Evidence map›Paper›PMID 40632348›Full record

ArticleOdontology2026

Diabetes mellitus influences Toll-like receptors 2 and 4 in experimental apical periodontitis of Wistar rats.

Nathália Evelyn da Silva Machado, Juan José Segura-Egea, Flávio Duarte Faria, Cristiane Cantiga-Silva, Ana Paula Fernandes Ribeiro, Edilson Ervolino, Dóris Hissako Matsushita, Carlos Estrela, Alvaro Cruz, João Eduardo Gomes-Filho and 2 more

Abstract read
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In one paragraph

Article in Odontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

12 authors.

Nathália Evelyn da Silva MachadoEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Juan José Segura-EgeaEndodontic Section, Department of Stomatology, School of Dentistry, University of Sevilla, Seville, Spain.
Flávio Duarte FariaEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Cristiane Cantiga-SilvaEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Ana Paula Fernandes RibeiroEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Edilson ErvolinoDepartment of Basic Science, Araçatuba School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil.
Dóris Hissako MatsushitaDepartment of Basic Science, Araçatuba School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil.
Carlos EstrelaDepartment of Stomatologic Sciences, School of Dentistry, UFG-Federal University of Goiás, Goiânia, GO, Brazil.
Alvaro CruzInstituto de Investigación en Ciencias Biomédicas (IICB), Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Guadalajara, Mexico.
João Eduardo Gomes-FilhoEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Gustavo Sivieri-AraújoEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Luciano Tavares Angelo CintraEndodontic Section, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil. luciano.cintra@unesp.br.ORCID http://orcid.org/0000-0003-2348-7846

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 315381/2021-3
6 · The paper itself

Abstract

The aim of this study was to investigate the inflammatory profile and immunostaining expression of Toll-like receptors 2 and 4 (TLR2 and TLR4) in periapical tissues of control and diabetic rats (DM) with induced apical periodontitis (AP), correlating these findings with the progression of root canal contamination. Forty male Wistar rats were divided into four groups: Group C-control rats, Group AP-rats with AP, Group DM-rats with diabetes, and Group DM + AP-rats with DM and AP. DM was induced using streptozotocin, and AP was induced by dental pulp exposure of the first mandibular molar to the oral environment. After 30 days, the jaws were removed and processed for histologic and bacterial analysis, as well as immunochemical assays for TLR2 and TLR4. Two-way analysis of variance was used (P < 0.05). Inflammatory infiltrate was moderate in the AP group and severe in the DM + AP group (P < 0.05). There was a greater presence of bacteria disseminated in the apical region in the DM + AP group when compared with the AP group (P < 0.05). TLR2 and TLR4 levels were significantly higher in the DM + AP group when compared to the AP group (P < 0.05). Diabetes increases the inflammatory infiltrate in AP, causing significant overexpression of TLR2 and TLR4 in the periapical inflammatory tissues of diabetic rats. By activating TLRs, diabetes exacerbates the immune response in AP, increasing inflammation and influencing the progression of bacterial contamination.

Indexed as

Diabetes Mellitus, ExperimentalPeriapical PeriodontitisToll-Like Receptor 2Toll-Like Receptor 4AnimalsDisease Models, AnimalImmunohistochemistryMaleRatsRats, WistarTlr2 protein, ratTlr4 protein, ratToll-Like Receptor 2Toll-Like Receptor 4Apical periodontitisDiabetes mellitusInflammationToll-like receptors

Identifiers

PMID40632348

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.