For citation: Darenskaya MA, Goncharov IS, Yuzvak NA, Kolesnikov SI, Bolshedvorskaya NE, Kolesnikova LI. Oxidative Stress and Oral microbiota in Periodontitis (Brief-Review). International Journal of Biomedicine. 2025;15(4):634-638. doi:10.21103/Article15(4)_RA2
Originally published December 5, 2025
The investigation of periodontitis pathogenesis is critically important due to its global prevalence. It has been established that periodontitis is associated with chronic periodontal inflammation, alveolar bone loss, the development of oxidative stress, and oral microbiota dysbiosis. Oxidative stress biomarkers (e.g., malondialdehyde, 8-OHdG) and genetic factors (CXCR4, SELL, ITGAL) exacerbate tissue damage and osteoclastogenesis. The oral microbiota plays a significant role in the development and progression of periodontitis through complex interactions with host immune responses, mediated by pathogenic bacteria like Porphyromonas gingivalis and their metabolic byproducts. Emerging therapies targeting OS (e.g., resveratrol, curcumin) and microbial balance highlight the need for integrated treatment strategies. In this context, it is particularly relevant to investigate the interplay between oxidative stress and microbial dysbiosis to develop targeted therapeutic strategies for the prevention and treatment of periodontitis and its systemic complications.
- Ayati A, Khodabandelu S, Khaleghi S, Nourmohammadi A, Jafari F, Ahmadianghalehsorkh M, et al. A systematic review and network meta-analysis of the association between periodontitis and inflammatory bowel diseases. BMC Oral Health. 2025;25(1):463. doi: 10.1186/s12903-025-05830-9.
- World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030; 2022.
- de Pablo P, Chapple IL, Buckley CD, Dietrich T. Periodontitis in systemic rheumatic diseases. Nature reviews. Rheumatology. 2009; 5(4):218–224. doi: 10.1038/nrrheum.2009.28
- Wang Z, Saxena A, Yan W, Uriarte SM, Siqueira R, Li X. The impact of aging on neutrophil functions and the contribution to periodontitis. International journal of oral science. 2025;17(1):10. doi: 10.1038/s41368-024-00332-w
- Ray RR. Periodontitis: an oral disease with severe consequences. Applied biochemistry and biotechnology. 2023;195(1):17-32. doi: 10.1007/s12010-022-04127-9
- Hung M, Kelly R, Mohajeri A, Reese L, Badawi S, Frost C, et al. Factors associated with periodontitis in younger individuals: A scoping review. Journal of Clinical Medicine. 2023;12(20):6442. doi: 10.3390/jcm12206442
- Orlandi M, Munoz Aguilera E, Marletta D, Petrie A, Suvan J, D'Aiuto F. Impact of the treatment of periodontitis on systemic health and quality of life: A systematic review. Journal of Clinical Periodontology. 2022;49:314-327. doi: 10.1111/jcpe.13554.
- Schenkein HA, Papapanou PN, Genco R, Sanz M. Mechanisms underlying the association between periodontitis and atherosclerotic disease. Periodontology 2000. 2020;83(1):90–106. doi: 10.1111/prd.12304.
- Genco RJ, Sanz M. Clinical and public health implications of periodontal and systemic diseases: An overview. Periodontology. 2000. 2020;83(1):7–13. doi: 10.1111/prd.12344.
- Ishai A, Osborne MT, El Kholy K, Takx RAP, Ali A, Yuan N, et al. Periodontal Disease Associates With Arterial Inflammation Via Potentiation of a Hematopoietic-Arterial Axis. JACC Cardiovasc. Imaging. 2019;12:2271–2273. doi: 10.1016/j.jcmg.2019.05.015.
- Kolesnikova LI, Darenskaya MA, Kolesnikov SI. [Free radical oxidation: a pathophysiologist’s view]. Bulletin of Siberian Medicine. 2017;16(4):16-29. doi: 10.20538/1682-0363-2017-4-16-29. [Article in Russian].
- Darenskaya MA, Grebenkina LA, Sholokhov LF, Rashidova MA., Semenova NV, Kolesnikov SI, et al. Lipid peroxidation activity in women with chronic viral hepatitis. Free Radical Biology & Medicine. 2016;100(S):192. doi: 10.1016/j.freeradbiomed.2016.10.525.
