Oral Bacteria: Friends and Foes?

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Bacterial Pathogens".

Deadline for manuscript submissions: closed (31 May 2023) | Viewed by 25999

Special Issue Editors


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Guest Editor
Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
Interests: oral microbiome; biofilms; host-microbe interaction
Special Issues, Collections and Topics in MDPI journals
State Key Laboratory of Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China
Interests: oral bacteria; dental materials

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Guest Editor
Department of Restorative Dentistry, School of Dentistry, São Paulo State University-UNESP, Araraquara, SP, Brazil
Interests: oral bacteria; biofilm; antimicrobials

Special Issue Information

Dear Colleagues,

A human oral cavity harbors more than 700 microbial species. These microbes form a complex and diverse microbial community and inhabit different niches as oral biofilms. In a healthy state, the oral biofilm and the host tissue maintain a delicate balance and form a symbiotic relationship. Upon environmental stresses, for example, poor oral hygiene, the biofilm community can shift from homeostasis to dysbiosis, represented by an outgrowth of pathogenic species and a reduction in beneficial species, leading to a breakdown of the abovementioned symbiotic relationship, and eventually oral infections, including dental caries, periodontitis, and peri-implantitis. This ecological concept indicates that not all resident oral microbes are foes, but some might be friends of the host. Some of them might be opportunistic, switching from friends to foes and vice versa, depending on the environment.

The conventional strategies for preventing or treating oral infections have been focused on oral biofilm killing. The commonly used mouth rinses often contain broad-spectrum antimicrobials. The indiscriminative killing of the entire microbial population by antimicrobials may suppress the friends of the host and perturb the oral ecology, consequently jeopardizing the long-term clinical treatment effect. The attention for oral biofilm control should turn to the restoration of a health-compatible microbial community.

This Special Issue aims to discuss the roles of both beneficial and pathogenic bacteria in oral infections and explore novel ecological approaches to control oral biofilms. It welcomes original papers and reviews that investigate and discuss at least one of the following: (1) Molecular insights on the roles of oral beneficial and pathogenic bacteria in oral infections; (2) interaction between oral bacteria (beneficial/pathogenic) and host; (3) interaction between oral beneficial bacteria and pathogenic bacteria; (4) application of microbiome modulation to maintain oral health; and (5) novel strategies to control oral polymicrobial biofilms.

Dr. Dongmei Deng
Dr. Lei Cheng
Dr. Alessandra Nara de Souza Rastelli
Guest Editors

Manuscript Submission Information

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Keywords

  • oral beneficial bacteria
  • oral pathogenic bacteria
  • host–microbe interaction
  • oral microbiome
  • oral biofilms
  • microbiome modulation

Published Papers (12 papers)

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Editorial

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4 pages, 204 KiB  
Editorial
Oral Bacteria: Friends and Foes?
by Jinzhi He, Lei Cheng, Alessandra Nara de Souza Rastelli and Dongmei Deng
Pathogens 2023, 12(11), 1319; https://doi.org/10.3390/pathogens12111319 - 06 Nov 2023
Viewed by 801
Abstract
The oral cavity is an ideal niche for microbial prosperity due to its stable temperature, suitable pH, and continuous nutrient supply [...] Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)

