Isolation and Identification of Potentially Pathogenic

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Isolation and Identification of Potentially Pathogenic microorganisms Article Isolation and Identification of Potentially Pathogenic Microorganisms Associated with Dental Caries in Human Teeth Biofilms Xiuqin Chen, Eric Banan-Mwine Daliri , Ramachandran Chelliah and Deog-Hwan Oh * Department of Food Science and Biotechnology, College of Agriculture and Life Sciences, Kangwon National University, Chuncheon 200-701, Korea; [email protected] (X.C.); [email protected] (E.B.-M.D.); [email protected] (R.C.) * Correspondence: [email protected] Received: 29 September 2020; Accepted: 15 October 2020; Published: 16 October 2020 Abstract: Dental caries is attributed to the predominance of cariogenic microorganisms. Cariogenic microorganisms are pathological factors leading to acidification of the oral microenvironment, which is related to the initiation and progression of caries. The accepted cariogenic microorganism is Streptococcus mutans (S. mutans). However, studies have found that caries could occur in the absence of S. mutans. This study aimed to assess the presence of potentially cariogenic microorganisms in human teeth biofilm. The microorganisms were isolated from human mouth and freshly extracted human maxillary incisors extracted for reasons of caries. The isolates were sorted based on their acidogenic and aciduric properties, and the S. mutans was used as the reference strain. Four potentially cariogenic strains were selected. The selected strains were identified as Streptococcus salivarius (S. salivarius), Streptococcus anginosus (S. anginosus), Leuconostoc mesenteroides (L. mesenteroides), and Lactobacillus sakei (L. sakei) through morphological analysis followed by 16S rRNA gene sequence analysis. The cariogenicity of isolates was analyzed. We show, for the first time, an association between L. sakei (present in fermented food) and dental caries. The data provide useful information on the role of lactic acid bacteria from fermented foods and oral commensal streptococci in dental caries. Keywords: cariogenic microorganisms; isolation; cariogenic potential; dental caries 1. Introduction Dental caries is a biofilm-mediated disease in which the cariogenic bacterial group is a limited subset of the many species found in biofilms on the surface of the tooth [1]. Caries results in the damage of the calcified structure of the dental apatite (tooth enamel). Despite the numerous efforts made by scientists to simulate the biomineralized crystallization–amorphous boundary of hard tissue in nature and to induce the epitaxial growth of enamel with current technology, damage of tooth enamel is irreversible [2,3]. Dental caries is a preventable disease that places a considerable burden on the economy and quality-of-life [1]. The data from the Global Burden of Disease (GBD) confirmed that untreated permanent dental caries remains the most common health condition globally in 2015 (34.1 percent) [4]. The GBD latest study in 2017 estimates that 3.5 billion people worldwide are affected by oral diseases, with untreated dental caries is one of the commonest non-communicable diseases worldwide [5]. Besides, increasing evidence suggests that dental caries may has adverse effects on cardiovascular diseases [6], such as coronary heart disease [7], hypertension [8], and arteriosclerosis [9]. Furthermore, an association between dental caries and pregnancy outcomes has been identified [10]. Therefore, tooth-preserving preventive care must be taken seriously. At present, the accepted etiology of caries is a four-factor theory that includes oral microorganisms, oral environment, host, and time. Long-term changes in the availability of microbial metabolic Microorganisms 2020, 8, 1596; doi:10.3390/microorganisms8101596 www.mdpi.com/journal/microorganisms Microorganisms 2020, 8, x FOR PEER REVIEW 2 of 12 MicroorganismsAt present,2020, 8,the 1596 accepted etiology of caries is a four-factor theory that includes 2oral of 12 microorganisms, oral environment, host, and time. Long-term changes in the availability of microbial metabolic substrates may change the ecological balance of the microbiome [11]. Frequent intake of sugarssubstrates results may in saccharification change the ecological (acid production) balance of by the oral microbiome microbes. [There11]. Frequentis evidence intake to suggest of sugars that sugarresults supplementation in saccharification can (acid disrupt production) the homeos by oral microbes.tasis between There acid-producing is evidence to suggest and none-acid- that sugar producingsupplementation microorganisms can disrupt [12]. the S. homeostasismutans has been between a major acid-producing focus in the etiology and none-acid-producing of dental caries, it hasmicroorganisms long been considered [12]. S. mutans