF1 AG054023NIH HHS RF1 AG066107
6 · The paper itself

Abstract

introductionWe examined the association of clinical, microbiological, and host response features of periodontitis with MRI markers of atrophy/cerebrovascular disease in the Washington Heights Inwood Columbia Aging Project (WHICAP) Ancillary Study of Oral Health.

methodsWe analyzed 468 participants with clinical periodontal data, microbial plaque and serum samples, and brain MRIs. We tested the association of periodontitis features with MRI features, after adjusting for multiple risk factors for Alzheimer's disease/Alzheimer's disease-related dementia (AD/ADRD).

resultsIn fully adjusted models, having more teeth was associated with lower odds for infarcts, lower white matter hyperintensity (WMH) volume, higher entorhinal cortex volume, and higher cortical thickness. Higher extent of periodontitis was associated with lower entorhinal cortex volume and lower cortical thickness. Differential associations emerged between colonization by specific bacteria/serum antibacterial IgG responses and MRI outcomes. DISCUSSION: In an elderly cohort, clinical, microbiological, and serological features of periodontitis were associated with MRI findings related to ADRD risk. Further investigation of causal associations is warranted.

Indexed as

Alzheimer DiseaseCognitive AgingPeriodontitisAgedBrainHumansMagnetic Resonance ImagingAlzheimer's diseaseinflammationmagnetic resonance imagingoral healthoral microbiomeperiodontitis

Identifiers

PMID38278517
PMCPMC10984451
OpenAlexW4391270071

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.