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August 25, 2026Journal Of Clinical Periodontology

Distinct Microbial and Host Proteome Signatures Relate to Proteolytic Activity in Gingival Crevicular Fluid in an Exploratory Study of Patients With Periodontitis

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Authors

MCMiguel Carda‐DiéguezSRStefan RüdigerGSGunnel Svensäter

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Overview

Observational study reveals that high gingival proteolytic activity correlates with specific microbes and inflammatory proteins in periodontitis, indicating potential for improved risk stratification.

Key Points

  • To evaluate proteolytic activity in gingival crevicular fluid in relation to clinical disease progression risk, microbial composition, and the host proteome in periodontitis.
  • Collected gingival crevicular fluid from 109 patients with periodontitis and stratified them into high and low proteolytic activity groups using a fluorescent substrate assay.
  • Profiled the subgingival microbiome using 16S rRNA gene sequencing and characterized the host proteome using mass spectrometry.
  • Classified 41 of 42 patients in the high proteolytic activity group as clinically high risk for disease progression, whereas the low-activity group comprised both low- and high-risk individuals.
  • Observed greater microbial diversity and enrichment of proteolytic pathogens (Fusobacterium nucleatum, Porphyromonas gingivalis, and Treponema denticola) in high-activity samples.
  • Identified 235 differentially expressed host proteins, with high-activity samples enriched in inflammatory and neutrophil-mediated immunity markers, while low-activity samples were enriched in tissue-protective protease inhibitors.

Cite This Study

Carda‐Diéguez et al. (2026) studied this question.

synapsesocial.com/papers/6a8d4a34e8bd2413309bc24dhttps://doi.org/10.1111/jcpe.70186
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