as a pathogenichas been a bacteria major focus of dental in the caries, etiology because of dental it not caries, only itproduces has long lactic been acidconsidered but also as grows a pathogenic at low pH. bacteria However, of dental S. mutan caries,s becausewas not itdetected not only in produces 10 to 20 lacticpercent acid of but dental also cariesgrows patients, at low pH. so However,it is now clearS. mutans that S.was mutans notdetected is not the in only 10 to pathogenic 20 percent bacterium of dental caries related patients, to the etiologyso it is now of dental clear that cariesS. mutans[13]. Ais meta not thegenetic only analysis pathogenic data bacterium have shown related that to caries the etiology is caused of dentalby an overallcaries [change13]. A metain the genetic composition analysis of the data oral have microbiome shown that [14]. caries In the is absence caused byof S. an mutans overall, other change acid- in producingthe composition species of could the oral perform microbiome the cariogenic [14]. In the functi absenceon [15,16]. of S. mutans Therefore,, other to acid-producingprevent dental speciescaries, itcould is necessary perform to the control cariogenic cariogenic function microorganisms [15,16]. Therefore, (including to prevent but not dentallimited caries, to S. mutans it is necessary). Evidence to iscontrol emerging cariogenic that acid-producing microorganisms bacterial (including species but other not limited than S. to mutansS. mutans, species). Evidence of the genera is emerging Veillonella that [17],acid-producing Scardovia [18], bacterial Lactobacillus species [19], other Propionibacterium than S. mutans, species [20], and of thelow-pH genera non-VeillonellaS. mutans[17 streptococci], Scardovia [21][18], presentLactobacillus in dental[19], biofilm,Propionibacterium as colonizers[20], may and result low-pH in cariogenic non-S. mutans conditions streptococci in the[21 mouth.] present in dental biofilm,Pathogenic as colonizers factors may of oral result micr inoorganisms cariogenic conditions play key roles in the in mouth.caries development. The coalition of multiplePathogenic pathogenic factors microorganisms of oral microorganisms contributes play to initiate key roles and in advanced caries development. disease. The The composing coalition of of oralmultiple microbiota pathogenic can microorganismseasily change contributesby diet and to initiateenvironment and advanced [22]. Acidogenic disease. The and composing aciduric microorganismsof oral microbiota in the can tooth easily biofilm change play by an diet import and environmentant role in the [22 pathogenesis]. Acidogenic of dental and aciduric caries. Studiesmicroorganisms on the potential in the toothcariogenicity biofilm of play those an importantmicroorganisms role in could the pathogenesisprovide a scientific of dental reference caries. forStudies the prevention on the potential and treatment cariogenicity of dental of those caries. microorganisms It is still a far way could to provide fully understand a scientific due reference to the complexityfor the prevention of oral bacterial and treatment commu ofnity dental dynamics. caries. There It is stillis no a reference far way todemonstrating fully understand the specific due to definitionthe complexity of cariogenic of oral bacterial oral microorganisms. community dynamics. In our study, There acidogenic is no reference and demonstratingaciduric microorganisms the specific weredefinition isolated of cariogenic from the different oral microorganisms. niche of individual In ours study, (the number acidogenic of the and people aciduric with microorganisms caries: 7; the numberwere isolated of caries-free from thepeople: different 11; the niche number of individualsof infected teeth: (the number18), and the of thedata people showed with that caries:potential 7; pathogenicthe number bacteria of caries-free were presented people: 11; in theall groups number of of samples infected (caries, teeth: caries-free, 18), and the and data infected showed tooth). that Furthermore,potential pathogenic the cariogenicit bacteriay were of isolates presented was in measured. all groups of samples (caries, caries-free, and infected tooth). Furthermore, the cariogenicity of isolates was measured. 2. Materials and Methods 2. Materials and Methods 2.1. Isolation and Identification of Potentially Cariogenic Microorganisms 2.1. Isolation and Identification of Potentially Cariogenic Microorganisms The process of isolation and screening of strains is shown in Figure 1. The process of isolation and screening of strains is shown in Figure1. Figure 1. The process of isolation and screening of potentially cariogenic microorganisms in human Figure 1. The process of isolation and screening of potentially cariogenic microorganisms in human teeth biofilms.
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