- Darenskaya MA, Kolesnikova LR, Rychkova LV, Grebenkina LA, Semenova NV, Druzhinina EB, et al. Comparative Analysis of Lipid Peroxidation System in Humans and Rats with Arterial Hypertension. International Journal of Biomedicine. 2019;9(4):292-296. doi: 10.21103/Article9(4)_OA3
- Darenskaya M, Kolesnikova L, Kolesnikov S. The association of respiratory viruses with oxidative stress and antioxidants. implications for the COVID-19 pandemic. Current Pharmaceutical Design. 2021;27(13):1618-1627. doi: 10.2174/1381612827666210222113351
- Kolesnikova LR, Darenskaya MA, Pogodina AV, Grebenkina LA, Natyaganova LV, Kolesnikova LI, et al. [The relationship of hemodynamic parameters of periodontal microvascular bed and lipid peroxidation products in adolescents with arterial hypertension]. Stomatology. 2020;99(4):9‑14. doi: 10.17116/stomat2020990419 [Article in Russian]
- Kolesnikova LI, Darenskaya MA, Grebenkina LA, Osipova EV, Dolgikh MI, Semenova NV. [Analysis of antioxidant status and actual diet of students]. Voprosy pitaniia. 2015;84(4):66-73.[Article in Russian]
- Kolesnikova LI, Rychkova LV, Kolesnikova LR, Darenskaya MA, Natyaganova LV, Grebenkina LA., et al. Coupling of lipoperoxidation reactions with changes in arterial blood pressure in hypertensive isiah rats under conditions of chronic stress. Bulletin of Experimental Biology and Medicine. 2018;164(6):712-715.doi: 10.1007/s10517-018-4064-3
- Halliwell B. Understanding mechanisms of antioxidant action in health and disease. Nature Reviews Molecular Cell Biology. 2024;25(1):13-33. doi:10.1038/s41580-023-00645-4
- Sies H, Mailloux RJ, Jakob U. Fundamentals of redox regulation in biology. Nature Reviews Molecular Cell Biology. 2024;25(9):701-719. doi:10.1038/s41580-024-00730-2
- Zhang Z, ZhengY, Bian X, Wang M, Chou J, Haifeng L, et al. Identification of key genes and pathways associated with oxidative stress in periodontitis. Oxidative Medicine and Cellular Longevity, 2022;(1):1-27. doi: 10.1155/2022/9728172.
- Zhou W, Zhang P, Li H. Identifying Oxidative Stress-Related Genes (OSRGs) as Potential Target for Treating Periodontitis Based on Bioinformatics Analysis. Comb Chem High Throughput Screen. 2024;27(8):1191-1204. doi:10.2174/1386207326666230821102623
- Bassani B, Cucchiara M, Butera A, Kayali O, Chiesa A, Palano MT, et al. Neutrophils’ contribution to periodontitis and periodontitis-associated cardiovascular diseases. International Journal of Molecular Sciences. 2023;24(20):15370. doi: 10.3390/ijms242015370
- Palomino-Segura M, Sicilia J, Ballesteros I, Hidalgo A. Strategies of neutrophil diversification. Nature Immunology. 2023;24(4):575-584. doi: 10.1038/s41590-023-01452-x
- Patil RT, Dhadse PV, Salian SS, Punse SD, Dhadse P, Salian SS. Role of Oxidative Stress in Periodontal Diseases. Cureus. 2024;16(5). doi: 10.7759/cureus.60779
- Mohideen K, Chandrasekaran K, Veeraraghavan H, Faizee SH, Dhungel S, Ghosh S. Meta‐Analysis of Assessment of Total Oxidative Stress and Total Antioxidant Capacity in Patients with Periodontitis. Disease Markers. 2023;2023(1):9949047. doi: 10.1155/2023/9949047
- Skutnik-Radziszewska A, Zalewska A. Salivary redox biomarkers in the course of caries and periodontal disease. Applied Sciences. 2020;10(18):6240. doi: 10.3390/app10186240
