Dipartimento di Patologia, Sezione di Microbiologia, Università di Verona, Strada Le Grazie, 8, Verona 37134, Italy.
J Clin Microbiol. 2010 Feb;48(2):347-56. doi: 10.1128/JCM.00932-09. Epub 2009 Dec 2.
Caries and gingivitis are the most prevalent oral infectious diseases of humans and are due to the accumulation of dental plaque (a microbial biofilm) on the tooth surface and at the gingival margin, respectively. Several in vitro and in vivo studies have shown that many natural components of foods and beverages inhibit the adhesion of and/or exert activity against oral bacteria. These biological activities have mainly been attributed to the polyphenol fraction. In order to explore the possibility that diet can alter the dental plaque community, in this study we evaluated the composition of the microbiota of supra- and subgingival plaque samples collected from 75 adult subjects with different drinking habits (drinkers of coffee, red wine, or water for at least 2 years) by analyzing the microbial population through the separation of PCR-amplified fragments using the denaturing gradient gel electrophoresis (DGGE) technique. The mean numbers of bands of the DGGE profiles from all three categories were evaluated. There were no significant differences between the two kinds of plaque collected from the control group (water drinkers), and this group showed the highest number of bands (supragingival plaque, 18.98 +/- 3.16 bands; subgingival plaque, 18.7 +/- 3.23 bands). The coffee and wine drinker groups generated the lowest numbers of bands for both supragingival plaque (coffee drinkers, 8.25 +/- 3.53 bands; wine drinkers, 7.93 +/- 2.55 bands) and subgingival plaque (coffee drinkers, 8.3 +/- 3.03 bands; wine drinkers, 7.65 +/- 1.68 bands). The differences between coffee drinkers or wine drinkers and the control group (water drinkers) were statistically significant. A total of 34 microorganisms were identified, and the frequency of their distribution in the three subject categories was analyzed. A greater percentage of subjects were positive for facultative aerobes when supragingival plaque was analyzed, while anaerobes were more frequent in subgingival plaque samples. It is noteworthy that the frequency of identification of anaerobes was significantly reduced when the frequencies for coffee and wine drinkers were compared with the frequencies for subjects in the control group. The DGGE profiles of the organisms in both plaque samples from all groups were generated and were used to construct dendrograms. A number of distinct clusters of organisms from water, coffee, and wine drinkers were formed. The clustering of some of the DGGE results into cohort-specific clusters implies similarities in the microbiotas within these groups and relevant differences in the microbiotas between cohorts. This supports the notion that the drinking habits of the subjects may influence the microbiota at both the supragingival and the subgingival levels.
龋齿和牙龈炎是人类最常见的口腔传染病,分别是由于牙菌斑(微生物生物膜)在牙齿表面和牙龈边缘的积累引起的。多项体外和体内研究表明,许多天然食物和饮料成分可抑制口腔细菌的黏附和/或对其发挥活性作用。这些生物活性主要归因于多酚部分。为了探索饮食是否可以改变牙菌斑群落的可能性,本研究通过变性梯度凝胶电泳(DGGE)技术分析微生物种群,评估了不同饮食习惯(咖啡、红酒或水饮用者至少 2 年)的 75 名成年受试者的龈上和龈下菌斑样本的微生物群落组成。通过评估所有 3 组的 DGGE 图谱的平均条带数来评价微生物群落组成。对照组(水饮用者)的两种菌斑之间没有显著差异,该组显示的条带数最多(龈上菌斑,18.98 +/- 3.16 条;龈下菌斑,18.7 +/- 3.23 条)。咖啡和红酒饮用者的龈上菌斑(咖啡饮用者,8.25 +/- 3.53 条;红酒饮用者,7.93 +/- 2.55 条)和龈下菌斑(咖啡饮用者,8.3 +/- 3.03 条;红酒饮用者,7.65 +/- 1.68 条)生成的条带数最低。咖啡饮用者或红酒饮用者与对照组(水饮用者)之间的差异具有统计学意义。共鉴定了 34 种微生物,并分析了它们在 3 个受试者类别中的分布频率。当分析龈上菌斑时,更多的受试者为兼性需氧菌呈阳性,而厌氧菌在龈下菌斑样本中更为常见。值得注意的是,与对照组相比,咖啡和红酒饮用者的厌氧菌鉴定频率显著降低。从所有组的两种菌斑样本中生成了微生物的 DGGE 图谱,并构建了系统发育树。来自水、咖啡和红酒饮用者的许多微生物形成了明显的聚类。一些 DGGE 结果聚类成特定于队列的聚类表明,这些组内的微生物组具有相似性,并且队列之间的微生物组具有显著差异。这支持了这样的观点,即受试者的饮酒习惯可能会影响龈上和龈下水平的微生物组。