Evidence map›Paper›PMID 42297615›Full record

ArticleHua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology2026

[Effect of pioglitazone on periodontitis-related renal injury in mice and its relationship with Klotho].

Yaqi Shang, Mengting Hu, Zhenzhen Che, Xinchan Liu, Yu Deng, Weixian Yu

Abstract readEnglish Abstract
In one paragraph

Article in Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yaqi ShangDept. of Periodontology, Bethune Stomatological Hospital, Changchun 130021, China.
Mengting HuDept. of Periodontology, Bethune Stomatological Hospital, Changchun 130021, China.
Zhenzhen CheDept. of Periodontology, Bethune Stomatological Hospital, Changchun 130021, China.
Xinchan LiuDept. of VIP, Bethune Stomatological Hospital, Changchun 130021, China.
Yu DengDept. of Periodontology, Bethune Stomatological Hospital, Changchun 130021, China.
Weixian YuDept. of Periodontology, Bethune Stomatological Hospital, Changchun 130021, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to examine the protective effect of the peroxisome proliferator-activated receptor gamma (PPAR-γ) agonist pioglitazone on renal injury linked to periodontitis in mice and to preliminarily explore the relationship between this effect and Klotho.

methodsA total of 24 eight-week-old C57 mice were randomly assigned to three groups: control (C), periodontitis (P), and pioglitazone treatment (P+Pio). Silk ligation was employed to induce experimental periodontitis around the maxillary second molars, and pioglitazone was administered through oral gavage. After eight weeks, the mice were euthanized. The maxillae were subjected to Micro-CT scanning. Periodontal and kidney tissues underwent hematoxylin and eosin, periodic acid-Schiff, and Masson's trichrome staining. Renal ultrastructure was observed using transmission electron microscopy (TEM), and malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione (GSH) were measured. The levels of renal reactive oxygen species (ROS) were assessed through MitoSOX red fluorescence staining. Serum concentrations of creatinine (Cre), blood urea nitrogen (BUN), and albumin (Alb) were evaluated, in addition to urinary protein levels. The gene and protein expression levels of PPAR-γ, Klotho, phosphatidylinositol 3-kinase (PI3K), and serine/threonine kinase (AKT) were determined using quantitative reverse transcription polymerase chain reaction (qRT-PCR) and immunohistochemistry (IHC).

resultsMicro-CT and periodontal histological analysis indicated substantial alveolar bone loss and heightened periodontal pocket depth in the second molar region of the P group relative to the C group. The P+Pio group exhibited reduced effects, compared with the P group. Histological examination of renal tissue and TEM revealed pathological damage in the P group. Pathological damage was alleviated in the P+Pio group. Biochemical assays and MitoSOX staining indicated that the P group demonstrated lower levels of SOD and GSH levels than the C group and increased MDA and ROS levels. Compared with the P group, the P+Pio group exhibited elevated levels of SOD and GSH and reduced levels of MDA and ROS. No notable differences were detected in Cre, BUN, and Alb levels across the groups. qRT-PCR and IHC revealed a reduction in PPAR-γ and Klotho expression levels in the renal tissues and an increase in PI3K and AKT expression levels in the P group compared with the C group. In the P+Pio group, the expression levels of PPAR-γ and Klotho were elevated relative to those of the P group, whereas expression levels of PI3K and AKT were decreased.

conclusionsPioglitazone can alleviate renal damage associated with periodontitis in mice, and its effect may be related to the upregulation of Klotho expression.

Indexed as

GlucuronidaseKidneyPeriodontitisThiazolidinedionesAnimalsGlutathioneKlotho ProteinsMaleMalondialdehydeMiceMice, Inbred C57BLOxidative StressPioglitazonePPAR gammaPPAR-gamma AgonistsReactive Oxygen SpeciesGlucuronidaseGlutathioneKlotho ProteinsMalondialdehydePioglitazonePPAR gammaPPAR-gamma AgonistsReactive Oxygen SpeciesSuperoxide DismutaseThiazolidinedionesKlothooxidative stressperiodontitispioglitazonerenal injury

Identifiers

PMID42297615
PMCPMC13268856

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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.