- Leong XF, Ng CY, Badiah B, Das S. Association between hypertension and periodontitis: possible mechanisms. The Scientific World Journal. 2014;(1):11-41. doi:10.1155/2014/768237
- Goriuc A, Cojocaru KA, Luchian I, Ursu RG, Butnaru O, Foia L. Using 8-Hydroxy-2′-Deoxiguanosine (8-OHdG) as a Reliable Biomarker for Assessing Periodontal Disease Associated with Diabetes. International Journal of Molecular Sciences. 2024;25(3):1425. doi: 10.3390/ijms25031425
- Maciejczyk M, Zalewska A, Ładny JR. Salivary antioxidant barrier, redox status, and oxidative damage to proteins and lipids in healthy children, adults, and the elderly. Oxidative Medicine and Cellular Longevity. 2019;2019(1):4393460. doi: 10.1155/2019/4393460
- Toczewska J, Konopka T, Zalewska A, Maciejczyk M. Nitrosative Stress Biomarkers in the Non-Stimulated and Stimulated Saliva, as well as Gingival Crevicular Fluid of Patients with Periodontitis: Review and Clinical Study. Antioxidants. 2020;9(3):259. doi: 10.3390/antiox9030259
- de Mello Lobгo WJ, Zajdenverg L, Lopes GC, de Barros MCM, Sansone C, Silva-Boghossian CM. Redox biomarkers in saliva and nuclear abnormalities in jugal epithelial cells of individuals with type 2 diabetes mellitus and periodontitis. Archives of Oral Biology. 2024;161:105915. doi: 10.1016/j.archoralbio.2024.105915
- Sonoki K, Muraoka K, Morishita M, Awano S, Nakashima K. Periodontal Disease Shortens the Telomere Length in Human Gingival Crevicular Epithelium Cells and Human Umbilical Endothelial Cells. Journal of Biomedical Research & Environmental Sciences. 2024;5(9):1168-1175. doi: 10.37871/jbres2005
- Binti Badlishah Sham NI, Grant MM. Role of Glutathione in Neutrophil Chemotaxis in Periodontitis. Oral. 2023;3(4):526-538. doi: 10.3390/oral3040043
- Munday MR, Rodricks R, Fitzpatrick M, Flood VM, Gunton JE. A Pilot Study Examining Vitamin C Levels in Periodontal Patients. Nutrients. 2020;12(8):2255. doi: 10.3390/nu12082255
- Nascimento GG, Leite FR, Gonzalez-Chica DA, Peres KG, Peres MA. Dietary vitamin D and calcium and periodontitis: A population-based study. Frontiers in Nutrition. 2022;9:1016763. doi: 10.3389/fnut.2022.1016763
- Wu Y, Zhang X, Chen Y, Chen W, Qian W. Identification the Low Oxidative Stress Subtype of Periodontitis. International Dental Journal. 2024;74(1):119-128. doi:10.1016/j.identj.2023.07.011
- Huttenhower C, Gevers D, Knight R, Abubucker S, Badger JH, Chinwalla AT, et al. Structure, function and diversity of the healthy human microbiome. Nature. 2012;486:207–214. doi: 10.1038/nature11234.
- Di Stefano M, Polizzi A, Santonocito S, Romano A, Lombardi T, Isola G. Impact of Oral Microbiome in Periodontal Health and Periodontitis: A Critical Review on Prevention and Treatment. International Journal of Molecular Sciences. 2022;23(9):5142. doi: 10.3390/ijms23095142
- Gao L, Xu T, Huang G, Jiang S, Gu Y, Chen F. Oral microbiomes: More and more importance in oral cavity and whole body. Protein Cell. 2018;9:488–500. doi: 10.1007/s13238-018-0548-1.
- Lu M, Xuan S, Wang Z. Oral microbiota: A new view of body health. Food Sci. Hum. Wellness. 2019;8:8–15. doi: 10.1016/j.fshw.2018.12.001
- Malla MA, Dubey A, Kumar A, Yadav S, Hashem A, Abd Allah EF. Exploring the Human Microbiome: The Potential Future Role of Next-Generation Sequencing in Disease Diagnosis and Treatment. Front. Immunol. 2019;9:2868. doi: 10.3389/fimmu.2018.02868.
