Non-Cochrane · aetiology · PM42558143

Association of oxidative stress-related gst gene polymorphisms with periodontitis susceptibility: A systematic review and meta-analysis.

Motahari Paria, Neshanifard Negin · Journal of advanced periodontology & implant dentistry · 2026 · PubMed · doi:10.34172/japid.026.3866

Findings

Population Adults (18 years or older) with periodontitis versus periodontally healthy controls

35 findings

GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
European
OR 1.42 [1.03, 1.95]
GRADE not reported
3 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sample size n>=100
OR 2.54 [1.93, 3.35]
GRADE not reported
3 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sample size n<100
OR 2.29 [1.47, 3.56]
GRADE not reported
3 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Resende et al
OR 3.047 [1.004, 9.245]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Arshad et al
OR 1.807 [1.206, 2.708]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)OR 2.94 [1.13, 7.63]
Moderate
Downgraded: risk of bias, imprecision, inconsistency
6 studies · 1444 participants
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Concolino et al
OR 2.434 [1.902, 3.115]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Asian
OR 4.71 [3.34, 6.65]
GRADE not reported
3 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Kim et al
OR 2.559 [1.97, 3.324]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Msolly et al
OR 3.225 [1.046, 9.945]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Heavy smokers (high-frequency consumers)
OR 5.2 [1.07, 25.14]
GRADE not reported
3 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Izakovicova et al
OR 3.658 [1.303, 10.268]
GRADE not reported
5 studies
GSTM1-null genotypeGSTM1-present genotypeOdds of periodontitis (case-control genotype association)
Light smokers (low-frequency consumers)
OR 1.51 [0.89, 2.57]
GRADE not reported
3 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)OR 0.64 [0.38, 1.09]
Low
Downgraded: imprecision
5 studies · 1305 participants
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Arshad et al
OR 0.78 [0.555, 1.096]
GRADE not reported
4 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
European
OR 0.7 [0.48, 1.01]
GRADE not reported
3 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Izakovicova et al
OR 0.651 [0.307, 1.381]
GRADE not reported
4 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sample size n>=100
OR 0.44 [0.2, 0.95]
GRADE not reported
2 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sample size n<100
OR 0.94 [0.58, 1.54]
GRADE not reported
3 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Light smokers (low-frequency consumers)
OR 0.79 [0.53, 1.16]
GRADE not reported
3 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Heavy smokers (high-frequency consumers)
OR 0.46 [0.18, 1.17]
GRADE not reported
2 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Concolino et al
OR 0.616 [0.323, 1.175]
GRADE not reported
4 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Msolly et al
OR 0.538 [0.318, 0.908]
GRADE not reported
4 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: leave-one-out excluding Resende et al
OR 0.627 [0.339, 1.159]
GRADE not reported
4 studies
GSTT1-null genotypeGSTT1-present genotypeOdds of periodontitis (case-control genotype association)
Asian
OR 0.59 [0.15, 2.43]
GRADE not reported
2 studies
GSTP1 rs1695 G alleleGSTP1 rs1695 A alleleOdds of periodontitis (case-control genotype association)
Sensitivity: excluding Arshad et al (control HWE P=0.001)
OR 0.9 [0.67, 1.21]
GRADE not reported
2 studies
GSTP1 rs1695 G alleleGSTP1 rs1695 A alleleOdds of periodontitis (case-control genotype association)
Unresolved: the two extractors disagree on this row.
OR 1.56 [1.22, 1.99]
Low
Downgraded: inconsistency
3 studies · 1000 participants
GSTP1 rs1695 GG genotypeGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Unresolved: the two extractors disagree on this row.
OR 1.98 [1.09, 3.6]
Low
Downgraded: inconsistency
3 studies · 1000 participants
GSTP1 rs1695 GG genotypeGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: excluding Arshad et al (control HWE P=0.001)
OR 0.92 [0.45, 1.88]
GRADE not reported
2 studies
GSTP1 rs1695 AG genotypeGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Unresolved: the two extractors disagree on this row.
OR 1.47 [1.07, 2.03]
Low
Downgraded: inconsistency
3 studies · 1000 participants
GSTP1 rs1695 AG genotypeGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: excluding Arshad et al (control HWE P=0.001)
OR 0.84 [0.57, 1.25]
GRADE not reported
2 studies
GSTP1 rs1695 AG+GG genotypesGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Sensitivity: excluding Arshad et al (control HWE P=0.001)
OR 0.85 [0.59, 1.24]
GRADE not reported
2 studies
GSTP1 rs1695 AG+GG genotypesGSTP1 rs1695 AA genotypeOdds of periodontitis (case-control genotype association)
Unresolved: the two extractors disagree on this row.
OR 1.64 [1.22, 2.22]
Low
Downgraded: inconsistency
3 studies · 1000 participants
GSTP1 rs1695 GG genotypeGSTP1 rs1695 AG+AA genotypesOdds of periodontitis (case-control genotype association)
Unresolved: the two extractors disagree on this row.
OR 1.84 [1.03, 3.3]
Low
Downgraded: inconsistency
3 studies · 1000 participants
GSTP1 rs1695 GG genotypeGSTP1 rs1695 AG+AA genotypesOdds of periodontitis (case-control genotype association)
Sensitivity: excluding Arshad et al (control HWE P=0.001)
OR 0.98 [0.49, 1.96]
GRADE not reported
2 studies

Included primary studies 7

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Arshad 2023
Association of GSTTI, M1 and Polymorphism in GSTPI with Chronic Periodontal Disease in a Pakistani Population.
PMID:36833382
20231 other reviewOdds of periodontitis (case-control genotype association)not extracted yet
Concolino 2007
Association of periodontitis with GSTM1/GSTT1-null variants--a pilot study.
PMID:17524385
20071 other reviewOdds of periodontitis (case-control genotype association)not extracted yet
Izakovicova 2024
Glutathione S-transferase M1, T1, and P1 polymorphisms and periodontitis in a Caucasian population: a case-control study.
PMID:38419025
20241 other reviewOdds of periodontitis (case-control genotype association)not extracted yet
Kim 2004
Polymorphisms in genes coding for enzymes metabolizing smoking-derived substances and the risk of periodontitis.
PMID:15491310
20041 other reviewOdds of periodontitis (case-control genotype association)not extracted yet
Saravanan 2023
Genetic association between rs1695 in glutathione S-transferase P1 and risk of periodontitis: a pilot study.
PMID:37886736
20231 other reviewOdds of periodontitis (case-control genotype association)not extracted yet
Msolly 2015
matched by author and year (probable)
NRthis review onlyOdds of periodontitis (case-control genotype association)not extracted yet
Resende 2013
Rethinking patient-ventilator asynchronies: toward a mechanism-based framework-Author's reply.
PMID:42201358
2026this review onlyOdds of periodontitis (case-control genotype association)not extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationAdults (>=18 years) with clinically or radiographically defined periodontitisAdults with periodontitis and healthy controls; 752 cases and 773 controls (n=1525; 7 studies)
InterventionPresence of GSTM1, GSTT1 or GSTP1 (rs1695) variantsGSTM1-null (n=6 studies); GSTT1-null (n=5 studies); GSTP1 rs1695 (n=3 studies)
ComparisonPeriodontally healthy controlsPeriodontally healthy controls (n=773)
OutcomesOdds of periodontitis (OR, 95% CI)Odds of periodontitis (OR)
Study designsObservational studies (case-control, cohort, cross-sectional); full-text English articlesCase-control studies (n=7)
TimingNot specifiedNot specified