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Beyond microbial community composition: functional activities of the oral microbiome in health and disease
Open accessAbstract
The oral microbiome plays a relevant role in the health status of the host and is a key element in a variety of oral and non-oral diseases. Despite advances in our knowledge of changes in microbial composition associated with different health conditions the functional aspects of the oral microbiome that lead to dysbiosis remain for the most part unknown. In this review, we discuss the progress made towards understanding the functional role of the oral microbiome in health and disease and how novel technologies are expanding our knowledge on this subject.
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“Yet, individual bacteria do not act in a vacuum, but rather function in interdependent microbial communities whose conglomerate activity can impact oral and systemic health[183,188,189].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [188]
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Influential
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Sorted by citations
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“The disintegration of the dental structure by acid generated by oral microorganisms due to the fermentation of dietary carbohydrates is well understood in the genesis of dental lesions, with aciduric or acid-producing species being the most frequent common cariogenic species [185].”
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Baim, A. D., Movahedan, A., Farooq, A. V., & Skondra, D. (2018) · Experimental Biology and Medicine · doi:10.1177/1535370218813616 · Cited by 87
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“Nevertheless, 40% to 50% of the metagenomic reads still remain unassigned or assigned as hypothetical proteins with unknown function; therefore, more work is still needed in this area (Belda-Ferre et al. 2012; Simón-Soro et al. 2013; Duran-Pinedo and Frias-Lopez 2015).”
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“Therefore, it is not a single pathogen but rather the entire community residing in the oral cavity and its functional activities that are responsible for the progression of these diseases (Duran-Pinedo and Frias-Lopez, 2015; Yost et al., 2015).”
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“Under normal conditions, the oral microbiota communities are balanced to maintain oral health (Duran-Pinedo and Frias-Lopez 2015).”
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Distinct Regulatory Role of Carbon Catabolite Protein A (CcpA) in Oral Streptococcal spxB Expression
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“Among them, Porphyromonas is closely associated with the occurrence and development of periodontitis, and is also a driving factor for developing digestive tract tumors, including colorectal cancer and pancreatic cancer (Duran-Pinedo and Frias-Lopez 2015).”
BackgroundEffect of Dietary Fiber on the Composition of the Murine Dental Microbiome
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Park, S., Saito-Adachi, M., Komiyama, Y., & Nakai, K. (2015) · Oral Diseases · doi:10.1111/odi.12403 · Cited by 26
“In particular, the applications of HTS have been used to characterize the human oral microbiome, one of the most diverse microbial communities that is increasingly important for studying human oral cancers and pathogens (Xu and Gunsolley, 2014; Duran-Pinedo and Frias-Lopez, 2015).”
BackgroundAbranches, J., Zeng, L., Kajfasz, J. K., Palmer, S. R., Chakraborty, B., Wen, Z. T., Richards, V. P., Brady, L. J., & Lemos, J. A. C. (2019) · ASM Press eBooks · doi:10.1128/9781683670131.ch26 · Cited by 28
Wei, Y., Shi, M. Q., Nie, Y., Wang, C., Sun, F., Jiang, W., Hu, W., & Wu, X. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.959416 · Cited by 25
“Moreover, it is now clear that some important factors that connect microbiota to periodontitis are microbial metabolites (Lu et al., 2013; Duran-Pinedo and Frias-Lopez, 2015).”
BackgroundThe interaction between gut microbiome and bone health
Inchingolo, F., Inchingolo, A. M., Piras, F., Ferrante, L., Mancini, A., Palermo, A., Inchingolo, A. D., & Dipalma, G. (2024) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0000000000000863 · Cited by 32
Regueira‐Iglesias, A., Vázquez-González, L., Balsa‐Castro, C., Vila-Blanco, N., Blanco‐Pintos, T., Tamames, J., Carreira, M. J., & Tomás, I. (2023) · Microbiome · doi:10.1186/s40168-023-01481-6 · Cited by 24
Characterization of oral bacterial and fungal microbiome in recovered COVID-19 patients
Wei, N., Zhu, G., Zhao, T., Wang, Y., Lou, H., Li, H., Yang, Z., Zhang, Z., Wang, Q., Han, M., et al. (2023) · BMC Microbiology · doi:10.1186/s12866-023-02872-3 · Cited by 24
Hieke, C., Kriebel, K., Engelmann, R., Müller‐Hilke, B., Lang, H., & Kreikemeyer, B. (2016) · Scientific Reports · doi:10.1038/srep39096 · Cited by 24
Oral microbiome and oral cancer – The probable nexus
Deo, P. N., & Deshmukh, R. S. (2020) · Journal of Oral and Maxillofacial Pathology · doi:10.4103/jomfp.jomfp_20_20 · Cited by 23
“The microbial community can be characterized by its composition (Metagenome), by the analysis of transcripts (Metatranscriptome), by the analysis of proteins (Metaproteome) or by the analysis of the final products resulting from the collective action of the community (Metabolomics).[46]”
BackgroundMethodAlmeida-da-Silva, C. L. C., Alpagot, T., Zhu, Y., Lee, S. S., Roberts, B. P., Hung, S.-C., Tang, N., & Ojcius, D. M. (2019) · Microbial Cell · doi:10.15698/mic2019.04.674 · Cited by 22
“Considering that periodontitis is a polymicrobial disease caused by complex interactions between distinct pathogens [37, 38, 51], it is possible that other microbial agents present in the dental plaques of periodontitis patients could be the cause of disease, and C.”