- Moore WE, Moore LV. The bacteria of periodontal diseases. Periodontology 2000. 1994;5:66–77. doi: 10.1111/j.1600-0757.1994.tb00019.x.
- Rajasekaran JJ, Krishnamurthy HK, Bosco J, Jayaraman V, Krishna K, Wang T, et al. Oral Microbiome: A Review of Its Impact on Oral and Systemic Health. Microorganisms. 2024; 12(9):1797. doi: 10.3390/microorganisms12091797
- Mukherjee S, Chopra A, Karmakar S, Bhat, SG. Periodontitis increases the risk of gastrointestinal dysfunction: an update on the plausible pathogenic molecular mechanisms. Critical Reviews in Microbiology. 2024;51(1):187–217.doi: 10.1080/1040841X.2024.2339260
- Yamaguchi T, Yamamoto Y, Egashira K, Sato A, Kondo Y, Saiki S, et al. Oxidative Stress Inhibits Endotoxin Tolerance and May Affect Periodontitis. Journal of Dental Research. 2022;102(3):331-339. doi:10.1177/00220345221138523
- Ramasubbu N, Thomas LM, Ragunath C, Kaplan JB. Structural analysis of dispersin B, a biofilm-releasing glycoside hydrolase from the periodontopathogen Actinobacillus actinomycetemcomitans. Journal of Molecular Biology. 2005;349(3):475-486. doi:10.1016/j.jmb.2005.03.082
- Fine DH, Patil AG and Velusamy SK. Aggregatibacter actinomycetemcomitans (Aa) Under the Radar: Myths and Misunderstandings of Aa and Its Role in Aggressive Periodontitis. Front. Immunol. 2019;10:728. doi: 10.3389/fimmu.2019.00728
- Sczepanik FSC, Grossi ML, Casati M, Goldberg M, Glogauer M, Fine N, et al. Periodontitis is an inflammatory disease of oxidativestress: We should treat it that way. Periodontol 2000. 2020;84:45-68. doi: 10.1111/prd.12342
- Albahri J, Allison H, Whitehead KA, Muhamadali H. The role of salivary metabolomics in chronic periodontitis: bridging oral and systemic diseases. Metabolomics. 2025;21(1):24. doi:10.1007/s11306-024-02220-0
- Kolesnikova LR, Darenskaya MA, Kolesnikova LI, Grebenkina LA, Kolesnikov SI, Korytov LI, et al. Morphofunctional state of the periodontal tissues in humans and rats with arterial hypertension. Bulletin of Experimental Biology and Medicine. 2020;169(6):831-835. doi: 10.1007/s10517-020-04990-8
- Stepanov EA, Kurashvili LV, Mikulyak NI, Moiseev YaP, Kinzirskiy AS. [The features of parodentium’s microcirculation in various systemic diseases (a literature review)]. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki. 2021;2:137–150. doi:10.21685/2072-3032-2021-2-13. [Article in Russian]
- Bairova TA, Kolesnikov SI, Kolesnikova LI, Pervushina OA, Darenskaya MA, Grebenkina LA. Lipid peroxidation and mitochondrial superoxide dismutase-2 gene in adolescents with essential hypertension. Bulletin of Experimental Biology and Medicine. 2015;158(2):181-184. doi: 10.1007/s10517-014-2717-4
- Kolesnikova LR, Darenskaya MA, Pogodina AV, Grebenkina LA, Natyaganova LV, Kolesnikova LI, et al. [The relationship of hemodynamic parameters of periodontal microvascular bed and lipid peroxidation products in adolescents with arterial hypertension]. Stomatology. 2020;99(4):9‑14. doi: 10.17116/stomat2020990419 [Article in Russian]
- Kolesnikova LI, Kolesnikova LR, Darenskaya MA, Natyaganova LV, Grebenkina LA, Korytov LI, et al. Comparison of Reactivity of the Lipid Peroxidation–Antioxidant Defense System in Normal and Hypertensive Rats at Different Stages of Stress-Reaction. Bulletin of Experimental Biology and Medicine. 2019;166(5):613-616. doi: 10.1007/s10517-019-04403-5
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Received April 14, 2025.
Accepted September 16, 2025.
©2025 International Medical Research and Development Corporation.




