Thurnheer Thomas, Belibasakis Georgios N
Section of Oral Microbiology and Immunology, Institute of Oral Biology, Center of Dental Medicine, University of Zürich, Zürich, Switzerland.
Clin Oral Implants Res. 2016 Jul;27(7):890-5. doi: 10.1111/clr.12715. Epub 2015 Oct 13.
OBJECTIVES: Staphylococcus spp. are postulated to play a role in peri-implantitis. This study aimed to develop a "submucosal" in vitro biofilm model, by integrating two staphylococci into its composition. MATERIALS AND METHODS: The standard "subgingival" biofilm contained Actinomyces oris, Fusobacterium nucleatum, Streptococcus oralis, Veillonella dispar, Campylobacter rectus, Prevotella intermedia, Streptococcus anginosus, Porphyromonas gingivalis, Tannerella forsythia and Treponema denticola, and was further supplemented with Staphyoccous aureus and/or Staphylococcus epidermidis. Biofilms were grown anaerobically on hydroxyapatite or titanium discs and harvested after 64 h for real-time polymerase chain reaction, to determine their composition. Confocal laser scanning microscopy and fluorescence in situ hybridization were used for identifying the two staphylococci within the biofilm. RESULTS: Both staphylococci established within the biofilms when added separately. However, when added together, only S. aureus grew in high numbers, whereas S. epidermidis was reduced almost to the detection limit. Compared to the standard subgingival biofilm, addition of the two staphylococci had no impact on the qualitative or quantitative composition of the biofilm. When grown individually in the biofilm, S. epidermidis and S. aureus formed small distinctive clusters and it was confirmed that S. epidermidis was not able to grow in presence of S. aureus. CONCLUSIONS: Staphyoccous aureus and S. epidermidis can be individually integrated into an oral biofilm grown on titanium, hence establishing a "submucosal" biofilm model for peri-implantitis. This model also revealed that S. aureus outcompetes S. epidermidis when grown together in the biofilm, which may explain the more frequent association of the former with peri-implantitis.
目的:据推测葡萄球菌属在种植体周围炎中起作用。本研究旨在通过将两种葡萄球菌纳入其组成来建立一种“黏膜下”体外生物膜模型。 材料与方法:标准的“龈下”生物膜包含口腔放线菌、具核梭杆菌、口腔链球菌、殊异韦荣球菌、直肠弯曲菌、中间普氏菌、咽峡炎链球菌、牙龈卟啉单胞菌、福赛坦氏菌和齿垢密螺旋体,并进一步添加金黄色葡萄球菌和/或表皮葡萄球菌。生物膜在羟基磷灰石或钛盘上厌氧培养,64小时后收获用于实时聚合酶链反应,以确定其组成。共聚焦激光扫描显微镜和荧光原位杂交用于鉴定生物膜内的两种葡萄球菌。 结果:两种葡萄球菌分别添加时都能在生物膜中定殖。然而,当一起添加时,只有金黄色葡萄球菌大量生长,而表皮葡萄球菌几乎减少到检测限。与标准龈下生物膜相比,添加两种葡萄球菌对生物膜的定性或定量组成没有影响。当在生物膜中单独生长时,表皮葡萄球菌和金黄色葡萄球菌形成小的独特簇,并且证实表皮葡萄球菌在金黄色葡萄球菌存在时不能生长。 结论:金黄色葡萄球菌和表皮葡萄球菌可以分别整合到在钛上生长的口腔生物膜中,从而建立种植体周围炎的“黏膜下”生物膜模型。该模型还显示,当在生物膜中一起生长时,金黄色葡萄球菌比表皮葡萄球菌更具竞争力,这可能解释了前者与种植体周围炎更频繁的关联。
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