Periodontitis activates the NLRP3 inflammasome in serum and saliva
Abstract
BACKGROUND: Nod-like receptor family pyrin domain-containing protein-3 (NLRP3) complex inflammasome has potentially been shown to play an important role in the development of periodontitis and diabetes. The objective of this study was to analyze the association between serum and salivary NLRP3 concentrations in patients with periodontitis and type-II diabetes mellitus (DM) and to evaluate whether this association was influenced by potential confounders. METHODS: For the present study, a cohort of healthy controls (n = 32), and patients with periodontitis (n = 34), type-II DM (n = 33), and a combination of periodontitis + type-II DM (n = 34) were enrolled. Patients were characterized on the basis of their periodontal status and analyzed for demographic characteristics, serum mediators, and for serum and salivary concentrations of NLRP3. A uni- and multivariate model was established to analyze whether periodontitis, type-II DM, and CRP influenced serum and salivary NLRP3 concentrations. RESULTS: In comparison to type-II DM patients and healthy controls, patients with periodontitis (serum, P = 0.003; saliva P = 0.012) and periodontitis + type-II DM (serum, P = 0.028; saliva, P = 0.003) had elevated serum and salivary NLRP3 concentrations. The multivariate regression model showed that periodontitis (P = 0.029) and HDL-cholesterol (P = 0.012) were significant predictors of serum NLRP3 concentrations whereas periodontitis (P = 0.036) and CRP (P = 0.012) were significant predictors of salivary NLRP3. CONCLUSION: The results of the present study showed that periodontitis and periodontitis + type-II DM patients had higher serum and salivary NLRP3 concentrations in comparison to healthy controls and patients with type-II DM. Periodontitis was demonstrated to be a significant predictor of both serum and salivary NLRP3 concentrations.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Periodontitis is a disease with a multifactorial etiology that, following infection induced by bacteria of the periodontal biofilm, can determine tooth loss following host response.
“Periodontitis is a disease with a multifactorial etiology that, following infection induced by bacteria of the periodontal biofilm, can determine tooth loss following host response [5].”
From A Cross-Talk between Diet and the Oral Microbiome: Balance of Nutrition on Inflammation and Immune System’s Response during Periodontitis (2022) · cites this paper as [5]
Cites
Martinon, F., Burns, K., & Tschopp, J. (2002) · Molecular Cell · doi:10.1016/s1097-2765(02)00599-3 · Cited by 6,066 · see citing works
Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0006 · Cited by 3,239 · see citing works
A small-molecule inhibitor of the NLRP3 inflammasome for the treatment of inflammatory diseases
Coll, R. C., Robertson, A. A. B., Chae, J. J., Higgins, S. C., Muñoz-Planillo, R., Inserra, M. C., Vetter, I., Dungan, L. S., Monks, B. G., Stutz, A., et al. (2015) · Nature Medicine · doi:10.1038/nm.3806 · Cited by 2,849 · see citing works
O’Leary, T. J., Drake, R. B., & Naylor, J. E. (1972) · Journal of Periodontology · doi:10.1902/jop.1972.43.1.38 · Cited by 2,552 · see citing works
The Inflammasomes: Guardians of the Body
Martinon, F., Mayor, A., & Tschopp, J. (2009) · Annual Review of Immunology · doi:10.1146/annurev.immunol.021908.132715 · Cited by 2,436 · see citing works
Inflammasomes in health and disease
Strowig, T., Henao-Mejia, J., Elinav, E., & Flavell, R. (2012) · Nature · doi:10.1038/nature10759 · Cited by 2,230 · see citing works
Periodontitis and diabetes: a two-way relationship
Preshaw, P. M., Alba, A. L., Herrera, D., Jepsen, S. V., Konstantinidis, A. O., Makrilakis, K., & Taylor, R. (2011) · Diabetologia · doi:10.1007/s00125-011-2342-y · Cited by 1,953 · see citing works
The NLRP3 Inflammasome: A Sensor for Metabolic Danger?
Schroder, K., Zhou, R., & Tschopp, J. (2010) · Science · doi:10.1126/science.1184003 · Cited by 1,131 · see citing works
Diabetes mellitus and periodontal disease
Mealey, B. L., & Ocampo, G. L. (2007) · Periodontology 2000 · doi:10.1111/j.1600-0757.2006.00193.x · Cited by 565 · see citing works
Reporting Guidelines for Health Care Simulation Research
Cheng, A., Kessler, D. O., MACKINNON, R. J., Chang, T. P., Nadkarni, V., Hunt, E. A., Duval‐Arnould, J., Lin, Y., Cook, D. A., Pusic, M. V., et al. (2016) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000150 · Cited by 554 · see citing works
Cheng, A., Kessler, D. O., MACKINNON, R. J., Chang, T. P., Nadkarni, V., Hunt, E. A., Duval‐Arnould, J., Lin, Y., Cook, D. A., Pusic, M. V., et al. (2016) · Advances in Simulation · doi:10.1186/s41077-016-0025-y · Cited by 552 · see citing works
Global-, Regional-, and Country-Level Economic Impacts of Dental Diseases in 2015
Righolt, A. J., Jevdjevic, M., Marcenes, W., & Listl, S. (2018) · Journal of Dental Research · doi:10.1177/0022034517750572 · Cited by 503 · see citing works
Gowen, M., & Mundy, G. R. (1986) · The Journal of Immunology · doi:10.4049/jimmunol.136.7.2478 · Cited by 479 · see citing works
The Inflammasome: First Line of the Immune Response to Cell Stress
Ogura, Y., Sutterwala, F. S., & Flavell, R. A. (2006) · Cell · doi:10.1016/j.cell.2006.08.002 · Cited by 474 · see citing works
Interleukin-1 Beta—A Friend or Foe in Malignancies?
