Academic Journal

Anna Karenina and the subgingival microbiome associated with periodontitis

التفاصيل البيبلوغرافية
العنوان: Anna Karenina and the subgingival microbiome associated with periodontitis
المؤلفون: Khaled Altabtbaei, Pooja Maney, Sukirth M. Ganesan, Shareef M. Dabdoub, Haikady N. Nagaraja, Purnima S. Kumar
المصدر: Microbiome, Vol 9, Iss 1, Pp 1-15 (2021)
بيانات النشر: BMC, 2021.
سنة النشر: 2021
المجموعة: LCC:Microbial ecology
مصطلحات موضوعية: Microbiome, Chronic periodontitis, Generalized aggressive periodontitis, Comparative metagenomics, Localized aggressive periodontitis, Microbial ecology, QR100-130
الوصف: Abstract Background Although localized aggressive periodontitis (LAP), generalized aggressive periodontitis (GAP), and chronic periodontitis (CP) are microbially driven diseases, our inability to separate disease-specific associations from those common to all three forms of periodontitis has hampered biomarker discovery. Therefore, we aimed to map the genomic content of, and the biological pathways encoded by, the microbiomes associated with these clinical phenotypes. We also estimated the extent to which these biomes are governed by the Anna Karenina principle (AKP), which states that eubiotic communities are similar between individuals while disease-associated communities are highly individualized. Methods We collected subgingival plaque from 25 periodontally healthy individuals and diseased sites of 59 subjects with stage 3 periodontitis and used shotgun metagenomics to characterize the aggregate of bacterial genes. Results Beta-dispersion metrics demonstrated that AKP was most evident in CP, followed by GAP and LAP. We discovered broad dysbiotic signatures spanning the three phenotypes, with over-representation of pathways that facilitate life in an oxygen-poor, protein- and heme-rich, pro-oxidant environment and enhance capacity for attachment and biofilm formation. Phenotype-specific indicators were more readily evident in LAP microbiome than GAP or CP. Genes that enable acetate-scavenging lifestyle, utilization of alternative nutritional sources, oxidative and nitrosative stress responses, and siderophore production were unique to LAP. An attenuation of virulence-related functionalities and stress response from LAP to GAP to CP was apparent. We also discovered that clinical phenotypes of disease resolved variance in the microbiome with greater clarity than the newly established grading system. Importantly, we observed that one third of the metagenome of LAP is unique to this phenotype while GAP shares significant functional and taxonomic features with both LAP and CP, suggesting either attenuation of an aggressive disease or an early-onset chronic disease. Conclusion Within the limitations of a small sample size and a cross-sectional study design, the distinctive features of the microbiomes associated with LAP and CP strongly persuade us that these are discrete disease entities, while calling into question whether GAP is a separate disease, or an artifact induced by cross-sectional study designs. Further studies on phenotype-specific microbial genes are warranted to explicate their role in disease etiology. Video Abstract
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2049-2618
Relation: https://doaj.org/toc/2049-2618
DOI: 10.1186/s40168-021-01056-3
URL الوصول: https://doaj.org/article/9f08b87af7f647a598107fcc3440c6e9
رقم الانضمام: edsdoj.9f08b87af7f647a598107fcc3440c6e9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20492618
DOI:10.1186/s40168-021-01056-3