Research

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18 pages, 11379 KiB  
Article
Using Antimicrobial Photodynamic Therapy with Ultrasound Devices and Bioactive Glasses as a Combined Approach for Treating Dentin Caries Lesions
by João Felipe Besegato, Priscila Borges Gobbo de Melo, Adilson César Abreu Bernardi, Marina Trevelin Souza, Edgar Dutra Zanotto, Vanderlei Salvador Bagnato and Alessandra Nara de Souza Rastelli
Pathogens 2023, 12(8), 1052; https://doi.org/10.3390/pathogens12081052 - 17 Aug 2023
Cited by 1 | Viewed by 1068
Abstract
Novel approaches for caries lesion removal and treatment have been proposed. This study evaluates the combined use of an experimental ultrasound, aPDT (antimicrobial photodynamic therapy) and bioactive glasses on the removal, decontamination and remineralization of dentin caries lesions. A biological model created with [...] Read more.
Novel approaches for caries lesion removal and treatment have been proposed. This study evaluates the combined use of an experimental ultrasound, aPDT (antimicrobial photodynamic therapy) and bioactive glasses on the removal, decontamination and remineralization of dentin caries lesions. A biological model created with a duo species biofilm (Streptococcus mutans and Lactobacillus acidophilus) was used for the development of a caries-like lesion over the dentin for 7 days. Bovine dentin specimens (4 × 4 × 2 mm) were randomized according to the following caries removal techniques: bur (BUR) or ultrasound (ULT), decontamination (with or without aPDT) and remineralization materials (45S5 or F18 bioactive glasses). The following different groups were investigated: caries lesion (control); sound dentin (control); BUR; BUR + aPDT; ULT; ULT + aPDT; BUR + 45S5, BUR + F18; ULT + 45S5; ULT + F18; BUR + aPDT + 45S5; BUR + aPDT + F18; ULT + aPDT + 45S5; and ULT + aPDT + F18. Transverse microradiography (TMR), cross-sectional microhardness (CSH), FT-Raman spectroscopy and confocal microscopy (CLSM) were performed. A two-way ANOVA and Tukey’s test were used (α = 0.05). (3) Results: The TMR revealed a lesion depth of 213.9 ± 49.5 μm and a mineral loss of 4929.3% vol.μm. The CSH increases as a function of depth, regardless of the group (p < 0.05). Removal with BUR (24.40–63.03 KHN) has a greater CSH than ULT (20.01–47.53 KHN; p < 0.05). aPDT did not affect the CSH (p > 0.05). No difference was observed between 45S5 or F18 (p > 0.05), but a change was observed for ULT (p > 0.05). The FT-Raman shows no differences for the phosphate (p > 0.05), but a difference is observed for the carbonate and C-H bonds. The CLSM images show that aPDT effectively inactivates residual bacteria. A combination of ULT, aPDT and bioactive glasses can be a promising minimally invasive treatment. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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17 pages, 2561 KiB  
Article
Antibiofilm Efficacies of Flavonoid-Rich Sweet Orange Waste Extract against Dual-Species Biofilms
by Suvro Saha, Thuy Do, Joanne Maycock, Simon Wood and Christine Boesch
Pathogens 2023, 12(5), 657; https://doi.org/10.3390/pathogens12050657 - 28 Apr 2023
Cited by 3 | Viewed by 1541
Abstract
The current study evaluated the antibacterial properties of industrial sweet orange waste extracts (ISOWEs), which are a rich source of flavonoids. The ISOWEs exhibited antibacterial activity towards the dental cariogenic pathogens Streptococcus mutans and Lactobacillus casei with 13.0 ± 2.0 and 20.0 ± [...] Read more.
The current study evaluated the antibacterial properties of industrial sweet orange waste extracts (ISOWEs), which are a rich source of flavonoids. The ISOWEs exhibited antibacterial activity towards the dental cariogenic pathogens Streptococcus mutans and Lactobacillus casei with 13.0 ± 2.0 and 20.0 ± 2.0 mg/mL for MIC (minimum inhibitory concentration) and 37.7 ± 1.5 and 43.3 ± 2.1 mg/mL for MBC (minimum bactericidal concentration), respectively. When evaluated in a 7-day dual-species oral biofilm model, ISOWEs dose-dependently reduced the viable bacteria count, and demonstrated strong synergistic effects when combined with the anti-septic chlorhexidine (at 0.1 and 0.2%). Similarly, confocal microscopy confirmed the anti-cariogenic properties of ISOWEs, alone and in combination with chlorhexidine. The citrus flavonoids contributed differently to these effects, with the flavones (nobiletin, tangeretin and sinensetin) demonstrating significantly lower MICs and MBCs compared to the flavanones hesperidin and narirutin. In conclusion, our study demonstrated the potential of citrus waste as a currently underutilised source of flavonoids for antimicrobial applications, such as in dental health. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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13 pages, 1160 KiB  
Article
The Composition of Subgingival Microbiome in Hidradenitis Suppurativa and Periodontitis Patients
by Beata Jastrząb, Barbara Paśnik-Chwalik, Katarzyna Dębska-Łasut, Tomasz Konopka, Piotr K. Krajewski, Jacek C. Szepietowski and Łukasz Matusiak
Pathogens 2023, 12(3), 377; https://doi.org/10.3390/pathogens12030377 - 25 Feb 2023
Cited by 3 | Viewed by 1508
Abstract
Hidradenitis suppurativa (HS) is a chronic inflammatory disorder of the pilosebaceous unit of the intertriginous body areas. Recent findings have suggested the association between periodontitis and HS. This investigation aimed to characterize and compare the composition of subgingival microbiome between HS, periodontitis, and [...] Read more.
