Polymethyl methacrylate microplastics affect oral microbiota diversity and Streptococcus mutans biofilm formation
Bing Yang1, Ziyv Wu1, Xing Cui1
1Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China.
Introduction:
Polymethyl methacrylate (PMMA)-a widely applied dental resin-based material-contributes to oral PMMA microplastics (PMMA-MPs) exposure through masticating. PMMA-MPs may facilitate pathogen adhesion, posing substantial risks to oral health. Dental caries represents the most prevalent chronic infectious oral disease, characterized by progressive lesions that may induce pain, tooth structure loss, and compromised masticatory efficiency. Streptococcus mutans have been widely identified as the primary etiological agents responsible for caries pathogenesis. This study aimed to investigate the effects of PMMA-MPs on oral microbiota closely associated with dental caries.
Methods:
The impacts of PMMA-MPs were assessed using a standardized murine oral exposure model, followed by the quantification of PMMA-MPs-associated shifts in oral microbiota using high-throughput 16S rRNA gene sequencing. Compared with the control group, PMMA-MPs significantly altered the diversity of oral microbial communities in mice, with a notable increase in the relative abundance of Streptococcus. Based on the 16S sequencing results, S. mutans was selected for subsequent in vitro experiments.
Results:
PMMA-MPs markedly enhanced the growth, biofilm formation, and virulence factor synthesis of S. mutans. Transcriptomic analysis revealed that PMMA-MPs may promote biofilm formation through pathways including ABC transporters, quorum sensing, and purine metabolism. Additionally, PMMA-MPs exposure enhanced bacterial antibiotic tolerance.
Discussion:
Overall, our results revealed that PMMA-MPs can alter the composition of the oral microbial community, while enhancing both the virulence factors and antibiotic tolerance of S. mutans biofilms.
Insights
Polymethyl methacrylate microplastics (PMMA-MPs) alter oral microbial communities and increase the virulence and antibiotic tolerance of Streptococcus mutans, a key bacterium in dental caries.
Area of Science:
- Oral microbiology
- Dental materials science
- Environmental health
Background:
- Polymethyl methacrylate (PMMA) is a common dental material.
- Mastication can release PMMA microplastics (PMMA-MPs) into the oral cavity.
- PMMA-MPs may impact oral health by affecting microbial adhesion and virulence.
Purpose of the Study:
- To investigate the effects of PMMA-MPs on oral microbiota.
- To determine the impact of PMMA-MPs on the cariogenic bacterium *Streptococcus mutans*.
Main Methods:
- A murine oral exposure model was used to assess PMMA-MP impacts.
- High-throughput 16S rRNA gene sequencing quantified shifts in oral microbiota.
- *In vitro* experiments evaluated *S. mutans* growth, biofilm formation, and virulence.
Main Results:
- PMMA-MPs significantly altered oral microbial diversity in mice, increasing *Streptococcus* abundance.
- PMMA-MPs enhanced *S. mutans* growth, biofilm formation, and virulence factor production.
- PMMA-MPs increased antibiotic tolerance in *S. mutans* biofilms, potentially via ABC transporters, quorum sensing, and purine metabolism pathways.
Conclusions:
- PMMA-MPs alter oral microbial composition.
- PMMA-MPs promote *S. mutans* virulence and antibiotic resistance.
- These findings highlight potential oral health risks associated with PMMA-MPs.
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