Bent, R., Moll, L., Grabbe, S., & Bros, M. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19082155 · Cited by 451 · see citing works
The NLRP3 inflammasome in health and disease: the good, the bad and the ugly
Menu, P., & Vince, J. E. (2011) · Clinical & Experimental Immunology · doi:10.1111/j.1365-2249.2011.04440.x · Cited by 387 · see citing works
Bleeding on probing. A parameter for monitoring periodontal conditions in clinical practice
Joss, A., Adler, R. H., & Lang, N. P. (1994) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1994.tb00737.x · Cited by 263 · see citing works
Role of NLRP3 inflammasome in the pathogenesis of cardiovascular diseases
Liu, D., Zeng, X., Xiao, L., Mehta, J. L., & Wang, X. (2017) · Basic Research in Cardiology · doi:10.1007/s00395-017-0663-9 · Cited by 260 · see citing works
Expression and regulation of the NALP3 inflammasome complex in periodontal diseases
Bostancı, N., Emingil, G., Saygan, B. H., Türkoğlu, O., Atilla, G., Curtis, M. A., & Belibasakis, G. N. (2009) · Clinical & Experimental Immunology · doi:10.1111/j.1365-2249.2009.03972.x · Cited by 169 · see citing works
Role of inflammasomes in the pathogenesis of periodontal disease and therapeutics
Marchesan, J. T., Girnary, M., MOSS, K. L., Monaghan, E., Egnatz, G. J., Jiao, Y., Zhang, S., Beck, J., & Swanson, K. V. (2019) · Periodontology 2000 · doi:10.1111/prd.12269 · Cited by 159 · see citing works
Higashi, Y., Goto, C., Hidaka, T., Soga, J., Nakamura, S., Fujii, Y., Hata, T., Idei, N., Fujimura, N., Chayama, K., et al. (2009) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2009.03.037 · Cited by 157 · see citing works
Yilmaz, Ö., Sater, A. A. A., Yao, L., Koutouzis, T., Pettengill, M. A., & Ojcius, D. M. (2009) · Cellular Microbiology · doi:10.1111/j.1462-5822.2009.01390.x · Cited by 146 · see citing works
Jiang, C., Jiang, L., Li, Q., Liu, X., Zhang, T., Dong, L., Liu, T., Liu, L., Hu, G.-L., Sun, X., et al. (2018) · Toxicology · doi:10.1016/j.tox.2018.09.002 · Cited by 137 · see citing works
Isola, G., Giudice, A. L., Polizzi, A., Alibrandi, A., Murabito, P., & Indelicato, F. (2020) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2020.104997 · Cited by 99 · see citing works
Suppression of NLRP3 inflammasome by γ-tocotrienol ameliorates type 2 diabetes
Kim, Y., Wang, W., Okla, M., Kang, I., Moreau, R. F., & Chung, S. (2015) · Journal of Lipid Research · doi:10.1194/jlr.m062828 · Cited by 98 · see citing works
The relationship of diabetes, periodontitis and cardiovascular disease
Khumaedi, A. I., Purnamasari, D., Wijaya, I. P., & Soeroso, Y. (2019) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2019.03.023 · Cited by 97 · see citing works
Isola, G., Polizzi, A., Alibrandi, A., Williams, R. C., & Leonardi, R. M. (2020) · Journal of Periodontology · doi:10.1002/jper.20-0242 · Cited by 96 · see citing works
Isaza‐Guzmán, D. M., Piedrahita, V. M. M., Gutiérrez‐Henao, C., & Tobón‐Arroyave, S. I. (2017) · Journal of Periodontology · doi:10.1902/jop.2017.170244 · Cited by 91 · see citing works
Analysis of galectin‐3 levels as a source of coronary heart disease risk during periodontitis
Isola, G., Polizzi, A., Alibrandi, A., Williams, R. C., & Giudice, A. L. (2021) · Journal of Periodontal Research · doi:10.1111/jre.12860 · Cited by 91 · see citing works
Belibasakis, G. N., Guggenheim, B., & Bostancı, N. (2012) · Innate Immunity · doi:10.1177/1753425912444767 · Cited by 89 · see citing works
Dai, J., Zhang, X., Li, L., Chen, H., & Chai, Y. (2017) · Cellular Physiology and Biochemistry · doi:10.1159/000480367 · Cited by 87 · see citing works
Taxman, D. J., Swanson, K. V., Broglie, P. M., Wen, H., Holley-Guthrie, E., Huang, M. T.-H., Callaway, J., Eitas, T., Duncan, J. A., & Ting, J. P. ‐. (2012) · Journal of Biological Chemistry · doi:10.1074/jbc.m112.401737 · Cited by 82 · see citing works
Belibasakis, G. N., & Johansson, A. (2012) · Cytokine · doi:10.1016/j.cyto.2012.03.016 · Cited by 81 · see citing works
CRP-Induced NLRP3 Inflammasome Activation Increases LDL Transcytosis Across Endothelial Cells
