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[龋齿或牙周炎患者的唾液微生物群和代谢物]

[Saliva microbiota and metabolite in individuals with caries or periodontitis].

作者信息

Wu H Z, Zhang X, Cheng X G, Yu Q

机构信息

Department of Endodontics, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Xi'an 710032, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2023 Feb 9;58(2):131-142. doi: 10.3760/cma.j.cn112144-20220829-00464.

Abstract

To detect and analyze the characteristics of oral microbiota in species composition, function and metabolism among caries, periodontitis and oral healthy individuals, hunting for the microbiome-derived biomarkers with specificity and sensitivity to estimate the occurrence of these two diseases. Saliva samples were collected from 10 patients with high caries risk [decayed-missing-filled teeth (DMFT)≥6, HC group] in Department of Endodontics, 10 patients with periodontitis of grade Ⅱ A-Ⅲ C (PG group) in Department of Periodontology and 10 oral healthy individuals (HH group) from School of Stomatology, The Fourth Military Medical University during from March 2022 to June 2022. A baseline examination was conducted on all participants, including their oral conditions of caries and periodontal health. Metagenomic sequencing (Illumina PE150 platform) and liquid chromatography-mass spectrometry were used to detect microorganisms and their metabolites in the samples respectively. The sequencing data were analyzed to obtain the information of microbial taxonomic composition, functional genes and metabolites in each group of samples. The basic oral conditions and saliva samples of subjects in each group were evaluated and collected by the same professional endodontist. There were no significant difference in baseline characteristics such as age and sex among the subjects in each group (0.05). DMFT in HC group (9.0±1.7) was significantly higher than that in HH group (0) and PG group (0) (243.00, 0.001). Sequencing data analysis showed that the taxonomic compositions of salivary microbiota in each group were mainly , and at the phylum level, and at the genus level. Differential analysis showed that, compared with the HH group, HC group and PG group had significant differences in taxonomic composition (0.05), and the most significant among them was . At the species level, was the most significant change in HC group, and in PG group. Metabolite analysis showed that there were significant differences in metabolites between HC group and PG group. The results showed that, compared with the HH group, the most significant metabolite change was 3-hydroxy-1, 5-diphenylpentan-1-one in HC group (0.001) and N1 acetylspermine in PG group (0.002) respectively. Compared with the PG group, the metabolite of HC group with the most significant difference is D-glucosamine 6-phosphate (0.006). The metabolism gene function analysis showed that, the enrichment of carbohydrate metabolism related genes was highest in HC group, followed with HH group, and it was lowest in PG group. In addition, compared with the HH group, the abundance of functional genes related to glucose metabolism, such as ABC transporter and phosphotransferase system, were significantly decreased in PG group (0.05), but significantly increased in HC group (0.05). There is a significant correlation between the alternation of carbohydrate metabolism of salivary microbiota with the occurrence of caries and periodontitis. In the future, and 3-hydroxy-1, 5-diphenylpentan-1-one may be the potential biomarkers of caries; while and N1 acetylspermine work in the predictions of periodontitis.

摘要

为检测和分析龋病、牙周炎患者与口腔健康个体口腔微生物群在物种组成、功能和代谢方面的特征,寻找具有特异性和敏感性的微生物组衍生生物标志物,以评估这两种疾病的发生情况。于2022年3月至2022年6月期间,从空军军医大学口腔医院牙体牙髓病科选取10例高龋风险患者[龋失补牙数(DMFT)≥6,HC组]、牙周病科选取10例ⅡA-ⅢC级牙周炎患者(PG组)以及10名口腔健康个体(HH组),采集唾液样本。对所有参与者进行了包括龋病和牙周健康状况在内的基线检查。分别采用宏基因组测序(Illumina PE150平台)和液相色谱-质谱联用技术检测样本中的微生物及其代谢产物。对测序数据进行分析,以获取每组样本中微生物分类组成、功能基因和代谢产物的信息。每组受试者的基本口腔状况和唾液样本均由同一位专业牙体牙髓病医生进行评估和采集。每组受试者的年龄、性别等基线特征差异无统计学意义(P>0.05)。HC组的DMFT(9.0±1.7)显著高于HH组(0)和PG组(0)(P<0.001)。测序数据分析显示,各组唾液微生物群在门水平上的分类组成主要为 、 和 ,在属水平上为 。差异分析显示,与HH组相比,HC组和PG组在分类组成上存在显著差异(P<0.05),其中最显著的是 。在种水平上,HC组变化最显著的是 ,PG组是 。代谢产物分析显示,HC组和PG组之间的代谢产物存在显著差异。结果显示,与HH组相比,HC组变化最显著的代谢产物分别是3-羟基-1,5-二苯基戊-1-酮(P<0.001),PG组是N1-乙酰精胺(P<0.002)。与PG组相比,HC组差异最显著的代谢产物是6-磷酸-D-氨基葡萄糖(P<0.006)。代谢基因功能分析显示,碳水化合物代谢相关基因在HC组中的富集程度最高,其次是HH组,在PG组中最低。此外,与HH组相比,PG组中与葡萄糖代谢相关的功能基因如ABC转运蛋白和磷酸转移酶系统的丰度显著降低(P<0.05),而在HC组中显著升高(P<0.05)。唾液微生物群碳水化合物代谢的改变与龋病和牙周炎的发生之间存在显著相关性。未来, 和3-羟基-1,5-二苯基戊-1-酮可能是龋病的潜在生物标志物;而 和N1-乙酰精胺可用于牙周炎的预测。

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