The association between the oral microbiome and hypertension: a systematic review

Background This study systematically reviewed the available evidence regarding the potential association between oral microbiota and hypertension.Methods A comprehensive search of online databases was conducted by two independent investigators for all relevant articles. All observational studies tha...

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Main Authors: Sadeq Ali Al-Maweri, Abeer A. Al-Mashraqi, Gamilah Al-Qadhi, Nezar Al-Hebshi, Raidan Ba-Hattab
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Oral Microbiology
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Online Access:https://www.tandfonline.com/doi/10.1080/20002297.2025.2459919
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author Sadeq Ali Al-Maweri
Abeer A. Al-Mashraqi
Gamilah Al-Qadhi
Nezar Al-Hebshi
Raidan Ba-Hattab
author_facet Sadeq Ali Al-Maweri
Abeer A. Al-Mashraqi
Gamilah Al-Qadhi
Nezar Al-Hebshi
Raidan Ba-Hattab
author_sort Sadeq Ali Al-Maweri
collection DOAJ
description Background This study systematically reviewed the available evidence regarding the potential association between oral microbiota and hypertension.Methods A comprehensive search of online databases was conducted by two independent investigators for all relevant articles. All observational studies that assessed the association between oral microbiota and hypertension were included. Quality appraisal was conducted using the NOS tool.Results A total of 17 studies comprising 6007 subjects were included. The studies varied with respect to sample type and microbial analysis method. All studies, except one, found significant differences in microbial composition between hypertensive and normotensive subjects. However, there were substantial inconsistencies regarding the specific differences identified. Still, a few taxa were repeatedly found enriched in hypertension including Aggregatibacter, Kingella, Lautropia, and Leptotrachia besides the red complex periodontal pathogens. When considering only studies that controlled for false discovery rates and confounders, Atopobium, Prevotella, and Veillonella were identified as consistently associated with hypertension.Conclusion There are significant differences in the oral microbiome between hypertensive and normotensive subjects. Despite the heterogeneity between the included studies, a subset of microbial taxa seems to be consistently enriched in hypertension. Further studies are highly recommended to explore this association.Registration PROSPERO database (ID: CRD42023495005).
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spelling doaj-art-5ba02625649d48139896d9ab0a42def42025-02-02T08:28:01ZengTaylor & Francis GroupJournal of Oral Microbiology2000-22972025-12-0117110.1080/20002297.2025.2459919The association between the oral microbiome and hypertension: a systematic reviewSadeq Ali Al-Maweri0Abeer A. Al-Mashraqi1Gamilah Al-Qadhi2Nezar Al-Hebshi3Raidan Ba-Hattab4College of Dental Medicine, QU Health, Qatar University, Doha, QatarCollege of Dental Medicine, QU Health, Qatar University, Doha, QatarDepartment of Basic Dental Sciences, Faculty of Dentistry, University of Science and Technology, Aden, YemenOral Microbiome Research Laboratory, Department of Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, PA, USACollege of Dental Medicine, QU Health, Qatar University, Doha, QatarBackground This study systematically reviewed the available evidence regarding the potential association between oral microbiota and hypertension.Methods A comprehensive search of online databases was conducted by two independent investigators for all relevant articles. All observational studies that assessed the association between oral microbiota and hypertension were included. Quality appraisal was conducted using the NOS tool.Results A total of 17 studies comprising 6007 subjects were included. The studies varied with respect to sample type and microbial analysis method. All studies, except one, found significant differences in microbial composition between hypertensive and normotensive subjects. However, there were substantial inconsistencies regarding the specific differences identified. Still, a few taxa were repeatedly found enriched in hypertension including Aggregatibacter, Kingella, Lautropia, and Leptotrachia besides the red complex periodontal pathogens. When considering only studies that controlled for false discovery rates and confounders, Atopobium, Prevotella, and Veillonella were identified as consistently associated with hypertension.Conclusion There are significant differences in the oral microbiome between hypertensive and normotensive subjects. Despite the heterogeneity between the included studies, a subset of microbial taxa seems to be consistently enriched in hypertension. Further studies are highly recommended to explore this association.Registration PROSPERO database (ID: CRD42023495005).https://www.tandfonline.com/doi/10.1080/20002297.2025.2459919Oral microbiotadysbiosishypertensionblood pressureassociationdysbiosis
spellingShingle Sadeq Ali Al-Maweri
Abeer A. Al-Mashraqi
Gamilah Al-Qadhi
Nezar Al-Hebshi
Raidan Ba-Hattab
The association between the oral microbiome and hypertension: a systematic review
Journal of Oral Microbiology
Oral microbiota
dysbiosis
hypertension
blood pressure
association
dysbiosis
title The association between the oral microbiome and hypertension: a systematic review
title_full The association between the oral microbiome and hypertension: a systematic review
title_fullStr The association between the oral microbiome and hypertension: a systematic review
title_full_unstemmed The association between the oral microbiome and hypertension: a systematic review
title_short The association between the oral microbiome and hypertension: a systematic review
title_sort association between the oral microbiome and hypertension a systematic review
topic Oral microbiota
dysbiosis
hypertension
blood pressure
association
dysbiosis
url https://www.tandfonline.com/doi/10.1080/20002297.2025.2459919
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