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      Fusobacterium nucleatum Metabolically Integrates Commensals and Pathogens in Oral Biofilms

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          ABSTRACT

          Fusobacterium nucleatum is a common constituent of the oral microbiota in both periodontal health and disease. Previously, we discovered ornithine cross-feeding between F. nucleatum and Streptococcus gordonii, where S. gordonii secretes ornithine via an arginine-ornithine antiporter (ArcD), which in turn supports the growth and biofilm development of F. nucleatum; however, broader metabolic aspects of F. nucleatum within polymicrobial communities and their impact on periodontal pathogenesis have not been addressed. Here, we show that when cocultured with S. gordonii, F. nucleatum increased amino acid availability to enhance the production of butyrate and putrescine, a polyamine produced by ornithine decarboxylation. Coculture with Veillonella parvula, another common inhabitant of the oral microbiota, also increased lysine availability, promoting cadaverine production by F. nucleatum. We confirmed that ArcD-dependent S. gordonii-excreted ornithine induces synergistic putrescine production, and mass spectrometry imaging revealed that this metabolic capability creates a putrescine-rich microenvironment on the surface of F. nucleatum biofilms. We further demonstrated that polyamines caused significant changes in the biofilm phenotype of a periodontal pathogen, Porphyromonas gingivalis, with putrescine accelerating the biofilm life cycle of maturation and dispersal. This phenomenon was also observed with putrescine derived from S. gordonii- F. nucleatum coculture. Lastly, analysis of plaque samples revealed cooccurrence of P. gingivalis with genetic modules for putrescine production by S. gordonii and F. nucleatum. Overall, our results highlight the ability of F. nucleatum to induce synergistic polyamine production within multispecies consortia and provide insight into how the trophic web in oral biofilm ecosystems can eventually shape disease-associated communities.

          IMPORTANCE Periodontitis is caused by a pathogenic shift in subgingival biofilm ecosystems, which is accompanied by alterations in microbiome composition and function, including changes in the metabolic activity of the biofilm, which comprises multiple commensals and pathogens. While Fusobacterium nucleatum is a common constituent of the supra- and subgingival biofilms, its metabolic integration within polymicrobial communities and the impact on periodontal pathogenesis are poorly understood. Here, we report that amino acids supplied by other commensal bacteria induce polyamine production by F. nucleatum, creating polyamine-rich microenvironments. Polyamines reportedly have diverse functions in bacterial physiology and possible involvement in periodontal pathogenesis. We show that the F. nucleatum-integrated trophic network yielding putrescine from arginine through ornithine accelerates the biofilm life cycle of Porphyromonas gingivalis, a periodontal pathogen, from the planktonic state through biofilm formation to dispersal. This work provides insight into how cooperative metabolism within oral biofilms can tip the balance toward periodontitis.

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          Staging and grading of periodontitis: Framework and proposal of a new classification and case definition

          Authors were assigned the task to develop case definitions for periodontitis in the context of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The aim of this manuscript is to review evidence and rationale for a revision of the current classification, to provide a framework for case definition that fully implicates state-of-the-art knowledge and can be adapted as new evidence emerges, and to suggest a case definition system that can be implemented in clinical practice, research and epidemiologic surveillance.
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            The oral microbiota: dynamic communities and host interactions

            The dynamic and polymicrobial oral microbiome is a direct precursor of diseases such as dental caries and periodontitis, two of the most prevalent microbially induced disorders worldwide. Distinct microenvironments at oral barriers harbour unique microbial communities, which are regulated through sophisticated signalling systems and by host and environmental factors. The collective function of microbial communities is a major driver of homeostasis or dysbiosis and ultimately health or disease. Despite different aetiologies, periodontitis and caries are each driven by a feedforward loop between the microbiota and host factors (inflammation and dietary sugars, respectively) that favours the emergence and persistence of dysbiosis. In this Review, we discuss current knowledge and emerging mechanisms governing oral polymicrobial synergy and dysbiosis that have both enhanced our understanding of pathogenic mechanisms and aided the design of innovative therapeutic approaches for oral diseases.
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              The subgingival microbiome in health and periodontitis and its relationship with community biomass and inflammation.

