Evidence map›Paper›PMID 40246816›Full record

ArticleInternational journal of oral science2025

Dimethyl fumarate modulates M1/M2 macrophage polarization to ameliorate periodontal destruction by increasing TUFM-mediated mitophagy.

Liang Chen, Pengxiao Hu, Xinhua Hong, Bin Li, Yifan Ping, ShuoMin Chen, Tianle Jiang, Haofu Jiang, Yixin Mao, Yang Chen and 5 more

Abstract read
In one paragraph

Article in International journal of oral science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
  2. Metabolic Reprogramming of Macrophages Plays a Dual Role in Periodontitis: From Pathogenesis to Therapy.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  3. Article
  4. Article
  5. [Chrysophanol alleviates sepsis-associated acute kidney injury by maintaining mitochondrial homeostasis and inhibiting M1 macrophage polarization].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  6. Review
  7. Article
  8. Review
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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

15 authors.

Liang Chen *Institute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Pengxiao Hu *Institute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Xinhua HongInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Bin LiInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Yifan PingInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
ShuoMin ChenInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Tianle JiangInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Haofu JiangInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Yixin MaoInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Yang ChenInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Zhongchen SongDepartment of Periodontology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Zhou YeApplied Oral Sciences and Community Dental Care, Faculty of Dentistry, University of Hong Kong, Hong Kong, China.
Xiaoyu SunInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Shufan ZhaoInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China. sf.zhao@wmu.edu.cn.
Shengbin HuangInstitute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China. huangsb003@wmu.edu.cn.ORCID 0000-0003-4522-2769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periodontitis is a common oral disease characterized by progressive alveolar bone resorption and inflammation of the periodontal tissues. Dimethyl fumarate (DMF) has been used in the treatment of various immune-inflammatory diseases due to its excellent anti-inflammatory and antioxidant functions. Here, we investigated for the first time the therapeutic effect of DMF on periodontitis. In vivo studies showed that DMF significantly inhibited periodontal destruction, enhanced mitophagy, and decreased the M1/M2 macrophage ratio. In vitro studies showed that DMF inhibited macrophage polarization toward M1 macrophages and promoted polarization toward M2 macrophages, with improved mitochondrial function, inhibited oxidative stress, and increased mitophagy in RAW 264.7 cells. Furthermore, DMF increased intracellular mitochondrial Tu translation elongation factor (TUFM) levels to maintain mitochondrial homeostasis, promoted mitophagy, and modulated macrophage polarization, whereas TUFM knockdown decreased the protective effect of DMF. Finally, mechanistic studies showed that DMF increased intracellular TUFM levels by protecting TUFM from degradation via the ubiquitin-proteasomal degradation pathway. Our results demonstrate for the first time that DMF protects mitochondrial function and inhibits oxidative stress through TUFM-mediated mitophagy in macrophages, resulting in a shift in the balance of macrophage polarization, thereby attenuating periodontitis. Importantly, this study provides new insights into the prevention of periodontitis.

Indexed as

Dimethyl FumarateMacrophagesMitophagyPeptide Elongation Factor TuPeriodontitisAnimalsMaleMiceMice, Inbred C57BLMitochondriaOxidative StressRAW 264.7 CellsDimethyl FumaratePeptide Elongation Factor Tu

Identifiers

PMID40246816
PMCPMC12006468

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.