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Updated: Aug 28, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
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.
Objectives:
The present study aimed to investigate the characteristics of salivary microbiota of children with obstructive sleep apnea (OSA) and to assess longitudinal alterations in salivary microbiota before and after adenotonsillectomy.
Methods:
A set of cross-sectional samples consisted of 36 OSA children (17 boys and 19 girls, 7.47 ± 2.24 years old) and 22 controls (9 boys and 13 girls, 7.55 ± 2.48 years old) were included in the study, among which eight OSA children (five boys and three girls, 8.8 ± 2.0 years old) who underwent treatment of adenotonsillectomy were followed up after 1 year. Saliva samples were collected, and microbial profiles were analyzed by bioinformatics analysis based on 16S rRNA sequencing.
Results:
In cross-sectional samples, the OSA group had higher α-diversity as estimated by Chao1, Shannon, Simpson, Pielou_e, and observed species as compared with the control group (p < 0.05). β-Diversity based on the Bray-Curtis dissimilarities (p = 0.004) and Jaccard distances (p = 0.001) revealed a significant separation between the OSA group and control group. Nested cross-validated random forest classifier identified the 10 most important genera (Lactobacillus, Escherichia, Bifidobacterium, Capnocytophaga, Bacteroidetes_[G-7], Parvimonas, Bacteroides, Klebsiella, Lautropia, and Prevotella) that could differentiate OSA children from controls with an area under the curve (AUC) of 0.94. Linear discriminant analysis effect size (LEfSe) analysis revealed a significantly higher abundance of genera such as Prevotella (p = 0.027), Actinomyces (p = 0.015), Bifidobacterium (p < 0.001), Escherichia (p < 0.001), and Lactobacillus (p < 0.001) in the OSA group, among which Prevotella was further corroborated in longitudinal samples. Prevotella sp_HMT_396 was found to be significantly enriched in the OSA group (p = 0.02) with significantly higher levels as OSA severity increased (p = 0.014), and it had a lower abundance in the post-treatment group (p = 0.003) with a decline in each OSA child 1 year after adenotonsillectomy.
Conclusions:
A significantly higher microbial diversity and a significant difference in microbial composition and abundance were identified in salivary microbiota of OSA children compared with controls. Meanwhile, some characteristic genera (Prevotella, Actinomyces, Lactobacillus, Escherichia, and Bifidobacterium) were found in OSA children, among which the relationship between Prevotella spp. and OSA is worth further studies.
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