Evidence map›Paper›PMID 42302081›Full record

ArticleClinical and experimental dental research2026

Heterogeneous Systemic IgG Responses to Porphyromonas gingivalis Gingipains in Advanced Periodontitis.

Steffen Büttner, Sonja H M Derman, Alexander Simonis, Alicia M Meyer-Hofmann, Max von Kohout, Manuel Koch, Anna Greta Barbe

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 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

7 authors.

Steffen BüttnerFaculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology, University of Cologne, Cologne, Germany.ORCID 0000-0003-0402-5312
Sonja H M DermanFaculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology, University of Cologne, Cologne, Germany.ORCID 0000-0003-2239-6010
Alexander SimonisDepartment I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID 0000-0003-2945-9897
Alicia M Meyer-HofmannFaculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology, University of Cologne, Cologne, Germany.ORCID 0000-0002-3296-7553
Max von KohoutInstitute for Medical Statistics and Computational Biology, University of Cologne, Cologne, Germany.ORCID 0009-0006-7390-1557
Manuel KochFaculty of Medicine and University Hospital Cologne, Institute for Dental Research and Oral Musculoskeletal Biology, University of Cologne, Cologne, Germany.ORCID 0000-0002-2962-7814
Anna Greta BarbeFaculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology, University of Cologne, Cologne, Germany.ORCID 0000-0003-0169-2582

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate serum IgG responses against Porphyromonas gingivalis gingipains RgpB and Kgp in patients with stage III and IV periodontitis and examine associations with clinical periodontal parameters. MATERIALS AND

methodsThis exploratory cross-sectional study included participants with advanced periodontitis (Stage III and IV). Clinical periodontal parameters (number of teeth, bleeding on probing in percent [BoP%], probing pocket depth [PPD], bone loss-to-age ratio, periodontal inflamed surface area [PISA] per tooth) were recorded. Blood samples were collected and serum IgG responses against recombinant RgpB and Kgp were analyzed. Serum IgG signals were quantified using enzyme-linked immunosorbent assay (ELISA).

resultsAll 42 participants (mean age 62 years) exhibited measurable serum IgG responses against P. gingivalis gingipains. IgG signals (optical density) ranged from 0.13 to 1.46 for RgpB and 0.34 to 1.51 for Kgp. RgpB-specific IgG levels were higher in Stage IV versus Stage III periodontitis (p = 0.023), whereas Kgp-specific IgG levels showed no significant difference between stages (p = 0.249). Anti-RgpB IgG levels correlated positively with age (ρ = 0.362, p = 0.019) and inversely with the number of teeth (ρ = -0.372, p = 0.015), whereas anti-Kgp IgG showed no statistically significant correlations with the assessed clinical parameters.

conclusionsSerum IgG binding signals to RgpB and Kgp were measurable by ELISA and showed substantial heterogeneity among patients with advanced periodontitis, with considerable overlap between disease stages. Anti-RgpB IgG was associated with age and tooth loss, whereas inflammatory measures showed no significant correlations and anti-Kgp IgG showed only weak trend-level associations. Overall, total gingipain-specific IgG appears to reflect cumulative periodontal disease burden and exposure history more clearly than current inflammatory activity in this cohort, with limited value as a standalone marker for differentiating Stage III and Stage IV periodontitis.

Indexed as

Adhesins, BacterialAntibodies, BacterialCysteine EndopeptidasesGingipain Cysteine EndopeptidasesImmunoglobulin GPeriodontitisPorphyromonas gingivalisAgedCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedAdhesins, BacterialAntibodies, BacterialCysteine EndopeptidasesGingipain Cysteine EndopeptidasesImmunoglobulin Ggingipainshost immune responseimmunoglobulin GperiodontitisPorphyromonas gingivalissystemic inflammation

Identifiers

PMID42302081
PMCPMC13271254

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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.