Oral microbiota in human health and disease: A perspective
Luigi Santacroce,
Pier Carmine Passarelli,
Domenico Azzolino
et al.
Abstract:The evolution of medical knowledge about oral microbiota has increased awareness of its important role for the entire human body health. A wide range of microbial species colonizing the oral cavity interact both with each other and with their host through complex pathways. Usually, these interactions lead to a harmonious coexistence (i.e. eubiosis). However, several factors – including diet, poor oral hygiene, tobacco smoking, and certain medications, among others – can disrupt this weak homeostatic balance (i… Show more
“…We previously reported a significant association between high T. forsythia saliva concentration and the number of periodontal pockets and BOP [ 55 ]. Actinomyces species have been established as early colonizers of dental plaque maturation, significantly contributing to gingivitis [ 56 ]. Additionally, A. oris was more frequently identified in the subgingival plaque of individuals with periodontitis than in healthy controls [ 57 ], supporting our findings.…”
Background
Gingivitis, i.e. inflammation of the gums, is often induced by dentalplaque. However, its exact link to the oral microbiota remains unclear.
Methods
In a case-control study involving 120 participants, comprising 60 cases and 60 controls (mean age (SD) 36.6 (7.6) years; 50% males), nested within a prospective multicentre cohort study, we examined theoral microbiome composition of gingivitis patients and their controlsusing shotgun metagenomic sequencing of saliva samples. Participants underwent clinical and radiographic oral health examinations, including bleeding on probing (BOP), at six tooth sites. BOP ≥33%was considered ‘generalized gingivitis/initial periodontitis’(GG/IP), and BOP <33% as ‘healthy and localized gingivitis’(H/LG). Functional potential was inferred using HUMANn3.
Results
GG/IP exhibited an increase in the abundance of
Actinomyces, Porphyromonas, Aggregatibacter, Corynebacterium, Olsenella, and Treponema
, whereas H/LG exhibited an increased abundance of
Candidatus Nanosynbacter
. Nineteen bacterial species and fourmicrobial functional profiles, including L-methionine, glycogen, andinosine-5’-phosphate biosynthesis, were associated with GG/IP. Constructing models with multiple markers resulted in a strong predictive value for GG/IP, with an area under the curve (ROC) of 0.907 (95% CI: 0.848-0.966).
Conclusion
We observed distinct differences in the oral microbiome between the GG/IP and H/LG groups, indicating similar yet unique microbial profiles and emphasizing their potential role in progression of periodontal diseases.
“…We previously reported a significant association between high T. forsythia saliva concentration and the number of periodontal pockets and BOP [ 55 ]. Actinomyces species have been established as early colonizers of dental plaque maturation, significantly contributing to gingivitis [ 56 ]. Additionally, A. oris was more frequently identified in the subgingival plaque of individuals with periodontitis than in healthy controls [ 57 ], supporting our findings.…”
Background
Gingivitis, i.e. inflammation of the gums, is often induced by dentalplaque. However, its exact link to the oral microbiota remains unclear.
Methods
In a case-control study involving 120 participants, comprising 60 cases and 60 controls (mean age (SD) 36.6 (7.6) years; 50% males), nested within a prospective multicentre cohort study, we examined theoral microbiome composition of gingivitis patients and their controlsusing shotgun metagenomic sequencing of saliva samples. Participants underwent clinical and radiographic oral health examinations, including bleeding on probing (BOP), at six tooth sites. BOP ≥33%was considered ‘generalized gingivitis/initial periodontitis’(GG/IP), and BOP <33% as ‘healthy and localized gingivitis’(H/LG). Functional potential was inferred using HUMANn3.
Results
GG/IP exhibited an increase in the abundance of
Actinomyces, Porphyromonas, Aggregatibacter, Corynebacterium, Olsenella, and Treponema
, whereas H/LG exhibited an increased abundance of
Candidatus Nanosynbacter
. Nineteen bacterial species and fourmicrobial functional profiles, including L-methionine, glycogen, andinosine-5’-phosphate biosynthesis, were associated with GG/IP. Constructing models with multiple markers resulted in a strong predictive value for GG/IP, with an area under the curve (ROC) of 0.907 (95% CI: 0.848-0.966).
