Evidence map›Paper›PMID 40082481›Full record

ArticleScientific reports2025

Physical exercise alone or combined with omega-3 modulates apical periodontitis induced in rats.

Ana Paula Fernandes Ribeiro, Michely de Lima Rodrigues, Caroline Loureiro, Nathalia Evelyn da Silva Machado, Cristiane Cantiga-Silva, Pedro Henrique Chaves de Oliveira, Lucino Tavares Angelo Cintra, Rogério Castilho Jacinto

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Ana Paula Fernandes RibeiroDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Michely de Lima RodriguesDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Caroline LoureiroDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Nathalia Evelyn da Silva MachadoDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Cristiane Cantiga-SilvaDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Pedro Henrique Chaves de OliveiraDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Lucino Tavares Angelo CintraDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil.
Rogério Castilho JacintoDepartment of Preventive and Restorative Dentistry, Endodontic, School of Dentistry, Araçatuba, São Paulo State University (UNESP), Jose Bonifacio, 1193, Araçatuba, São Paulo, 16015-050, Brazil. rogerio.castilho@unesp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Apical periodontitis (AP) results from bacterial contamination of the pulp tissue, with its progression highly influenced by the host's immune response. This study aimed to evaluate the impact of moderate physical exercise, alone or combined with omega-3 supplementation, on AP induced in rats. The analysis focused on the immuno-inflammatory profile, bacterial presence in the root canal and apical region, bone loss, and collagen fiber production. Thirty Wistar rats were divided into three groups: Control, Physical Exercise (PE), and Physical Exercise + Omega-3 (PEO). Omega-3 supplementation was administered by gavage for 60 days. The swimming protocol included two stages: acclimatization to the aquatic environment and swimming training. AP was induced on the 30th day, and the rats were euthanized on the 60th day. Upper molars were processed and stained using Hematoxylin and Eosin (H&E), Brown and Brenn (BB), Picrosirius Red (PSR), and immunohistochemistry for IL-17, TNF-α, and tartrate-resistant acid phosphatase (TRAP). Microtomographic analysis was also performed. Scores from the analyses were evaluated using Kruskal-Wallis, Tukey, Shapiro-Wilk, Mann-Whitney, and One-Way ANOVA tests, with a significance level of 5% (p < 0.05). The control group exhibited the highest intensity of inflammatory infiltrate (p < 0.05). PE alone reduced TNF-α immunostaining and limited bacterial spread (p < 0.05). Combined with omega-3 supplementation, PE further reduced IL-17 immunostaining and increased the percentage of birefringent immature collagen fibers (p < 0.05). Microtomographic analysis revealed smaller areas of alveolar bone loss in animals subjected to PE (p < 0.05). The control group showed a significantly higher number of TRAP-positive cells (p < 0.05). In conclusion, PE alone enhanced defense mechanisms by reducing inflammation through TNF-α modulation and controlling bacterial contamination. Combined with omega-3 supplementation, PE further improved inflammatory regulation by modulating IL-17 levels, reducing bone loss, and stimulating collagen production, thereby limiting inflammation and decreasing osteoclastic activity.

Indexed as

Fatty Acids, Omega-3Periapical PeriodontitisPhysical Conditioning, AnimalAnimalsCollagenDietary SupplementsDisease Models, AnimalMaleRatsRats, WistarTumor Necrosis Factor-alphaCollagenFatty Acids, Omega-3Tumor Necrosis Factor-alphaApical periodontitisEndodonticsExerciseOmega 3 fatty acidSwimming

Identifiers

PMID40082481
PMCPMC11906843

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.