Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization

Abstract Background The disruption of microbiota balance could be a pivotal factor in the complications arising from periodontal disease-induced inflammation outside the mouth. Nonetheless, it remains uncertain whether there is a direct causal relationship between the oral and gut microbiomes and gi...

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Main Authors: Jichao Lin, Qingjiang Xu, Wei Bi, Youcheng Yu, Qinglian Wang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06658-z
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author Jichao Lin
Qingjiang Xu
Wei Bi
Youcheng Yu
Qinglian Wang
author_facet Jichao Lin
Qingjiang Xu
Wei Bi
Youcheng Yu
Qinglian Wang
author_sort Jichao Lin
collection DOAJ
description Abstract Background The disruption of microbiota balance could be a pivotal factor in the complications arising from periodontal disease-induced inflammation outside the mouth. Nonetheless, it remains uncertain whether there is a direct causal relationship between the oral and gut microbiomes and gingivitis, especially in distinguishing between acute and chronic gingivitis. Methods We performed a two-sample Mendelian randomization (MR) analysis using GWAS summary statistics from FinnGen data (149 acute gingivitis cases, 850 chronic gingivitis cases, and 195,395 controls) to explore the causal role of oral and gut microbiota. The primary analysis employed the inverse-variance weighted (IVW) method, augmented by four supplementary approaches: weighted median, weighted mode, and MR Egger regression, all aimed at detecting and adjusting for horizontal pleiotropy. Results In the gut microbiota, the results of IVW showed that class Negativicutes, Verrucomicrobiae, genus Butyricicoccus, Eubacterium, Lactobacillus, order Selenomonadales and Verrucomicrobiales were linked to a higher risk of acute gingivitis, while family Peptostreptococcaceae, genus Coprococcus2, and genus Lachnospiraceae UCG001 were linked to a lower risk of acute gingivitis (P < 0.05). Class Erysipelotrichia, Methanobacteria, Verrucomicrobiae, family Defluviitaleaceae, Erysipelotrichaceae, Methanobacteriaceae, Verrucomicrobiaceae, genus Akkermansia, Christensenellaceae R 7group, Defluviitaleaceae UCG011, Methanobrevibacter, genus Paraprevotella, Senegalimassilia, order Erysipelotrichales, Methanobacteriales, Verrucomicrobiales, and phylum Cyanobacteria were linked to a higher risk of chronic gingivitis, while family Clostridiales vadin BB60 group, genus Allisonella, Dorea, and Lachnospiraceae UCG004 were linked to a lower risk of chronic gingivitis (P < 0.05). And in the oral microbiota, unknown Porphyromonas species (ASV0008) and Genus Porphyromonas were linked to higher risk of acute gingivitis (P < 0.05). Unknown Neisseria species (ASV0004) and unknown Veillonella species (ASV0001) were linked to higher risk of chronic gingivitis, while Class Bacilli was linked to lower risk of chronic gingivitis (P < 0.05). Conclusions This MR analysis confirms the distinct causal relationships between microbiota and both acute and chronic gingivitis, providing insights into potential prevention strategies in European. Clinical trial number Not applicable.
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spelling doaj-art-db41c7cfa8634aafa08f13d35d69caab2025-08-20T03:42:07ZengBMCBMC Oral Health1472-68312025-07-0125111010.1186/s12903-025-06658-zOral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomizationJichao Lin0Qingjiang Xu1Wei Bi2Youcheng Yu3Qinglian Wang4Department of Stomatology, Zhongshan Hospital (Xiamen), Fudan UniversityDepartment of Stomatology, Zhongshan Hospital (Xiamen), Fudan UniversityDepartment of Stomatology, Zhongshan Hospital, Fudan UniversityDepartment of Stomatology, Zhongshan Hospital, Fudan UniversityDepartment of Stomatology, Zhongshan Hospital (Xiamen), Fudan UniversityAbstract Background The disruption of microbiota balance could be a pivotal factor in the complications arising from periodontal disease-induced inflammation outside the mouth. Nonetheless, it remains uncertain whether there is a direct causal relationship between the oral and gut microbiomes and gingivitis, especially in distinguishing between acute and chronic gingivitis. Methods We performed a two-sample Mendelian randomization (MR) analysis using GWAS summary statistics from FinnGen data (149 acute gingivitis cases, 850 chronic gingivitis cases, and 195,395 controls) to explore the causal role of oral and gut microbiota. The primary analysis employed the inverse-variance weighted (IVW) method, augmented by four supplementary approaches: weighted median, weighted mode, and MR Egger regression, all aimed at detecting and adjusting for horizontal pleiotropy. Results In the gut microbiota, the results of IVW showed that class Negativicutes, Verrucomicrobiae, genus Butyricicoccus, Eubacterium, Lactobacillus, order Selenomonadales and Verrucomicrobiales were linked to a higher risk of acute gingivitis, while family Peptostreptococcaceae, genus Coprococcus2, and genus Lachnospiraceae UCG001 were linked to a lower risk of acute gingivitis (P < 0.05). Class Erysipelotrichia, Methanobacteria, Verrucomicrobiae, family Defluviitaleaceae, Erysipelotrichaceae, Methanobacteriaceae, Verrucomicrobiaceae, genus Akkermansia, Christensenellaceae R 7group, Defluviitaleaceae UCG011, Methanobrevibacter, genus Paraprevotella, Senegalimassilia, order Erysipelotrichales, Methanobacteriales, Verrucomicrobiales, and phylum Cyanobacteria were linked to a higher risk of chronic gingivitis, while family Clostridiales vadin BB60 group, genus Allisonella, Dorea, and Lachnospiraceae UCG004 were linked to a lower risk of chronic gingivitis (P < 0.05). And in the oral microbiota, unknown Porphyromonas species (ASV0008) and Genus Porphyromonas were linked to higher risk of acute gingivitis (P < 0.05). Unknown Neisseria species (ASV0004) and unknown Veillonella species (ASV0001) were linked to higher risk of chronic gingivitis, while Class Bacilli was linked to lower risk of chronic gingivitis (P < 0.05). Conclusions This MR analysis confirms the distinct causal relationships between microbiota and both acute and chronic gingivitis, providing insights into potential prevention strategies in European. Clinical trial number Not applicable.https://doi.org/10.1186/s12903-025-06658-zTwo-sample Mendelian randomizationGut microbiotaGingivitisGenome-wide association study
spellingShingle Jichao Lin
Qingjiang Xu
Wei Bi
Youcheng Yu
Qinglian Wang
Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
BMC Oral Health
Two-sample Mendelian randomization
Gut microbiota
Gingivitis
Genome-wide association study
title Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
title_full Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
title_fullStr Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
title_full_unstemmed Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
title_short Oral and gut microbiota in gingivitis subtypes: a causal inference study using Mendelian randomization
title_sort oral and gut microbiota in gingivitis subtypes a causal inference study using mendelian randomization
topic Two-sample Mendelian randomization
Gut microbiota
Gingivitis
Genome-wide association study
url https://doi.org/10.1186/s12903-025-06658-z
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