Virulence of Streptococcus mutans: An intrafamilial cohort study on transmission of genotypes

Ana-Lídia-Soares Cota1, Valter Silva1, Salete-Moura-Bonifácio da Silva2

  • 1Postgraduate Program in Society, Technology and Public Policy (SOTEPP), Centro Universitário Tiradentes (UNIT/AL), Maceió (AL), Brazil.

Abstract

Insights

Highly virulent Streptococcus mutans genotypes are more transmissible and stable in the oral cavity, favoring spread within families. These findings highlight the role of specific virulence factors in dental caries transmission.

Area of Science:

  • Microbiology
  • Oral Health
  • Genetics

Background:

  • Streptococcus mutans is a key pathogen in dental caries.
  • Understanding transmission dynamics and virulence factors is crucial for prevention.

Purpose of the Study:

  • To assess the intrafamilial risk of transmission, sharing, and stability of virulent Streptococcus mutans genotypes.
  • To identify specific virulence genes associated with S. mutans transmission and stability.

Main Methods:

  • A cohort study involving 392 caries-active adults.
  • Genotyping of S. mutans isolates to detect genes for GbpA and mutacins (mutAI, mutAII, mutAIII, mutAIV).
  • Polymerase Chain Reaction (PCR) was used for gene detection.

Main Results:

  • Genes gbpA, mutAI, mutAII, mutAIII, and mutAIV were found in 77.3%, 12.5%, 51%, 16.6%, and 89.8% of isolates, respectively.
  • Higher virulence in S. mutans was significantly associated with increased transmissibility (P<0.01) and stability (P=0.01).
  • Virulent genotypes showed higher transmissibility (RR=1.83) and stability (RR=1.52) in the oral cavity.

Conclusions:

  • Genotypes possessing genes for GbpA and mutacin synthesis confer an ecological advantage for S. mutans colonization.
  • These virulent genotypes demonstrate stability within the oral microbiota and promote intrafamilial transmission.
  • Key virulence factors of Streptococcus mutans play a significant role in dental caries transmission and persistence.

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