Bian, F., Yang, X., Xu, G., Zheng, T., & Jin, S. (2019) · Frontiers in Pharmacology · doi:10.3389/fphar.2019.00040 · Cited by 78 · see citing works
Systemic inflammatory responses in patients with type 2 diabetes with chronic periodontitis
Mesia, R., Gholami, F., Huang, H., Clare-Salzler, M. J., Aukhil, I., Wallet, S. M., & Shaddox, L. M. (2016) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2016-000260 · Cited by 72 · see citing works
Isola, G., Polizzi, A., Patini, R., Ferlito, S., Alibrandi, A., & Palazzo, G. (2020) · BMC Oral Health · doi:10.1186/s12903-020-01258-5 · Cited by 69 · see citing works
García‐Hernández, A. L., Muñoz‐Saavedra, Á. E., González‐Alva, P., Moreno‐Fierros, L., Hernández, E. L., Cifuentes‐Mendiola, S. E., & Rubio‐Infante, N. (2018) · Oral Diseases · doi:10.1111/odi.13003 · Cited by 68 · see citing works
Velsko, I. M., Chukkapalli, S. S., Rivera‐Kweh, M. F., Zheng, D., Aukhil, I., Lucas, A., Larjava, H., & Kesavalu, L. N. (2015) · Infection and Immunity · doi:10.1128/iai.01077-15 · Cited by 66 · see citing works
Differential expression of inflammasome regulatory transcripts in periodontal disease
Aral, K., Berdeli, E., Cooper, P. R., Milward, M. R., Kapila, Y. L., Ünal, B. K., Cüneyt Asım, A. R. A. L., & Berdelı, A. (2019) · Journal of Periodontology · doi:10.1002/jper.19-0222 · Cited by 64 · see citing works
Sainz, M., Martínez, R., Moya, M., Rodríguez‐Bailón, R., & Vaes, J. (2020) · British Journal of Social Psychology · doi:10.1111/bjso.12412 · Cited by 62 · see citing works
Zhou, X., Wang, Q., Nie, L., Zhang, P., Zhao, P., Yuan, Q., Ji, N., Ding, Y., & Wang, Q. (2020) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2020.104763 · Cited by 58 · see citing works
NLRP3 Inflammasome Polymorphism and Macrovascular Complications in Type 2 Diabetes Patients
Klen, J., Goričar, K., Janež, A., & Dolžan, V. (2015) · Journal of Diabetes Research · doi:10.1155/2015/616747 · Cited by 49 · see citing works
A Dual Role for P2X7 Receptor during Porphyromonas gingivalis Infection
Ramos‐Junior, E. S., Morandini, A. C., Almeida-da-Silva, C. L. C., Franco, E. J., Potempa, J., Nguyen, K.-A. T., Oliveira, A. C., Zamboni, D. S., Ojcius, D. M., Scharfstein, J., et al. (2015) · Journal of Dental Research · doi:10.1177/0022034515593465 · Cited by 46 · see citing works
Jung, E., Choi, Y. Y., & Lee, K.-H. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0290 · Cited by 40 · see citing works
NLRP3 Inflammasome Biomarker—Could Be the New Tool for Improved Cardiometabolic Syndrome Outcome
Suceveanu, A., Mazilu, L., Katsiki, N., Parepa, I. R., Voinea, F., Stoian, A. P., Rizzo, M., Botea, F., Herlea, V., Şerban, D., et al. (2020) · Metabolites · doi:10.3390/metabo10110448 · Cited by 35 · see citing works
The Inflammasome: Regulation of Nitric Oxide and Antimicrobial Host Defence
Ramachandran, R. A., Lupfer, C. R., & Zaki, H. (2018) · Advances in microbial physiology/Advances in Microbial Physiology · doi:10.1016/bs.ampbs.2018.01.004 · Cited by 30 · see citing works
Characterization of periodontitis in people with type 1 diabetes of 50 years or longer duration
Shinjo, T., Ishikado, A., Hastürk, H., POBER, D. M., Paniagua, S. M., Shah, H., Wu, I., TINSLEY, L. J., Matsumoto, M., Keenan, H. A., et al. (2019) · Journal of Periodontology · doi:10.1002/jper.18-0735 · Cited by 27 · see citing works
Endothelin, sex, and pregnancy: unique considerations for blood pressure control in females
Gillis, E. E., Sasser, J. M., & Sullivan, J. C. (2016) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00427.2015 · Cited by 18 · see citing works
Periodontitis links to exacerbation of myocardial dysfunction in subjects with type 2 diabetes
Wang, Y., Zhen, Z., Liu, H. N., Lai, I. W. Y., Pelekos, G., Tse, H., Yiu, K., & Jin, L. (2019) · Journal of Periodontal Research · doi:10.1111/jre.12634 · Cited by 17 · see citing works
Higuchi, K., Ziauddin, S. M., Yamashita, Y., Ozaki, Y., & Yoshimura, A. (2019) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2019.104625 · Cited by 15 · see citing works
An investigation of immunocompetence substances in normal gingival and periodontitis tissue.
