Evidence map›Paper›PMID 41399014›Full record

ReviewClinical and experimental dental research2025

FOXP3+ T Cells-An Emerging Evidence in Periodontitis Therapeutics.

Revan Birke Koca Ünsal, Akira Hasuike, Tamer Badawy, Farah Asa'ad, Bruno Špiljak, Monal Yuwanati, Jelena Roganović, Yinli Liu, Carel Brigi, Danilo Milanes Zambrano and 1 more

Abstract readReview
In one paragraph

Review in Clinical and experimental dental research, 2025. 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. Review
  2. Review
  3. Review
  4. Tregs and persistentFrontiers in oral health · 2026
    Article
  5. FOXP3+ T Cells-An Emerging Evidence in Periodontitis Therapeutics.Clinical and experimental dental research · 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

11 authors.

Revan Birke Koca ÜnsalSchulich School of Medicine & Dentistry Western University, London, Canada.ORCID 0000-0003-1540-983X
Akira HasuikeDepartment of Periodontology, Nihon University School of Dentistry, Tokyo, Japan.ORCID 0000-0001-5150-2076
Tamer BadawyDepartment of Oral Biology, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID 0000-0002-6292-9216
Farah Asa'adDepartment of Oral Biochemistry, Institute for Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-5186-2645
Bruno ŠpiljakSchool of Dental Medicine, University of Zagreb, Zagreb, Croatia.ORCID 0000-0003-2545-4474
Monal YuwanatiDepartment of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.ORCID 0000-0001-9233-8292
Jelena RoganovićFaculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0002-2950-4056
Yinli LiuDepartment of Orthodontics, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-7606-8229
Carel BrigiDepartment of Oral Diagnosis, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, UAE.ORCID 0000-0003-1396-1137
Danilo Milanes ZambranoDepartment Pediatric Dentistry and Orthodontics, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0003-1261-1776
Akhilanand ChaurasiaDepartment of Oral Medicine and Radiology, King George's Medical University, Lucknow, India.ORCID 0000-0002-8356-9512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review interaction of FOXP3+ regulatory T cells with Th17 cells in determining the progression of periodontitis. MATERIAL AND METHODOLOGY: Literature review pertaining to FOXP3+ regulatory T cells, Th17 cells, and periodontitis was analyzed. Descriptive summary is presented.

resultsFOXP3+ regulatory T cells (Tregs) play an essential role in maintaining immune homeostasis and modulating inflammatory responses. The balance between Tregs and pro-inflammatory Th17 cells is crucial in determining the progression of periodontitis, a chronic immune-mediated inflammatory disease. While Tregs are responsible for suppressing excessive immune activation and preventing tissue destruction, an imbalance favoring Th17 cells leads to increased osteoclastic activity and alveolar bone loss through IL-17 and RANKL signaling. The inflammatory microenvironment in periodontitis compromises FOXP3+ Treg stability and function, thereby allowing unregulated immune responses that exacerbate periodontal tissue breakdown. Recent studies suggest that strategies aimed at enhancing Treg-mediated immune regulation, such as IL-2 supplementation, all-trans retinoic acid (ATRA), IL-33 administration, and CCL22-mediated recruitment, could mitigate periodontal inflammation and preserve alveolar bone integrity. Furthermore, systemic conditions like diabetes and obesity play a significant role in disrupting Treg function by promoting a pro-inflammatory environment, impairing immune regulation, and exacerbating immune dysregulation. This dysfunction weakens the protective role of Tregs, leading to an intensified inflammatory response that accelerates periodontal tissue destruction and alveolar bone loss.

conclusionUnderstanding the mechanisms governing FOXP3+ Treg stability and their interaction with pathogenic Th17 responses is essential for developing targeted immunomodulatory therapies. Future research should focus not only on selectively expanding Tregs but also on translational strategies such as adoptive Treg transfer and IL-17 inhibition, while carefully balancing efficacy and the risk of systemic immunosuppression.

Indexed as

Forkhead Transcription FactorsPeriodontitisTh17 CellsT-Lymphocytes, RegulatoryAnimalsHumansForkhead Transcription FactorsFOXP3 protein, humanFOXP3+ regulatory T cellsimmunomodulationperiodontal diseasesperiodontitisTregs

Identifiers

PMID41399014
PMCPMC12705907

What OpenQuestion holds

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LicenceCC BY
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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.