Zijnge Vincent, Ammann Thomas, Thurnheer Thomas, Gmür Rudolf
Department of Oral Microbiology, University of Umeå, Umeå, Sweden.
Front Oral Biol. 2012;15:1-16. doi: 10.1159/000329667. Epub 2011 Nov 11.
Periodontitis is an inflammatory disease of the oral cavity initiated by a microbial biofilm (or 'dental plaque'). Subgingival biofilms in periodontal pockets are not easily analyzed without the loss of structural integrity. These subgingival plaques are structured communities of microorganisms with great phylogenetic diversity embedded in a self-produced extracellular polymeric matrix. For almost three decades, knowledge of the structure of plaque located below the gingival margin has been limited to landmark studies from the 1970s that were unaware of the breadth of microbial diversity we appreciate now. Only recently has technical progress - combining histology, confocal scanning fluorescent microscopy and fluorescent in situ hybridization to localize the most abundant species from different phyla and species associated with periodontitis - provided new insights into the architecture of subgingival biofilms. This review focuses on the structure and composition of subgingival biofilms and discusses current knowledge on the nature of the extracellular matrix. We describe further structural aspects of 'subgingival' biofilms produced in vitro that are gaining considerable interest as we search for models to investigate biofilm development, resistance to antibiotics, extracellular polymeric matrix composition and function, and reciprocal host-cell-to-biofilm interactions.
牙周炎是一种由微生物生物膜(或“牙菌斑”)引发的口腔炎症性疾病。如果不破坏结构完整性,牙周袋内的龈下生物膜很难进行分析。这些龈下菌斑是微生物的结构化群落,具有丰富的系统发育多样性,包埋于自身产生的细胞外聚合物基质中。近三十年来,对于位于龈缘以下菌斑结构的认识,一直局限于20世纪70年代的标志性研究,当时人们还未意识到我们如今所认识到的微生物多样性的广度。直到最近,技术进步——结合组织学、共聚焦扫描荧光显微镜和荧光原位杂交技术来定位与牙周炎相关的不同门和种中最丰富的物种——才为龈下生物膜的结构提供了新的见解。这篇综述聚焦于龈下生物膜的结构和组成,并讨论了关于细胞外基质性质的当前知识。我们描述了体外产生的“龈下”生物膜的其他结构方面,随着我们寻找模型来研究生物膜的形成、对抗生素的抗性、细胞外聚合物基质的组成和功能以及宿主细胞与生物膜之间的相互作用,这些方面正引起越来越多的关注。
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