Chen, S., Wu, J., Song, Z., & Zhang, J. (2000) · PubMed · Cited by 13 · see citing works
Monasterio, G., Guevara, J., Ibarra, J. P., Castillo, F. A., Díaz-Zúñiga, J. A., Álvarez, C., Cafferata, E. A., & Vernal, R. (2018) · Clinical Oral Investigations · doi:10.1007/s00784-018-2641-5 · Cited by 10 · see citing works
Flagged first, then by citations
1 of the 53 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Santonocito, S., Giudice, A., Polizzi, A., Troiano, G., Merlo, E. M., Sclafani, R., Grosso, G., & Isola, G. (2022) · Nutrients · doi:10.3390/nu14122426 · Cited by 144 · see citing works
Martínez, M., Postolache, T. T., García‐Bueno, B., Leza, J. C., Figuero, E., Lowry, C. A., & Malan‐Müller, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.814177 · Cited by 127 · see citing works
Relationship between periodontitis and systemic diseases: A bibliometric and visual study
Isola, G., Polizzi, A., Serra, S., Boato, M., & Sculean, A. (2025) · Periodontology 2000 · doi:10.1111/prd.12621 · Cited by 91 · see citing works
Isola, G., Santonocito, S., Distefano, A., Polizzi, A., Vaccaro, M., Raciti, G., Alibrandi, A., & Volti, G. L. (2022) · Journal of Periodontal Research · doi:10.1111/jre.13078 · Cited by 74 · see citing works
Inhibition of METTL3 Alleviates NLRP3 Inflammasome Activation via Increasing Ubiquitination of NEK7
Zhou, X., Yang, X., Huang, S., Lin, G., Lei, K., Wang, Q., Lin, W., Li, H., Qi, X., Seriwatanachai, D., et al. (2024) · Advanced Science · doi:10.1002/advs.202308786 · Cited by 67 · see citing works
Santonocito, S., Polizzi, A., Palazzo, G., & Isola, G. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22115456 · Cited by 63 · see citing works
Ardila, C. M., Bedoya‐García, J., & Arrubla-Escobar, D. (2022) · Oral Diseases · doi:10.1111/odi.14288 · Cited by 63 · see citing works
Does high sugar intake really alter the oral microbiota?: A systematic review
Angarita‐Díaz, M. D. P., Fong, C., Bedoya‐Correa, C. M., & Arango, C. L. C. (2022) · Clinical and Experimental Dental Research · doi:10.1002/cre2.640 · Cited by 62 · see citing works
Zhu, X., Huang, H., & Жао, Л. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.856118 · Cited by 60 · see citing works
The Role of Inflammasome NLPR3 in the Development and Therapy of Periodontitis
Zhao, Y., Quan, Y., Lei, T., Fan, L., Ge, X., & Hu, S. C. (2022) · International Journal of Medical Sciences · doi:10.7150/ijms.74575 · Cited by 59 · see citing works
Isola, G., Polizzi, A., Santonocito, S., Alibrandi, A., Pesce, P., & Kocher, T. (2024) · Journal of Periodontal Research · doi:10.1111/jre.13279 · Cited by 55 · see citing works
Periodontitis and coronavirus disease 2019
Tamimi, F., Altigani, S., & Sanz, M. (2022) · Periodontology 2000 · doi:10.1111/prd.12434 · Cited by 50 · see citing works
Li, W., Song, J., & Chen, Z. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02416-7 · Cited by 45 · see citing works
Isola, G., Tartaglia, G. M., Santonocito, S., Polizzi, A., Williams, R. C., & Iorio‐Siciliano, V. (2023) · Journal of Periodontology · doi:10.1002/jper.23-0063 · Cited by 45 · see citing works
A20 inhibits periodontal bone resorption and NLRP3-mediated M1 macrophage polarization
Hou, L., Ye, Y., Gou, H., Tang, H., Zhou, Y., Xu, X., & Xu, Y. (2022) · Experimental Cell Research · doi:10.1016/j.yexcr.2022.113264 · Cited by 40 · see citing works
Inflammasomes and the IL-1 Family in Bone Homeostasis and Disease
Tseng, H., Samuel, S. G., Schroder, K., Lévesque, J.-P., & Alexander, K. A. (2022) · Current Osteoporosis Reports · doi:10.1007/s11914-022-00729-8 · Cited by 36 · see citing works
Isola, G., Pesce, P., Polizzi, A., Giudice, A. L., Cicciù, M., & Scannapieco, F. A. (2024) · Journal of Periodontology · doi:10.1002/jper.23-0518 · Cited by 35 · see citing works
NLRP3 inflammasome activity and periodontal disease pathogenesis–A bidirectional relationship
Didilescu, A. C., Chinthamani, S., Scannapieco, F. A., & Sharma, A. (2024) · Oral Diseases · doi:10.1111/odi.15005 · Cited by 36 · see citing works
Elastin-Plasma Hybrid Hydrogels for Skin Tissue Engineering
Stojic, M., Ródenas‐Rochina, J., López-Donaire, M. L., de Torre, I. G., González‐Pérez, M., Rodríguez‐Cabello, J. C., Vojtová, L., Jorcano, J. L., & Velasco, D. (2021) · Polymers · doi:10.3390/polym13132114 · Cited by 34 · see citing works
Inflammation and immune response in the development of periodontal disease: a narrative review
