Evidence map›Paper›PMID 39278722›Full record

ArticleJournal of clinical periodontology2025

Gingival Crevicular Fluid Biomarkers During Periodontitis Progression and After Periodontal Treatment.

Flavia Teles, Lynn Martin, Michele Patel, Weiming Hu, Kyle Bittinger, Michael J Kallan, Ganesh Chandrasekaran, Andrew J Cucchiara, William V Giannobile, Danielle Stephens and 1 more

Abstract read
In one paragraph

Article in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

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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

11 authors.

Flavia TelesDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-6945-9811
Lynn MartinDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michele PatelThe Forsyth Institute, Cambridge, Massachusetts, USA.
Weiming HuChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Kyle BittingerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Michael J KallanCenter for Clinical Epidemiology and Biostatistics (CCEB), Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ganesh ChandrasekaranDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrew J CucchiaraCenter for Clinical Epidemiology and Biostatistics (CCEB), Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
William V GiannobileDepartment of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Danielle StephensThe Forsyth Institute, Cambridge, Massachusetts, USA.
Alpdogan KantarciThe Forsyth Institute, Cambridge, Massachusetts, USA.

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Biomarkers of Periodontal Disease ProgressionU01DE021127 · NIDCR · ADA FORSYTH INSTITUTE, INC. · PI TELES, RICARDO P · 2010 to 2016
$16.2M
Defining Dysbiosis and Mechanisms of Periodontitis Progression and StabilityR01DE033033 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI Kyle Bittinger, Flavia Rocha Teles · 2024 to 2026
$1.8M
Center for Human Phenomic Science 2UL1TR001878-06NCATS NIH HHS UL1 TR001878NIDCR NIH HHS R01 DE033033NIDCR NIH HHS R01-DE033033-01A1NIDCR NIH HHS U01 DE021127NIDCR NIH HHS U01-DE021127-01
6 · The paper itself

Abstract

objectiveTo identify gingival crevicular fluid (GCF)-derived inflammatory markers of periodontitis progression and periodontal treatment impact.

methodsPeriodontally healthy (H; n = 112) and periodontitis (P; n = 302) patients were monitored bi-monthly for 1 year without therapy. Periodontitis patients were re-examined 6 months after non-surgical periodontal therapy (NSPT). Levels of 64 biomarkers were measured in the GCF samples collected at each visit from progressing (n = 12 sites in H; n = 76 in P) and stable (n = 100 in H, n = 225 in P) sites. Clinical parameters and log-transformed analyte levels were averaged within clinical groups at each time point and analysed using linear mixed models.

resultsDuring monitoring, progressing sites had significantly higher levels of IL-1β, MMP-8, IL-12p40, EGF and VEGF. MMP-9 and Periostin were significantly more elevated in stable sites. Distinct cytokine profiles were observed based on baseline PD. Treatment led to significant reductions in Eotaxin, Flt-3L, GDF-15, GM-CSF, IL-1β, IL-17, MIP-1d, RANTES and sCD40L, and increases in IP-10 and MMP-9.

conclusionDistinct cytokine signatures observed in stable and progressing sites were maintained over time in the absence of treatment and significantly affected by NSPT.

Indexed as

BiomarkersCell Adhesion MoleculesDisease ProgressionGingival Crevicular FluidMatrix Metalloproteinase 8Matrix Metalloproteinase 9PeriodontitisVascular Endothelial Growth Factor AAdultCytokinesDental ScalingFemaleHumansInterleukin-12 Subunit p40Interleukin-1betaMaleBiomarkersCell Adhesion MoleculesCytokinesInterleukin-12 Subunit p40Interleukin-1betaMatrix Metalloproteinase 8Matrix Metalloproteinase 9MMP8 protein, humanMMP9 protein, humanPOSTN protein, humanVascular Endothelial Growth Factor AVEGFA protein, humanimmunologypathogenesisperiodontal diseasestherapy

Identifiers

PMID39278722
PMCPMC11671168

What OpenQuestion holds

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Registered trials

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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.