Comparative Analysis of Salivary Galectin-8, Galectin-9, and RANKL Levels in Periodontal Health and Disease

Oral Dis. 2026 Apr;32(4):1119-1127. doi: 10.1111/odi.70213. Epub 2026 Jan 19.

Abstract

Objective: This study aimed to compare salivary levels of galectin-8, galectin-9, and RANKL in individuals with gingivitis, periodontitis, and healthy periodontium, and to evaluate their diagnostic potential in periodontal diseases.

Methods: A total of 60 systemically healthy, non-smoking individuals were included in this cross-sectional study. Participants were divided into three groups based on periodontal examination: healthy (Group H, n = 20), gingivitis (Group G, n = 20), and periodontitis (Group P, n = 20). Clinical periodontal parameters were recorded. Salivary biomarker levels were analyzed using ELISA.

Results: All biomarkers were significantly elevated in groups G and P compared to group H (p < 0.05), and higher in group P than group G (p < 0.05). ROC analysis revealed that galectin-9 (AUC = 0.946) was significantly better at distinguishing periodontal disease than galectin-8 (AUC = 0.832) and RANKL (AUC = 0.780) (p < 0.05). No significant difference was observed between galectin-8 and RANKL (p > 0.05).

Conclusion: Salivary galectin-8, galectin-9, and RANKL levels are elevated in periodontal disease and may serve as diagnostic biomarkers. Among them, galectin-9 demonstrated superior discriminative power for identifying periodontal disease.

Trial registration: NCT06404476.

Keywords: RANKL; galectin‐8; galectin‐9; periodontal disease; saliva.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Biomarkers / analysis
  • Biomarkers / metabolism
  • Cross-Sectional Studies
  • Female
  • Galectins* / analysis
  • Galectins* / metabolism
  • Gingivitis* / diagnosis
  • Gingivitis* / metabolism
  • Humans
  • Male
  • Middle Aged
  • Periodontal Diseases* / diagnosis
  • Periodontal Diseases* / metabolism
  • Periodontitis* / diagnosis
  • Periodontitis* / metabolism
  • RANK Ligand* / analysis
  • RANK Ligand* / metabolism
  • Saliva* / chemistry
  • Young Adult

Substances

  • Biomarkers
  • Galectins
  • LGALS8 protein, human
  • LGALS9 protein, human
  • RANK Ligand
  • TNFSF11 protein, human

Associated data

  • ClinicalTrials.gov/NCT06404476