Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis

Background: Periodontitis is an inflammatory condition initiated by oral bacteria and is associated with several systemic diseases. Quercetin is an anti-inflammatory and anti-bacterial poly-phenol present in various foods. The aim of this meta-analysis was the evaluation of the effects of quercetin...

Full description

Bibliographic Details
Main Authors: Markus Laky, Muazzez Arslan, Xilei Zhu, Xiaohui Rausch-Fan, Andreas Moritz, Anton Sculean, Brenda Laky, Christoph A. Ramseier, Alexandra Stähli, Sigrun Eick
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/5/735
_version_ 1797263996755116032
author Markus Laky
Muazzez Arslan
Xilei Zhu
Xiaohui Rausch-Fan
Andreas Moritz
Anton Sculean
Brenda Laky
Christoph A. Ramseier
Alexandra Stähli
Sigrun Eick
author_facet Markus Laky
Muazzez Arslan
Xilei Zhu
Xiaohui Rausch-Fan
Andreas Moritz
Anton Sculean
Brenda Laky
Christoph A. Ramseier
Alexandra Stähli
Sigrun Eick
author_sort Markus Laky
collection DOAJ
description Background: Periodontitis is an inflammatory condition initiated by oral bacteria and is associated with several systemic diseases. Quercetin is an anti-inflammatory and anti-bacterial poly-phenol present in various foods. The aim of this meta-analysis was the evaluation of the effects of quercetin administration in animal models of experimental periodontitis. Methods: A systematic search was performed in electronic databases using the following search terms: “periodontitis” or “periodontal disease” or “gingivitis” and “quercetin” or “cyanidanol” or “sophoretin” or “pentahydroxyflavone”. In vivo preclinical animal models of experimental periodontal disease with a measurement of alveolar bone loss were included in the analysis. The risk of bias of the included studies was assessed using the SYRCLE tool. Results: The systematic search yielded 335 results. Five studies were included, four of them qualified for a meta-analysis. The meta-analysis showed that quercetin administration decreased alveolar bone loss (τ<sup>2</sup> = 0.31, 1.88 mm 95%CI: 1.09, 2.67) in experimental periodontal disease animal models. However, the risk of bias assessment indicated that four SYRCLE domains had a high risk of bias. Conclusions: Quercetin diminishes periodontal bone loss and prevents disease progression in animal models of experimental periodontal disease. Quercetin might facilitate periodontal tissue hemostasis by reducing senescent cells, decreasing oxidative stress via SIRT1-induced autophagy, limiting inflammation, and fostering an oral bacterial microenvironment of symbiotic microbiota associated with oral health. Future research will show whether and how the promising preclinical results can be translated into the clinical treatment of periodontal disease.
first_indexed 2024-04-25T00:21:53Z
format Article
id doaj.art-24832857c4704a51924832c4aed19794
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-04-25T00:21:53Z
publishDate 2024-03-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-24832857c4704a51924832c4aed197942024-03-12T16:52:24ZengMDPI AGNutrients2072-66432024-03-0116573510.3390/nu16050735Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-AnalysisMarkus Laky0Muazzez Arslan1Xilei Zhu2Xiaohui Rausch-Fan3Andreas Moritz4Anton Sculean5Brenda Laky6Christoph A. Ramseier7Alexandra Stähli8Sigrun Eick9Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDivision of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, SwitzerlandDivision of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDivision of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, SwitzerlandCenter of Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, SwitzerlandDepartment of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, SwitzerlandDepartment of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, SwitzerlandBackground: Periodontitis is an inflammatory condition initiated by oral bacteria and is associated with several systemic diseases. Quercetin is an anti-inflammatory and anti-bacterial poly-phenol present in various foods. The aim of this meta-analysis was the evaluation of the effects of quercetin administration in animal models of experimental periodontitis. Methods: A systematic search was performed in electronic databases using the following search terms: “periodontitis” or “periodontal disease” or “gingivitis” and “quercetin” or “cyanidanol” or “sophoretin” or “pentahydroxyflavone”. In vivo preclinical animal models of experimental periodontal disease with a measurement of alveolar bone loss were included in the analysis. The risk of bias of the included studies was assessed using the SYRCLE tool. Results: The systematic search yielded 335 results. Five studies were included, four of them qualified for a meta-analysis. The meta-analysis showed that quercetin administration decreased alveolar bone loss (τ<sup>2</sup> = 0.31, 1.88 mm 95%CI: 1.09, 2.67) in experimental periodontal disease animal models. However, the risk of bias assessment indicated that four SYRCLE domains had a high risk of bias. Conclusions: Quercetin diminishes periodontal bone loss and prevents disease progression in animal models of experimental periodontal disease. Quercetin might facilitate periodontal tissue hemostasis by reducing senescent cells, decreasing oxidative stress via SIRT1-induced autophagy, limiting inflammation, and fostering an oral bacterial microenvironment of symbiotic microbiota associated with oral health. Future research will show whether and how the promising preclinical results can be translated into the clinical treatment of periodontal disease.https://www.mdpi.com/2072-6643/16/5/735quercetinperiodontal diseasemeta-analysisoral healthaging-related diseasesinflammatory response
spellingShingle Markus Laky
Muazzez Arslan
Xilei Zhu
Xiaohui Rausch-Fan
Andreas Moritz
Anton Sculean
Brenda Laky
Christoph A. Ramseier
Alexandra Stähli
Sigrun Eick
Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
Nutrients
quercetin
periodontal disease
meta-analysis
oral health
aging-related diseases
inflammatory response
title Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
title_full Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
title_fullStr Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
title_full_unstemmed Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
title_short Quercetin in the Prevention of Induced Periodontal Disease in Animal Models: A Systematic Review and Meta-Analysis
title_sort quercetin in the prevention of induced periodontal disease in animal models a systematic review and meta analysis
topic quercetin
periodontal disease
meta-analysis
oral health
aging-related diseases
inflammatory response
url https://www.mdpi.com/2072-6643/16/5/735
work_keys_str_mv AT markuslaky quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT muazzezarslan quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT xileizhu quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT xiaohuirauschfan quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT andreasmoritz quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT antonsculean quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT brendalaky quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT christopharamseier quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT alexandrastahli quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis
AT sigruneick quercetininthepreventionofinducedperiodontaldiseaseinanimalmodelsasystematicreviewandmetaanalysis