• Single-cell RNA sequencing identified 23 distinct immune cell clusters in periodontitis, revealing the heterogeneity of the immune microenvironment.
• Mendelian randomization analysis established causal relationships between three key genes (ANXA1, SLC11A1, VIM) and periodontitis risk.
• Pathway enrichment and immune infiltration analyses indicated that these genes are involved in critical immune regulatory mechanisms.
• Experimental validation confirmed upregulation of ANXA1, SLC11A1, and VIM in periodontitis tissues, suggesting their potential as therapeutic targets.
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