López-Valverde, N., Quispe‐López, N., & Rueda, J. A. B. (2024) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1493818 · Cited by 36 · see citing works
Liu, S., Ge, J., Chu, Y., Cai, S., Gong, A., Wu, J., & Zhang, J. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1164667 · Cited by 32 · see citing works
The Role of Oxidative Stress in Periodontitis
Bullón, P., Giampieri, F., Bullón, B., & Battino, M. A. (2025) · Journal of Periodontal Research · doi:10.1111/jre.70016 · Cited by 32 · see citing works
Minimally Invasive Periodontology: A Treatment Philosophy and Suggested Approach
Ng, E., Tay, J. R. H., & Ong, M. M. A. (2021) · International Journal of Dentistry · doi:10.1155/2021/2810264 · Cited by 31 · see citing works
Accuracy of Artificial Intelligence Models in the Prediction of Periodontitis: A Systematic Review
Polizzi, A., Quinzi, V., Giudice, A. L., Marzo, G., Leonardi, R. M., & Isola, G. (2024) · JDR Clinical & Translational Research · doi:10.1177/23800844241232318 · Cited by 29 · see citing works
Jiang, Z., Shi, Y., Zhao, W., Zhou, L., Zhang, B., Xie, Y., Zhang, Y., Tan, G., & Wang, Z. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01827-2 · Cited by 30 · see citing works
Menini, M., Pesce, P., Delucchi, F., Ambrogio, G., Canepa, C., Carossa, M., & Pera, F. (2022) · Clinical Implant Dentistry and Related Research · doi:10.1111/cid.13113 · Cited by 28 · see citing works
Deng, J., Golub, L. M., Lee, H., Raja, V., Johnson, F., Kucine, A. J., Lee, W., Xu, T., & Gu, Y. (2021) · Journal of Inflammation Research · doi:10.2147/jir.s330157 · Cited by 28 · see citing works
Relationship Between Periodontitis and Atrial Fibrosis in Atrial Fibrillation
Miyauchi, S., Nishi, H., Ouhara, K., Tokuyama, T., Okubo, Y., Okamura, S., Miyamoto, S., Oguri, N., Uotani, Y., Takasaki, T., et al. (2022) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2022.08.018 · Cited by 27 · see citing works
Picciolo, G., Mannino, F., Irrera, N., Minutoli, L., Altavilla, D., Vaccaro, M., Oteri, G., Squadrito, F., & Pallio, G. (2021) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2021.112525 · Cited by 26 · see citing works
Viglianisi, G., Santonocito, S., Lupi, S. M., Amato, M., Spagnuolo, G., Pesce, P., & Isola, G. (2023) · Therapeutic Advances in Chronic Disease · doi:10.1177/20406223231191043 · Cited by 26 · see citing works
Șurlin, P., Lazăr, L., Şincar, C. D., Gheorghe, D. N., Popescu, D. M., Boldeanu, M. V., Pitru, A. R., Florescu, C., & Rogoveanu, I. (2021) · Mediators of Inflammation · doi:10.1155/2021/6917919 · Cited by 22 · see citing works
Al‐Rawaf, H. A., Alghadir, A. H., & Gabr, S. A. (2021) · Disease Markers · doi:10.1155/2021/3719919 · Cited by 21 · see citing works
Håheim, L. L., Thelle, D. S., Rønningen, K. S., Olsen, I., & Schwarze, P. E. (2022) · PLoS ONE · doi:10.1371/journal.pone.0272148 · Cited by 20 · see citing works
Li, Q., Wang, H., Liu, L., Weng, Y., Xu, S., Li, L., & Wang, Z. (2022) · American Journal Of Pathology · doi:10.1016/j.ajpath.2022.10.009 · Cited by 20 · see citing works
COVID‐19 Pandemic and Periodontal Practice: The Immunological, Clinical, and Economic Points of View
Darestani, M. N., Akbari, A. A., Yaghobee, S., Taheri, M., & Akbari, S. (2022) · BioMed Research International · doi:10.1155/2022/3918980 · Cited by 18 · see citing works
Yan, J., Feng, G., Yang, Y., Ding, D., Ma, L., Zhao, X. S., Chen, X., Wang, H., Chen, Z., & Jin, Q. (2022) · Biomolecules and Biomedicine · doi:10.17305/bjbms.2022.7677 · Cited by 20 · see citing works
Periodontitis and COVID-19: Immunological Characteristics, Related Pathways, and Association
Qi, M., Sun, W., Wang, K., Li, W., Lin, J., Gong, J., & Wang, L. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24033012 · Cited by 21 · see citing works
Genetic Susceptibility to Periodontal Disease in Down Syndrome: A Case-Control Study
Fernández, M., de Coo, A., Quintela, I., García, E. V., Freitas, M. D., Posse, J. L., Dios, P. D., Blanco, J., Carracedo, Á., & Cruz, R. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22126274 · Cited by 18 · see citing works
Wang, B., Xi, W., Chen, H., Shao, J., Song, A., & Zhang, F. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02107-3 · Cited by 17 · see citing works
Healing effects of monomer and dimer resveratrol in a mouse periodontitis model
Ikeda, E., Tanaka, D., Glogauer, M., Tenenbaum, H. C., & Ikeda, Y. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02499-2 · Cited by 17 · see citing works
