Evidence map›Paper›PMID 39675010›Full record

ReviewCNS neuroscience & therapeutics2024

The Oral-Gut-Brain Axis: The Influence of Microbes as a Link of Periodontitis With Ischemic Stroke.

Yi Zhong, Xianhui Kang, Xiaofeng Bai, Bei Pu, Daniel Smerin, Liang Zhao, Xiaoxing Xiong

Abstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Yi ZhongDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Xianhui KangDepartment of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Xiaofeng BaiDepartment of Oral and Maxillofacial Surgery, Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang, China.
Bei PuDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Daniel SmerinDepartment of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Liang ZhaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Xiaoxing XiongDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.ORCID 0000-0001-6983-8547

Funding

Key Research and Development Program of Hubei Province 2023BCB021National Natural Science Foundation of China 82171336National Natural Science Foundation of China 82371346Zhejiang Provincial Natural Science Foundation of China LZ24H090002
6 · The paper itself

Abstract

Periodontitis, a non-communicable chronic inflammation disease resulting from dysbiosis of the oral microbiota, has been demonstrated to have a positive association with the risk of ischemic stroke (IS). The major periodontal pathogens contribute to the progression of stroke-related risk factors such as obesity, diabetes, atherosclerosis, and hypertension. Transcriptional changes in periodontitis pathogens have been detected in oral samples from stroke patients, suggesting a new conceptual framework involving microorganisms. The bidirectional regulation between the gut and the central nervous system (CNS) is mediated by interactions between intestinal microflora and brain cells. The connection between the oral cavity and gut through microbiota indicates that the oral microbial community may play a role in mediating complex communication between the oral cavity and the CNS; however, underlying mechanisms have yet to be fully understood. In this review, we present an overview of key concepts and potential mechanisms of interaction between the oral-gut-brain axis based on previous research, focusing on how the oral microbiome (especially the periodontal pathogens) impacts IS and its risk factors, as well as the mediating role of immune system homeostasis, and providing potential preventive and therapeutic approaches.

Indexed as

Brain-Gut AxisGastrointestinal MicrobiomeIschemic StrokePeriodontitisAnimalsBrainDysbiosisHumansMouthischemic strokemicrobiotaoral–gut–brain axisperiodontitis

Identifiers

PMID39675010
PMCPMC11646473

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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.