Evidence map›Paper›PMID 41753617›Full record

ReviewMicroorganisms2026

Harnessing Microbiome-Mediated and Macrophage-Driven Mechanisms for Oral Wound Healing.

Keerthi Priya Chinniampalayam Sekar, Bianca Schmiliver, Paige Elizabeth Pieterick, Tim Cha, Helly A Patel, Hope Robinson, Prashant Kumar, David T Wu, Rheinallt Jones, Steven Goudy

Abstract readReview
In one paragraph

Review in Microorganisms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

10 authors.

Keerthi Priya Chinniampalayam SekarDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0001-7769-3624
Bianca SchmiliverDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0009-0006-2699-9950
Paige Elizabeth PieterickThe Wallace H. Coulter Department of Biomedical Engineering, Georgia Tech and Emory, Atlanta, GA 30332, USA.ORCID 0009-0004-3694-609X
Tim ChaDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0009-0001-9230-7119
Helly A PatelDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0009-0002-1691-386X
Hope RobinsonDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-4255-1308
Prashant KumarDepartment of Pediatrics, Center of CF and Airways Disease Research, Immunology and Molecular Pathogenesis, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0003-1038-6149
David T WuDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, MA 02115, USA.ORCID 0000-0002-9752-5377
Rheinallt JonesDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-0415-9487
Steven GoudyDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral mucosa healing is a complex process that involves the innate wound healing system, including the coagulation cascade, extracellular matrix remodeling, immune cell responses, and fibroblast and epithelial responses, within the context of a dynamic resident microbiome. Unlike cutaneous wounds, oral wounds heal rapidly with minimal scarring despite constant exposure to diverse microbial communities, saliva, and mechanical stress. Emerging evidence highlights the critical interplay between microbiome-mediated signaling and macrophage plasticity in shaping wound outcomes, suggesting that similar mechanisms operate within the oral cavity. Inflammation is an essential component of wound repair, and its resolution is necessary to promote tissue remodeling and functional regeneration. Macrophages play a central role in this transition through phenotype switching from a pro-inflammatory (M1) to a pro-resolving, anti-inflammatory (M2) state. This review synthesizes current understanding of the oral microbiome's influence on macrophage polarization across distinct stages of oral wound healing and examines microbial-based strategies that modulate the immune response to enhance repair. Significant knowledge gaps remain, including limited clinical translation, inter-individual variability in microbiome composition, and complete mechanistic insight into host-microbe immune interaction. Addressing these challenges enables the development of precision microbiome-based therapeutics that restore microbial balance, direct macrophage-driven regeneration, and improve outcomes in oral wounds and chronic inflammatory conditions.

Indexed as

host–microbe interactionsinflammation resolutionmacrophage polarizationmicrobiome-based therapeuticsoral microbiomeoral wound healing

Identifiers

PMID41753617
PMCPMC12943451

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.