Evidence mapPaperPMID 42440521Full record

ReviewFrontiers in immunology2026

Host-microbiome-immune disequilibrium in oral disease: mechanisms, dysbiosis, and precision therapeutics.

Ming Lv, Wenya Xu, Tong Wang, Kehao Mou, Zijian Ni, Qiudi Tu, Jingkun Zhang, Xue Wu, Siyuan Song, Gang Cheng

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 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
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

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

10 authors.

Ming Lv *Department of Stomatology, The First People's Hospital of Lin'an District, Hangzhou, Zhejiang, China.
Wenya Xu *Department of Emergency Medicine, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou, Zhejiang, China.
Tong Wang *Department of Biology, Duke University, Durham, NC, United States.
Kehao MouSchool of Stomatology, Hangzhou Normal University, Hangzhou, Zhejiang, China.
Zijian NiSchool of Stomatology, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Qiudi TuUrology & Nephrology Center, Department of Nephrology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Jingkun ZhangDepartment of Physiology, University of California, San Francisco, San Francisco, CA, United States.
Xue WuInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States.
Siyuan SongDepartment of Neuroscience, Baylor College of Medicine, Houston, TX, United States.
Gang ChengCenter for Plastic & Reconstructive Surgery, Department of Stomatology, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The oral cavity harbors a dynamic microbial ecosystem that interacts with epithelial barriers, host immunity, and local tissue environments. Disruption of this balance is increasingly recognized as a key driver of major oral diseases, including periodontitis, dental caries, and oral squamous cell carcinoma (OSCC). However, the biological links between microbial ecology, immune regulation, and disease progression are insufficiently integrated, limiting mechanistic understanding and translational progress. Methods: This structured narrative review searched PubMed/MEDLINE, Web of Science, Embase, and Scopus for relevant studies on oral microbiome ecology, mucosal immunity, dysbiosis, oral diseases, and emerging therapies. Evidence was narratively synthesized across microbiome ecology, mucosal immunology, disease pathogenesis, and translational research, with consideration of study type, mechanistic relevance, and translational significance. Results: Current evidence supports that oral homeostasis relies on coordinated interactions among commensal microbial communities (CMC), epithelial and salivary barriers, and immune surveillance. Dysbiosis disrupts this equilibrium by promoting the expansion of pathobionts, amplifying inflammatory responses, and contributing to tissue injury. This systems-level perspective helps explain the persistence and heterogeneity of oral diseases beyond pathogen-centered models. Emerging technologies are reshaping this field. These include microbiome-modulating therapies, host-directed interventions, multi-omics approaches, and artificial intelligence (AI). These approaches are advancing disease stratification, biomarker discovery, and precision therapeutic development. Conclusion: Oral diseases should be understood as disorders of host-microbiome-immune disequilibrium rather than as isolated infections. This perspective highlights the need for integrated strategies that consider microbial ecology, immune regulation, epithelial barrier function, and clinical context to improve prevention, diagnosis, and treatment in precision oral medicine.

Indexed as

DysbiosisHost Microbial InteractionsMicrobiotaMouth DiseasesAnimalsHumansImmunity, MucosalMouthPrecision Medicinedysbiosishost-microbiome interactionsimmune homeostasisoral microbiomeoral mucosal immunityprecision oral medicine

Identifiers

PMID42440521
PMCPMC13333511

What Socratic holds

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LicenceCC BY
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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.