“…However, it is also important to consider that periodontitis is a complex trait disease, in which several other periodontopathogens, viruses, immunoregulatory cytokines, and systemic modifying factors not considered in this investigation may also be involved in the modulation of IL-1 levels (17,26,45,48). Therefore, it is reasonable to expect that SNPs, even those proven to be functional like IL-1(3954), potentially play a significant but not major role in the disease outcome, as described for other pathologies (21,22,50). Indeed, even in experimental periodontitis in knockout mice, in which a given cytokine is completely absent, the disease severity is usually found to be partially, but not completely, increased or decreased (9,10,44).…”