Isola, G., Tartaglia, G. M., Santonocito, S., Chaurasia, A., Marya, A., & Giudice, A. L. (2023) · BMC Oral Health · doi:10.1186/s12903-023-03237-y · Cited by 17 · see citing works
The expression levels of MicroRNA-146a, RANKL and OPG after non-surgical periodontal treatment
Sattari, M., Taheri, R. A., Arefnezhad, R., & Motedayyen, H. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01883-8 · Cited by 17 · see citing works
Arunachalam, L. T., Suresh, S., Lavu, V., Vedamanickam, S., Sathiyapriya, V., & Nathan, R. D. T. (2023) · Journal of Periodontology · doi:10.1002/jper.23-0184 · Cited by 16 · see citing works
Mainas, G., Nibali, L., Ide, M., Mahmeed, W. A., Al‐Rasadi, K., Al-Alawi, K., Banach, M., Banerjee, Y., Ceriello, A., Cesur, M., et al. (2022) · Metabolites · doi:10.3390/metabo13010040 · Cited by 16 · see citing works
Factors Associated with Periodontitis in Patients with and without HIV
Pereira, L. L., Amorim, D. V. S., Sampaio, W. B., Azevêdo, T. A. C., Cardoso, V. B. P., Lemos, F. B., da Silva, A. C. R. F., Machado, F. C., Lima, F., Neves, F. S., et al. (2023) · International Journal of Dentistry · doi:10.1155/2023/9929835 · Cited by 15 · see citing works
Okada, A., Murata, T., Matin, K., Ariyoshi, M., Otsuka, R., Yamashita, M., Suzuki, M., Wakiyama, R., Tateno, K., Suzuki, M., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0257247 · Cited by 15 · see citing works
Oral Cavity is the Gateway to the Body: Role of Oral Health Professionals: A Narrative Review
Iyer, P. (2023) · Journal of the California Dental Association · doi:10.1080/19424396.2023.2193372 · Cited by 19 · see citing works
Zhang, L., Duan, M., Pu, X., Zheng, H., Ning, X., Tu, Y., Xu, C., Zhang, D., Liu, C., & Xie, J. (2024) · Acta Biochimica et Biophysica Sinica · doi:10.3724/abbs.2024050 · Cited by 14 · see citing works
Miyauchi, S., Ouhara, K., Shintani, T., Tokuyama, T., Okubo, Y., Okamura, S., Miyamoto, S., Oguri, N., Uotani, Y., Takemura, T., et al. (2024) · Journal of the American Heart Association : Cardiovascular and Cerebrovascular Disease · doi:10.1161/jaha.123.033740 · Cited by 10 · see citing works
Motta, P. D. B., Gonçalves, M. L. L., Gallo, J. M. A. S., Sobral, A. P. T., Motta, L. J., Mayer, M. P. A., Kawamoto, D., de Andrade, D. C., Santos, E. M., Fernandes, K. P. S., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0297351 · Cited by 13 · see citing works
Ferrara, E., & Mastrocola, F. (2024) · Journal of Molecular Pathology · doi:10.3390/jmp5040033 · Cited by 13 · see citing works
Ardila, C. M., & Bedoya‐García, J. (2022) · International Journal of Dentistry · doi:10.1155/2022/4334269 · Cited by 13 · see citing works
Ruan, Z., Gao, R.-F., Wang, F., Chen, G., Zhu, J., Ren, Y., & Zhu, L. (2022) · Cardiovascular Therapeutics · doi:10.1155/2022/6993904 · Cited by 13 · see citing works
Aggan, H. E., Mahmoud, S., Deeb, N. E., Eleishi, I., & El-Shendidi, A. (2022) · Scientific Reports · doi:10.1038/s41598-022-22022-5 · Cited by 12 · see citing works
Gonçalves, A., Mathelié-Guinlet, Q., Ramires, F., Monteiro, F., Carvalho, Ó. S. N., Silva, F. S., Resende, A. D., & Pinho, T. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e32873 · Cited by 11 · see citing works
Moghadam, S. A., Moghadam, F. S. A., & Alijani, E. (2022) · Disease Markers · doi:10.1155/2022/1119038 · Cited by 11 · see citing works
Hazan‐Molina, H., Gabet, Y., Aizenbud, I., Aizenbud, N., & Aizenbud, D. (2021) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2021.105327 · Cited by 11 · see citing works
Setiawatie, E. M., Gani, M. A., Rahayu, R. P., Ulfah, N., Kurnia, S., Augustina, E. F., & Sari, D. S. (2022) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2022.105396 · Cited by 11 · see citing works
The impact of gender and peripheral blood parameters on the characteristics of L-PRF membranes
Andrade, C. X., Amenabar, F. U., Inostroza, C., Díaz‐Calderón, P., Messina, D. R., Carrasco, N. P., & Quirynen, M. (2022) · Journal of Oral Biology and Craniofacial Research · doi:10.1016/j.jobcr.2022.08.020 · Cited by 10 · see citing works
Assessment of independent variables of periodontal disease among selected South Indian population
Anjum, S., & Rajasekar, A. (2022) · Journal of Advanced Pharmaceutical Technology amp Research · doi:10.4103/japtr.japtr_172_22 · Cited by 10 · see citing works
Xiao, Q. F., Yan, D., Qin, J., Chen, W., Jiang, K., Zhao, J., Zhang, C., & Li, Y. (2022) · Disease Markers · doi:10.1155/2022/2735717 · Cited by 10 · see citing works
