Evidence map›Paper›PMID 41331985›Full record

Trial reportJournal of clinical periodontology2026

Dysbiosis-Mediated Inflammation: A Pathophysiological Link Between Rheumatoid Arthritis and Periodontitis.

Isabel Lopez-Oliva, Iain L Chapple, Akshay Paropkari, Shweta Saraswat, Praveen Sharma, Stefan Serban, Paola de Pablo, Karim Raza, Andrew Filer, Thomas Dietrich and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. 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.

Isabel Lopez-OlivaInstitute of Dentistry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Iain L ChapplePeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0003-2697-7082
Akshay ParopkariClear Labs, Inc., San Carlos, California, USA.
Shweta SaraswatJames Cancer Institute and Solove Research Center, The Ohio State University, Columbus, Ohio, USA.
Praveen SharmaPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
Stefan SerbanSchool of Dentistry, University of Leeds, Leeds, UK.
Paola de PabloResearch Into Inflammatory Arthritis Centre Versus Arthritis, Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Karim RazaNIHR Birmingham Biomedical Research Centre in Inflammation, Birmingham, UK.
Andrew FilerNIHR Birmingham Biomedical Research Centre in Inflammation, Birmingham, UK.
Thomas DietrichPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2557-7645
Melissa GrantPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
Purnima S KumarDepartment of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-5844-1341

Funding

Validation studies for interactive omics: Black raspberry metabolites and the oral microbiome in smokersU01CA188250 · NCI · OHIO STATE UNIVERSITY · PI CLINTON, STEVEN K, KUMAR, PURNIMA · 2014 to 2019
$3.6M
Tobacco smoking and perturbations in the subgingival microbial ecosystemR01DE022579 · NIDCR · OHIO STATE UNIVERSITY · PI KUMAR, PURNIMA · 2012 to 2016
$1.9M
Department of Health, Social Services and Public Safety, UK GovernmentDepartment of Health, Social Services and Public Safety, UK Government DRF-2014-07-109Department of Health, Social Services and Public Safety, UK Government PB-PG-0609-19100Department of Health, Social Services and Public Safety, UK Government PDF-2014-07-055NCI NIH HHS U01 CA188250NIDCR NIH HHS R01 DE022579
6 · The paper itself

Abstract

aimTo explore mechanistic links between rheumatoid arthritis (RA) and periodontitis (PD) through the lens of subgingival microbial dysbiosis-mediated inflammation.

methodsSubgingival plaque from 100 volunteers with RA and PD (RAPD), 22 with RA (RAnoPD), 18 with PD (PDnoRA) and 19 healthy controls (noRAnoPD) was analysed using 16S-amplicon sequencing, semi-quantitative bead-based flow cytometry to measure crevicular fluid cytokines and ELISA to quantify antibodies to oral pathogens and systemic inflammatory markers in serum. The RAPD group had been randomised to receive intensive non-surgical periodontal therapy (PMPR) or oral hygiene alone and reviewed at 3 and 6 months in our previously reported study.

resultsSubgingival microbial dysbiosis, as evidenced by higher species richness, alpha-diversity and higher levels of known and putative periodontal pathobionts, was evident at baseline in RAnoPD, RAPD and PDnoRA. Higher serum antibodies to oral pathogens were recorded in RAPD. PMPR restored host-microbial homeostasis in RAPD within 3 months. Significant decreases in serum antibodies to microbial antigens and clinical measures of RA activity were seen after 3 and 6 months in the PMPR group but not controls.

conclusionsWe demonstrate a mutualistic influence of RA and PD, beginning with RA-induced dysbiosis of the periodontal microbiome, progressing to periodontal inflammation and culminating in PD-driven exacerbation of systemic inflammation.

Indexed as

Arthritis, RheumatoidDysbiosisPeriodontitisAdultAgedAntibodies, BacterialCase-Control StudiesCytokinesDental PlaqueFemaleFollow-Up StudiesGingival Crevicular FluidHumansInflammation MediatorsMaleMicrobiotaAntibodies, BacterialCytokinesInflammation Mediatorscyberneticsdysbiosisinflammationpathophysiologyperiodontitisrheumatoid arthritis

Identifiers

PMID41331985
PMCPMC12890453

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.