BackgroundDo Oral Pathogens Inhabit the Eye and Play a Role in Ocular Diseases?
Arjunan, P., & Swaminathan, R. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11102938 · Cited by 24
“A perturbed balance in the oral microbiome conglomerate culminates in a variety of chronic systemic disorders, including cardiovascular disease, stroke, preterm birth, diabetes, and pneumonia [55].”
BackgroundGeldenhuys, J., Redelinghuys, M. J., Lombaard, H. A., Ehlers, M. M., Cowan, D. A., & Kock, M. M. (2022) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2022.810673 · Cited by 22
Identifying oral microbiome alterations in adult betel quid chewing population of Delhi, India
Bahuguna, M., Hooda, S., Mohan, L., Gupta, R. K., & Diwan, P. (2023) · PLoS ONE · doi:10.1371/journal.pone.0278221 · Cited by 20
“The oral cavity is made up of diverse structures and tissues, including cheeks, gingiva, gingival sulcus, lips, teeth, tongue and palate, providing different habitats, nutrients, and growth conditions [3] for microbes.”
BackgroundAnthropogenic impact on airborne bacteria of the Tibetan Plateau
Zhang, Z., Qi, J., Liu, Y., Ji, M., Wang, W., Wu, W., Liu, K., & Huang, Z. (2023) · Environment International · doi:10.1016/j.envint.2023.108370 · Cited by 18
Malik, N. A., Razak, F. B. A., Yatim, S. M., Lam, O., Jin, L., Li, L. S. W., & McGrath, C. P. J. (2017) · Journal of Evidence Based Dental Practice · doi:10.1016/j.jebdp.2017.08.002 · Cited by 18
Ebersole, J., Nagarajan, R., Kirakodu, S., & Gonzalez, O. A. (2021) · Frontiers in Oral Health · doi:10.3389/froh.2021.725115 · Cited by 15
Rodrigues, M. X., Fiani, N., Bicalho, R. C., & Peralta, S. (2021) · Scientific Reports · doi:10.1038/s41598-021-86466-x · Cited by 17
Functional signatures of ex-vivo dental caries onset
Moussa, D. G., Sharma, A. K., Mansour, T. A., Witthuhn, B. A., Perdigão, J., Rudney, J. D., Aparicio, C., & Gomez, A. M. (2022) · Journal of Oral Microbiology · doi:10.1080/20002297.2022.2123624 · Cited by 17
Diwan, P., Nirwan, M., Bahuguna, M., Kumari, S. P., Wahlang, J., & Gupta, R. K. (2023) · Pathogens · doi:10.3390/pathogens12080996 · Cited by 20
Dharmarathne, G., Kazi, S., King, S., & Jayasinghe, T. N. (2024) · Microorganisms · doi:10.3390/microorganisms12112246 · Cited by 19
Eye on the Enigmatic Link: Dysbiotic Oral Pathogens in Ocular Diseases; The Flip Side
Arjunan, P. (2020) · International Reviews of Immunology · doi:10.1080/08830185.2020.1845330 · Cited by 16
“Studies have emphasized that perturbed balance in the oral microbiome culminate in a variety of chronic systemic disorders, including cardiovascular disease, stroke, preterm birth, diabetes and pneumonia [21].”
BackgroundProbiotics During the Therapeutic Management of Periodontitis
Furlaneto, F. A. C., Ishikawa, K., Messora, M. R., & Mayer, M. P. A. (2022) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-96881-6_19 · Cited by 20
Ghamari, M., Sabzi, S., Rajabi, E., Khodadadi, G., Navidifar, T., Sadeghi, Z., & Bostanghadiri, N. (2025) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-025-10636-w · Cited by 17
Kumari, M., Bhushan, B., Eslavath, M. R., Srivastava, A. K., Meena, R. C., Varshney, R. K., & Ganju, L. (2023) · Scientific Reports · doi:10.1038/s41598-023-30963-8 · Cited by 14
Oral bacteriophages: metagenomic clues to interpret microbiomes
Banar, M., Rokaya, D., Azizian, R., Khurshid, Z., & Banakar, M. (2024) · PeerJ · doi:10.7717/peerj.16947 · Cited by 14
Wu, L., Li, F., Ran, L., Gao, Y., Xie, P., Yang, J., Ke, F., Liu, L., Wang, Q., & Gao, X. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.01082 · Cited by 14
Cureau, N., Aljahdali, N. H., Vo, N., & Carbonero, F. G. (2016) · Epigenomics · doi:10.2217/epi-2016-0057 · Cited by 13
Regueira‐Iglesias, A., Vázquez-González, L., Balsa‐Castro, C., Blanco‐Pintos, T., Vila-Blanco, N., Carreira, M. J., & Tomás, I. (2023) · Microbiology Spectrum · doi:10.1128/spectrum.04398-22 · Cited by 13
“However, this limited approach does not reflect the complexity of the oral microbiota, where around 700 species have been identified (15, 16).”
