Evidence map›Paper›PMID 40869031›Full record

ReviewInternational journal of molecular sciences2025

The Periodontal-Cardiovascular Disease Association: Molecular Mechanisms and Clinical Implications.

Elisabetta Ferrara, Alessandro D'Albenzio, Jessica Bassignani, Isabella Di Tanna, Giovanna Murmura, Giuseppe Balice

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Chaperonin in health and disease.Molecular biomedicine · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Endospore-formingFrontiers in oral health · 2025
    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

6 authors.

Elisabetta FerraraDepartment of Human Sciences, Law, and Economics, Telematic University "Leonardo Da Vinci"-UNIDAV, Torrevecchia Teatina, 66100 Chieti, Italy.ORCID 0000-0002-4831-4098
Alessandro D'AlbenzioComplex Operative Unit of Pathological Addiction, Addiction Service, ASL2 Abruzzo, 66100 Chieti, Italy.
Jessica BassignaniEuropean Institute of Medical Studies (EIMS), STJ 3150 San Ġiljan, Malta.ORCID 0009-0009-2506-6595
Isabella Di TannaIndependent Researcher, 65015 Pescara, Italy.
Giovanna MurmuraDepartment of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy.
Giuseppe BaliceDepartment of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy.ORCID 0009-0003-2760-8956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relationship between periodontitis and cardiovascular diseases (CVDs) extends beyond epidemiological associations, as demonstrated by meta-analyses showing a significantly increased risk for coronary heart disease development. At the core of this association lies systemic inflammation, where periodontal pathogens initiate cascades of pro-inflammatory cytokines. This inflammatory response manifests through substantial elevations in interleukin-1 beta (IL-1β), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) in periodontitis patients. Oxidative stress plays a crucial role, with Nicotinamide Adenine Dinucleotide Phosphate (NADPH) Oxidase 2 (NOX2) activation leading to markedly increased superoxide production compared to healthy controls. The peroxynitrite formed via NO-superoxide interaction accumulates in affected vascular tissues, substantially reducing nitric oxide (NO) bioavailability. Molecular mimicry mechanisms are evidenced by

Indexed as

Cardiovascular DiseasesPeriodontal DiseasesPeriodontitisAnimalsHumansInflammationOxidative Stresscardiovascular diseaseendothelial dysfunctionepigenetic modificationinflammationNLRP3 inflammasomeoxidative stressperiodontal disease

Identifiers

PMID40869031
PMCPMC12387035

What Socratic 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 Socratic graph.