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Updated: Jul 9, 2026

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Oral microbiota characteristics in children younger than 3 years with febrile seizures: a prospective observational
Nan Shen1, Xiaoxue Shan1, Lu Zheng1
1Department of Pediatrics, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, People's Republic of China.
Insights
Febrile seizures (FS) in young children are linked to changes in oral bacteria. Specific bacterial genera were found to be either increased or decreased in children experiencing FS, indicating an altered oral microbiome.
Area of Science:
- Microbiology
- Pediatrics
- Genomics
Background:
- The oral microbiota plays a crucial role in early childhood development and health.
- Alterations in the oral microbiome have been implicated in various health conditions.
- Understanding the oral microbiome in febrile seizures (FS) may provide insights into disease mechanisms.
Purpose of the Study:
- To investigate the oral microbiota composition and function in children younger than 3 years with febrile seizures (FS).
- To identify specific bacterial taxa and metabolic pathways associated with FS in early childhood.
Main Methods:
- Oral swab samples were collected from 48 children with FS and 47 healthy controls.
- Bacterial 16S rRNA gene sequencing (V4 region) was performed to analyze microbial composition.
- Alpha-diversity (Shannon, ACE indices) and beta-diversity (weighted/unweighted UniFrac) were assessed.
- Exploratory supervised analysis (partial least squares discriminant analysis) and predicted functional analysis were conducted.
Main Results:
- No significant difference in Shannon diversity between FS and control groups.
- Significantly lower ACE index in the FS group, suggesting reduced richness.
- Enrichment of Streptococcus, Prevotella, and Granulicatella in the FS group.
- Depletion of Neisseria, Haemophilus, Porphyromonas, and Capnocytophaga in the FS group.
- Predicted functional analysis indicated alterations in translation, replication, metabolism, and infectious disease pathways.
Conclusions:
- Febrile seizures are associated with a selective ecological reconfiguration of the early-life oral microbiota.
- Altered proportions of key oral bacterial genera are a primary feature of the FS-associated microbiome.
- These findings highlight the potential role of the oral microbiome in the pathogenesis or as a biomarker of febrile seizures.
Abstract:
This study investigated the oral microbiota of children younger than 3 years with febrile seizures (FS). Oral swab samples were collected from 48 children with FS and 47 healthy controls, and the V4 region of the bacterial 16 S rRNA gene was sequenced. The Shannon index did not differ significantly between groups, whereas the ACE index was significantly lower in the FS group. Although beta-diversity analysis based on weighted and unweighted UniFrac distances showed no significant between-group differences, partial least squares discriminant analysis provided an exploratory supervised visualization showing apparent separation between the FS and control groups. Among the key genera, Streptococcus, Prevotella, and Granulicatella were significantly enriched in the FS group, whereas Neisseria, Haemophilus, Porphyromonas, and Capnocytophaga were significantly depleted. Predicted functional analysis showed increased relative abundances of pathways related to translation, replication and repair, nucleotide metabolism, cell growth and death, and bacterial infectious diseases, whereas pathways related to energy metabolism, cell motility, signaling molecules and interaction, and transport and catabolism were reduced. These findings suggest that FS is associated with selective ecological reconfiguration of the early-life oral microbiota, mainly reflected by altered proportions of key resident genera.
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