              The goals of this study were to better understand the ecology of oral subgingival communities in health and periodontitis and elucidate the relationship between inflammation and the subgingival microbiome. Accordingly, we used 454-pyrosequencing of 16S rRNA gene libraries and quantitative PCR to characterize the subgingival microbiome of 22 subjects with chronic periodontitis. Each subject was sampled at two sites with similar periodontal destruction but differing in the presence of bleeding, a clinical indicator of increased inflammation. Communities in periodontitis were also compared with those from 10 healthy individuals. In periodontitis, presence of bleeding was not associated with different α-diversity or with a distinct microbiome, however, bleeding sites showed higher total bacterial load. In contrast, communities in health and periodontitis largely differed, with higher diversity and biomass in periodontitis. Shifts in community structure from health to periodontitis resembled ecological succession, with emergence of newly dominant taxa in periodontitis without replacement of primary health-associated species. That is, periodontitis communities had higher proportions of Spirochetes, Synergistetes, Firmicutes and Chloroflexi, among other taxa, while the proportions of Actinobacteria, particularly Actinomyces, were higher in health. Total Actinomyces load, however, remained constant from health to periodontitis. Moreover, an association existed between biomass and community structure in periodontitis, with the proportion of specific taxa correlating with bacterial load. Our study provides a global-scale framework for the ecological events in subgingival communities that underline the development of periodontitis. The association, in periodontitis, between inflammation, community biomass and community structure and their role in disease progression warrant further investigation.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                mSystems
                mSystems
                msystems
                mSystems
                American Society for Microbiology (1752 N St., N.W., Washington, DC )
                2379-5077
                19 July 2022
                Jul-Aug 2022
                19 July 2022
                : 7
                : 4
                : e00170-22
                Affiliations
                [a ] Department of Preventive Dentistry, Graduate School of Dentistry, Osaka Universitygrid.136593.b, , Osaka, Japan
                [b ] Department of Biotechnology, Graduate School of Engineering, Osaka Universitygrid.136593.b, , Osaka, Japan
                [c ] Department of Oral Immunology and Infectious Diseases, School of Dentistry, University of Louisvillegrid.266623.5, , Louisville, Kentucky, USA
                Arizona State University
                Author notes

                The authors declare no conflict of interest.

                Author information
                https://orcid.org/0000-0001-9733-6886
                https://orcid.org/0000-0002-4699-6590
                https://orcid.org/0000-0002-3147-5039
                Article
                00170-22 msystems.00170-22
                10.1128/msystems.00170-22
                9426547
                35852319
                9af785cd-996e-41c1-9c4d-dd7b721d95a0
                Copyright © 2022 Sakanaka et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license.

                History
                : 24 February 2022
                : 27 June 2022
                Page count
                supplementary-material: 8, Figures: 7, Tables: 0, Equations: 0, References: 62, Pages: 17, Words: 11231
                Funding
                Funded by: Japan Agency for Medical Research and Development (AMED), FundRef https://doi.org/10.13039/100009619;
                Award ID: JP18gm0710005
                Award Recipient :
                Funded by: MEXT | Japan Society for the Promotion of Science (JSPS), FundRef https://doi.org/10.13039/501100001691;
                Award ID: JP18H04068
                Award ID: JP18H05387
                Award Recipient :
                Funded by: MEXT | Japan Society for the Promotion of Science (JSPS), FundRef https://doi.org/10.13039/501100001691;
                Award ID: JP19H03862
                Award Recipient :
                Funded by: MEXT | Japan Society for the Promotion of Science (JSPS), FundRef https://doi.org/10.13039/501100001691;
                Award ID: JP18K17281
                Award Recipient :
                Funded by: HHS | NIH | National Institute of Dental and Craniofacial Research (NIDCR), FundRef https://doi.org/10.13039/100000072;
                Award ID: DE012505
                Award ID: DE023193
                Award ID: DE011111
                Award Recipient :
                Categories
                Research Article
                bacteriology, Bacteriology
                Custom metadata
                July/August 2022

                fusobacterium nucleatum,porphyromonas gingivalis,arginine deiminase system,metabolic cross-feeding,oral biofilms,periodontitis,polyamines

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