Hidradenitis suppurativa (HS) is a chronic inflammatory disorder of the pilosebaceous unit of the intertriginous body areas. Recent findings have suggested the association between periodontitis and HS. This investigation aimed to characterize and compare the composition of subgingival microbiome between HS, periodontitis, and control patients. The nine crucial perio-pathogenic species and total bacteria were analyzed using RT-PCR based tests in samples collected from 30 patients with periodontitis, 30 patients with HS and 30 controls. Patients with HS were excluded if they had periodontitis and patients with periodontitis were excluded if they had HS. The mean total bacteria count was significantly higher in HS and periodontitis samples than in control samples (p < 0.05). The majority of perio-pathogens tested were more frequently detected in HS and periodontitis groups than among controls. Treponema denticola was the most common pathogen in individuals with HS (70%) and periodontitis (86.7%), while among controls Capnocytophyga gingivalis was the most frequently detected isolate (33.2%). The results of the present investigation demonstrated that HS and periodontitis patients share some similarities in their subgingival microbiome composition. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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19 pages, 3452 KiB  
Article
Potential Use of Brazilian Green Propolis Extracts as New Photosensitizers for Antimicrobial Photodynamic Therapy against Cariogenic Microorganisms
by Analú Barros de Oliveira, Túlio Morandin Ferrisse, Gabriela Gomes França, Sarah Raquel de Annunzio, Willian Kopp, Carla Raquel Fontana and Fernanda Lourenção Brighenti
Pathogens 2023, 12(2), 155; https://doi.org/10.3390/pathogens12020155 - 17 Jan 2023
Cited by 2 | Viewed by 1804
Abstract
The synergic effect of Streptococcus mutans and Candida albicans increases dental caries severity. Antimicrobial photodynamic therapy (aPDT) is a non-invasive treatment for antimicrobial aspects. However, the current photosensitizers (PS) have many downsides for dental applications. This study aimed to evaluate the efficiency of [...] Read more.
The synergic effect of Streptococcus mutans and Candida albicans increases dental caries severity. Antimicrobial photodynamic therapy (aPDT) is a non-invasive treatment for antimicrobial aspects. However, the current photosensitizers (PS) have many downsides for dental applications. This study aimed to evaluate the efficiency of two different Brazilian green propolis (BGP-AF and BGP-AG) as PS for aPDT against these microorganisms. A single-species biofilm was irradiated with crude extracts and their fractions and controls. Such extracts showed the best results and were evaluated in dual-species biofilms. Photodegradation, reactive oxygen species (ROS), cytotoxicity, and color stability assays were also investigated. Reductions higher than 3 log10 CFU/mL (p < 0.0001) occurred for crude BGP in single- and dual-species biofilms. Singlet oxygen was produced in BGP (p < 0.0001). BGP-mediated aPDT delayed S. mutans and C. albicans regrowth after 24 h of treatment (p < 0.0001). Both BGP did not change the color of dental materials (p > 0.05). BGP-AF-mediated aPDT showed 72.41% of oral keratinocyte viability (p < 0.0001). BGP extracts may be used in aPDT against S. mutans and C. albicans. Specifically, BGP-AF may represent a promising PS for dental applications. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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10 pages, 729 KiB  
Communication
Cymbopogon citratus Essential Oil Increases the Effect of Digluconate Chlorhexidine on Microcosm Biofilms
by Luís Felipe Garcia Leal Mouta, Raquel Souza Marques, Cristiane Yumi Koga-Ito, Marcos José Salvador, Elisa Maria Aparecida Giro and Fernanda Lourenção Brighenti
Pathogens 2022, 11(10), 1067; https://doi.org/10.3390/pathogens11101067 - 20 Sep 2022
Cited by 3 | Viewed by 1638
Abstract
The aim of this study was to evaluate the effect of the Cymbopogon citratus essential oil and its association with chlorhexidine on cariogenic microcosm biofilm composition and acidogenicity. Minimum inhibitory and bactericide concentrations from the essential oil and chlorhexidine were determined by broth [...] Read more.
The aim of this study was to evaluate the effect of the Cymbopogon citratus essential oil and its association with chlorhexidine on cariogenic microcosm biofilm composition and acidogenicity. Minimum inhibitory and bactericide concentrations from the essential oil and chlorhexidine were determined by broth microdilution assay. Microcosms (polymicrobial) biofilms were produced on glass coverslips, using inoculum from human saliva in McBain culture medium (0.5% sucrose exposure for 6 h/day) for 3 days in 24-well plates. The biofilms were treated twice a day and their composition was evaluated by microorganism quantification. The acidogenicity was evaluated by measuring the pH of the spent culture medium in contact with the biofilm. Overall, the association of C. citratus and chlorhexidine reduced total bacterial counts and aciduric bacteria (maximum reduction of 3.55 log UFC/mL) in microcosm biofilms. This group also presented the lowest acidogenicity even when exposed to sucrose-containing medium. C. citratus essential oil increases the effect of digluconate chlorhexidine on microcosm biofilms. Based on these findings, this study can contribute to the development of new formulations that might allow for the use of mouthwashes for a shorter period, which may reduce undesirable effects and increase patient compliance to the treatment. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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17 pages, 22708 KiB  
