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Published on: March 1, 2024
Disrupted Salivary Fungal Community in Patients With Oral Lichen Planus
Mengtong Zhang1, Wengieng Xiong1, Ruru Shao1
1Department of Oral Mucosal Diseases, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; College of Stomatology, National Centre for Stomatology, National Clinical Research Centre for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China.
Introduction And Aims:
Oral lichen planus (OLP), a chronic inflammatory oral mucosal disorder with malignant potential, has been associated with oral microbial dysbiosis. While bacterial community alterations in OLP are well-documented, the fungal community architecture and ecological dynamics, particularly within salivary microbiota, remain poorly characterised.
Methods:
Saliva samples were collected from 30 participants and stratified into 3 cohorts: 10 healthy controls (HC), 10 reticular OLP (R-OLP) patients and 10 erosive OLP (E-OLP) patients. The fungal community profile was assessed using internal transcribed spacer (ITS) sequencing, complemented by multi-dimensional analytical approaches, including diversity metrics, co-occurrence network construction and functional prediction.
Results:
Significant diversity disparities distinguished fungal communities across groups. Taxonomically, Pseudozyma and Simplicillium demonstrated reduced abundance in OLP patients versus HC, while Pyronema was exclusive to OLP cohorts. Fungal ecological networks in OLP exhibited increased density compared to HC. Linear discriminant analysis effect size (LEfSe) analysis identified Pseudozyma as an HC-associated biomarker and Pyronema as an E-OLP discriminant, while predictive models highlighted Pseudozyma and Simplicillium as effective group stratifiers. FUNGuild profiling revealed predominant saprotrophic activity across all groups, with decreased pathotroph-symbiotroph guild representation in OLP patients.
Conclusions:
Salivary fungal communities in OLP exhibit structural and compositional alterations. Through integrated analyses of relative abundance, random forest modelling and LEfSe, this study indicated that 3 fungal taxa may be as potential biomarkers for distinguishing OLP from HC. Among these, Pseudozyma and Simplicillium showed characteristics suggesting a possible probiotic role, while Pyronema, with its detection limited to OLP and absence in HC, may be associated with the disease.
Clinical Relevance:
The fungal profile observed in this study, comprising the potentially beneficial taxa Pseudozyma and Simplicillium as well as the OLP-linked Pyronema, offers new directions for developing noninvasive diagnostics and microbial-targeted therapies for OLP.
Insights
Oral lichen planus (OLP) salivary fungal communities show distinct alterations. Specific fungi like Pseudozyma and Simplicillium may act as biomarkers or probiotics, while Pyronema is linked to OLP disease.
Area of Science:
- Oral microbiology
- Mycology
- Inflammatory diseases
Background:
- Oral lichen planus (OLP) is a chronic inflammatory condition with malignant potential.
- While bacterial dysbiosis in OLP is known, salivary fungal communities are poorly understood.
Purpose of the Study:
- To characterize salivary fungal community structure and ecological dynamics in OLP patients.
- To identify potential fungal biomarkers for OLP diagnosis.
Main Methods:
- Saliva samples from 30 participants (10 healthy controls, 10 reticular OLP, 10 erosive OLP) were analyzed.
- Internal transcribed spacer (ITS) sequencing was used to profile fungal communities.
- Diversity metrics, co-occurrence networks, and functional predictions were applied.
Main Results:
- Fungal diversity differed significantly between groups.
- Pseudozyma and Simplicillium were reduced in OLP, while Pyronema was exclusive to OLP.
- OLP fungal networks were denser, with Pseudozyma and Pyronema identified as potential biomarkers.
Conclusions:
- Salivary fungal communities are altered in OLP, with distinct compositional and structural changes.
- Pseudozyma, Simplicillium, and Pyronema show potential as biomarkers for OLP.
- Findings suggest new avenues for non-invasive OLP diagnostics and targeted therapies.
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