Conclusion
We observed distinct differences in the oral microbiome between the GG/IP and H/LG groups, indicating similar yet unique microbial profiles and emphasizing their potential role in progression of periodontal diseases.
“…In exploring the bidirectional axis of homeostasis–dysbiosis in the oral cavity, crucial elements involve manipulating microbial communities and interactions within the host, emphasizing targeted preventive measures for overall oral health. In considering inflammation’s role in dysbiosis, periodontitis-associated inflammophilic bacteria, like P. gingivalis , manipulate the host immune response, creating a dual approach for managing oral infections: addressing inflammation while enhancing antimicrobial capacity [ 96 , 99 , 100 ]. Previous discussions on the anti-inflammatory properties of plants set the stage for the second part of this approach.…”
The rising demand for novel antibiotic agents prompts an investigation into natural resources, notably plant-derived compounds. In this study, various extracts (aqueous, ethanolic, aqueous-ethanolic, and enzymatic) of Rosa damascena and Hypericum perforatum were systematically evaluated against bacterial strains isolated from dental lesions (n = 6) and food sources (raw milk and broiler carcass, n = 2). Minimal inhibitory concentration (MIC), minimal bactericidal concentration (MBC), antibiofilm activity, and time-kill kinetics were assessed across a range of extract concentrations, revealing a dose-responsive effect. Notably, some extracts exhibited superior antibacterial efficacy compared to standard clinical antibiotics, and the time-kill kinetics demonstrated a rapid elimination of bacterial loads within 24 h. The susceptibility pattern proved strain-specific, contingent upon the extract type, yet all tested pathogens exhibited sensitivity. The identified extracts, rich in phenolic and polyphenolic compounds, as well as other antioxidant properties, contributed to their remarkable antibiotic effects. This comprehensive investigation not only highlights the potential of Rosa damascena and Hypericum perforatum extracts as potent antibacterial agents against diverse bacterial strains including caries pathogens, but also underscores their rapid action and dose-dependent efficacy. The findings suggest a promising avenue for harnessing plant-derived compounds in the development of novel antimicrobial strategies against dental caries and other oral inflammations, bridging the gap between natural resources and antibiotic discovery.
“…Environmental exposures, including early life microbiome development, can have long-lasting effects on bone health. Dietary additives and preservatives in processed foods may have unintentional consequences on the GM, potentially impacting nutrient absorption and potentially influencing bone metabolism [128][129][130][131][132][133][134][135][136][137][138].…”
Section: Factors Influencing the Gut-bone Axismentioning
Purpose of review
This review critically examines interconnected health domains like gut microbiome, bone health, interleukins, chronic periodontitis, and coronavirus disease 2019 (COVID-19), offering insights into fundamental mechanisms and clinical implications, contributing significantly to healthcare and biomedical research.
Recent findings
This review explores the relationship between gut microbiome and bone health, a growing area of study. It provides insights into skeletal integrity and potential therapeutic avenues. The review also examines interleukins, chronic periodontitis, and COVID-19, highlighting the complexity of viral susceptibility and immune responses. It highlights the importance of understanding genetic predispositions and immune dynamics in the context of disease outcomes. The review emphasizes experimental evidence and therapeutic strategies, aligning with evidence-based medicine and personalized interventions. This approach offers actionable insights for healthcare practitioners and researchers, paving the way for targeted therapeutic approaches and improved patient outcomes.
Summary
The implications of these findings for clinical practice and research underscore the importance of a multidisciplinary approach to healthcare that considers the complex interactions between genetics, immune responses, oral health, and systemic diseases. By leveraging advances in biomedical research, clinicians can optimize patient care and improve health outcomes across diverse patient populations.
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