The pathogenic persona of community-associated oral streptococci

Sarah E Whitmore1, Richard J Lamont

  • 1Center for Oral Health and Systemic Disease, School of Dentistry, University of Louisville, Louisville, KY 40202, USA.

Insights

Mitis group streptococci (MGS) are common in the mouth but can act as accessory pathogens. They support the growth of harmful bacteria like Porphyromonas gingivalis, increasing oral disease risk.

Area of Science:

  • Oral microbiology
  • Bacterial pathogenesis
  • Microbial community dynamics

Background:

  • Mitis group streptococci (MGS) are prevalent in the oral cavity and typically linked to oral health.
  • However, MGS possess traits that promote the development of pathogenic oral communities.
  • They facilitate the attachment of more virulent bacteria, such as Porphyromonas gingivalis.

Purpose of the Study:

  • To investigate the role of MGS in the formation of pathogenic oral microbial communities.
  • To understand the mechanisms by which MGS contribute to the virulence of other oral bacteria.
  • To evaluate the pathogenic potential of MGS within heterotypic communities.

Main Methods:

  • Analysis of MGS adherence to tooth surfaces.
  • Investigation of interspecies signaling systems (e.g., AI-2, contact-dependent mechanisms).
  • Study of signal transduction pathways in P. gingivalis (Ltp1, CdhR) and phenotypic responses (hemin uptake, gingipain activity).
  • Assessment of pathogenicity in animal models using mixed-species communities.

Main Results:

  • MGS rapidly adhere to teeth, serving as a foundation for pathogenic bacteria.
  • MGS support the growth and virulence of pathogens like P. gingivalis and Aggregatibacter actinomycetemcomitans through resource partitioning and interspecies signaling.
  • Pathogenic responses in P. gingivalis are regulated by MGS-induced signaling pathways.
  • Mixed MGS-pathogen communities exhibit increased pathogenicity in animal models compared to single species.

Conclusions:

  • MGS contribute to oral pathogenicity not as primary pathogens, but as 'accessory pathogens'.
  • Their pathogenic potential is realized through interactions within polymicrobial communities.
  • Understanding these interactions is crucial for addressing oral diseases driven by complex microbial consortia.

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