Oral Biofilms from Symbiotic to Pathogenic Interactions and Associated Disease –Connection of Periodontitis and Rheumatic Arthritis by Peptidylarginine Deiminase
Open accessAbstract
A wide range of bacterial species are harbored in the oral cavity, with the resulting complex network of interactions between the microbiome and host contributing to physiological as well as pathological conditions at both local and systemic levels. Bacterial communities inhabit the oral cavity as primary niches in a symbiotic manner and form dental biofilm in a stepwise process. However, excessive formation of biofilm in combination with a corresponding deregulated immune response leads to intra-oral diseases, such as dental caries, gingivitis, and periodontitis. Moreover, oral commensal bacteria, which are classified as so-called “pathobionts” according to a now widely accepted terminology, were recently shown to be present in extra-oral lesions with distinct bacterial species found to be involved in the onset of various pathophysiological conditions, including cancer, atherosclerosis, chronic infective endocarditis, and rheumatoid arthritis. The present review focuses on oral pathobionts as commensal and healthy members of oral biofilms that can turn into initiators of disease. We will shed light on the processes involved in dental biofilm formation and also provide an overview of the interactions of P. gingivalis, as one of the most prominent oral pathobionts, with host cells, including epithelial cells, phagocytes, and dental stem cells present in dental tissues. Notably, a previously unknown interaction of P. gingivalis bacteria with human stem cells that has impact on human immune response is discussed. In addition to this very specific interaction, the present review summarizes current knowledge regarding the immunomodulatory effect of P. gingivalis and other oral pathobionts, members of the oral microbiome, that pave the way for systemic and chronic diseases, thereby showing a link between periodontitis and rheumatoid arthritis.
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Dental plaque matrices create unique microenvironments that harbor acidic and anaerobic microenvironments, and thus select for organisms distinct from those growing directly on the tooth surface.
“These complex dental plaque matrices create unique microenvironments that harbor acidic and anaerobic microenvironments, and thus select for organisms distinct from those growing directly on the tooth surface.21”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [21]
Early inflammatory processes, such as gingivitis, can be mitigated through oral hygiene and removal of the bacterial biofilm.
“Early inflammatory processes, such as gingivitis, can be mitigated through oral hygiene and removal of the bacterial biofilm.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [21]
Inflammatory and immune-mediated processes, directly instigated by the microbes in the local plaque environment, mediate the development of gingivitis and periodontal disease.
“Inflammatory and immune‐mediated processes, directly instigated by the microbes in the local plaque environment, mediate the development of gingivitis and periodontal disease.21”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [21]
Stable plaque, which can also acquire opportunistic pathogens, can cause long-term inflammation that leads to periodontal disease.
“Stable plaque, which can also acquire opportunistic pathogens, can cause long‐term inflammation that leads to periodontal disease.21”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [21]
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- Authors
- Kriebel, K., Hieke, C., Müller-Hilke, B., Nakata, M., & Kreikemeyer, B.
- Affiliations
- University of Rostock (DE)
- The University of Osaka (JP)
- Corresponding author
- Nakata, Masanobu
- Kreikemeyer, Bernd
- Venue
- Frontiers in Microbiology
- Publisher
- Frontiers Media SA
- Published
- 2018-01-30
- Volume
- 9
- Pages
- 53-53
- ISSN
- 1664-302X (ISSN-L)
- PMC
- PMC5797574
- OpenAlex
- W2791797299
- Cited by
- 118
- References
- 170
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 8 · 2023: 15 · 2022: 19 · 2021: 16 · 2020: 12 · 2019: 17 · 2018: 5
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Microbiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Society for the Promotion of Science (17H04369, 17K19751, 15KK0306, 17K11610, 18K19643, 15H05012)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Keywords
- dental plaque, periodontitis, rheumatoid arthritis, peptidylarginine deiminase, Porphyromonas gingivalis, oral pathobionts, oral microbiota, dental stem cells, immunomodulation, host-pathogen interaction, systemic disease
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