Microbial ecosystem in the oral cavity: Metabolic diversity in an ecological niche and its relationship with oral diseases
Section snippets
Bacterial pathogenicity in a microbial ecosystem—ecological plaque hypothesis
Oral cavity is the entrance of the digestive tract, which is often regarded as the ‘inner outside’. The digestive tract is anatomically continuous and harbors approximately 1 × 1014 microorganisms, which is more than the approximately 6 × 1013 cells that constitute the entire human body. Of the various site of the body, the oral cavity is one of the most densely populated and in excess of 500 microorganism species have been isolated from the oral cavity using recently developed molecular biological
Diverse ecological niches in the oral cavity
The heterogeneity of tissue types in the oral cavity, such as teeth, tongue and mucosa, means that a variety of sites are available for colonization by oral microorganisms. Each site has unique characteristics and allows those microorganisms best suited to the environment to inhabit the site. The function or role of microorganisms in a habitat is referred as an ecological niche and a number of ecological niches exist in the oral cavity, including supragingival plaque, subgingival plaque and
Acid production from carbohydrate metabolism and adaptation to acid stress in the supragingival area
The supragingival area consists of the stable environment of the tooth surface coated with salivary components such as proteins and glycoproteins. This continuous supply of saliva acts as a nutrient supply for the microorganisms while carbohydrates derived from foods are also intermittently supplied (Table 2).
Streptococcus and Actinomyces species are predominant in the supragingival area. They can adhere the saliva-coated tooth surface by attachment between adhesins (located on bacterial cell
Protein, peptide and amino acid metabolisms in the subgingival area
Subgingival sites provide a stable tooth surface and an unstable epithelial surface, the latter of which continuously desquamates. Both surfaces are bathed with a continuous efflux of gingival crevicular fluid (GCF), derived from blood plasma and thus nutritionally rich in nitrogenous compounds such as amino acids, peptides and proteins. Desquamated epithelium can also be supplied as a nutrient (Table 3). As a gingival crevice deepens, the environmental factors in the subgingival site become
Tongue coating and oral malodor
Tongue coating consists of desquamated epithelium from the tongue, saliva and microorganisms, and as supragingival sites, food supply is intermittent (Table 3). The papillary structure of the dorsum of the tongue provides a suitable habitat for many microorganisms, and the environment can also be characterized by anaerobic conditions that are conducive for the growth of obligatory anaerobes. A wide range of bacteria including Actinomyces, Streptococci, Veillonella, Fusobacterium and Prevotella
Significance of metabolic activity in the microbial ecosystem
Recent developments of molecular biological techniques for microbial identification have clarified that oral microflora form a microbial complex, or biofilm, consisting of in excess of 500 microbial species. In addition, studies of interactions between bacterial cells and between bacteria and host cells are in the process of revealing that this microbial complex forms a community–a ‘microbial ecosystem’–in which microorganisms interact competitively and cooperatively. We are relatively familiar
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