BackgroundPolymicrobial Biofilms: Fundamentals, diseases, and treatments - A review
Espinosa-Duque, A., de Concepción, U., Palencia, S. L., García, A., Palencia, M., & del Valle, U. (2020) · Journal of Science with Technological Applications · doi:10.34294/j.jsta.20.8.54 · Cited by 14
“…multiple structures of teeth and tissues such as tongue, gums and palate, causing a rapid growth of microorganisms that are resistant to environmental stressors (Bjarnsholt, 2013; Duran-Pinedo and Frias-Lopez, 2015; Filoche et al. , 2010; Jakubovics and Kolenbrander, 2010; Willems et al. , 2016).”
The Function of the Oral Microbiome in Health and Disease
Frias‐Lopez, J., & Duran-Pinedo, A. E. (2020) · Springer eBooks · doi:10.1007/978-3-030-42990-4_10 · Cited by 12
A Survey of Bacterial Microcompartment Distribution in the Human Microbiome
Asija, K., Sutter, M., & Kerfeld, C. A. (2021) · Frontiers in Microbiology · doi:10.3389/fmicb.2021.669024 · Cited by 12
Therapeutic Modulation of the Microbiome in Oncology: Current Trends and Future Directions
Saraswat, I., & Goel, A. (2024) · Current Pharmaceutical Biotechnology · doi:10.2174/0113892010353600241109132441 · Cited by 12
The Oral Microbiota: A Literature Review for Updating Professionals in Dentistry. Part I
Barboza‐Solís, C., & Acuña-Amador, L. (2019) · Odovtos - International Journal of Dental Sciences · doi:10.15517/ijds.2020.39178 · Cited by 11
“As previously mentioned, oral bacteria communities are described as organized into biofilms (13,21,27).”
InfluentialLucchese, A., Marcolina, M., Mancini, N., Ferrarese, R., Acconciaioco, S., Gherlone, E. F., Bonini, C., Manuelli, M., & Polimeni, A. (2025) · Journal of Oral Microbiology · doi:10.1080/20002297.2024.2372751 · Cited by 10
“Oral microbiome plays a fundamental role in maintaining the homeostasis of the oral cavity and of systemic health too [2,3].”
Adami, G. R., Li, W., Green, S. J., Kim, E. M., & Wu, C. D. (2025) · Scientific Reports · doi:10.1038/s41598-025-87382-0 · Cited by 11
Kommerein, N., Vierengel, N., Groß, J., Opatz, T., Al‐Nawas, B., & Müller-Heupt, L. K. (2022) · Microorganisms · doi:10.3390/microorganisms10050965 · Cited by 11
Prodan, A., Imangaliyev, S., Brand, H. S., Rosema, N., Levin, E., Crielaard, W., Keijser, B. J. F., & Veerman, E. C. I. (2016) · Metabolomics · doi:10.1007/s11306-016-1096-4 · Cited by 10
“The oral cavity is a specialized ecological niche with thousands of microbial species, and the site of complex interactions between oral microbiota, salivary components, and host immune factors (Duran-Pinedo and Frias-Lopez 2015).”
Background
Metadata
- Authors
- Duran-Pinedo, A. E., & Frias-Lopez, J.
- Affiliations
- The Forsyth Institute (US)
- Venue
- Microbes and Infection
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 17
- Issue
- 7
- Pages
- 505-516
- ISSN
- 1286-4579 (ISSN-L)
- PMC
- PMC4495649
- OpenAlex
- W2079758378
- Cited by
- 187
- References
- 72
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 18 · 2023: 17 · 2022: 19 · 2021: 14 · 2020: 29 · 2019: 12 · 2018: 17 · 2017: 16 · 2016: 17 · 2015: 4
- FWCI
- 24.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Microbes and Infection (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research of the National Institutes of Health (NIDCR/NIH) (DE021553, DE021127)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- oral microbiota, dysbiosis, oral diseases, host-microbe interactions, oral health, metagenomics, metatranscriptomics
- MeSH terms
- Gastrointestinal Microbiome, Dental Caries, Health Status, Humans, Oral Health, Host-Pathogen Interactions, Metagenome
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