Evidence map›Paper›PMID 40389754›Full record

ArticleClinical oral investigations2025

Elevated levels of salivary interleukin-34 in patients suffering from Alzheimer's disease.

Reuben Clark, Ronaldo Lira-Junior, Leif Jansson, Maria Eriksdotter, Marianne Schultzberg, Pirkko Pussinen, Kåre Buhlin, Elisabeth A Boström

Abstract read
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. 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

8 authors.

Reuben ClarkDivision of Oral diagnostics and surgery, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. reuben.clark@ki.se.
Ronaldo Lira-JuniorDivision of Oral diagnostics and surgery, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Leif JanssonDivision of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Maria EriksdotterCenter for Alzheimer Research, Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Marianne SchultzbergTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden.
Pirkko PussinenDepartment of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
Kåre BuhlinDivision of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Elisabeth A BoströmDivision of Oral diagnostics and surgery, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.

Funding

Clinical researcher position by Region Stockholm (SLL) FoUI-954341Regional agreement on medical training and clinical research between the Stockholm County council and Karolinska Institutet FoUI-975207Vetenskapsrådet #2020-02014Vinnova # 2021-02680
6 · The paper itself

Abstract

objectivesTo investigate interleukin (IL)-34 and colony-stimulating factor (CSF)-1 levels in saliva, cerebrospinal fluid, and plasma in different stages of cognitive impairment. The study also examines the relationship between these biomarkers and periodontal status across different stages of cognitive impairment. MATERIAL AND

methodsA total of 230 individuals diagnosed with Alzheimer's disease (AD, n = 52), mild cognitive impairment (MCI, n = 51), subjective cognitive impairment (SCI, n = 51), and controls (n = 76) were enrolled. Participants underwent clinical and radiological oral examinations. Cerebrospinal fluid samples were collected from all groups except controls. Stimulated saliva and blood were collected during oral examination. IL-34 and CSF-1 levels were assessed using enzyme-linked immunosorbent assays.

resultsSalivary IL-34 levels were increased in AD compared to SCI (p = 0.010) and controls (p < 0.001), and in MCI compared to controls (p < 0.001). Elevated salivary CSF-1 levels were observed in AD compared to SCI (p = 0.003). Salivary IL-34 was inversely associated with Mini-Mental State Examination (MMSE) scores (p < 0.010) and body mass index (p = 0.040), while CSF-1 was associated with age (p = 0.015). IL-34 and CSF-1 levels did not differ in cerebrospinal fluid between groups, and periodontal status did not affect the levels in any biofluid measured.

conclusionSalivary IL-34 is increased in AD patients and is associated with MMSE scores. CLINICAL RELEVANCE: Identifying reliable biomarkers for AD is crucial for early detection and intervention. This study suggests that salivary IL-34 could serve as a potential biomarker for AD.

Indexed as

Alzheimer DiseaseInterleukinsSalivaAgedBiomarkersCase-Control StudiesCognitive DysfunctionEnzyme-Linked Immunosorbent AssayFemaleHumansMacrophage Colony-Stimulating FactorMaleMiddle AgedBiomarkersIL34 protein, humanInterleukinsMacrophage Colony-Stimulating FactorCerebrospinal fluidCognitionCytokineInterleukin-34Periodontal diseaseSaliva

Identifiers

PMID40389754
PMCPMC12089168

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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.