Yu, H., Wang, P., Lu, H., Guan, J., Yao, F., Zhang, T., Wang, Q., & Wang, Z. (2023) · BMC Oral Health · doi:10.1186/s12903-023-03040-9 · Cited by 10 · see citing works
Wang, A., Sun, Y., Xu, M., Qin, Q., Zhu, W., & Xu, Y. (2023) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2023.105801 · Cited by 10 · see citing works
Impact of periodontitis on circulating cell-free DNA levels as a measure of cardiovascular disease
Isola, G., Polizzi, A., Mascitti, M., Santonocito, S., Ronsivalle, V., Cicciù, M., & Pesce, P. (2023) · Clinical Oral Investigations · doi:10.1007/s00784-023-05300-y · Cited by 10 · see citing works
Ng, M. Y., Lin, T., Chen, S.-H., Liao, Y., Liu, C., & Yu, C. (2024) · Journal of Dental Sciences · doi:10.1016/j.jds.2023.12.011 · Cited by 9 · see citing works
Therapeutic Effect of a Novel M1 Macrophage-Targeted Nanodrug in Chronic Periodontitis Mice
Chen, Q., Zhao, Y., Xie, C., Wu, S., Ji, W., Xiao, X., & Zheng, X. (2024) · Molecular Pharmaceutics · doi:10.1021/acs.molpharmaceut.3c00954 · Cited by 9 · see citing works
Ghasemi, S., Mortezagholi, B., Movahed, E., Ghaedi, A., Bazrgar, A., Abdolalizadehil, S., & Khanzadeh, S. (2024) · European journal of medical research · doi:10.1186/s40001-024-02175-x · Cited by 9 · see citing works
Ali, D. A., AlAhmari, F., Mikami, T., & Baskaradoss, J. K. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02240-z · Cited by 9 · see citing works
Salim, A., Angelova, S. T., Roussev, B. H., Sokrateva, T. D., Kiselova-Kaneva, Y. D., Peev, S., & Ivanova, D. G. (2023) · Applied Sciences · doi:10.3390/app13085046 · Cited by 8 · see citing works
Zhang, L., Wang, Q., & Xie, X. (2021) · Disease Markers · doi:10.1155/2021/2227067 · Cited by 8 · see citing works
Gor, I., Nadeem, G., Bataev, H. M., & Dorofeev, A. E. (2021) · International Journal of General Medicine · doi:10.2147/ijgm.s330724 · Cited by 8 · see citing works
Liu, W., Qiu, W., Huang, Z.-D., Zhang, K., Wu, K., Deng, K., Chen, Y., Guo, R., Wu, B., Chen, T., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.963123 · Cited by 9 · see citing works
Abraham, D., Singh, A., & Goyal, A. (2023) · Journal of Indian Society of Periodontology · doi:10.4103/jisp.jisp_185_23 · Cited by 7 · see citing works
Ribeiro, A. B., da Silva, T. M., Santos-Júnior, N. N., Castania, J. A., Fazan, R., & Salgado, H. C. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01885-6 · Cited by 8 · see citing works
Zhao, Q., Wen, J., Ouyang, X., Liu, J., Liu, W., Zhang, S., Lv, P., & Lou, X. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02401-0 · Cited by 7 · see citing works
Synoviolin alleviates GSDMD‐mediated periodontitis by suppressing its stability
Pang, Y., Liu, L., Wu, S., Wang, J., & Liu, L. (2023) · Immunity Inflammation and Disease · doi:10.1002/iid3.880 · Cited by 7 · see citing works
Sirtuin6 and Lipoxin A4 levels are decreased in severe periodontitis
Çekici, A., Şahinkaya, S., Donmez, M. F., Türkmen, E., Balcı, N., & Toygar, H. U. (2023) · Clinical Oral Investigations · doi:10.1007/s00784-023-05330-6 · Cited by 7 · see citing works
Wu, K. C. H., Liu, L., Xu, A., Chan, Y. H., & Cheung, B. M. Y. (2024) · Endocrine · doi:10.1007/s12020-024-03766-8 · Cited by 7 · see citing works
Muñoz‐Carrillo, J. L., Gutiérrez-Coronado, O., Villalobos‐Gutiérrez, P. T., Valencia, M. S. V., Chávez-Ruvalcaba, F., Vázquez-Alcaraz, S. J., Rivera‐Lozada, O., & Barboza, J. J. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26188756 · Cited by 6 · see citing works
Pro-Inflammatory Markers in Serum and Saliva in Periodontitis and Hypertension
Bolyarova, T., Stefanov, L., Naseva, E., Stamatov, K., Dzhenkov, S., Stoimenov, B., Pancheva, R., Dochev, N., & Ishkitiev, N. (2025) · Medicina · doi:10.3390/medicina61061024 · Cited by 6 · see citing works
El‐Patal, M. A., Khalil, M. A., Shipl, W. M., Barakat, I., Youssef, E. M. I., Attar, S. E., Fathi, A., & Abdallah, A. A. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02478-7 · Cited by 6 · see citing works
Prevalence and correlates of periodontitis among Kenyan women planning to conceive
Oyaro, B., Lokken, E. M., Alumera, H., Hussein, S., Richardson, B. A., Mandaliya, K. N., Jaoko, W. G., Kinuthia, J., Dimba, E., Kemoli, A., et al. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02243-w · Cited by 6 · see citing works
Tayman, M. A., & Kızılgün, M. (2025) · Clinical Oral Investigations · doi:10.1007/s00784-025-06574-0 · Cited by 5 · see citing works
