Center for Dentistry and Oral Hygiene, University of Groningen, Groningen, The Netherlands.
PLoS One. 2010 Feb 24;5(2):e9321. doi: 10.1371/journal.pone.0009321.
Periodontitis and caries are infectious diseases of the oral cavity in which oral biofilms play a causative role. Moreover, oral biofilms are widely studied as model systems for bacterial adhesion, biofilm development, and biofilm resistance to antibiotics, due to their widespread presence and accessibility. Despite descriptions of initial plaque formation on the tooth surface, studies on mature plaque and plaque structure below the gum are limited to landmark studies from the 1970s, without appreciating the breadth of microbial diversity in the plaque. We used fluorescent in situ hybridization to localize in vivo the most abundant species from different phyla and species associated with periodontitis on seven embedded teeth obtained from four different subjects. The data showed convincingly the dominance of Actinomyces sp., Tannerella forsythia, Fusobacterium nucleatum, Spirochaetes, and Synergistetes in subgingival plaque. The latter proved to be new with a possibly important role in host-pathogen interaction due to its localization in close proximity to immune cells. The present study identified for the first time in vivo that Lactobacillus sp. are the central cells of bacterial aggregates in subgingival plaque, and that Streptococcus sp. and the yeast Candida albicans form corncob structures in supragingival plaque. Finally, periodontal pathogens colonize already formed biofilms and form microcolonies therein. These in vivo observations on oral biofilms provide a clear vision on biofilm architecture and the spatial distribution of predominant species.
牙周炎和龋齿是口腔传染病,口腔生物膜在其中起致病作用。此外,由于口腔生物膜广泛存在且易于获取,因此被广泛研究作为细菌黏附、生物膜形成和生物膜对抗生素耐药性的模型系统。尽管已有关于牙面初始菌斑形成的描述,但对成熟菌斑和龈下菌斑结构的研究仅限于 20 世纪 70 年代的里程碑式研究,而没有充分认识到菌斑中微生物多样性的广泛程度。我们使用荧光原位杂交技术,在从四个不同供体获得的七颗嵌入式牙齿上,对来自不同门的最丰富物种和与牙周炎相关的物种进行体内定位。这些数据令人信服地表明,龈下菌斑中放线菌属、福赛斯坦纳菌、核梭杆菌、螺旋体和共生菌的丰度最高。后者由于其在免疫细胞附近的定位而被证明是新的,并且由于其在宿主-病原体相互作用中的可能重要作用而具有重要意义。本研究首次在体内鉴定出,在龈下菌斑中,乳杆菌属是细菌聚集体的中心细胞,而链球菌属和酵母白色念珠菌在龈上菌斑中形成玉米芯结构。最后,牙周病原体定植于已形成的生物膜中并在其中形成微菌落。这些关于口腔生物膜的体内观察为生物膜结构和优势物种的空间分布提供了清晰的认识。
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