Article
Effects of a Novel, Intelligent, pH-Responsive Resin Adhesive on Cariogenic Biofilms In Vitro
by Yangyang Shi, Jingou Liang, Xuedong Zhou, Biao Ren, Haohao Wang, Qi Han, Hao Li and Lei Cheng
Pathogens 2022, 11(9), 1014; https://doi.org/10.3390/pathogens11091014 - 05 Sep 2022
Cited by 5 | Viewed by 1738
Abstract
Background: Secondary caries often result in a high failure rate of resin composite restoration. Herein, we studied the dodecylmethylaminoethyl methacrylate–modified resin adhesive (DMAEM@RA) to investigate its pH-responsive antimicrobial effect on Streptococcus mutans and Candida albicans dual-species biofilms and on secondary caries. Methods: Firstly, [...] Read more.
Background: Secondary caries often result in a high failure rate of resin composite restoration. Herein, we studied the dodecylmethylaminoethyl methacrylate–modified resin adhesive (DMAEM@RA) to investigate its pH-responsive antimicrobial effect on Streptococcus mutans and Candida albicans dual-species biofilms and on secondary caries. Methods: Firstly, the pH-responsive antimicrobial experiments including colony-forming units, scanning electron microscopy and exopoly-saccharide staining were measured. Secondly, lactic acid measurement and transverse microradiography analysis were performed to determine the preventive effect of DMAEM@RA on secondary caries. Lastly, quantitative real-time PCR was applied to investigate the antimicrobial effect of DMAEM@RA on cariogenic virulence genes. Results: DMAEM@RA significantly inhibited the growth, EPS, and acid production of Streptococcus mutans and Candida albicans dual-species biofilms under acidic environments (p < 0.05). Moreover, at pH 5 and 5.5, DMAEM@RA remarkably decreased the mineral loss and lesion depth of tooth hard tissue (p < 0.05) and down-regulated the expression of cariogenic genes, virulence-associated genes, and pH-regulated genes of dual-species biofilms (p < 0.05). Conclusions: DMAEM@RA played an antibiofilm role on Streptococcus mutans and Candida albicans dual-species biofilms, prevented the demineralization process, and attenuated cariogenic virulence in a pH-dependent manner. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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11 pages, 315 KiB  
Communication
Exploring the Relationship between Salivary Levels of TNF-α, Lactobacillus acidophilus, Lactobacillus gasseri, Obesity, and Caries in Early Childhood
by Lúcia Aparecida Federighi Pereira Leme, Karina Ferreira Rizzardi, Isis Bolsonaro Santos and Thaís Manzano Parisotto
Pathogens 2022, 11(5), 579; https://doi.org/10.3390/pathogens11050579 - 14 May 2022
Cited by 2 | Viewed by 4932
Abstract
This research aimed to explore the relationship between tumor necrosis factor-α (TNF-α), Lactobacillus acidophilus (L. acidophilus), Lactobacillus gasseri (L. gasseri), obesity, and early childhood caries. After caries and obesity diagnosis based on the WHO criteria, 94 preschoolers were assessed. [...] Read more.
This research aimed to explore the relationship between tumor necrosis factor-α (TNF-α), Lactobacillus acidophilus (L. acidophilus), Lactobacillus gasseri (L. gasseri), obesity, and early childhood caries. After caries and obesity diagnosis based on the WHO criteria, 94 preschoolers were assessed. Unstimulated saliva was collected for analysis of TNF-α by the Milliplex system and for L. acidophilus and L. gasseri using real-time polymerase chain reaction (RT-PCR). In obese children, each unit increase in the body mass index (BMI), and the TNF-α levels was associated with a one-time increase in the number of decayed surfaces (p < 0.05). Meanwhile, in eutrophic preschoolers, the presence of L. gasseri and L. acidophilus was linked, respectively, to an increase of 3.04 and 1.59 times in the number of decayed surfaces (p < 0.05); in obese children, the presence of L. acidophilus was not significant (p > 0.05) and L. gasseri was shown as a possible protective indicator (RR:0.49–p < 0.05). In conclusion, TNF-α and BMI were connected to carious lesions only in obese preschoolers, suggesting that inflammation could be underscored when both pathologies are concomitant. The presence of both species of lactobacilli investigated was connected with early childhood caries in eutrophic children, whereas in obese children only L. gasseri was significant, and in an opposite way, reinforcing that obesity can modulate oral bacteria. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
12 pages, 2689 KiB  
Article
Immune Responses Regulated by Key Periodontal Bacteria in Germ-Free Mice
by Xin Shen, Yutao Yang, Jian Li, Bo Zhang, Wei Wei, Changqing Lu, Caixia Yan, Hong Wei and Yan Li
Pathogens 2022, 11(5), 513; https://doi.org/10.3390/pathogens11050513 - 26 Apr 2022
Cited by 2 | Viewed by 2012
Abstract
The immune dysregulation induced by periodontal bacteria has important roles in the development of periodontitis. However, the role of key periodontal bacteria in local and systemic immunity has not been comprehensively studied. Herein, to explore immunoregulation maps of key periodontal bacteria, a mono-colonized [...] Read more.
