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Updated: Aug 19, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Correlations between gastrointestinal and oral microbiota in children with cerebral palsy and epilepsy
Congfu Huang1, Chunuo Chu2, Yuanping Peng3
1Department of Pediatrics, Longgang District Maternity & Child Healthcare Hospital, Shenzhen, China.
Insights
Children with cerebral palsy and epilepsy (CPE) show altered oral and gut microbiota. These microbial changes are linked to increased risks of periodontitis, caries, and malnutrition, highlighting the gut-oral microbiota connection.
Area of Science:
- Microbiology
- Human Health
- Pediatrics
Background:
- Cerebral palsy and epilepsy (CPE) are complex neurological conditions.
- The interplay between oral microbiota (OM) and gut microbiota (GM) is increasingly recognized.
- Understanding microbial dysbiosis in CPE is crucial for potential therapeutic interventions.
Purpose of the Study:
- To investigate the correlation between oral and gut microbiota in children with CPE.
- To identify specific microbial alterations in the oral cavity and gut of CPE children.
- To explore the potential clinical implications of these microbial changes.
Main Methods:
- 16S rRNA gene sequencing was used to analyze oral plaque and stool samples from 27 children with CPE.
- Taxonomical annotation was performed to identify bacterial genera and their abundance.
- Comparative analysis was conducted between CPE children and healthy controls.
Main Results:
- CPE children exhibited significantly lower levels of Firmicutes and Bacteroides, and higher Actinomycetes in oral microbiota compared to healthy children.
- Key oral genera in CPE included Prevotella, Fusobacterium, and Neisseria, potentially linked to caries, periodontitis, and malnutrition.
- Gut microbiota in CPE children showed Bifidobacterium, Bacteroides, and Prevotella as dominant genera, possibly contributing to chronic inflammation and malnutrition.
- Significant correlations were observed between oral and gut microbiota composition in CPE children.
- Distinct microbial profiles were noted in both oral and gut environments of CPE children compared to healthy individuals.
Conclusions:
- Dysbiosis in oral microbiota can translocate to the gut, inducing gut microbiota dysbiosis in children with CPE.
- The findings suggest a consistent pattern of microbial alterations between the oral cavity and the gut in CPE.
- Altered oral and gut microbial structures in CPE may contribute to the development of clinical conditions like periodontitis, caries, and malnutrition.
Abstract:
We here studied the correlation between gut and oral microbiota in children with cerebral palsy and Epilepsy (CPE). We enrolled 27 children with this condition from the social welfare center of Longgang District, collected their oral plaque and stool samples, and analyzed their gut microbiota (GM) and oral microbiota (OM) through 16S rRNA gene sequencing. Taxonomical annotation revealed that the levels of Firmicutes and Bacteroides in the oral cavity were significantly lower in CPE children than in healthy children, whereas the abundance of Actinomycetes increased significantly in CPE children. In addition, Prevotella, Fusobacterium, and Neisseria were the top three abundant genera, representing 15.49%, 9.34%, and 7.68% of the OM and suggesting potential correlations with caries, periodontitis, and malnutrition. For the GM, Bifidobacterium, Bacteroides, and Prevotella were the top three abundant genera in CPE children and probably contributed to the development of chronic inflammation and malnutrition. Furthermore, the OM and GM correlated with each other closely, and the bacterial components of these microbiota in CPE children were remarkably different from those in healthy children, such as Bifidobacterium, Fusobacterium, Bacteroides, and Neisseria. Conclusively, dysbiotic OM can translocate to the intestinal tract and induce GM dysbiosis, suggesting the consistency between OM and GM variations. Altered oral and gut microbial structures have potential impacts on the occurrence of clinical diseases such as periodontitis, caries, and malnutrition.
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