Wijeyeweera R L, Kleinberg I
Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York, Stony Brook 11794.
Arch Oral Biol. 1989;34(1):43-53. doi: 10.1016/0003-9969(89)90045-9.
Thirty-nine different microorganisms commonly found in supragingival plaque and salivary sediment were screened for their ability to raise the pH by producing base from arginine, lysylarginine and urea. Only Actinomyces naeslundii and Staphylococcus epidermidis showed significant pH-rise activity with all three compounds. Eleven bacteria demonstrated such activity with arginine and lysylarginine but not with urea. Only one, Actinomyces viscosus, produced a pH-rise with urea but not with the two arginine compounds. The remaining 26 bacteria showed little or no base-forming activity with any of the three test substrates. The ability of the different oral bacteria to produce base (especially from urea) was a less universal function than their ability to produce acid from fermentable carbohydrate. Substituting pure cultures of arginolytic or non-arginolytic bacteria for portions of the mixed bacterial populations of plaque or sediment in test incubations containing glucose and arginine altered their ability to produce pH-fall-pH-rise responses shaped like those of the Stephen curve in vivo. In general, addition of arginolytic bacteria made these in vitro pH responses less acidic, whereas addition of non-arginolytic bacteria made the responses more acidic. Because of the relatively high arginolytic activity of the plaque harvested in this study, the effect of adding non-arginolytic bacteria was more readily seen than the converse. Similar changes in levels of ureolytic microorganisms and incubation with glucose and urea had little effect on sediment or plaque being able to produce a pH-fall-pH-rise type of response. When increasing proportions of the mixed bacteria in salivary sediment were replaced with the highly cariogenic Lactobacillus casei or Streptococcus mutans, the pH minimum became slightly more acidic and then slightly more alkaline, whereas the pH-rise became progressively and significantly less. Thus arginolytic bacteria have a different and greater effect on shaping the pH response of plaque or sediment than ureolytic bacteria. A large change in the proportions of arginolytic or non-arginolytic microorganisms may be needed to make a plaque microflora potentially non-cariogenic or cariogenic, respectively.
对龈上菌斑和唾液沉淀物中常见的39种不同微生物进行了筛选,检测它们利用精氨酸、赖氨酰精氨酸和尿素产生碱来提高pH值的能力。只有内氏放线菌和表皮葡萄球菌对这三种化合物均表现出显著的pH升高活性。11种细菌对精氨酸和赖氨酰精氨酸表现出这种活性,但对尿素没有。只有一种黏性放线菌利用尿素产生了pH升高,但对两种精氨酸化合物没有。其余26种细菌对三种测试底物中的任何一种都几乎没有或没有碱形成活性。不同口腔细菌产生碱(尤其是从尿素中产生碱)的能力,与其从可发酵碳水化合物中产生酸的能力相比,普遍性要低。在含有葡萄糖和精氨酸的测试培养物中,用精氨酸分解或非精氨酸分解细菌的纯培养物替代菌斑或沉淀物中部分混合细菌群体,改变了它们产生类似体内斯蒂芬曲线的pH下降-pH上升反应的能力。一般来说,添加精氨酸分解细菌会使这些体外pH反应的酸性降低,而添加非精氨酸分解细菌会使反应酸性增强。由于本研究中采集的菌斑具有相对较高的精氨酸分解活性,添加非精氨酸分解细菌的效果比相反情况更容易观察到。唾液沉淀物中尿素分解微生物水平的类似变化以及与葡萄糖和尿素一起培养,对沉淀物或菌斑产生pH下降-pH上升类型反应的能力影响很小。当唾液沉淀物中越来越多的混合细菌被高致龋性的干酪乳杆菌或变形链球菌替代时,最低pH值变得略酸然后略碱,而pH上升则逐渐且显著降低。因此,精氨酸分解细菌对菌斑或沉淀物pH反应的形成具有不同于尿素分解细菌且更大的影响。可能需要精氨酸分解或非精氨酸分解微生物比例的大幅变化,才能分别使菌斑微生物群具有潜在的非致龋性或致龋性。