Evidence map›Paper›PMID 40528650›Full record

ArticleJournal of clinical periodontology2025

TREM-1 Pathway Biomarkers for Classification of Periodontal Diseases and Monitoring of Treatment Response in Grade B and C Periodontitis.

Angelika Silbereisen, Ronaldo Lira-Junior, Beral Afacan, Ozgen-Veli Özturk, Gülnur Emingil, Nagihan Bostanci

Registry-linked trialAbstract 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. It is linked to trial NCT06715176 (Prognostic Utility of TREM-1 Pathway in Predicting Treatment Outcomes in Patients With Grades B and C Periodontitis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06715176 completednot on this map

Prognostic Utility of TREM-1 Pathway in Predicting Treatment Outcomes in Patients With Grades B and C Periodontitis

TypeobservationalSponsorAydin Adnan Menderes UniversityRan2016 to 2019Enrolled123ConditionsPeriodontal DiseasesArmsClinical periodontal measurements at baseline (T0), Saliva collection at baseline (T0), Scaling and root planing, Clinical periodontal measurements at T1, T3, and T6., Saliva collection at T1, T3, and T6.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Angelika SilbereisenDivision of Oral Health and Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3717-6969
Ronaldo Lira-JuniorDivision of Oral Diagnostics and Surgery, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0297-5138
Beral AfacanDepartment of Periodontology, Faculty of Dentistry, Aydın Adnan Menderes University, Aydın, Turkey.
Ozgen-Veli ÖzturkDepartment of Periodontology, Faculty of Dentistry, Aydın Adnan Menderes University, Aydın, Turkey.
Gülnur EmingilDepartment of Periodontology, School of Dentistry, İstinye University, Istanbul, Turkey.
Nagihan BostanciDivision of Oral Health and Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6742-3556

Funding

Karolinska Institutet's Strategic FundsSteering Group KI/Region Stockholm for Dental Research FoUI-966140Steering Group KI/Region Stockholm for Dental Research FoUI-966258Steering Group KI/Region Stockholm for Dental Research FoUI-990869Vetenskapsrådet 2021-03528
6 · The paper itself

Abstract

backgroundThis study investigated the diagnostic potential of salivary triggering receptor expressed on myeloid cells (TREM)-1, peptidoglycan recognition protein 1 (PGLYRP1) and interleukin (IL)-1β for periodontitis patients and their ability to predict treatment outcome.

methodsSystemically healthy, non-smokers with gingivitis (n = 31), stage III periodontitis (34 grade B: n = 34, grade C: n = 24) and healthy controls (n = 34) were recruited. Periodontitis patients (n = 42) underwent non-surgical periodontal treatment. Saliva was collected at baseline (T0) and post-treatment (T1, T3, T6). Biomarkers were measured using immunoassays. Periodontitis patients were categorised into responders (n = 19) and non-responders (n = 23) based on the number of residual pockets ≥ 5 mm with bleeding on probing at T6.

resultsTREM-1 was higher in periodontitis than in gingivitis and health, and in periodontitis grade B than in gingivitis (p < 0.05). PGLYRP1 and IL-1β were higher in periodontitis and gingivitis compared to controls (p < 0.01). All biomarkers discriminated periodontitis from health (AUC ≥ 0.9) with high sensitivity (82.1%-92.8%) and specificity (83.3%-88.9%). TREM-1 differentiated periodontitis from gingivitis (AUC = 0.72) with high sensitivity (92.8%) but low specificity (58.1%). Baseline biomarkers did not predict treatment outcome (AUC ≤ 0.61), while T1 levels showed moderate potential (AUC ≥ 0.71).

conclusionsSalivary TREM-1 pathway biomarkers offer diagnostic value for periodontitis, are modulated by therapy but show limited ability to predict treatment outcome. STUDY REGISTRATION: The study has been registered in ClinicalTrials.gov (ID: NCT06715176, 4 December 2024).

Indexed as

PeriodontitisTriggering Receptor Expressed on Myeloid Cells-1AdultBiomarkersCase-Control StudiesFemaleGingivitisHumansInterleukin-1betaMaleMiddle AgedSalivaTreatment OutcomeBiomarkersInterleukin-1betaTREM1 protein, humanTriggering Receptor Expressed on Myeloid Cells-1periodontal treatmentperiodontitisPGLYRP1salivaTREM‐1

Identifiers

PMID40528650
PMCPMC12377945

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Registered trials

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.