Characteristics of salivary microbiota in children with obstructive sleep apnea: A prospective study with

Xin Huang1, Xuehui Chen1, Xu Gong1

  • 1Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China.

Insights

Children with obstructive sleep apnea (OSA) have altered salivary microbiota, with higher diversity and specific bacterial genera like Prevotella. These changes normalize after adenotonsillectomy, suggesting a link between OSA and oral microbiome.

Area of Science:

  • Microbiology
  • Pediatric Sleep Medicine
  • Bioinformatics

Background:

  • Obstructive sleep apnea (OSA) is a common pediatric condition affecting sleep quality and potentially oral health.
  • The oral microbiome plays a crucial role in maintaining oral health and can be influenced by various physiological conditions.

Purpose of the Study:

  • To characterize the salivary microbiota in children diagnosed with obstructive sleep apnea (OSA).
  • To investigate longitudinal changes in salivary microbiota composition before and after adenotonsillectomy in OSA patients.

Main Methods:

  • Cross-sectional study comparing salivary microbiota of 36 OSA children and 22 controls using 16S rRNA sequencing.
  • Longitudinal analysis of 8 OSA children before and 1 year after adenotonsillectomy.
  • Bioinformatic analyses including diversity metrics (α- and β-diversity), random forest classification, and LEfSe for differential abundance.

Main Results:

  • OSA children exhibited significantly higher α-diversity and distinct β-diversity compared to controls.
  • Key genera differentiating OSA from controls included Lactobacillus, Escherichia, Bifidobacterium, and Prevotella.
  • Prevotella, particularly Prevotella sp. HMT 396, was enriched in OSA patients, with abundance correlating positively with OSA severity and decreasing post-adenotonsillectomy.

Conclusions:

  • Salivary microbiota in children with OSA is characterized by increased diversity and altered composition, notably with higher Prevotella abundance.
  • Adenotonsillectomy appears to modulate the salivary microbiome towards a profile closer to non-OSA children.
  • The findings highlight a potential role for Prevotella in pediatric OSA and suggest salivary microbiota as a biomarker.
Abstract

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
214
Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture01:26

Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture

Sputum studies are a critical part of diagnosing and treating numerous respiratory conditions. These studies involve obtaining sputum samples for analysis to identify pathogenic organisms and assess the presence of abnormal cells indicative of malignant conditions. This lesson will delve into three fundamental sputum studies: Gram Stain, Cytology, and Acid-fast Smear and Culture.
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
273
Sputum Studies II: Culture and Sensitivity01:20

Sputum Studies II: Culture and Sensitivity

Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
540
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
495
Salivary Glands and Saliva01:23

Salivary Glands and Saliva

The salivary glands, of which there are three pairs known as the parotid, submandibular, and sublingual glands, play a crucial role in maintaining oral health and initiating the digestive process. Positioned near the ears, beneath the masseter muscle, the parotid glands secrete saliva into the oral cavity through the parotid duct of Stensen. Meanwhile, the submandibular glands, located on the floor of the mouth, secrete saliva through channels named submandibular ducts. The sublingual glands,...
872