Kruse, A., Wölki, B. J., Woelber, J. P., Frisch, E., Vach, K., & Ratka‐Krüger, P. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02109-1 · Cited by 5 · see citing works
Peng, J., Lu, F., Zhong, M., Zhao, Y., Wang, Z., & Zhang, W. (2022) · Disease Markers · doi:10.1155/2022/9717510 · Cited by 5 · see citing works
Xie, H., Lin, Y., & Fang, F. (2023) · Journal of Dental Sciences · doi:10.1016/j.jds.2023.03.010 · Cited by 5 · see citing works
The Role of Caspase-11 and Pyroptosis in the Regulation of Inflammation in Peri-Implantitis
Jiao, P., Li, Z., Li, B., & Jiao, X. (2023) · Journal of Inflammation Research · doi:10.2147/jir.s427523 · Cited by 5 · see citing works
Kim, S. Y., Son, M. K., Park, J. H., Na, H. S., & Chung, J. (2024) · Pathogens · doi:10.3390/pathogens13060474 · Cited by 5 · see citing works
Short-Term Efficacy of Er:YAG Laser and Nd:YAG Laser Combined Therapy on Periodontitis
Gong, H., & Li, M. (2022) · Photobiomodulation Photomedicine and Laser Surgery · doi:10.1089/photob.2022.0045 · Cited by 5 · see citing works
circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
Wang, C., Gong, J., Li, D., & Xing, X. (2022) · Open Medicine · doi:10.1515/med-2022-0442 · Cited by 5 · see citing works
RetractedMárquez‐Arrico, C. F., Pelechá-Salvador, M., Fernández-Reyes, M., Donat, F. J. S., Perea‐Galera, L., Hermenejildo, J., Abad‐Jiménez, Z., Silvestre‐Rangil, J., Morillas, C., Víctor, V. M., et al. (2025) · Antioxidants · doi:10.3390/antiox14050507 · Cited by 4 · see citing works
The Role of Inflammasomes in Chronic Oral Inflammatory Disease and Oral Cancer: A Narrative Review
Al‐Natour, B., Rasheed, I. B., & Karim, I. A. E. (2025) · Dentistry Journal · doi:10.3390/dj13120609 · Cited by 4 · see citing works
Evaluation of inflammasomes as biomarker following non-surgical periodontal treatment
Kabacaoğlu, B., & Özener, H. Ö. (2024) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2024.105987 · Cited by 4 · see citing works
Zhang, X., Zhu, B., Tang, L., Yang, W., Su, L., Li, H., & Zhao, Y. (2025) · Photodiagnosis and Photodynamic Therapy · doi:10.1016/j.pdpdt.2025.104559 · Cited by 4 · see citing works
de Luis, D. A., Izaola, O., Primo, D., & Aller, R. (2022) · Disease Markers · doi:10.1155/2022/6777283 · Cited by 4 · see citing works
Cagna, D. R., Donovan, T. E., McKee, J. R., Eichmiller, F. C., Metz, J. E., Marzola, R., Murphy, K. G., & Troeltzsch, M. (2023) · Journal of Prosthetic Dentistry · doi:10.1016/j.prosdent.2023.06.001 · Cited by 6 · see citing works
Toledano, R., Osorio, M. T., Osorio, R., Toledano, M., Jacho, D., & Yildirim-Ayan, E. D. (2024) · Journal of Dentistry · doi:10.1016/j.jdent.2024.105509 · Cited by 4 · see citing works
Periodontitis and neuropathic diseases: A literature review
Cabanillas, J., Risco, R., Munive-Degregori, A., Guerrero, M. E., Mauricio, F., & Mayta‐Tovalino, F. (2024) · Journal of International Society of Preventive and Community Dentistry · doi:10.4103/jispcd.jispcd_68_22 · Cited by 3 · see citing works
Synergistic effect of periodontitis and C-reactive protein levels on mortality: NHANES 2001–2004
Han, M., Lee, W., Ahn, S., Kang, M. H., Hwang, H. S., Kwon, S., Kim, Y., Lee, J., Kim, D. K., Kim, Y. S., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0309476 · Cited by 3 · see citing works
Al-Turck, K., Aldosary, S., Alrabiah, R., Albusayes, R., & Alnamlah, S. (2021) · Clinical Cosmetic and Investigational Dentistry · doi:10.2147/ccide.s322302 · Cited by 3 · see citing works
- Authors
- Isola, G., Polizzi, A., Santonocito, S., Alibrandi, A., & Williams, R. C.
- Affiliations
- University of Catania (IT)
- University of Messina (IT)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Isola, Gaetano
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 2021-06-02
- Volume
- 93
- Issue
- 1
- Pages
- 135-145
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W3161768710
- Cited by
- 148
- References
- 53
- Citations by year
- 2026: 11 · 2025: 19 · 2024: 29 · 2023: 25 · 2022: 46 · 2021: 18
- FWCI
- 9.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- periodontitis, NLRP3 inflammasome, type 2 diabetes, salivary biomarkers, serum biomarkers, C-reactive protein, HDL cholesterol, inflammation
- MeSH terms
- NLR Family, Pyrin Domain-Containing 3 Protein, Diabetes Mellitus, Type 2, Humans, Periodontitis, Saliva, Inflammasomes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review