The immune dysregulation induced by periodontal bacteria has important roles in the development of periodontitis. However, the role of key periodontal bacteria in local and systemic immunity has not been comprehensively studied. Herein, to explore immunoregulation maps of key periodontal bacteria, a mono-colonized germ-free mice model with P. gingivalis, F. nucleatum, and T. denticola for two weeks was designed in this study. The alveolar bone loss was determined by micro-CT. A total of 14 types of innate and adaptive immune cells of the gingiva, spleen, and colon were detected by multi-color flow cytometry. P. gingivalis induced the strongest innate immune response in gingiva and mononuclear phagocytes (MNPs) changed most significantly, compared to F. nucleatum and T. denticola. Immune dysregulation of the colon was widely induced by F. nucleatum. T. denticola mainly induced immune disorder in spleen. ILC3s, Tregs, CD11B+ dendritic cells s, MNPs, macrophages, and plasmacytoid dendritic cells were the main types in response to key periodontal bacteria. However, the alveolar bone loss was not induced by key periodontal bacteria. In conclusion, the overall immunoregulation of monomicrobial stimuli to decipher the complexities of periodontitis was provided in this study. P. gingivalis, F. nucleatum, and T. denticola have different effects on local and systemic immunity in gingiva, colon, and spleen of germ-free mice. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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8 pages, 743 KiB  
Communication
Detection of Periodontal Pathogens from Dental Plaques of Dogs with and without Periodontal Disease
by Jana Kačírová, Miriam Sondorová, Aladár Maďari, Eva Styková, Rastislav Mucha, Radomíra Nemcová, Nikola Marečáková, Jana Farbáková and Marián Maďar
Pathogens 2022, 11(4), 480; https://doi.org/10.3390/pathogens11040480 - 17 Apr 2022
Cited by 5 | Viewed by 2500
Abstract
Dental plaque bacteria are one of the main factors responsible for the development of a periodontal disease, which is the most common infectious disease in dogs. The aim of this study was to identify the presence of periodontal disease-related bacteria in the dental [...] Read more.
Dental plaque bacteria are one of the main factors responsible for the development of a periodontal disease, which is the most common infectious disease in dogs. The aim of this study was to identify the presence of periodontal disease-related bacteria in the dental plaque of dogs. Plaque samples were taken from dogs with and without periodontal disease. Samples were analyzed for the presence of Porphyromonas gulae, Tannerella forsythia and Treponema denticola using a PCR technique amplifying 16S rRNA genes of P. gulae and T. forsythia and flaB2 genes of Treponema species, including T. denticola. The presence of T. forsythia was confirmed in all samples. P. gulae was detected in all dogs with periodontal disease and in 71.43% of dogs without periodontal disease. Treponema spp. were detected in 64.29% of the samples. Based on Sanger sequencing and Basic Local Alignment Search Tool algorithm, Treponema spp. were identified as T. denticola and Treponema putidum. T. denticola was present in 28.57% of dogs with periodontal disease, while T. putidum was present in 42.86% of dogs with periodontal disease and in 57.14% of dogs without periodontal disease. T. putidum was positively correlated with both P. gulae and T. forsythia, suggesting that it may be involved in the development of periodontal disease. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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17 pages, 4220 KiB  
Article
Staphylococcus aureus Synergized with Candida albicans to Increase the Pathogenesis and Drug Resistance in Cutaneous Abscess and Peritonitis Murine Models
by Yao Hu, Yulong Niu, Xingchen Ye, Chengguang Zhu, Ting Tong, Yujie Zhou, Xuedong Zhou, Lei Cheng and Biao Ren
Pathogens 2021, 10(8), 1036; https://doi.org/10.3390/pathogens10081036 - 16 Aug 2021
Cited by 19 | Viewed by 3138
Abstract
The mixed species of Staphylococcus aureus and Candida albicans can cause infections on skin, mucosa or bloodstream; however, mechanisms of their cross-kingdom interactions related to pathogenesis and drug resistance are still not clear. Here an increase of S. aureus proliferation and biofilm formation [...] Read more.
The mixed species of Staphylococcus aureus and Candida albicans can cause infections on skin, mucosa or bloodstream; however, mechanisms of their cross-kingdom interactions related to pathogenesis and drug resistance are still not clear. Here an increase of S. aureus proliferation and biofilm formation was observed in S. aureus and C. albicans dual-species culture, and the synergistic pathogenic effect was then confirmed in both local (cutaneous abscess) and systemic infection (peritonitis) murine models. According to the transcriptome analysis of the dual-species culture, virulence factors of S. aureus were significantly upregulated. Surprisingly, the beta-lactams and vancomycin-resistant genes in S. aureus as well as azole-resistant genes in C. albicans were also significantly increased. The synergistic effects on drug resistance to both antibacterial and antifungal agents were further proved both in vitro and in cutaneous abscess and peritonitis murine models treated by methicillin, vancomycin and fluconazole. The synergistic interactions between S. aureus and C. albicans on pathogenesis and drug resistance highlight the importance of targeting the microbial interactions in polyspecies-associated infections. Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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Other

