Evidence map›Paper›PMID 40796367›Full record

ArticleJournal of clinical periodontology2025

Oral Microbiota Linking Humoral Response, Periodontitis and Atherosclerosis.

Ramin Akhi, Anton Lavrinienko, Miia Hakula, Rasmus Hindström, Chunguang Wang, Antti Nissinen, Arja M Kullaa, Tuula Salo, Kari Kaikkonen, Tellervo Tervonen and 3 more

Abstract 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. The redefined identity ofJournal of bacteriology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Oral microbiota in cardiovascular health and disease.Frontiers in cellular and infection microbiology · 2025
    Review
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

13 authors.

Ramin AkhiMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0003-1783-5330
Anton LavrinienkoLaboratory of Food Systems Biotechnology, Institute of Food, Nutrition and Health, ETH Zürich, Zürich, Switzerland.
Miia HakulaMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Rasmus HindströmEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Chunguang WangMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Antti NissinenMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Arja M KullaaInstitute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Tuula SaloOral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
Kari KaikkonenMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Tellervo TervonenResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.
Pekka YlöstaloMedical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland.
Janne J KoskimäkiEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Sohvi HörkköMedical Microbiology and Immunology, Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.

Funding

Selma and Maja-Lisa Selander's FundSuomen Hammaslääkäriseura ApolloniaThe Finnish Cultural Foundation
6 · The paper itself

Abstract

aimThe humoral immune system is implicated in the link between periodontitis and atherosclerosis. This study aims to explore how interactions between the oral microbiota and humoral immune responses may contribute to this association. MATERIALS AND

methodsWe analysed data from the Northern Finland Birth Cohort 1966, which included 1560 participants who underwent comprehensive health and oral examinations. Serum antibodies against phosphorylcholine (PCho) and malondialdehyde acetaldehyde (MAA) adducts were measured using chemiluminescence immunoassays. In a sub-cohort (n = 868), the oral microbiome from saliva samples was characterised using 16S rRNA gene sequencing.

resultsHigher serum levels of IgA and IgG to PCho, as well as IgA to MAA, were associated with an increased number of teeth with probing pocket depths (PPD) ≥ 4 mm. Several oral bacterial species, including Prevotella dentalis , Filifactor alocis and Treponema denticola , correlated with both PPD ≥ 4 mm and IgA/IgG responses to PCho. Mediation analysis, adjusted for periodontitis risk factors, identified F. alocis as a mediator linking elevated plasma IgG to PCho with the number of teeth with PPD ≥ 4 mm. Additionally, individuals harbouring F. alocis exhibited increased carotid intima-media thickness.

conclusionsOur findings suggest that F. alocis may serve as a microbial link between periodontitis and atherosclerosis. Future mechanistic studies should investigate how F. alocis induces systemic IgG responses and contributes to atherosclerosis.

Indexed as

AtherosclerosisImmunity, HumoralMicrobiotaMouthPeriodontitisAdultCohort StudiesFemaleFinlandHumansImmunoglobulin AImmunoglobulin GMaleMiddle AgedRNA, Ribosomal, 16SSalivaImmunoglobulin AImmunoglobulin GRNA, Ribosomal, 16Scardiovascular diseaseFilifactor alocisimmunoglobulin Gperiodontitisphosphorylcholine

Identifiers

PMID40796367
PMCPMC12531363

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.