Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 12, 04103 Leipzig, Germany.
Department of Gastroenterology, Section of Hepatology, University Hospital Leipzig, Liebigstr. 20, 04103 Leipzig, Germany.
J Microbiol Methods. 2019 Mar;158:33-43. doi: 10.1016/j.mimet.2019.01.012. Epub 2019 Jan 23.
Microbial analyzes of carious dentine samples, especially in terms of interventions, represent a challenge due to difficulties in carious dentine sampling particularly with small bacterial DNA contents. Therefore, information about the quantitative reduction of bacterial DNA as well as microbial shifts and differences in diversity correlating with treatment interventions are scarce. In this study, carious dentine samples were collected in a first step in the course of a selective caries excavation at two different deep dentine caries lesions in three patients. Second, after selective caries excavation and sampling of carious dentine, an intervention was performed by applying dental materials onto the remaining carious dentine followed by a restoration of the study teeth with composite fillings. After 8 weeks, remaining carious dentine was sampled and analyzed as described above. The microbial community before and after therapy was analyzed by conventional culture compared to bacterial DNA analyses using 16S rRNA gene based real-time PCR and terminal restriction fragment length polymorphism (T-RFLP) for fingerprinting community changes within carious dentine samples. An ultra-pure workflow allowed the valid comparison of even small carious dentine samples with low DNA contents and the differentiation between intact cell-derived and cell-free bacterial DNA. Intra- and inter-subject related differences in the bacterial DNA content and its composition in deep dentine caries were determined considering the first visits. The ratio of cell-free bacterial DNA and DNA from intact cells decreased in two of three subjects included in the current study from visit 1 to visit 2 with the test substance (1:200 to 1:17) and the control substance (1:82 to 1:7). T-RFLP revealed changes in the bacterial diversity and composition shifts after treatment as well as between cell-free bacterial DNA and DNA derived from intact cells. The approach of differentiation and quantification of cell-free and intact cell-derived bacterial DNA is reasonable within the investigation of carious dentine samples, especially when considering the effect of an intervention. T-RFLP is principally suitable for the analysis of microbial shifts within carious dentine samples.
对龋坏牙本质样本,特别是干预措施相关的样本进行微生物分析,是一项挑战,因为龋坏牙本质的取样特别困难,且样本中细菌 DNA 含量通常较少。因此,关于细菌 DNA 定量减少以及与治疗干预相关的微生物变化和多样性差异的信息非常有限。在这项研究中,在 3 名患者的 2 个不同的深龋病变中,首先在选择性龋挖过程中收集龋坏牙本质样本。其次,在完成选择性龋挖和龋坏牙本质取样后,在剩余的龋坏牙本质上应用牙科材料,并使用复合树脂对研究牙进行修复,随后进行干预。8 周后,按照上述方法再次取样和分析剩余的龋坏牙本质。通过传统培养分析治疗前后的微生物群落,并用基于 16S rRNA 基因的实时 PCR 和末端限制性片段长度多态性(T-RFLP)分析细菌 DNA 分析,对龋坏牙本质样本中的微生物群落变化进行指纹图谱分析。超纯工作流程允许对即使是 DNA 含量低的小龋坏牙本质样本进行有效比较,并区分完整细胞衍生和无细胞细菌 DNA。考虑初次就诊时,确定了深龋病变中个体内和个体间细菌 DNA 含量及其组成的差异。在当前研究中,包括的 3 名受试者中的 2 名受试者,从第 1 次就诊到第 2 次就诊时,测试物质(1:200 至 1:17)和对照物质(1:82 至 1:7)的无细胞细菌 DNA 与完整细胞 DNA 的比例降低。T-RFLP 显示治疗后以及无细胞细菌 DNA 和完整细胞衍生 DNA 之间细菌多样性和组成变化。在龋坏牙本质样本的研究中,区分和定量无细胞和完整细胞衍生细菌 DNA 的方法是合理的,尤其是考虑到干预措施的效果。T-RFLP 原则上适用于龋坏牙本质样本中微生物变化的分析。