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14 pages, 436 KiB  
Systematic Review
Enrichment of Acid-Associated Microbiota in the Saliva of Type 2 Diabetes Mellitus Adults: A Systematic Review
by Jéssica Alves Cena, Letícia Gonçalves Reis, Ana Karolina Almeida de Lima, Camilla Pedrosa Vieira Lima, Cristine Miron Stefani and Naile Dame-Teixeira
Pathogens 2023, 12(3), 404; https://doi.org/10.3390/pathogens12030404 - 02 Mar 2023
Cited by 3 | Viewed by 1544
Abstract
It could conceivably be hypothesized that a link exists between an altered microbiota due to local hyperglycemia and the increased risk of caries in diabetes mellitus (DM). This systematic review aimed to perform a cross-study comparison into the salivary microbiota of adults with [...] Read more.
It could conceivably be hypothesized that a link exists between an altered microbiota due to local hyperglycemia and the increased risk of caries in diabetes mellitus (DM). This systematic review aimed to perform a cross-study comparison into the salivary microbiota of adults with type 2 diabetes mellitus (T2D) compared to adults without T2D, particularly focusing on the abundance of acid-associated bacteria. This report follows PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Studies using next-generation sequencing and other molecular techniques are included. The methodological quality of individual studies was assessed using appropriate Joanna Briggs Institute tools. The certainty of the evidence considering the effect direction was evaluated using the GRADE approach. From 2060 titles retrieved, 12 were included in the data synthesis, totalling 873 individuals with T2D and controls evaluated across the literature. Weighted averages of blood glucose levels (HbA1c—fasting blood glucose) were 8.21%—172.14 mg/dL and 5.12%—84.53 mg/dL for T2D and controls, respectively. In most studies, the relative abundance of acidogenic and aciduric bacteria was higher in diabetics when compared to their normoglycaemic controls. Whilst the evidence certainty was very low, there was a consistent Proteobacteria depletion and Firmicutes enrichment in T2D. As for the acid-associated genera, there was consistent enrichment of Lactobacillus and Veillonela for T2D. Tannerella/T. forsythia was enriched in T2D saliva, but the certainty is low. Further well-designed cohorts are needed to clarify the distribution of acid-associated microorganisms in the saliva of adults with T2D and how this can be clinically manifested (PROSPERO = CRD42021264350). Full article
(This article belongs to the Special Issue Oral Bacteria: Friends and Foes?)
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