牙周健康和疾病的牙菌斑微生物抗药组及其在牙周刮治和根面平整治疗后的变化。

Dental Plaque Microbial Resistomes of Periodontal Health and Disease and Their Changes after Scaling and Root Planing Therapy.

机构信息

State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

Wenzhou Key Laboratory of Sanitary Microbiology, Key Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

mSphere. 2021 Aug 25;6(4):e0016221. doi: 10.1128/mSphere.00162-21. Epub 2021 Jul 21.

Abstract

The human oral microbial community has been considered a reservoir of antibiotic resistance. Currently, the effects of periodontitis and the scaling and root planing (SRP) treatment on the performance of antibiotic-resistant genes (ARGs) and metal-resistant genes (MRGs) in the dental plaque microbiota are not well characterized. To explore this issue, we selected 48 healthy-state (HS), 40 periodontitis-state (PS; before treatment), and 24 resolved-state (RS; after SRP treatment) metagenomic data of dental plaque samples from the Sequence Read Archive (SRA) database. NetShift analysis identified Fretibacterium fastidiosum, Tannerella forsythia, and Campylobacter rectus as key drivers during dental plaque microbiota alteration in the progression of periodontitis. Periodontitis and SRP treatment resulted in an increase in the number of ARGs and MRGs in dental plaque and significantly altered the composition of ARG and MRG profiles. Bacitracin, beta-lactam, macrolide-lincosamide-streptogramin (MLS), tetracycline, and multidrug resistance genes were the main classes of ARGs with high relative abundance, whereas multimetal, iron, chromium, and copper resistance genes were the primary types of MRGs in dental plaque microbiota. The cooccurrence of ARGs, MRGs, and mobile genetic elements (MGEs) indicated that a coselection phenomenon exists in the resistomes of dental plaque microbiota. Overall, our data provide new insights into the standing of the distribution of ARGs and MRGs in oral microbiota of periodontitis patients, and it was possible to contribute to the understanding of the complicated correlations among microorganisms, resistomes, and MGEs. The emergence and development of resistance to antibiotics in periodontal pathogens have affected the success rate of treatment for periodontitis. The development of new antibacterial strategies is urgently needed to help control and treat periodontal disease, and dental plaque microbiome studies offer a promising new angle of attack. In this study, we investigated the dental plaque microbiota and resistomes in periodontal health and disease states and their changes after SRP therapy. This is the first analysis of the profile of the microbial community and antibiotic and metal resistance genes in dental plaque by the metagenomic approach, to the best of our knowledge. Monitoring the profile of these resistomes has huge potential to provide reference levels for proper antibiotics use and the development of new antimicrobial strategies in periodontitis therapy and thereby improve actual efficacy of the treatment regimens.

摘要

人类口腔微生物群落一直被认为是抗生素耐药性的储存库。目前,牙周炎和牙周刮治(SRP)治疗对牙菌斑微生物群中抗生素耐药基因(ARGs)和金属耐药基因(MRGs)性能的影响尚未得到很好的描述。为了探讨这个问题,我们从序列读取档案(SRA)数据库中选择了 48 个健康状态(HS)、40 个牙周炎状态(PS;治疗前)和 24 个已解决状态(RS;SRP 治疗后)的牙菌斑样本的宏基因组数据。NetShift 分析确定 Fretibacterium fastidiosum、Tannerella forsythia 和 Campylobacter rectus 是牙周炎进展过程中牙菌斑微生物群改变的关键驱动因素。牙周炎和 SRP 治疗导致牙菌斑中 ARGs 和 MRGs 的数量增加,并显著改变了 ARG 和 MRG 谱的组成。杆菌肽、β-内酰胺类、大环内酯-林可酰胺-链阳菌素(MLS)、四环素和多药耐药基因是 ARGs 中相对丰度较高的主要类别,而多金属、铁、铬和铜耐药基因是牙菌斑微生物群中主要的 MRG 类型。ARGs、MRGs 和移动遗传元件(MGEs)的共现表明,牙菌斑微生物群的耐药组中存在共选择现象。总的来说,我们的数据提供了有关牙周炎患者口腔微生物群中 ARGs 和 MRGs 分布的新见解,并可能有助于理解微生物群、耐药组和 MGEs 之间复杂的相关性。抗生素在牙周病原体中的耐药性的出现和发展已经影响了牙周炎治疗的成功率。迫切需要开发新的抗菌策略来帮助控制和治疗牙周疾病,而牙菌斑微生物组研究提供了一个有前途的新攻击角度。在这项研究中,我们研究了牙周健康和疾病状态下的牙菌斑微生物群和耐药组及其在 SRP 治疗后的变化。据我们所知,这是首次通过宏基因组方法分析牙菌斑微生物群落和抗生素及金属耐药基因的特征。监测这些耐药组的特征具有巨大的潜力,可以为适当使用抗生素和开发牙周炎治疗的新抗菌策略提供参考水平,从而提高治疗方案的实际疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe0b/8386447/1cd4fea663fb/msphere.00162-21-f001.jpg

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