Siqueira José F, Rôças Isabela N
Department of Endodontics, Estácio de Sá University, Rio de Janeiro, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Aug;102(2):259-64. doi: 10.1016/j.tripleo.2005.09.021. Epub 2006 Apr 21.
This study intended to examine samples from primary endodontic infections for the presence of Catonella morbi and Granulicatella adiacens, 2 species that have been recently suggested to be involved with infections in other oral sites.
Genomic DNA was isolated directly from samples taken from teeth with different forms of apical periodontitis, and a devised culture-independent 16S rRNA gene-based heminested PCR assay was used to determine the prevalence of these 2 target species. Species-specific primers were developed by aligning closely related 16S rRNA gene sequences. Species-specificity for each primer pair was confirmed by running PCR against a panel of oral bacteria and by sequencing of DNA from representative positive samples.
C morbi and G adiacens were detected in 33% and 19%, respectively, of the root canals associated with chronic apical periodontitis; 30% and 10%, respectively, of the cases diagnosed as acute apical periodontitis, and 16% and 11%, respectively, of the pus samples taken from acute apical abscesses. Overall, C morbi occurred in 26% and G adiacens in 14% of the samples taken from primary endodontic infections.
Our findings demonstrate that C morbi and G adiacens can take part in the microbiota associated with primary endodontic infections, and their specific role in the disease process warrants further elucidation.
本研究旨在检测来自原发性牙髓感染的样本中是否存在龋齿放线杆菌和毗邻颗粒链菌,这两种细菌最近被认为与其他口腔部位的感染有关。
直接从患有不同形式根尖周炎的牙齿样本中分离基因组DNA,并使用一种设计好的基于16S rRNA基因的非培养性半巢式PCR检测方法来确定这两种目标细菌的患病率。通过比对密切相关的16S rRNA基因序列来设计种特异性引物。通过对一组口腔细菌进行PCR以及对代表性阳性样本的DNA进行测序,确认了每个引物对的种特异性。
在与慢性根尖周炎相关的根管中,龋齿放线杆菌和毗邻颗粒链菌的检出率分别为33%和19%;在诊断为急性根尖周炎的病例中,检出率分别为30%和10%;在从急性根尖脓肿采集的脓液样本中,检出率分别为16%和11%。总体而言,在从原发性牙髓感染采集的样本中,龋齿放线杆菌的出现率为26%,毗邻颗粒链菌为14%。
我们的研究结果表明,龋齿放线杆菌和毗邻颗粒链菌可参与原发性牙髓感染相关的微生物群,它们在疾病过程中的具体作用有待进一步阐明。